咨询描述:症状描述:精神萎靡,食欲不振,四肢无力,尿频尿少,没拉肚子没呕吐。
回复总结:猫咪出现没精神四肢无力等症状,可能是由于腰椎关节以及神经出现异常导致。如果暂时不方便就诊,可以在家先给猫咪吃一些宠物专用广谱消炎抗炎、缓解神经水肿以及营养关节的口服药治疗观察3-4天。如果效果不错可以持续用药2-3周,直到疾病康复为止即可。然后还可以在猫咪的后背部位置使用45-50度左右的温水袋进行热敷,每天5-6次,每次20-30分钟,能够起到一定物理疗法帮助猫咪恢复。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的猫咪尿频尿少,以及后肢无力症状,我初步分析猫咪是有后肢关节问题神经,以及泌尿系统问题,但仅仅根据目前信息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.猫咪您养了多久?发病多久了?猫咪是否频繁蹲猫砂?;
2. 猫咪生活环境温度能达到多少度?是否有昼夜温差?最近是否有降温?;
3.猫咪尿液颜色是否正常?什么颜色?;
4. 您用力掐猫咪的后肢,猫咪的痛觉灵敏度如何?
5.猫咪最近是否有受到惊吓?是否有发情?
6.最后再跟您确认一下,猫咪是公猫,还是母猫?
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。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
猫咪养了半年,公猫。没有频繁蹲猫砂,存在到处乱尿的情况,我以为是发情,但是他只有到处乱尿的情况。最近温度0-10°,但是家里面一直有开空调,橘子也一直在烤火桶里面睡,很暖和,昼夜温差不大,差几度。过年开始出现精神萎靡的情况,吃很少,前三四天我就感觉他后肢无力,跳上沙发都有点吃力,昨天我喂完驱虫药过后,过一会他就突然变成视频那样子了。尿液颜色呈淡黄色。过年几天有跟外婆家的狗狗打架,后面跟狗狗就熟悉了,也不打了。我到线下医院去问,医生用手摸,说一边肾比较大,不规则,有凸起。
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。然后我还有几个问题追问您一下,以进一步了解猫咪的病情。1.猫咪之前去附近宠物医院的时候,是否做过检查?2.猫咪室内的空调开到多少度?3.猫咪后肢脚垫疼痛感觉是否有降低?4.猫咪最近是否有趴在地面上休息,玩耍?
没有做过检查,小县城没有设备,医生说治不了。空调都是28°上下。现在他沙发也不跳上去了,一直在电火桶里面睡觉,只是想撒尿的时候就爬出去在地上尿,然后就会爬在地上不动,或者去喝水。还爱往床底钻,还有那些缝缝。对了,他最近一个星期突然爱舔地上,我抱他进猫砂盆去上厕所,他还会吃猫砂。昨天早上我走来走去他还会一直追着我。
为保护用户隐私不显示图片/视频
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腰椎关节以及神经出现了异常,从而导致了一系列症状。跟生活环境温偏低,趴在地面上休息玩耍,着凉有一定的关系。
如果暂时不方便就诊(医疗条件受到限制),可以在家先给宝贝吃一些宠物专用广谱消炎,抗炎,缓解神经水肿,营养神经,营养关节的口服药来进行治疗,观察3-4天的时间。如果效果不错,可以持续用药2-3周,直到疾病康复为止即可。然后还可给予猫咪的后背部位置,使用45-50度左右的温水袋进行热敷,每天5-6次,每次20-30分钟,可以起到一定无物理疗法,帮助猫咪。
根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. **,宠物专用广谱消炎,控制炎症。
2. ***,宠物专用营养关节用药,促进关节疾病恢复。
3. ***,宠物专用抗炎用药,可以起到缓解神经水肿的作用。
4.***口服液,补充维生素,可以起到营养神经效果。
您可以根据需求自行选择购买。
不是肿瘤吗?附近医院的医生说可能是肿瘤,还有那医生说他耳朵泛黄,牙龈也黄,还有眼睛雾蒙蒙,他打喷嚏会有鼻涕,那医生还怀疑呼吸道跟肝脏有问题。他现在的状况已经是软趴趴的一滩了,会不会撑不了几天了。
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。1.猫咪的年龄来看,肿瘤问题概率并不是很高。2.然后从图片上看,猫咪的皮肤,粘膜确实有黄疸问题,这个预示着猫咪肝脏有问题。但是这个问题分两个方面,一,猫咪由于肝脏问题,引发了现在的一系列症状。二,猫咪由于比较长时间吃喝状态不佳,食物摄入少引发了脂肪肝问题,导致黄疸(进一步的判断,确诊猫咪的情况,那就需要提供一些化验信息来分析了。因为猜测无法进一步判断,会出现漏诊,误诊的情况)。3.如果猫咪还有黄疸问题,那么是比较严重的,所以就不太适合在家观察治疗了,有一定危险性。建议及时带去市内大一些的宠物医院就诊,进一步确诊,然后针对性用药输液,打针治疗,更为稳妥一些。
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,需要吃宝贝专用猫粮,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。(如果猫咪不自主进食,需要以少吃多餐为原则,给予灌喂。因为长期不吃食物,肝脏问题会越来越严重)。
③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。
现在可以吃些什么药缓解呢?黄疸可以吃什么药?我可以买小儿的口服液给他吃吗?还有小儿****?
