咨询描述:公猫,三岁,昨天突然频繁去厕所尿只尿出来一点,今天生殖器红肿,躲在厕所不出来
回复总结:猫频繁去厕所只尿一点考虑可能是自发性膀胱炎症,也可能是泌尿系统感染的问题。建议最好先带猫咪去宠物医院做膀胱的B超检查,根据检查结果采取对症治疗措施。如果暂时不方便就诊,可以考虑继续给猫咪口服修复膀胱黏膜的药物,同时多给猫咪饮水。因为泌尿系统问题在临床上很容易有复发的情况,特别是自发性的膀胱炎症,一旦饮水量减少就会容易有复发的问题。
问题大致一样,细节不同?
魏新立
执业兽医师
根据您以上描述,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.球球宝贝之前有没有出现过尿频或者尿闭的问题呢?
2.宝贝有没有做绝育手术呢?您观察这两天猫砂盆内的尿液量多不多呢?
3.比较担心球球宝贝会有尿闭、自发性膀胱炎症或者泌尿系统感染的问题的,如果有条件的话,可以考虑给宝贝做一个腹部膀胱的检查,看会不会有尿闭或者膀胱内有大量结晶的问题。
4.也可以先触诊一下膀胱,看有没有胀的很大,膀胱在后腹部,下图X光片中胀满的就是膀胱。
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
为保护用户隐私不显示图片/视频
上月出现过一次,买的药治好了,现在体重九斤多,2岁半,没做绝育,尿液量不多,之前在宠物医院看医生说是应激导致的,但是上次他生殖器没事,这次出现了红肿。膀胱不涨
魏新立
执业兽医师
生殖器红肿有可能是牠频繁去舔引起的,我们要给宝贝戴上伊丽莎白脖圈,反复去舔会引起小丁丁,越舔肿胀的就会越来越严重的。
魏新立
执业兽医师
如果前面也有出现过有尿频的症状的话,要考虑可能会有自发性的膀胱炎症或者泌尿系统感染的问题,有条件的话,可以复查一下膀胱的B超,做出鉴别诊断,如果暂时不方便给宝贝做检查的话,可以考虑自己继续购买上次您给宝贝用药的药物,继续口服,同时多给宝贝饮水,因为泌尿系统问题,在临床上很容易有复发的情况,特别是自发性的膀胱炎症,一旦饮水量减少,就会容易有复发的问题的。
魏新立
执业兽医师
舌头发红,是有溃疡或者炎症的问题吗?您可以拍照片给我看一下,如果有舌头的溃疡,我们就要考虑可能会有口炎或者杯状病毒感染的可能性。
魏新立
执业兽医师
不需要做手术的,口服抗菌消炎的药物和修复膀胱黏膜的药物就行,平时再多饮水,慢慢膀胱炎症的问题就会康复的。
魏新立
执业兽医师
是有尿频的症状,膀胱内有尿液刺激膀胱黏膜下的神经,一直有想排尿的动作,因为会有不舒服的情况,我们给宝贝用修复膀胱黏膜的药物,膀胱黏膜修复以后,就不会再有尿频的症状的。
但是一定要确定宝贝有排尿出来。
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
{"268571":{"id":268571,"case_id":32127,"user_id":1003358,"to_user_id":1919420,"type":3,"content":"不需要做手术的,口服抗菌消炎的药物和修复膀胱黏膜的药物就行,平时再多饮水,慢慢膀胱炎症的问题就会康复的。","media":{"images":{},"videos":{},"business_params":{"prescription_id":106666}},"is_doctor":1,"status":1,"created_at":"2022-03-23 17:16:18","show_rx":true,"rx_info":{"id":106666,"rx_no":2.02203231716105e+24,"user_id":1919420,"doctor_user_id":1003358,"is_independent":0,"case_id":2669604,"pet_info":{"pet_id":281366,"pet_name":"美短","pet_nickname":"球球","pet_gender":1,"pet_birth":"2-5","pet_weight":9,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁5个月"},"diagnose":"膀胱炎症","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-23 17:16:10","updated_at":"2022-03-23 17:16:18","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":14817,"prescription_id":106666,"doctor_user_id":1003358,"product_id":706,"product_sku_id":749,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"5mg\/kg,一天口服一次,抗菌消炎","created_at":"2022-03-23 17:16:10","updated_at":"2022-03-23 17:16:10","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2019)外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":14818,"prescription_id":106666,"doctor_user_id":1003358,"product_id":913,"product_sku_id":954,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"修复膀胱黏膜","created_at":"2022-03-23 17:16:10","updated_at":"2022-03-23 17:16:10","product_info":{"id":913,"hash_id":"EqNmov45KaxnJ5yO","class_ids":{"1":2},"category_ids":{"38":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":216,"sell_point":"优泌可尿路健康营养支持片(猫用)","title":"汉维宠仕优泌可尿路健康营养支持片(猫用)30片\/瓶","recommend_reason":{"0":"用于猫下泌尿道感染、膀胱炎以及泌尿系统术后修复期","1":"协助降低细菌感染,减少炎症发生","2":"预防膀胱炎,增强抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿道感染,膀胱炎,细菌感染,预防炎症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30片\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/505dfa12f67e8258ac2ceab8f3180832.