Internal medicine is the study of the complex systems of the body, their interactions, and their dysfunctions. An internist is a doctor who is specially trained to analyze these systems to discover any imbalances or disorders that may be making your pet ill.
At Pieper Veterinary, our internists will collaborate with you and your primary care veterinarian in order to recommend the most effective medical procedures or testing to most accurately identify and treat your pet’s condition. All medical findings will be reported to your primary veterinarian who will, in many cases, continue with follow up care. This effective collaboration between the specialist and primary care veterinarian supplies your pet with the most ideal medical outcome.
Clinical Signs that may Lead to a Referral:
- Unexplained weight loss or weight gain
- Coughing
- Fever
- Vomiting or diarrhea
- Abdominal pain or distension
- Inappetence or excessive appetite
- Lethargy
- Increased drinking and/or urination
Diagnostics/Treatments/Therapeutics for:
- Respiratory diseases (including nasal disease)
- Endocrine diseases
- Renal disease
- Hepatobiliary disease
- Gastrointestinal disease
- Lower urinary tract diseases
- Immune-mediated processes
- Infectious diseases
Minimally Invasive Procedures:
- Liver biopsy
- Cystoscopy
- Gastric foreign body removal
- Bronchoscopy
- Esophagoscopy
- Rhinoscopy
- CT scans
- Gastroduodenoscopy
- Colonoscopy
- Endoscopy
- Feeding tubes
Working With your Primary Care Veterinarian
Your general practice veterinarian is an important part of your pet’s health and we work as an extension of their services when advanced or after-hours treatment is necessary. We will notify your veterinarian that your pet visited our internal medicine service, and provide them with treatment and follow-up information to continue your pet’s care once you leave our hospital.
Middletown, CT
Specialty Care
730 Randolph Road
860-347-8387
24/7 Emergency &
Primary Care
Mon–Fri: 8:00 am – 8:00 pm
Sat & Sun: 8:00 am – 4:00 pm
Specialty: By Appointment Only
Meet the Team
Our specialty services team includes experienced veterinarians and skilled veterinary technicians who deliver thoughtful, compassionate care tailored to your pet’s needs.
Alexandra Awad, DVM
Veterinarian
Nicole Belward, DVM, DACVIM (SAIM)
Veterinarian - Specialist
Colleen Bourque, MVB, Practice Limited to Internal Medicine
Veterinarian - Specialist
Sarah Byron, DVM
Veterinarian
Sarah Winzelberg, VMD, DACVIM (SAIM)
Veterinarian - Specialist
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