咨询描述:最近猫总是砸吧嘴,然后闻到嘴里一阵臭味,掰开嘴看到舌头好像少块皮
回复总结:猫猫一直砸吧嘴有臭味考虑是口炎导致舌头上有溃疡并且有口臭,常见的有杯状病毒性口炎。建议最好带猫咪去宠物医院做基础口腔检查,同时做杯状病毒的检查,确诊后针对性的输液打针配合口服药治疗。如果暂时不方便就诊,可以先使用猫咪专用的口腔消炎喷剂控制感染,并且配合口服消炎药防止病情加重。
问题大致一样,细节不同?
这个是他砸吧嘴的视频,这个视频8秒可以拍到,舌头上好像掉皮了,嘴里有异味
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
据您讲到的猫咪嘴巴又异味,嘎巴嘴,并且舌头上少块皮的情况
我初步判断,这个可能是口腔溃疡导致的,常见的有杯状病毒性口炎,但是视频我看他嘎巴嘴有一些类似神经性抽搐的情况。
但仅仅根据目前您描述的情况,还不能做出进一步的判断。
我还有几个问题需要向你核实一下:
1.宝贝您养了多久,是何时发病的?家里还有其他动物吗?
2. 宝贝日常饮食主要喂什么吃?宝贝发病之前(最近几天)都给吃了什么食物;有没有吃过骨头冻干鹌鹑一类的食物?有没有吃过烫的食物?
3.宝贝是否有流口水的情况?有没有打喷嚏流鼻涕的情况呢?
4.宝贝最近有没有洗过澡受凉,或者通风受凉等情况?家里环境温度多少度?(理想温度22-25度左右)
5.吃喝排便排尿是否都正常呢?我从视频隐约看,猫咪牙龈也有发红的情况呢?
6.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
7.家里有没有什么猫咪专用药,有的话把包装,规格发上来我看一下。
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。
大概半年了,症状是这一周开始的吧,家里还有一只狸花猫和蓝猫,因为这只布偶是我带回老家的,那两只比较野
喂食的话就是猫粮和罐头
打喷嚏流口水这类症状不太明显
他有时候会出房间走动,房间外室温比较低就10度
洗澡的话没有洗过
排便较少最近,因为最近胃口也不好。
家里没有体温计,但是体温个人感觉正常,我晚上买一个给他测一下
家里也没有宠物药箱,因为过年回家。
王园龙
执业兽医师
您好,感谢您的回复。
1.根据您描述的症状以及提供的信息,判断宝贝应该是口炎,导致的舌头上有溃疡并且有口臭的情况。
2.由于现在没有检查化验结果,无法百分之百确诊具体病因,因为看病不能靠猜测,很有可能会出现漏诊,误诊的情况,导致宝贝的病情加重甚至死亡,所以如果条件允许的情况下,建议去就近宠物医院给宝贝做一下基础口腔检查,在做一个杯状病毒的检查,确诊后针对性的输液打针配合口服药治疗,效果是最好的。
3.如果暂时不方便,也不要放任不管。首先需要改善宝贝生活环境,需要环境温度达到23-25度恒温(不能着凉,因为着凉会加重宝贝的病情)。
4.其次需要改善饮食,需要给猫咪暂时只吃猫粮,或者清水煮好的肉条,不要吃太粘稠的食物,比如罐头,有可能会粘在溃疡面上,会刺激到猫咪更疼。
5.然后给猫咪暂时用一些口腔消炎的喷剂(猫咪专用的)用来控制感染,并且配合口服消炎药,防止病情加重。
6.还要密切观察猫咪状态个情况,禁止惊吓刺激。
王园龙
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的
1. *******猫口炎喷剂,这个药主要针对猫咪口腔感染,口臭炎症效果比较好,每天3-4次,喷到猫咪口腔内。
2.**,这个药是消炎药,可以帮助猫咪消除局部炎症,每天两次,每次一粒,连用5天。
用药如果有效果,需要7天后回来找我复诊,我再帮您制定下一步用药方案。如果没有明显效果,还请您及时就医以免当误病情。
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
{"254921":{"id":254921,"case_id":30583,"user_id":1468926,"to_user_id":1855107,"type":3,"content":"根据猫咪的情况,我给它开个处方。处方里面的\n1. *******猫口炎喷剂,这个药主要针对猫咪口腔感染,口臭炎症效果比较好,每天3-4次,喷到猫咪口腔内。\n2.**,这个药是消炎药,可以帮助猫咪消除局部炎症,每天两次,每次一粒,连用5天。\n用药如果有效果,需要7天后回来找我复诊,我再帮您制定下一步用药方案。如果没有明显效果,还请您及时就医以免当误病情。","media":{"images":{},"videos":{},"business_params":{"prescription_id":101952}},"is_doctor":1,"status":1,"created_at":"2022-01-30 18:20:18","show_rx":true,"rx_info":{"id":101952,"rx_no":2.0220130181556503e+24,"user_id":1855107,"doctor_user_id":1468926,"is_independent":0,"case_id":2598631,"pet_info":{"pet_id":270142,"pet_name":"布偶猫","pet_nickname":"pigeon","pet_gender":3,"pet_birth":"0-11","pet_weight":10,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"11个月"},"diagnose":"口腔溃疡","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-30 18:15:56","updated_at":"2022-01-30 18:20:17","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":4356,"prescription_id":101952,"doctor_user_id":1468926,"product_id":820,"product_sku_id":862,"dose":2,"dose_unit":"喷","use_method":"喷口腔舌头上","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-01-30 18:15:56","updated_at":"2022-01-30 18:15:56","product_info":{"id":820,"hash_id":"R0LPkmpMYZp3bVXD","class_ids":{"1":2},"category_ids":{"21":182},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":112,"sell_point":"怡口安猫口炎喷剂 25ml","title":"博莱得利怡口安猫口炎喷剂 25ml\/瓶\/盒","recommend_reason":{"0":"用于猫咪初发或复发性口炎的治疗","1":"也可用于口腔术前、术后,预防继发感染","2":"抗感染,缓解患部疼痛及肿胀,促进溃疡愈合,改善口腔环境"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫口炎,促进溃疡愈合,抗菌肽,白蛋白,口腔,改善口腔环境","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/0b07688b121def84ea3cc0ee9483fc83.