Poster of Chow Chow in a retail shop shopping mall. Normal large eyes
Sunday, February 11, 2018
3353. Chow Chow images
Feb 11, 2018
Poster of Chow Chow in a retail shop shopping mall. Normal large eyes
Poster of Chow Chow in a retail shop shopping mall. Normal large eyes
Friday, February 9, 2018
Thursday, February 8, 2018
3351. A 13-month-old dwarf rabbit eats hay but not pellets for the past 2 days. X-rays of rabbit abdomen
Feb 7, 2018
The pet shop referred the expatriate owner to Toa Payoh Vets for neuter in Oct 2017. When the rabbit had stopped eating pellets but not hay for the past 2 days, the owner phoned the pet shop and was referred to Toa Payoh Vets today.
Why did the rabbit stop eating pellets?
Abdominal palpation is very important if the rabbit has no teeth probems.
I elicited intense pain when the anterior abdomen was palpated. I felt small faecal lumps of 0.5 mm.
Dr Daniel palpated a lump around 1 cm across in the anterior abdominal area.
Gastric ileus/stasis was evident from the X-ray, showing a fully distended stomach. Was there hair balls? Pain-killers and antibiotic enabled the rabbit to eat 6 pellets the next morning when I phoned. 20-25 smaller sized faecal pellets were passed.
That was great news for the day. Later in the evening, the owner said that the rabbit was not eating pellets.
I advised giving the Fiberplex 3 x per day and water in syringes, piece of apple and the pain killer meloxicam and antibiotics baytril orally. To count the faecal pellets. Will let me know the results on Feb 9, 2018 (next day) afternoon.
The owner could not provide info on how many faecal pellets and their sizes before coming to Toa Payoh Vets for consultation.
X RAYS
Sunday Feb 11, 2018 10 am
After one night of in-patient and given 30 pellets from 6 pm on Feb 10, 2018, the rabbit had eaten 20/30 pellets and passed 150 faecal pellets overnight. This would be around 16 hours. The evidence of such stools and pellets were shown to the owner and the rabbit went home.
Feb 11, 2018 7 pm
The daughter said that the rabbit would hide in a corner of the corridor instead of being active. This was a cause of concern. I advised sending the rabbit back for observation again for more than one day, as the parents were worried about the "round lump" of 1 cm across discovered earlier. No ultrasound was done as the rabbit was back to normal appetite and had eaten 20/30 pellets overnight.
Update in Feb 17, 2018. The rabbit has recovered and is active again
No more hiding in the corner.
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CASE 3. This rabbit has gastric ileus/stasis --- gastric distension and pain
--- stopped eating
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CASE 4. No gastric ileus/stasis
http://2010vets.blogspot.sg/2015/12/2892-biting-rabbit-passes-blood-in-urine.html
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13 Aug 2023. Tele-consultation with a rabbit owner from India. His rabbit has a bladder stone. Surgical removal is the treatment. If the rabbit has urinary difficulties or infections, surgery is advised.
The pet shop referred the expatriate owner to Toa Payoh Vets for neuter in Oct 2017. When the rabbit had stopped eating pellets but not hay for the past 2 days, the owner phoned the pet shop and was referred to Toa Payoh Vets today.
Why did the rabbit stop eating pellets?
Abdominal palpation is very important if the rabbit has no teeth probems.
I elicited intense pain when the anterior abdomen was palpated. I felt small faecal lumps of 0.5 mm.
Dr Daniel palpated a lump around 1 cm across in the anterior abdominal area.
Gastric ileus/stasis was evident from the X-ray, showing a fully distended stomach. Was there hair balls? Pain-killers and antibiotic enabled the rabbit to eat 6 pellets the next morning when I phoned. 20-25 smaller sized faecal pellets were passed.
That was great news for the day. Later in the evening, the owner said that the rabbit was not eating pellets.
I advised giving the Fiberplex 3 x per day and water in syringes, piece of apple and the pain killer meloxicam and antibiotics baytril orally. To count the faecal pellets. Will let me know the results on Feb 9, 2018 (next day) afternoon.
The owner could not provide info on how many faecal pellets and their sizes before coming to Toa Payoh Vets for consultation.
X RAYS
Sunday Feb 11, 2018 10 am
After one night of in-patient and given 30 pellets from 6 pm on Feb 10, 2018, the rabbit had eaten 20/30 pellets and passed 150 faecal pellets overnight. This would be around 16 hours. The evidence of such stools and pellets were shown to the owner and the rabbit went home.
Feb 11, 2018 7 pm
The daughter said that the rabbit would hide in a corner of the corridor instead of being active. This was a cause of concern. I advised sending the rabbit back for observation again for more than one day, as the parents were worried about the "round lump" of 1 cm across discovered earlier. No ultrasound was done as the rabbit was back to normal appetite and had eaten 20/30 pellets overnight.
