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  • 1 1Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA 24061.

A 2-year-old 14.8-kg (32.6-lb) spayed female Beagle was referred to a veterinary teaching hospital because of apparently painful defecation of approximately 1 week's duration. The primary care veterinarian had initiated treatment of the dog with gabapentin (14 mg/kg [6.4 mg/lb], PO, q 8 to 12 h), prednisone (0.3 mg/kg [0.14 mg/lb], PO, q 12 h), and tramadol (3 mg/kg [1.4 mg/lb], PO, q 8 to 12 h). A CBC and plasma biochemical panel were performed by the primary care veterinarian, results of which were unremarkable. Despite medical treatment of the dog, the apparently painful defecation persisted. At the referral evaluation,

Contributor Notes

Address correspondence to Dr. Fowler (kfowle18@gmail.com).