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":22,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:43:16","updated_at":"2024-08-22 18:02:31","ins":{"id":112,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"怡口乐猫口腔喷剂25ml\/瓶\/盒","common_name":"猫口腔喷剂","trade_name":"怡口乐","en_name":"ORAL SPRAY FOR FELINE","brand_name":"博莱得利","is_prescription":0,"cover":"\/drug\/2023\/06\/9ae527c8a1654520ae8bfbd508988c92.png","specification":"25ml\/瓶\/盒","reference_price":228,"component":"维生素B2、维生素B6、蜂胶提取物、植物提取物","indication":"1.改善猫咪口腔环境\n2.平衡口腔微生态\n3.缓解口腔各种不适","usage_dosage":"1.喷适量药液于患处,每次6-8喷,每日2-3次,严重病例可适当增加跆给药次数。\n2.对于难以给药的病例可将药物喷酒在食物或饮水中使用。孕期可用。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"未开启常温密封避光保存,有效期2年。开启后2-8℃冷藏保存,15日内用完。","validity":"2年","manufacturer":"北京博莱得利生物技术有限责任公司","status":1,"created_at":"2020-11-23 15:44:05","updated_at":"2023-06-09 17:58:03"}},"product_sku_info":{"id":862,"product_id":820,"title":"博莱得利怡口安猫口炎喷剂 25ml\/瓶\/盒","advword":null,"price":118,"market_price":190,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25ml"}},"cover":null,"thumb":"","sale_count":22,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:43:16","updated_at":"2024-08-22 17:08:01"}},"1":{"id":4357,"prescription_id":101952,"doctor_user_id":1468926,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-30 18:15:56","updated_at":"2022-01-30 18:15:56","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}}},"drug_data_bak":{"0":{"id":4356,"prescription_id":101952,"doctor_user_id":1468926,"product_id":820,"product_sku_id":862,"dose":2,"dose_unit":"喷","use_method":"喷口腔舌头上","frequency":"每天3次","days":14,"number":1,"remark":"","created_at":"2022-01-30 18:15:56","updated_at":"2022-01-30 18:15:56","product_info":{"id":820,"hash_id":"R0LPkmpMYZp3bVXD","class_ids":{"1":2},"category_ids":{"21":182},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":112,"sell_point":"怡口安猫口炎喷剂 25ml","title":"博莱得利怡口安猫口炎喷剂 25ml\/瓶\/盒","recommend_reason":{"0":"用于猫咪初发或复发性口炎的治疗","1":"也可用于口腔术前、术后,预防继发感染","2":"抗感染,缓解患部疼痛及肿胀,促进溃疡愈合,改善口腔环境"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫口炎,促进溃疡愈合,抗菌肽,白蛋白,口腔,改善口腔环境","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/0b07688b121def84ea3cc0ee9483fc83.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":22,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:43:16","updated_at":"2024-08-22 18:02:31","ins":{"id":112,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"怡口乐猫口腔喷剂25ml\/瓶\/盒","common_name":"猫口腔喷剂","trade_name":"怡口乐","en_name":"ORAL SPRAY FOR FELINE","brand_name":"博莱得利","is_prescription":0,"cover":"\/drug\/2023\/06\/9ae527c8a1654520ae8bfbd508988c92.png","specification":"25ml\/瓶\/盒","reference_price":228,"component":"维生素B2、维生素B6、蜂胶提取物、植物提取物","indication":"1.改善猫咪口腔环境\n2.平衡口腔微生态\n3.缓解口腔各种不适","usage_dosage":"1.喷适量药液于患处,每次6-8喷,每日2-3次,严重病例可适当增加跆给药次数。\n2.对于难以给药的病例可将药物喷酒在食物或饮水中使用。孕期可用。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"未开启常温密封避光保存,有效期2年。开启后2-8℃冷藏保存,15日内用完。","validity":"2年","manufacturer":"北京博莱得利生物技术有限责任公司","status":1,"created_at":"2020-11-23 15:44:05","updated_at":"2023-06-09 17:58:03"}},"product_sku_info":{"id":862,"product_id":820,"title":"博莱得利怡口安猫口炎喷剂 25ml\/瓶\/盒","advword":null,"price":118,"market_price":190,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25ml"}},"cover":null,"thumb":"","sale_count":22,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:43:16","updated_at":"2024-08-22 17:08:01"}},"1":{"id":4357,"prescription_id":101952,"doctor_user_id":1468926,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-30 18:15:56","updated_at":"2022-01-30 18:15:56","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1726,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 15:58:02","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-24 11:58:14"}}}}}}
微信扫一扫
立即问宠医