C10030638 / invoice 10000

Reason: TLS Moved From 18/3/26 Appointment Notes: Dexter (Dog) - joshuasoares12345@gmail.com 0469193658 Joshua Soares Consultation - Illness, Injury, Problem - Diarrhoea 1 week (since 11th)Pale tongue -  Web BookingClient name: Joshua SoaresContact number: 0469193658Email address: joshuasoares12345@gmail.comPatient name: DexterDiet was sweet potatao and riceDiet current pupy purinaTransition to RC JRT mix plus probiotics over 2 weeks fore got diarrhoeaDiarerhoea for 4 daysCurrent diet rice and pumpkin started yesterday HR 140 No murmerMucous faeces mustard colourWatery - little and oftenLarge bowelVerified: NoReason: D+History:Previous episode of D+ and V+ last month, resolved with bland diet and hydrationCurrently on Purina puppy food transitioning to Royal Canin Jack Russell mix with probioticsTransition done gradually over 2 weeks, completed few weeks agoD+ started Wednesday, ongoing for 4 daysOne small bile vomit but fed late that dayCurrently feeding rice and butternut pumpkin since yesterdayMucousy, yellowy-brown coloured D+, more watery than usualFrequency increased to 6 times per day Thursday-Friday, normally BID with solid stoolsOn Simparica Trio monthlyBright, alert, active, good appetite, drinking water normallyNo scooting, no constipationExamination:BAR in consultMMs: pink & moist, CRT < 2secEars: No odour or significant dischargeHR: 140Cardio: no murmur or arrythmiaResp: Lung sounds clear, normal respiratory effortAbdo: slightly tense, no turning around indicating pain, no palpable massesIntegument: NADLNs: normalAssessment:Large bowel D+Possible dietary indiscretionRule out parasites not covered by Simparica TrioPlan:Milbemax allwormer dispensed - 1 tablet E3M for dogs up to 10kgHill's I/D low fat tinned food dispensed - 5 tins, feed 1-1.75 tins daily in small frequent mealsPro-Kolin paste dispensed - 30ml bottle, dose 3ml BID for 3-4 daysConversation with owner:Discussed that Simparica Trio doesn't cover tapeworm and whipwormAdvised gradual transition back to normal food after at least 2 days of normal stoolsHill's I/D is prescription food, dry version more economical long term if neededReturn if not improving, no need to return if resolving3 month reminder will be sent for deworming    Vital Signs    Weight: 9;