回复总结:猫咪便血首先考虑是食物造成的肠道过敏,通常把食物停用后或者更换成肠道处方粮后自然就会好转。其次,考虑是由于寄生虫感染引起,比如球虫、滴虫、贾第鞭毛虫这样的寄生虫都需要经过反复检测才可能检查出来,而且都需要吃特殊的驱虫药才能够治疗。最后,可能是炎性肠病引起,通常是由于各种原因造成的肠道发炎,需要带猫咪去宠物医院做活组织检测,由于确诊非常麻烦,所以一般是排查其他的肠道疾病后直接治疗型诊断。
问题大致一样,细节不同?
郭秋萍
执业兽医师
由于您在提问里面没有描述您家宝贝的情况以及您的问题,您现在可以先详细的描述一下。包括但不限于1.给我讲一下宝贝的基础信息,像是品种、年龄、体重、是否绝育等2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看)3.它这样子多久了?4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看)5.是否用过药?用药的详细情况都讲一下。(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。)
猫咪大概8斤多,两岁了,大前天也就是周三晚上开始拉肚子,总去厕所,拉出来的都是粘液带血,周四去医院看,医生检查了粪便说没有寄生虫,拿了点止泻的药和益生菌回家吃药观察,但是这两天猫咪还是拉的小手指头那么一大点,还有血,吃饭睡觉挺正常,精神也还好,图一是周三的时候拉的粘液带血,图二是今天早上拉的,带一点粑粑颜色,但是也有血,这两天,他每次拉粑粑都是拉的这样的,大概每天拉两三次
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你的描述来看,猫咪是有典型的肠炎,你可以把周三去医院做的所有的检查化验报告上传过来,我先看一下吗?
另外,猫咪疫苗有没有打?上一次体内驱虫是什么时候做的?用的什么驱虫药?最近给他吃过什么东西?吃的是什么猫粮,除了猫粮以外有没有吃其他的食物。
上次去医院医生没给检查报告,医生说什么都没检查出来,猫咪在周三拉粘液之前几天是软便,我还给他买了***昨天吃了一次,猫咪有定时驱虫,用的***,没有用过体内驱虫,之前医生说养在家里的用***就够了,去年年底还做过粪便检查没有寄生虫,疫苗都打全了,上周除了平时吃的东西,额外喂过煮熟的鸡肉和小壳的猫草棒,我都怀疑是吃猫草棒吃的
郭秋萍
执业兽医师
在医院除了粪便检查,也没有做别的检查吗?血常规、胰腺炎这些有没有查过?
另外,即使是家养的猫咪,除了***以外,我建议你配合给他口服***,因为***,他的驱虫谱实在是太窄了,除了体外寄生虫,就只能预防蛔虫和心丝虫这些。其他的寄生虫绦虫啊,鞭虫啊,他都是没有办法预防的。而且绦虫从很多渠道都可以感染上,比如食物、跳蚤等。
咱们再来说你家猫拉稀带血的问题,因为检查比较局限,我也没有看到检查报告,那只能给你推测:
1,食物的原因,食物造成的肠道过敏的情况,出现拉稀带血,但是这个问题,把食物停用之后或者是更换成肠道处方粮之后自然就会好转。所以,如果你怀疑是小壳的猫草,正常来说你不给他继续吃猫草,他就自然会恢复的,不会再继续这样出血和拉稀。但是停喂后,没有好转,那就不一定是这个问题。
2,寄生虫问题,虽然你做过两次粪便常规,都没有,但也不代表它是没有寄生虫感染的,因为寄生虫检查和取样、以及医生的检测技术水平、还有显微镜都是相关的。尤其是球虫、滴虫、贾第鞭毛虫这样的寄生虫,都是要经过反复检测,才可能检查出来的。而且都是需要吃特殊的驱虫药才能够治疗的。所以我还是建议你换一家医院反复做一下粪便常规检测,而且最好是自己带他两个小时之类的新鲜大便过去。
3,炎性肠病,这个疾病在猫咪特别常见,一般是各种原因造成的一个肠道的发炎,他的确诊非常麻烦,需要做活组织检测,所以我们一般是排查其他的肠道疾病之后直接治疗型诊断。
因为目前没有得出具体的诊断,我建议先按照一般肠炎来处理。
根据猫咪的情况,我给它开个处方。处方里面的
1,***,肠道消炎,一天两次,一次四分之一片,吃7天。
2. ***,止泻,一天一次,一次1包。
3. 益生菌,调理肠道,一天一次,一次2包,与***间隔4小时以上,与***间隔1小时以上。
4,食物直接更换成肠道处方粮,吃三个月。
猫咪吃了药以后多久便便才能正常啊,目前他这个情况每天正常吃饭,拉粑粑拉一点点会不会有很大的影响
郭秋萍
执业兽医师
如果他精神食欲都很正常,但是大便量很少,这个肯定是有问题的。
不过他大便次数比较多,你要算一下,累计粪便量如何?如果累计粪便量比正常的量也少很多,那他肯定是有便秘或者是巨结肠等这些方面的问题,那就需要去拍X光片看一看腹部大便的情况。
郭秋萍
执业兽医师
可以的,正好今天周末也有时间,所以反复去做一下粪便常规检查最好了。另外我建议你给他做一下血常规,saa和胰腺炎的检测。
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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