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Colonoscopy is performed after a complete diagnostic work-up and therapeutic plan have failed to resolve problems linked to the lower intestine. To perform colonoscopy, the patient is anesthetized and a flexible fiberoptic endoscope is passed into the colon. Air, passed through the scope, increases the view within the colon. Biopsies can be obtained by passing an instrument through an opening in the scope. Colonoscopy provides a valuable, non-surgical means to diagnose large bowel disorders. To perform colonoscopy, it is important that the colon be clean of fecal matter so that the surface of the colon can be visualized. This often requires withholding food for 24 to 48 hours and giving your pet a solution to drink which "cleanses" the colon. Warm-water enemas may also be used to clear the colon. Most patients are discharged the same day of the procedure.

The major symptoms and reasons to perform a colonoscopy are:

  • Chronic diarrhea
  • Blood in the stool (persistent hematochezia)
  • Study of a growth in the colon or rectum
  • Straining during defecation (persistent tenesmus)
  • Excessive mucus in the stool
  • Stools of significantly decreased or narrowed size
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Internal Medicine

A board-certified veterinary internal medicine specialist is a veterinarian who completed an internship and residency (an additional 3-5 years of training after graduation from veterinary school) and passed a rigorous examination to achieve board certification in the American College of Veterinary Internal Medicine (ACVIM). These doctors have a deeper understanding of a pet’s internal body systems, as well as greater knowledge of unusual or uncommon conditions in pets.

Often called the “puzzle solvers of veterinary medicine”, board-certified veterinary internal medicine specialists have advanced training in disorders affecting the kidneys, liver, gastrointestinal tract, lungs, blood & bone marrow, and hormone-producing organs. Common diseases that affect these organs include:

  • Chronic kidney disease
  • Canine hypothyroidism
  • Pneumonia
  • Inflammatory bowel disease
  • Canine chronic bronchitis
  • Chronic cholangitis in cats
  • Diabetes mellitus
  • Cushing’s disease
  • Liver shunting disorders
  • Feline asthma
  • Addison’s disease
  • Chronic-active hepatitis
  • Feline hyperthyroidism
  • Infectious diseases (i.e.: tick-borne infections; fungal ailments)
  • Immune-mediated diseases

Our board-certified veterinary internal medicine specialists and their team of experienced licensed veterinary technicians use state-of-the-art diagnostic equipment and employ therapeutic interventions not generally used by family veterinarians, including:

  • Ultrasonography (abdominal, thoracic, and cervical)
  • Fine needle aspiration
  • Upper & lower gastroenteroscopy
  • Laparoscopy for liver biopsies
  • Cystoscopy
  • Feeding tube placement
  • Arthrocentesis (joint fluid sampling)
  • Bone marrow sampling
  • Computed tomography (CT/CAT scan)

To help ensure pets receive the best possible healthcare, our internal medicine team collaborates with family veterinarians by providing second opinions, complex diagnostic procedures, around-the-clock nursing care, and specialized therapies.

Our Internal Medicine Services

Abdominocentesis
Bronchoalveolar Lavage BAL
Bronchoscopy
Colonoscopy

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