Internal Medicine

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Advanced Internal Medicine for Pets: Expert Care, 7 Days a Week

While your family veterinarian is qualified to manage many aspects of your pet’s care, sometimes a specialist’s expertise is needed when there’s a particularly complex medical issue. Just like people, pets can develop multiple or complicated health issues that can be difficult to manage, especially as they age.

Common Conditions our Internal Medicine Specialists See

Some of the most common conditions for which family veterinarians and concerned pet parents seek our internal medicine expertise include:

  • Complicated diabetes, thyroid disorders, and other endocrine diseases
  • Infectious diseases including tick-borne and fungal diseases
  • Hematological (blood) diseases, such as anemia
  • Inflammatory bowel disease, complex pancreatic disease, and other gastrointestinal disorders
  • Liver diseases such as hepatitis
  • Acute or chronic kidney disease
  • Pneumonia
  • Bronchitis, asthma, coughing, and other breathing disorders
  • Fever of unknown origin
  • Unexplained weight loss
  • Suspected cancer

Faster Healing, Happier Pet: The Power of Minimally Invasive Procedures

Veterinary interventional radiology (IR) and endoscopy represent the forefront of minimally invasive veterinary medicine, offering precise diagnostics and treatments with less risk and faster recovery than traditional surgery. Interventional radiology combines advanced imaging technologies—such as digital X-rays, ultrasound, CT, or real-time fluoroscopy—with specialized instruments to perform targeted interventions inside the body. This approach allows veterinarians to treat complex conditions through tiny incisions or natural openings, reducing trauma to surrounding tissues. Endoscopy, meanwhile, utilizes a flexible, camera-equipped scope to visualize and address issues within internal cavities like the digestive tract, respiratory system, or urinary tract. These techniques not only enhance diagnostic accuracy but also enable therapeutic procedures that prioritize your pet’s comfort and safety.

Internal medicine specialist Dr. Melissa Milligan is one of the very few veterinarians in our area specially trained to perform interventional radiology to manage a wide array of conditions, from chronic diseases to acute emergencies. These methods are particularly valuable for pets who may not tolerate invasive surgery well, such as senior animals or those with underlying health challenges. By integrating state-of-the-art equipment with compassionate care, we aim to improve outcomes and get your pet back to their happy, healthy self as quickly as possible.

Here are some of the specialized procedures we offer:

  • Tracheal Stenting: Placement of a stent to relieve airway obstruction caused by tracheal collapse, common in small-breed dogs.
  • Urethral Stenting: Insertion of a stent to treat urinary blockages or strictures, often seen in cats and dogs with chronic urinary issues.
  • Balloon Dilation: Expanding narrowed passages, such as in the esophagus or blood vessels, to restore normal function.
  • Gastrointestinal Biopsy: Collecting tissue samples from the stomach or intestines to diagnose conditions like inflammatory bowel disease or cancer.
  • Bronchoscopy: Examination and treatment of the lungs and airways, often for chronic coughing or respiratory infections.
  • Cystoscopy: Visualization of the bladder and urethra to diagnose urinary tract disorders or remove small stones.
  • Endoscopic Polypectomy: Removal of benign growths (polyps) from the nasal cavity, colon, or other areas.
  • Percutaneous Drainage: Image-guided placement of catheters to drain abscesses, cysts, or fluid buildup in the chest or abdomen.
  • Ectopic Ureter: A minimally invasive treatment that can correct the abnormal ureter positioning, allowing the ureter to open directly into the bladder, often improving urinary incontinence.

These procedures are tailored to each patient’s unique needs, guided by real-time imaging and performed with meticulous precision. Benefits include smaller incisions, reduced anesthesia time, lower infection risk, and quicker return to normal activity—making IR and endoscopy game-changers in veterinary care. Contact Guardian Veterinary Specialists to learn how these advanced techniques can benefit your pet.

Board Certified Veterinary Internal Medicine Specialists

A board-certified veterinary internal medicine specialist—an internist—is a veterinarian who’s completed additional training in how your pet’s internal body systems work, and in diagnosing and treating the most severe conditions affecting these systems.

Our dedicated internal medicine team features four experienced specialists, providing comprehensive consultations and advanced procedures every day of the week. We’re here for your pet’s well-being, 7 days a week!

Our veterinary internists work in collaboration with your veterinarian to diagnose the problem and recommend a treatment plan tailored to your pet’s individual situation.

We Stay in Touch With Your Family Veterinarian

Even if you choose to have one of our internal medicine specialists provide advanced care for your pet, your family veterinarian will continue to manage most of your pet’s ongoing medical needs. That’s why we keep your family veterinarian informed about your pet’s condition and treatment during its stay at Guardian Veterinary Specialists.