咨询描述:猫咪呕吐开始是绿色的加毛球后面是猫粮最后有点红色
回复总结:猫咪吐毛球后呕吐带血考虑是由于吐毛球时间久了,从而出现胃肠道黏膜损伤引起出血。可以先给猫咪使用益生菌治疗,同时配合使用胃肠道黏膜保护的药物控制呕吐症状。如果后续猫咪还有持续呕吐,就要考虑是否有异物梗阻或者胃肠道蠕动功能梗阻的问题。
问题大致一样,细节不同?
王广龙
执业兽医师
根据您的描述,现在这个猫是呕吐毛球时间久了,出现胃肠道黏膜损伤,有黏膜损伤引起出血,现在还有持续呕吐就要考虑有没有异物梗阻或者胃肠道蠕动功能梗阻问题,没有拉稀就不考虑有传染病的可能。还是考虑毛球刺激引起的呕吐,可以用益生菌和胃肠道黏膜保护药物控制这个呕吐情况。
没有拉稀按压它的腹部也不痛,异物我不确定
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
考虑先用益生菌和止吐药和保护胃肠道黏膜药治疗这个问题,持续呕吐就要带去医院检查看看。下面这个是推荐可以用的药物。
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
{"259014":{"id":259014,"case_id":31036,"user_id":1179411,"to_user_id":1902924,"type":3,"content":"考虑先用益生菌和止吐药和保护胃肠道黏膜药治疗这个问题,持续呕吐就要带去医院检查看看。下面这个是推荐可以用的药物。","media":{"images":{},"videos":{},"business_params":{"prescription_id":105187}},"is_doctor":1,"status":1,"created_at":"2022-03-07 13:10:27","show_rx":true,"rx_info":{"id":105187,"rx_no":2.02203071310055e+24,"user_id":1902924,"doctor_user_id":1179411,"is_independent":0,"case_id":2651858,"pet_info":{"pet_id":0,"pet_name":"猫咪","pet_nickname":"猫咪","pet_gender":1,"pet_birth":"0-11","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"11个月"},"diagnose":"胃炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-07 13:10:05","updated_at":"2022-03-07 13:10:27","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":11539,"prescription_id":105187,"doctor_user_id":1179411,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-03-07 13:10:05","updated_at":"2022-03-07 13:10:05","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":11540,"prescription_id":105187,"doctor_user_id":1179411,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-03-07 13:10:05","updated_at":"2022-03-07 13:10:05","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":295,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-23 10:22:40","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":541,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":309,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-25 18:55:02"}}},"drug_data_bak":{"0":{"id":11539,"prescription_id":105187,"doctor_user_id":1179411,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-03-07 13:10:05","updated_at":"2022-03-07 13:10:05","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":11540,"prescription_id":105187,"doctor_user_id":1179411,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-03-07 13:10:05","updated_at":"2022-03-07 13:10:05","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":295,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-23 10:22:40","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":541,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":309,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-25 18:55:02"}}}}}}
微信扫一扫
立即问宠医