陈奕达
执业兽医师
您好,1.猫咪这种肝脏出现了问题之后,不建议给予人类用药,因为人类用药是针对人类设计的,并不适合给予猫咪服用,效果不一定好,而且可能会有未知性副作用(反而加重猫咪病情),还请您慎重考虑后使用。2.可以在使用上述用药基础上,再给予猫咪口服保护肝脏用药,根据猫咪的情况,我给宝贝开个处方。
处方里面的
1.***,宠物专用保护肝脏用药,提供肝脏营养,促进肝脏问题恢复。
您可以根据需求自行选择购买。
3.上述用药中的***,需要停止使用。
没有***可以用这个药吗?现在急需用药。我可以给他喝羊奶粉吗?吃罐头可以吗?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,图片上的这个药物是益生菌,调理消化道的,没有保护肝脏效果。猫咪没有呕吐等消化道疾病的情况下,可以给予宠物专用羊奶粉以及罐头,这个没有问题。
陈奕达
执业兽医师
您可以去附近宠物医院购买药物,这样可以最快速度给予猫咪进行用药治疗。如果没有同品牌的药物,可以购买同成分的药物也行。
陈奕达
执业兽医师
您好,从整体的症状来看,并不像猫传腹的问题。如果就诊的情况下,猫传腹可以作为排查项目。
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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09:35:48","ins":{"id":205,"hash_id":"650KvV4QnGgWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"欧博方欧苷宝宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"欧苷宝","en_name":"Prohepar","brand_name":"欧博方","is_prescription":0,"cover":"\/drug\/2023\/07\/a700f957932832f1d1cf4a1ace328ecd.jpg","specification":"0.5g×30片\/盒","reference_price":210,"component":"蒲公英,添加剂组成:胆汁酸、牛磺酸、葡萄糖酸锌、维生素B1、维生素B2、维生素B6、维生素B12、叶酸、生物素","indication":"胆汁酸促进胆汁分泌和流动,缓解胆汁淤积,溶解胆结石;\n牛磺酸补充因胆汁酸分泌增加可能造成的缺乏,抑制脂肪肝形成;\n蒲公英抗氧化和抗炎,避免肝脏氧化损伤,缓解肝胆炎症;\n维生素B保护肝脏细胞膜,促进肝脏细胞修复和再生,增强肝脏功能;\n锌抑制铜吸收,改善高血氨和肝性脑病症状。\n适用于以下情况\n1.胆汁淤积性肝病、胆管炎\/胆管肝炎、中毒性肝炎、慢性肝炎、铜蓄积性肝病;\n2.猫脂肪肝;\n3.胆固醇结石、肝纤维化和肝硬化;\n4.肝源性泪痕。","usage_dosage":"根据体重,10kg及以下,1片\/日;10kg-30kg,2片\/日;30kg及以上,3片\/日。\n根据疾病情况,可在临床医生指导下,适当增加剂量。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2022-01-12 17:40:00","updated_at":"2023-07-24 14:56:04"}},"product_sku_info":{"id":941,"product_id":900,"title":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","advword":null,"price":188,"market_price":220,"cost_price":0,"stock":40,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30片盒装"}},"cover":null,"thumb":"","sale_count":115,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-12 17:42:42","updated_at":"2024-11-15 07:35:28"}}}}}}
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