回复总结：狗狗出现吐血可能是由于急性胃肠炎引起，之所以呕吐物内带血液，与狗狗呕吐频繁胃部粘膜有破损有一定关系。如果狗狗现在精神状态还行，可以在家先给狗狗吃一些宠物专用广谱胃肠炎的口服药来进行治疗观察。如果效果不错，可以持续用药一周左右，直到疾病康复为止即可。通常能引发狗狗出现吐血的问题有病毒性感染、消化道异物、呕吐剧烈引发消化道粘膜损伤、严重的消化道溃疡、中毒等。如果效果不理想，一定要及时就诊。
问题大致一样，细节不同？
陈奕达
执业兽医师
您好，感谢您的信任，谢谢。能引发狗狗出现吐血的问题有几种，1.病毒性感染，例如细小病毒，冠状病毒。2.消化道异物，划伤了胃部粘膜。3.呕吐剧烈，引发消化道粘膜损伤。4.严重的消化道溃疡，出血，引发吐血症状。5.中毒。
狗狗从昨天中午开始吐，一个小时内吐了六七次，今早又吐了三次，第三次有血，是什么原因呢？
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
根据您描述的狗狗呕吐情况以及图片，我暂时还不能做出进一步的判断。我还有几个问题需要向您核实一下：
1. 狗狗您养了多久？发病之前，都喂了什么食物？
2. 狗狗最近是否有吃骨头一类的不好消化，硬的食物？
3. 狗狗现在吃喝玩，精神状态，排便状态如何？
4. 狗狗生活环境温度能达到多少度？是否有昼夜温差？
5.狗狗的疫苗，以及驱虫情况如何？
6.狗狗平时散养还是笼养？是否有乱捡东西吃的习惯？
以上这些情况您仔细回忆后详细的描述给我，对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
1.养了四个多月，前天晚上和昨天早上吃了蒸熟的鸡胸肉和鳕鱼还混合了一些蔬菜（西兰花、胡萝卜、甜椒、冬瓜、紫薯）搅拌成泥状吃的，吃了两顿，昨天和今天各喂了一次益生菌，今天早上喝了羊奶粉
2.没有吃骨头之类的东西
3.早上喂羊奶粉吃的很香，自己也会找水喝，昨天精神状态不太好，下午恢复正常了，禁食了12小时，目前还没大便
4.生活环境都在室内，白天28度左右，晚上可能稍微低一点
5.疫苗都接种完成了，三个月内也进行了体内外驱虫
6.平时在家散养，很少出去，我怀疑是昨天早上领它出去的时候误食了异物，平时它也总舔地上的东西
陈奕达
执业兽医师
好的，感谢您的回复，谢谢。然后我还有几个问题追问您一下，以进一步了解狗狗的情况，
1.狗狗今天早上吃喝之后，到现在是否有呕吐症状？
2.狗狗吃的食物，是否现吃现做？
3.平时是否也吃这些自制食物？
4.生活环境温度早晚大概多少度温差？
5.呕吐的时候，动作是否剧烈？
1.今早三次都是喝完羊奶粉之后吐的
2.前天是现做的，做完之后吃了一顿，之后把食物冻在了冰箱里，昨天早上热了一下吃了一顿
3.平时吃狗粮，前天刚开始吃自制的食物，家里还有一只狗狗，吃了同样的食物没有出现呕吐，也可能是身体状况不一样，上周狗狗也吐了一次，黄色泡沫状的
4.早晚温差大概在十度左右，晚上它喜欢睡在窗户边，可能稍微比我们感觉到的温度低一点
5.呕吐的时候没有剧烈的动作，就是哇的一下吐出来
陈奕达
执业兽医师
好的，非常感谢您的回复，谢谢。根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于饮食不当，消化不良，着凉引发了急性胃肠炎问题，从而导致了一系列症状。跟吃自制食物，环境温差偏大有一定的关系。之所以呕吐物内带血液，跟狗狗呕吐频繁，胃部粘膜有破损有一定的关系。如果狗狗现在精神状态还可以，并且暂时不方便就诊的情况下，可以在家先给宝贝吃一些宠物专用广谱胃肠炎（消炎，提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复，保护胃肠道粘膜，治疗消化道溃疡）的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药一周左右，直到疾病康复为止即可。然后您可以告诉我狗狗的体重信息，我可以帮您开具用药，并且帮您计算好用法用量，供您采纳。
狗狗目前2.95kg，对了，昨天吐完之后短暂的出现了这样的状况
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，1.从小视频上看，狗狗应该是属于打嗝的情况，这个还好，并不是什么太严重问题，跟狗狗的消化道有一定关系。2.根据狗狗的情况，我给宝贝开个处方。
处方里面的
1. **，宠物专用广谱消炎，控制消化道炎症
2. ***，提供消化道营养，促进消化道粘膜恢复，减轻消化道炎症
3. ***益生菌，调整消化道菌群，促进消化。
4.***，保护胃肠道粘膜，治疗消化道溃疡。
您可以根据需求自行选择购买。
好的，感谢医生，那狗狗可以正常吃饭吗？继续吃狗粮吗？
陈奕达
执业兽医师
然后给您再总结一些照顾宝贝一定需要注意的几点，
①需要改善宝贝生活环境，需要环境温度达到26-25度恒温（不能着凉，因为着凉会加重宝贝的病情）。
②需要改善饮食，需要吃宝贝专用狗粮，用温水泡发，搅拌成糊糊（好消化，易吸收，对消化道刺激性小），以少吃多餐为原则喂食。
③其它的食物可以暂时先停掉，因为吃的食物越杂乱，消化道负担越重。
④由于宝贝现在体质比较虚弱，并且有低能量的症状，可以在喝水不吐的情况下，给宝贝口服一些温热的葡萄糖水，补充体液的同时，还可以补充能量。
⑤如果宝贝出现再次呕吐，建议先禁食禁水6-8小时，之后没有持续呕吐的情况下，再考虑吃喝以及口服药。如果持续性呕吐，那么就需要考虑静脉输液治疗。
医生您好，家里另一只狗狗也吐了，是不是同样的原因啊？
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，感谢您的回复，谢谢。如果两个狗狗都吃了自制食物，然后有着凉的情况那么确实很有可能都是一样的疾病诱发因素。但是如果两只狗狗一同发病，还需要考虑是否有传染性疾病问题。所以您可以先采纳一下我的方案来帮助狗狗观察一下。如果效果不理想，一定要及时就诊，带狗狗们去附近宠物医院就诊，进一步确诊病因，然后治疗，以免耽误治疗时机。
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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