Referral discipline

Internal medicine

Specialist care for complex and long-term conditions.

internal medicine

Why trust Vets Now referrals

Led by a board-certified Internal Medicine Diplomate

Expertise in chronic cases, diabetes, FIP and gastrointestinal issues

Advanced diagnostics: CT, ultrasound, endoscopy, BAL procedures

Recognised FIP Hub of the Northwest

Our services

Our Internal Medicine service focuses on pets with complex or long-term health needs. From cancer care to advanced cardiology, we offer cutting-edge diagnostics and treatments including CT scans, endoscopy, BAL procedures, and chemotherapy. As the FIP Hub of the Northwest, we are proud to provide pioneering care for cats with this condition. With expert leadership and specialist nursing support, our team delivers personalised, compassionate care every step of the way.

Our prices

Each individual will get their own estimates based on their needs, prices may very based on each case.

*price list correct as of February 2026

Treatment

Cost

Description

Initial consultation

£380

Chronic vomiting/diarrhoea (without endoscopy)

£1,500–£2,500 inc. consult fee

Consultation, blood testing, faecal testing, sedation, abdominal ultrasound, day hospitalisation

Chronic vomiting/diarrhoea including endoscopy

£2,500–£3,500 inc. consult fee

Consultation, blood testing, faecal testing, sedation, abdominal ultrasound, endoscopy, two days of hospitalisation as needed

Gastric or oesophageal foreign body endoscopic removal

£1,500–£2,500 inc. consult fee

Consultation, blood testing, general anaesthetic, ultrasound/x-rays, endoscopy, hospitalisation up to one day

Liver disease

Treatment

Cost

Description

Liver disease (consultation, blood work, ultrasound, FNAs)

£1,500–£2,500 inc. consult fee

Consultation, blood testing, sedation, abdominal ultrasound, needle samples of liver and bile with testing as needed, day hospitalisation

Surgical liver biopsies – laparoscopic (key hole) or open surgery + testing

£2,500 inc. consult fee

General anaesthetic, liver biopsies by key hole surgery or open surgery (case dependent), testing on the liver samples as needed, hospitalisation for one day as needed

Portosystemic shunt work up (including CT angiography)

£2,500–£3,500 inc. consult fee

Consultation, blood testing, general anaesthetic, CT angiography, urine testing, hospitalisation up to one day

Urinary disease

Treatment

Cost

Description

Lower urinary tract disease (consult, blood work, ultrasound, urinalysis)

£1,500–£3,000 inc. consult fee

Consultation, blood testing, sedation/general anaesthetic abdominal ultrasound, urine testing, day hospitalisation, contrast x-ray studies if needed

Lower urinary tact disease (cystoscopy on top of the above)

£1,500–£2,000 inc. consult fee

General anaesthetic, cystoscopy (camera examination of the urinary tract), day hospitalisation.

Respiratory Disease

Treatment

Cost

Description

Nasal investigations

£3,000–£4,500 inc. consult fee

Consultation, blood testing, general anaesthetic, CT scan (head +/- chest), nasopharyngoscopy, rhinoscopy, nasal biopsies, testing of samples as indicated, up to two-days hospitalisation

Cough investigations

£3,000–£4,500 inc. consult fee

Consultation, blood testing, general anaesthetic, CT scan (chest +/- additional region), bronchoscopy, bronchoalveolar lavage (lung wash), testing of samples as indicated, up to two-days hospitalisation

Nasal & cough investigations

£4,000–£5,000 inc. consult fee

The cough and nasal investigations in one visit for dogs/cats unfortunately suffering from signs of nasal and lung disease

Immune-mediated disease

Treatment

Cost

Description

PUO investigations

£3,000–£5,000 inc. consult fee

Consultation, blood testing, diagnostic imaging as indicated (x-rays + ultrasound or CT of chest + abdomen), urine testing, joint fluid sampling, hospitalisation for up to two days

Non-regenerative anaemia (without transfusions)

£2,000–£5,000 inc. consult fee

Consultation, blood testing including additional blood test (iron panel, infectious disease testing), sedation/general anaesthetic, chest x-rays and abdominal ultrasound (or CT scan), bone marrow sampling including testing of the bone marrow samples

Non-regenerative anaemia cross matched blood transfusion (per transfusion)

£1,000–£1,200 inc. consult fee

Blood transfusion including cross-matching, blood products (one unit of blood), and administration of the blood transfusion

Immune-mediated thrombocytopaenia investigations

£2,500–£3,500 inc. consult fee

Consultation, blood testing, infectious disease testing, sedation/general anaesthetic, chest x-rays and abdominal ultrasound or CT scan, one day hospitalisation.

Meet our Internal medicine team

Ollie Russell

Ollie Russell

Specialist Medicine Clinician

MA VetMB AFHEA DipECVIM-CA MRCVS
EBVS® European Veterinary Specialist in Small Animal Internal Medicine

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James McMurrough

James McMurrough

Medicine Clinician & Cardiologist

BVSc CertAVP(SAM) CertAVP(VC) MRCVS RCVS

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Internal Medicine FAQ

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