case study

1 1/2 years old male neutered Chihuahua

Hx: 2 wks hx of soft feces. BIOP since 10 wks old, been feeding cat food (feline t/d w whiskas) the whole time. no soft feces previously. o changed to BID feeding instead of ad lib 2 wks ago (whiskas only). o observe feces getting softer especially this evening, some fecal staining on tail noticed. dog ate ~10g of chunky chocolate bar last night, o observed dog o/n, bit hyperactive. dog vacc up to date, wormed last week.

Subjective: BAR DUDE. NAD on PE but dog is abdo guarding. intestine may be thickened, fluid filled, semi-formed feces in rectum. some tartar on UL PM4 no gingivitis.

Objective: HR 160 RR panting MM P<2 sec

Assessment: gross appearance of feces consistent with small intestine ds (dt form feces and lack of urgency) D+ dt recent indiscretion (chocolate)? consequence of deworming? or allergic to cat food? DDx food intolerance, IBD >> SIBO, stress? can be all of the above

Plan: NPO 12 hrs, w&s. should rule out chocolate & dewormer effect. advice o switch to premium dog food gradually over 4 days. o to get hypoallergenic or i/d. follow up in 7 days