Dog - Diarrhoea Questionnaire

Answers to the questions below will help with planning the investigations required and subsequent treatment. Thank you for your help.

1.  Has your dog got diarrhoea, i.e.

• is the stool unformed, liquid or 'jelly'
• greater volume than normal
• occurring more frequently

2.  How long has the condition been present?

3.  Is the diarrhoea more severe now than a few days ago?

4.  Circle the letter of each item that applies:

• Consistency

(a) Watery faeces
(b) Stool is the thickness of pancake batter

• Blood

(a) Very bloody faeces
(b) Only sporadic blood present
(c) Blood not present in faeces
(d) Bright red blood present
(e) Dark, tarry blood present

• Degree/Frequency

(a) Entire faeces is soft or watery
(b) Only portions of the faeces are soft or watery
(c) Diarrhoea with each bowel movement
(d) Diarrhoea is sporadic (some bowel movements are normal)
(e) Only 1 or 2 bowel movements per day
(f) More than 4 bowel movements per day

• Colour

(a) Stool is dark brown in colour
(b) Stool is very pale in colour
(c) Stool is black and tarry in appearance

• Miscellaneous

  (a) Thick mucus or pieces of tissue present in faeces
  (b) Loss of bowel control (defaecates in the house on the floor), extreme urgency to defaecate
  (c) Severe straining when having a bowel movement, straining after faeces have been passed

Is your dog's appetite normal? If not, please describe the abnormality you have noticed.

What have you been feeding your dog during the last week? (Include dog or cat foods, treats, table foods, milk and anything else that is given on a daily basis. Also state if possible the approximate percentage of the diet in each item or category.)

Does your dog have access to foods in addition to that you feed? If so, what?

General

1.  Has there been a significant diet change in the last few weeks? If so, does that correspond with the onset of the diarrhoea?

2.  Is your dog as active as normal?

3.  Describe any change in water consumption (up or down).

4.  Has vomiting been occurring? If so, how frequently and for how long? Is it related to when your dog eats?

5.  Could your dog have access to rubbish bins, either within your house and garden or in some other place?

6.  Does your dog have toys that could have been swallowed?

7.  Does your dog have access to sewing materials, such as thread or needles, or rubber bands, or string?

8.  Do you have other dogs or cats in contact? If so, do the other pet/s have diarrhoea?

9.  Do any of the members of your family currently have a diarrhoea problem either acute or intermittent?

10. Does your dog tend to chew/ eat household objects? eg socks, slippers, tea towels

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