C10030087 / invoice 10000

Reason: O, brought in urine sampleHISTORYPresenting for: Follow-up consultation for ongoing gastrointestinal issues including blood in stool and eating difficultiesHistorical Conditions: Recent course of antibiotics (stopped Wednesday after 7-8 days), urine test showing no bacteria detected but trace blood still presentDiet: Struggling to eat current food, appears to dislike it rather than lack of hunger, will cry for hours but won't eat when offered food, owner taking firm approach that patient must eat what's providedDrinking/Urination: Owner syringing water into food to ensure adequate fluid intakeV/D/C/S: Bowel movements are large but frequency still not back to normal baseline, owner still concerned about defecation patterns and feels relieved when patient produces normal-sized stoolCurrent Meds: Probiotic Calm powder (given every second day, has had 2 doses), stopped antibiotics on Wednesday, Meloxicam available as needed, Prazosin previously prescribed but currently not being givenOther: Patient's behaviour and activity levels improving, started playing more in recent days, morning play behaviour returning, general demeanour much betterEXAMBehavioural: More interactive and playful, morning play behaviour returning, overall demeanour significantly improvedASSESSMENTPersistent trace haematuria - Patient showing behavioural improvement but still experiencing trace blood in urine despite negative bacterial culture. Defecation frequency remains below normal baseline.PLANNew Meds/Tx:- Continue antibiotics for additional 5-7 days due to persistent trace blood in stool- Restart Prazosin (smooth muscle relaxant) 1/2 tablet once daily to help with defecation- Meloxicam can be used for 3 consecutive days if needed, then give break (has been approximately one week since last dose)Diagnostics:- Repeat urine sample collection for follow-up testingAdditional Discussion:- Patient showing good progress with behaviour and activity levels returning to normal- Defecation patterns improving but not yet at baseline normal- Food refusal likely behavioural rather than medical - owner maintaining firm feeding approach- Owner to continue monitoring stool production and consistency- Ensure adequate water intake through food supplementation as needed    Vital Signs    Weight: 5;