咨询描述:猫咪4个半月,公猫咪,今天频繁去猫砂盆,蹲很长时间,没有尿出来。有点拉稀,经常舔JJ,露出红色。吃喝跟以前一样,能吃能玩。
回复总结:公猫出现频繁蹲猫砂盆考虑有泌尿道问题,因为公猫生殖器先天性比较狭窄所以特别容易出现泌尿道疾病。首先需要确定猫咪能不能尿出来,如果完全尿不出来就必须立刻带到宠物医院下导尿管导尿,因为猫咪尿闭超过20小时以上会开始形成血尿,从而出现急性肾衰竭。同时需要给猫咪佩戴伊丽莎白圈防止舔舐生殖器,避免导致再次红肿。如果猫咪还能尿出来就代表没有完全尿闭,这时可以考虑给猫咪多喝水同时配合一些泌尿道药物。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
你好,看到你描述的情况了,就是对于公猫出现这种频繁蹲猫砂盆的话就是肯定有一个泌尿道问题了,因为本身公猫生殖器就是先天性的比较狭窄所以特别容易出现这种泌尿道疾病,但是现在没办法确定到底是一个特发性膀胱炎.膀胱结晶还是膀胱结石导致的了。这种的话主要需要确定现在能不能尿出来,如果说完全尿不出来的情况下,就必须立刻带到医院下导尿管导尿的,因为猫咪尿闭超过20小时以上就会开始形成血尿从而出现一个急性肾衰竭的。而且现在也不可以让它舔舐生殖器的,需要佩戴伊丽莎白圈,这个舔舐过程中也会导致再次红肿的
可是它现在吃喝都没有问题,逗它玩也玩的挺好。有些拉稀的情况。今天可以观察一晚上吗?另外有没有可能是发情啊?
邓薄鸿
执业兽医师
就有可能会因为发情原因导致阴茎出现肿胀导致排尿困难的,就是这种行为你主要是看他能不能尿出来,刚才和你说的短时间没有问题暂时不会说有生命危险,但是如果说超过20个小时以上无法排尿频繁去蹲的话,就会开始导致身体出现问题了。你这个不管说是因为发情还是因为其他原因导致的尿闭,到这个时候如果就是完全尿不出来就只能下导尿管疏通了他现在没有其他异常的话只是因为还没有到那个严重的程度
那我先观察一晚上,明天看如果没有排尿的就去医院。这种情况,我去医院需要检查哪些项目?大概费用如何?
邓薄鸿
执业兽医师
就是如果说到了明天早上还是尿不出来那就是必须要去医院的了就是这种一般基础检查的话就是血常规和saa 看一下身体炎症情况超声检查看一下膀胱有没有明显的膀胱结石或者膀胱炎,需要生化检查看会不会急性肾脏损伤,这种检查的话一般可能费用在***块钱左右如果说一旦真的是尿闭了,那么导尿的话这些可能大概需要个*-*百。如果要是一个急性肾脏损伤那么这个费用还会更高的
对了,还有一个情况,就是人抱着的时候或者在窝里的时候,就不会频繁去猫砂盆,但是在地上活动或者说在猫砂盆周围的话,就会频繁去。这个也是正常的尿路问题吗?
邓薄鸿
执业兽医师
就是他这种的话肯定还是有问题的,因为你如果说没有问题的话他不会是去蹲猫砂盆尿不出来,只是可能就是他现在刚开始出现就是一个初期,一旦有其他的一些外界干扰或者刺激就可能分散他这个注意力之后他可能就不会说特别关注这个方面的,但是如果说后续他这个就是持续尿不出来越来越严重的话那不管你报他或者让他都会特别痛苦难受
公猫尿闭是不是一次治好,后面还会经常性尿闭呀?有什么避免的方法吗?以及有没有一次性根治的方法?
邓薄鸿
执业兽医师
就是公猫这种问题还让我最开始跟你说的就是他先天性生殖器狭窄,就随时可能会出现,治疗的话只是这次的症状后续随时可能会复发这个没有办法,只能够说平时给他多喝水减少应急刺激没有什么一次性解决方案,如果说一次性解决了可能就是说再出现一到两次问题之后考虑给他进行尿道造口手术就是把她最狭窄的位置给他切除了下面生殖器变成母猫一样这样子就会很少出现尿闭了。
医生,凌晨两三点看它,有块小一些的尿块,还有几个非常小的可能是滴的。我看能尿出来,又带它喝了些水,一会儿又去了,尿了中等偏小的块。早上起来,猫砂盆里三四块尿块,不过都不是特别大那种。这是不是代表它没有尿闭?这种情况我可以给它点药吃吗?吃什么药合适呢?谢谢医生!
邓薄鸿
执业兽医师
如果说要是还能尿出来一些的就是代表没有完全尿闭,这个时候可以考虑多喝水配合一些泌尿道药物。根据宝贝的情况,我给它开个处方。处方里面的1.***,针对尿闭.结晶等问题,每天2次,根据体重对照说明书使用。2.***,针对各种膀胱炎修复膀胱粘膜,每天2次,4公斤1毫升。您可以根据需求自行选择购买。至少需要用药10天以上。
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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