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Shake Up Your Workup

Working Up Chronic GI Patients—More Than Gut Instinct

March 19, 2026·27 min
Episode Description from the Publisher

When chronic gastrointestinal (GI) cases walk through the door, where do you start? Internal medicine specialist Dr. Yvonne McGrotty joins host Dr. Sylvia Conway to break down a practical, step-by-step approach to chronic vomiting and diarrhea in cats and dogs. From essential history-taking and dietary trials to microbiome insights, fecal transplants, and when biopsies really matter, this episode gives you the tools to confidently work up even the trickiest GI cases.About our guest: Yvonne McGrotty BVMS CertSAM DipECVIM-CA MRCVSDr. McGrotty graduated from the University of Glasgow in 1997 and completed a residency in small animal medicine at Glasgow Veterinary School. She achieved the European Diploma in Small Animal Medicine in 2006 and is recognized as both an RCVS Specialist in Internal Medicine (Small Animal) and EBVS® European Veterinary Specialist in Small Animal Internal Medicine.With more than 25 years of experience in referral practice across the UK and France, Dr. McGrotty has an extensive publication record in veterinary journals. She currently serves as an internal medicine consultant for IDEXX Laboratories Ltd,United Kingdom and works in a referral hospital in Angers, France. Her clinical interests include gastroenterology, hematology, coagulation, and critical care. In her clinical work, Dr. McGrotty also performs endoscopy on large cats and exotic species.To learn more about today’s topic, check out these additional resources:Suffering in Silence: Approach to Feline Chronic TriaditisFecal Microbiota Transplantation: When and Why—A Case-Based Clinical ApproachDysbiosis and Chronic Enteropathies as Interrelated Clinical Syndrome – New Insights into Pathophysiology and TherapyPodcast replay! Episode 7: Fecal Diagnostics-Which Tests Help Which Tests Stink?+ + + + +About our host:Sylvia Conway BSc, BVetMed, MRCVSDr. Conway is the host of the Shake Up Your Workup podcast. She joined IDEXX in May 2014 after spending five years as a mixed and small animal veterinarian in the United Kingdom. She currently oversees medical education tracks at tradeshow events and enjoys all aspects of her role. Dr. Conway is passionate about delivering clinically relevant medical education that promotes best practices and adds value to the day-to-day lives of veterinary practitioners.Originally from London, Dr. Conway relocated to Amsterdam,Netherlands, in February 2013. She still lives in Amsterdam with her husband, two young sons, Frankie the cat, and their canine companion, Wappie.Thank you for listening to Shake Up Your Workup. You can contact us at shakeupyourworkup@idexx.com with comments and feedback.Disclaimer: This podcast features hosts and guests who may be employed by IDEXX Laboratories, Inc. or its affiliates ("IDEXX"). The content of this podcast is provided for general informational purposes only and should not be taken to represent official IDEXX policies, guidance, or positions. The views, thoughts, and opinions expressed in this podcast are those of the individual speakers only.This podcast may reference IDEXX products or services as part of the professional discussion. Any such references are for informational purposes only and do not constitute technical instructions or convey any express or implicit performance guarantee or warranty, nor do they constitute to any regulated product claims.Nothing in this podcast should be considered medical or veterinary advice. Diagnostic discussions or recommendations may not be appropriate for all clinical circumstances, and regulatory requirements for diagnostics, treatment, and product use may vary between regions. Listeners should always rely on their own veterinary judgm

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