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Clinical Nutrition Service

Clinical Nutrition Service

 

Clinical Nutrition Service overview

  • Staffed by a full-time, on-site, board-certified small animal nutritionist
  • Available for face-to-face consultations
  • Urgent appointments for parenteral nutrition or feeding tube placement
  • Multi-disciplinary approach to patients with nutritional disorders including medical investigations, diagnostic imaging and critical care
  • Comprehensive investigation and staging of medical disorders needing nutritional management
  • Free telephone advice for referring veterinarians
 

Referring a patient is rapid and easy:

  • Register the client either by telephone or on-line (you qualify for entry into our quarterly draw with the on-line option!)
  • Supply the history and any lab results either on-line, with the owner or by post, fax or email to: [email protected]
  • Staffed by a full-time, on-site, board-certified small animal nutritionist
  • Available for face-to-face consultations
  • Urgent appointments for parenteral nutrition or feeding tube placement
  • Multi-disciplinary approach to patients with nutritional disorders including medical investigations, diagnostic imaging and critical care
  • Comprehensive investigation and staging of medical disorders needing nutritional management
  • Free telephone advice for referring veterinarians

Referring a patient is rapid and easy:

  • Register the client either by telephone or on-line (you qualify for entry into our quarterly draw with the on-line option!)
  • Supply the history and any lab results either on-line, with the owner or by post, fax or email to: [email protected]


Personnel 

Nutrition Specialist

Isuru Gajanayake - American Specialist in Small Animal Internal Medicine, American Specialist in Small Animal Nutrition                
                 

Isuru Gajanayake

BVSc CertSAM DipACVIM DipECVIM-CA DipACVN MRCVS

 

 

 

 

 

 

 

 

 

Isuru Gajanayake - American Specialist in Small Animal Internal Medicine, American Specialist in Small Animal Nutrition

Isuru Gajanayake
BVSc CertSAM DipACVIM DipECVIM-CA DipACVN MRCVS

 

 

Fully supported by other Specialists in our Internal Medicine, Soft Tissue Surgery, Cardiology, Neurology, Oncology, Dermatology, OrthopaedicsOphthalmic, Diagnostic Imaging and Anaesthesia teams.

 

Management of complex medical disorders:

  • Patients with multiple conditions with conflicting nutrient requirements
  • Investigation and staging of disease (e.g. inflammatory bowel disease, chronic kidney disease, chronic hepatopathies) to plan appropriate nutritional therapy
  • Recommendation of appropriate commercial diets
  • Formulation of bespoke home-cooked diets
 
Radiographic confirmation of oesophagostomy feeding tube placement

Radiographic confirmation of oesophagostomy feeding tube placement

Placement and management of feeding tubes:

  • To manage anorexia in dogs and cats
  • Acute disorders such as pancreatitis or gastroenteritis
  • Chronic disorders such as chronic kidney disease
Dog being fed via a naso-oesophageal feeding tube

Dog being fed via a naso-oesophageal feeding tube

Dog being fed via a percutaneous endoscopically placed gastrostomy feeding tube

Dog being fed via a percutaneous endoscopically placed gastrostomy feeding tube

Administration of parenteral nutrition:

  • To manage critically ill patients that do not tolerate tube feeding
  • Acute pancreatitis, septic peritonitis, hepatic encephalopathy
  • Supported by a 24-hour intensive care unit
 
Dog being administered parenteral nutrition via a jugular catheter

Dog being administered parenteral nutrition via a jugular catheter

Formulation of home-cooked diets:

  • Tailor-made formulations to meet the specific nutrient requirements of individual patients
  • Diets balanced for all micronutrient requirements
  • Complex medical disorders where no suitable commercial diets are available (e.g. protein or fat restricted novel protein diet)
  • Chronic medical disorders where the recommended commercial diets are not consumed (e.g. chronic kidney disease)
  • Food sensitivities affecting the gut or skin, using unusual novel protein sources
  • Healthy but ‘fussy eaters’ that refuse to eat commercial diets
  • Owners who wish to home-cook for their pets
  • Evaluation of home-cooked diets for nutrient deficiencies
 
A cat with concurrent inflammatory bowel disease and chronic kidney disease successfully managed with a balanced home-cooked diet

A cat with concurrent inflammatory bowel disease and chronic kidney disease successfully managed with a balanced home-cooked diet

Bespoke weight loss plans:

  • Including investigation of underlying causes of obesity
  • Formulation of weight loss goals and plans for follow-up examinations
  • Recommendations for healthy weight maintenance

   

Body condition scoring of a dog to assess body fat stores

Body condition scoring of a dog to assess body fat stores

Investigation and management of primary nutritional disorders:

  • Nutritional secondary hyperparathyroidism
  • Suspected food-associated toxicities
 
Cat with nutritional secondary hyperparathyroidism

Cat with nutritional secondary hyperparathyroidism

Cases suitable for referral:

Patient assessment and formulation of nutrition plans for various disorders including:

  • Chronic kidney disease
  • Protein losing nephropathies (without azotaemia)
  • Portosystemic shunts
  • Other hepatic disease (with or without encephalopathy)
  • Acute and chronic pancreatitis
  • Exocrine pancreatic insufficiency
  • Food responsive dermatosis
  • Food responsive gastroenteropathies
  • Inflammatory bowel disease
  • Lymphangiectasia
  • Congestive heart failure
  • Chylothorax
  • Cachexia due to cardiac disease or neoplasia
  • Obesity
  • Hypertriglyceridaemia
  • Short bowel syndrome
  • Gastric dilation and volvulus
  • Urolithiasis
  • Feline idiopathic cystitis
  • Developmental orthopaedic disease
  • Constipation
  • Diabetes mellitus and other endocrine disorders