Gastroenterology

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Over the last two decades, the importance of the GI microbiota­ (the collection of all GI microorganisms­) on GI and overall health has been recognized. Prebiotics, such as fructooligosaccharides or mannanoligosaccharides, serve as the main substrate source for beneficial bacterial species of the GI microbiota and, thus, have a great impact on the GI microbiota and, in turn, GI and overall health.

Esophageal diseases, including megaesophagus, can easily sneak up on the unsuspecting clinician if regurgitation, the cardinal sign of esophageal disease, is not considered a differential diagnosis for an animal that presents for what the owner perceives as vomiting.

While not common in terms of the frequency with which they are seen in small animal practice, primary intestinal neoplasia is an important differential diagnosis for a dog or cat with vomiting, especially chronic vomiting, chronic diarrhea, anorexia and weight loss, particularly animals that are middle-aged and older.