Internal medicine
Specialist care for complex and long-term conditions.
Refer a case 
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
| Investigations | Price | Description |
|---|---|---|
| Initial consultation | £380 | |
| Chronic vomiting/diarrhoea (without endoscopy) | £1500-2500 inc consult fee | Consultation, blood testing, faecal testing, sedation, abdominal ultrasound, day hospitalisation |
| Chronic vomiting/diarrhoea including endoscopy | £2500-3500 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 | £1500-2500 inc consult fee | Consultation, blood testing, general anaesthetic, ultrasound/x-rays, endoscopy, hospitalisation up to one day |
| Liver disease (consultation, blood work, ultrasound, FNAs) | £1500-2500 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 | £2500 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) | £2500-3500 inc consult fee | Consultation, blood testing, general anaesthetic, CT angiography, urine testing, hospitalisation up to one day |
| Lower urinary tract disease (consult, blood work, ultrasound, urinalysis) | £1500-3000 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) | £1500-2000 inc consult fee | General anaesthetic, cystoscopy (camera examination of the urinary tract), day hospitalisaiton. |
| Nasal investigations | £3000-4500 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 | £3000-4500 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 | £4000-5000 inc consult fee | The cough and nasal investigations in one visit for dogs/cats unfortunately suffering from signs of nasal and lung disease |
| PUO investigations | £3000-5000 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) | £2000-5000 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) | £1000-1200 inc consult fee | Blood transfusion including cross-matching, blood products (one unit of blood), and administration of the blood transfusion |
| Immune-mediated thrombocytopaenia investigations | £2500-3500 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
Dr Oliver Russell – MA VetMB AFHEA DipECVIM-CA MRCVS
Dr James Robert McMurrough – BVSc CertAVP(SAM) CertAVP(VC) MRCVS
Vets Now FAQs
- What kinds of conditions does the Internal Medicine team treat?
We specialise in complex and long-term conditions such as, heart disease, chronic gastrointestinal illness, hormonal disorders, and infectious diseases like FIP.
- Will my pet need to stay in hospital for tests?
Some procedures, such as CT scans or endoscopy, may require a short stay. Our team will explain exactly what’s involved and make sure your pet is comfortable throughout.