Update in Feb 17, 2018. The rabbit has recovered and is active again
No more hiding in the corner.
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OTHER RABBIT CASES WITH X RAYS for
comparison
CASE 2. This rabbit has no gastric
ileus
http://2010vets.blogspot.sg/2016/12/2982-2-year-old-holland-lop-rabbit-has.html
CASE 3. This rabbit has gastric ileus/stasis --- gastric distension and pain
--- stopped eating
http://2010vets.blogspot.sg/2016/08/2905-functional-ileus-in-rabbit-that.html
----------------------------------------------------------------------------------
CASE 4. No gastric ileus/stasis
http://2010vets.blogspot.sg/2015/12/2892-biting-rabbit-passes-blood-in-urine.html
13 Aug 2023. Tele-consultation with a rabbit owner from India. His rabbit has a bladder stone. Surgical removal is the treatment. If the rabbit has urinary difficulties or infections, surgery is advised.
Monday, February 5, 2018
Sunday, February 4, 2018
3349. A solitary mushroom Feb 2 to Feb 5, 2018
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Feb 4, 2018
Feb 5, 2018 8.12 am
Thursday, February 1, 2018
3348. A 10-year-old Golden Retriever has anal sac discharge after 2 treatments by the vet
Feb 1, 2018
"I feel very peck chek (frustrated in Chinese Hokkien dialect) as my dog passes smelly bloody anal discharge for the 3rd time. She was treated by Vet 1 twice, within 10 days, and the problem returned. The vet had told me that a biopsy (over $500) will be needed if the discharge occurred at the 3rd time!
She had paid $3000 for her dog eyeball removal and was wary of veterinary fees.
Her friend referred her to me. Dr Daniel expressed smelly black anal sac oil via digital expression.
The owner wants a cure, not going to the vet the 4th time to express oil.
This is a case of a possible anal sac necrosis with or without a tumour. Medical therapy by expression of the sacs has not worked.
Possible treatments are:
1. Catheterise the sacs and irrigate with saline and antibiotics. Sedation is needed.
Medication after antibiotic sensitivity test. Wait and see if the bleeding recurs.
2. Biopsy. The owner wanted a permanent cure and this was not a cure.
3. Anal sacculectomy as medical therapy via anal sac expression for 3rd time (rectal digital expression) still shows bloody smelly discharge at Toa Payoh Vets.
The owner would consult her husband as one complication is faecal incontinence after removal of the anal sacs.
Conclusion
Owner wanted Option 1 which is scheduled 2 weeks later as the anal sacs now are inflamed. She is worried about faecal incontinence and will have to clean the backside if that occurs.
E-collar, R/D diet to reduce weight from 25 kg to 22 kg and provide fibre.
Blood test normal findings.
"I feel very peck chek (frustrated in Chinese Hokkien dialect) as my dog passes smelly bloody anal discharge for the 3rd time. She was treated by Vet 1 twice, within 10 days, and the problem returned. The vet had told me that a biopsy (over $500) will be needed if the discharge occurred at the 3rd time!
She had paid $3000 for her dog eyeball removal and was wary of veterinary fees.
Her friend referred her to me. Dr Daniel expressed smelly black anal sac oil via digital expression.
The owner wants a cure, not going to the vet the 4th time to express oil.
This is a case of a possible anal sac necrosis with or without a tumour. Medical therapy by expression of the sacs has not worked.
Possible treatments are:
1. Catheterise the sacs and irrigate with saline and antibiotics. Sedation is needed.
Medication after antibiotic sensitivity test. Wait and see if the bleeding recurs.
2. Biopsy. The owner wanted a permanent cure and this was not a cure.
3. Anal sacculectomy as medical therapy via anal sac expression for 3rd time (rectal digital expression) still shows bloody smelly discharge at Toa Payoh Vets.
The owner would consult her husband as one complication is faecal incontinence after removal of the anal sacs.
Conclusion
Owner wanted Option 1 which is scheduled 2 weeks later as the anal sacs now are inflamed. She is worried about faecal incontinence and will have to clean the backside if that occurs.
E-collar, R/D diet to reduce weight from 25 kg to 22 kg and provide fibre.
Blood test normal findings.
Monday, January 29, 2018
3347. A chihuahua jumps from the bed daily - r patellar luxation 2 days ago
Jan 29, 2018
Referral to Toa Payoh Vets for 2nd opinion
Vet 1 did X-rays. Diagnosed Grade 3 patellar luxation.
Jumps off bed daily - for past 8 years
Had been lame for a year
Overweight BCS 5/9
Advice
Grade 3. Dog can put RH paw on ground after putting patella in.
Heart and lungs OK. Abdomen OK.
Apprehensive about anaesthesia.
To reduce weight for 4 weeks and see.
--------------------------better quality X-rays of another case
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