For Complex Medical Conditions: Veterinary Internal Medicine Specialist in Salt Lake City, UT

When your pet has abnormal lab results or symptoms that keep returning, you need answers that go beyond a routine visit. Our veterinary internal medicine specialist in Salt Lake City, UT evaluates complex medical conditions in dogs and cats using advanced diagnostics, minimally invasive tools, and a careful, case-by-case approach.

Internal medicine focuses on the diagnosis and treatment of diseases affecting your pet’s internal systems. These cases can feel frustrating because pets may have vague symptoms, overlapping conditions, or problems that require advanced testing to identify.

If your primary veterinarian has recommended a referral, or your pet has symptoms that have not improved with initial care, WAG is here to help you find clearer direction.

Veterinarian checking dog's heart during medical examination
dog intubated during procedure

When Should My Pet See an Internal Medicine Specialist?

Your dog or cat may benefit from an internal medicine referral when symptoms continue despite initial treatment or when your primary veterinarian needs advanced support. Internal medicine is also helpful when a diagnosis requires specialized equipment, image-guided sampling, or minimally invasive evaluation.

You may want to schedule an internal medicine consultation if your pet has:

  • Vomiting or diarrhea that keeps coming back

  • Ongoing weight loss

  • Chronic coughing or noisy breathing

  • Trouble swallowing or suspected airway disease

  • Repeated urinary issues

  • Difficulty urinating or suspected urinary stones

  • Abnormal liver or kidney values

  • Fluid in the abdomen or chest

  • Persistent fever

  • Suspected foreign body ingestion

  • A condition that may need endoscopy, cystoscopy, bronchoscopy, or biopsy

Some cases are urgent. If your pet cannot urinate, has severe breathing trouble, collapses, vomits repeatedly, or seems suddenly weak, emergency care may be needed before an internal medicine consultation.

What Conditions Can Internal Medicine Help Manage?

Internal medicine can support many conditions that affect internal organs and body systems. Some pets need one advanced diagnostic procedure, while others need long-term medical management.

Internal medicine may help with:

  • Chronic gastrointestinal disease

  • Liver disease and liver shunts

  • Kidney and urinary tract disease

  • Ureteral obstruction

  • Urinary stones

  • Chronic respiratory disease

  • Airway collapse or narrowing

  • Nasal disease

  • Endocrine disorders

  • Pancreatic disease

  • Immune-mediated disease

  • Unexplained fever

  • Internal masses or abnormal organ changes

What Internal Medicine Services Does WAG Offer?

When paired with our interventional radiology and imaging departments, we’re able to offer a wide range of internal medicine services to help your pet experience a better quality of life.

Gastrointestinal Endoscopy

Gastrointestinal endoscopy uses a small camera to evaluate parts of the digestive tract, such as the esophagus, stomach, and upper intestines. It may be recommended for pets with chronic vomiting, diarrhea, suspected inflammation, swallowing problems, or certain foreign body concerns.

Endoscopic Foreign Body Retrieval

Some swallowed objects can be removed using endoscopy, depending on the object’s size, shape, location, and your pet’s stability. When appropriate, this may help a pet avoid more invasive abdominal surgery.

Bronchoscopy

Bronchoscopy allows the internal medicine team to examine the airways with a small camera. It may help evaluate chronic coughing, airway collapse, inflammation, infection, bleeding, or breathing concerns.

Tracheal Stenting

Tracheal stenting may help select pets with severe airway collapse or narrowing that affects breathing and quality of life. This procedure requires advanced imaging, careful case selection, and ongoing follow-up.

Rhinoscopy

Rhinoscopy allows the veterinarian to evaluate the nasal passages. It may be recommended for pets with chronic nasal discharge, sneezing, nosebleeds, noisy breathing, or suspected nasal disease.

Cystoscopy

Cystoscopy uses a small camera to examine the lower urinary tract. It may help assess urinary tract abnormalities, stones, masses, inflammation, or congenital concerns in appropriate patients.

Laser Ablation of Ectopic Ureters

Ectopic ureters are abnormal urinary connections that can cause urinary incontinence, especially in young dogs. Laser ablation may allow treatment through a minimally invasive approach in select cases.

Ureteral and Urethral Stenting

Stents can help restore or maintain urine flow when the ureter or urethra is narrowed or obstructed. These cases often require advanced imaging and may overlap with interventional radiology, especially when image-guided placement is needed.

Laser Lithotripsy

Laser lithotripsy breaks certain urinary stones into smaller fragments so they can be removed or passed more easily. This option may help some pets avoid more invasive surgery, depending on the stone type, location, and anatomy.

Subcutaneous Ureteral Bypass (SUB)

A subcutaneous ureteral bypass, or SUB, is an advanced procedure used to help urine bypass a blocked ureter and travel from the kidney to the bladder. This can be a life-saving option for select pets with ureteral obstruction, especially cats with ureteral stones or strictures. WAG is proud to offer this procedure, as we are one of very few specialty hospitals that perform SUBs in Utah and the surrounding states.

Ultrasound-Guided Biopsy

Ultrasound-guided biopsy allows the team to collect tissue or cell samples from certain organs or masses using imaging guidance. This can help diagnose cancer, inflammation, infection, or organ disease while avoiding exploratory surgery in some cases.

Diagnostic Fluoroscopy

Fluoroscopy creates real-time moving X-ray images. It may be used for swallow studies, airway studies, and other dynamic evaluations that help the team see how a structure moves or functions, rather than viewing one still image.

Intrahepatic Shunt Embolization

Intrahepatic shunt embolization is an advanced procedure used to manage certain liver shunts located within the liver. These cases require specialized planning, imaging, and procedural experience. This service is especially valuable for pets who would otherwise need to travel out-of-state for advanced liver shunt care.

Yellow Paw Left

If your pet has been referred for internal medicine or needs help with a complex condition, contact WAG today.