咨询描述:猫咪拉肚子
症状描述:拉肚子
患病时长:两天
医院检查:有点肠胀气
回复总结:猫咪出现以腹泻为主的消化道临床症状,同时肠道内也有大量积气,首先需要考虑猫咪是否出现细菌性肠炎。其次,肠道积气可能是由于肠道内的菌群大量发酵产生的气体。建议可以先采取输液并且使用抗生素的方式尝试治疗3-5天,再复查猫咪的炎症和生化指标,观察这些指标是否有所改善。如果有所改善,那么第一种可能性的概率是非常大的。但如果没有任何改善就需要采取使用441逆推实验,帮助诊断猫咪是否患有传染性腹膜炎的可能。
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,首先我有几个问题需要向您了解一下,希望您能够尽量详细的跟我说一下。
第一,目前猫咪的精神状态和食欲如何?
第二,最近一段时间,猫咪有没有出现体重爆降的情况?
第三,有没有做过腹腔超声检查?如果有做过,那么腹腔里有没有什么异常?
第四,除了腹泻以外,有没有其他的消化道症状?比如说像呕吐。
第五,家里养了几只猫?猫咪现在所处的环境,有没有可能会造成一些应激?
精神状况还好,食欲的话就是喜欢吃自己喜欢吃的,这个猫刚买过来10天,拍过片子现在发过来了,就是腹泻其他的没有症状家里一只猫,现在猫在家里面,和我们同吃同住
为保护用户隐私不显示图片/视频
孙嘉辰
执业兽医师
您好,从目前您提供的信息,我来说一下当前我对于猫咪情况的个人分析。
首先猫咪现在出现了以腹泻为主的消化道临床症状,同时从炎症指标上来看,确实是有比较明显的炎症,肠道内也有大量的积气,所以对于这种情况来说,我们首先需要怀疑猫咪是否出现了细菌性肠炎,因为一般只有猫咪在感染了外界病原体的时候,Saa指标会出现比较明显的上升,对于其他非感染性的炎症,Saa上升的不是特别的明显,其次就是这个肠道的积气,据我个人推测,很有可能是由于肠道内的菌群大量发酵产生的气体,同时我们做了一些能够引起肠道症状的病毒病原体排查,并没有发现病毒感染,所以说目前细菌感染引起的肠胃炎是最有可能的情况。那么除了这个情况以外,还有没有其他的可能性呢?确实是有的,因为我们还查了生化,其中生化指标有一项肝脏指标异常,并且白球比的比值比较低,再结合炎症指标来看,我们需要怀疑的另外一种疾病就是猫传腹,但是由于这种疾病是由于冠状病毒在体内变异导致的,所以说单独去查普通冠状病毒的话,可能并不能给我们提供太有价值的线索,因为冠状病毒是一种非常容易变异的病毒,一旦变异了以后,再去用现在的方式去查结果就不是很准了,并且某些变异的冠状病毒目前在临床上是没有办法确诊的。而这些变异的冠状病毒,就有可能会导致猫出现传染性腹膜炎。而在临床上,传染性腹膜炎也有可能造成猫咪出现腹泻的症状。
那么对于当前这个情况,我个人认为,需要采取的治疗方案如下,我们先可以采取输液并且使用抗生素的方式,尝试3~5天的治疗,再复查一下猫咪的炎症和生化指标,看看这些指标是否有所改善,如果有所改善,那么第一种可能性的概率是非常大的。但是如果没有任何改善,那么这个时候我们就需要采取使用441逆推实验,帮助诊断猫咪是否患有传染性腹膜炎这种疾病。
因为上周五的时候我给他吃了他没有吃过的东西,会不会因为换粮换的,然后就是我目前需要给他吃一些什么💊怎么给她补充营养
疫苗的话我们目前就打过一次疫苗
以及驱虫也是的就做了一次
孙嘉辰
执业兽医师
您好,在开具处方之前,我需要您提供猫咪的真实体重信息,对于一岁一个月的猫开始体重不可能只有1千克。
昨天晚上在医院里面称的因为他只有两个半月大,我刚刚那个选错了
孙嘉辰
执业兽医师
您好,好的如果体重信息是正确的,那么建议用药方案如下:
另外建议最好能够输液治疗,以免脱水
你就是在吃方面我需要怎么去注意吗,比如这几天猫咪需不需要禁食等一些其他的注意事项
孙嘉辰
执业兽医师
您好,这种情况一定不要禁食禁水,因为幼猫本腹泻本身就容易脱水,所以建议输液,同时生病期间也需要食物提供体力恢复疾病。
关于食物方面,个人建议最近一段时间只吃幼猫粮或者幼猫肠道处方粮,其他任何食物暂时先不要乱喂。
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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