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":105,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:40:33","updated_at":"2024-11-09 14:30:07","ins":{"id":216,"hash_id":"O2PrEVxd3Wg1e6Wk","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"优泌可尿路健康营养支持片(猫用)","common_name":"尿路健康营养支持片(猫用)","trade_name":"优泌可","en_name":"Support For Urinary Tract Health (For Cats)","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/ae2a86df512b8d983d84eaadfb90a0cc.JPG","specification":"30片\/瓶","reference_price":230,"component":"D-甘露糖200mg,蔓越莓提取物125mg,石榴提取物75mg,紫锥菊提取物40mg等","indication":"主要用于猫下泌尿道感染、膀胱炎以及泌尿系统术后修复期,协助降低细菌感染,减少炎症发生,预防膀胱炎,增强抵抗力","usage_dosage":"猫咪每5kg口服1片,一天一次","contraindication":"","adverse_reaction":"","attention":"开封后请尽快食用。","interaction":"","approval_no":"苏饲预(2018)12001","storage_method":"密封、避光保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:22:33","updated_at":"2022-02-12 14:22:33"}},"product_sku_info":{"id":954,"product_id":913,"title":"汉维宠仕优泌可尿路健康营养支持片(猫用)30片\/瓶","advword":null,"price":128,"market_price":240,"cost_price":0,"stock":950,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30片\/瓶"}},"cover":null,"thumb":"","sale_count":109,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:40:33","updated_at":"2024-11-20 00:45:33"}}},"drug_data_bak":{"0":{"id":14817,"prescription_id":106666,"doctor_user_id":1003358,"product_id":706,"product_sku_id":749,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"5mg\/kg,一天口服一次,抗菌消炎","created_at":"2022-03-23 17:16:10","updated_at":"2022-03-23 17:16:10","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2019)外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":14818,"prescription_id":106666,"doctor_user_id":1003358,"product_id":913,"product_sku_id":954,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"修复膀胱黏膜","created_at":"2022-03-23 17:16:10","updated_at":"2022-03-23 17:16:10","product_info":{"id":913,"hash_id":"EqNmov45KaxnJ5yO","class_ids":{"1":2},"category_ids":{"38":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":216,"sell_point":"优泌可尿路健康营养支持片(猫用)","title":"汉维宠仕优泌可尿路健康营养支持片(猫用)30片\/瓶","recommend_reason":{"0":"用于猫下泌尿道感染、膀胱炎以及泌尿系统术后修复期","1":"协助降低细菌感染,减少炎症发生","2":"预防膀胱炎,增强抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿道感染,膀胱炎,细菌感染,预防炎症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30片\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/505dfa12f67e8258ac2ceab8f3180832.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":105,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:40:33","updated_at":"2024-11-09 14:30:07","ins":{"id":216,"hash_id":"O2PrEVxd3Wg1e6Wk","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"优泌可尿路健康营养支持片(猫用)","common_name":"尿路健康营养支持片(猫用)","trade_name":"优泌可","en_name":"Support For Urinary Tract Health (For Cats)","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/ae2a86df512b8d983d84eaadfb90a0cc.JPG","specification":"30片\/瓶","reference_price":230,"component":"D-甘露糖200mg,蔓越莓提取物125mg,石榴提取物75mg,紫锥菊提取物40mg等","indication":"主要用于猫下泌尿道感染、膀胱炎以及泌尿系统术后修复期,协助降低细菌感染,减少炎症发生,预防膀胱炎,增强抵抗力","usage_dosage":"猫咪每5kg口服1片,一天一次","contraindication":"","adverse_reaction":"","attention":"开封后请尽快食用。","interaction":"","approval_no":"苏饲预(2018)12001","storage_method":"密封、避光保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:22:33","updated_at":"2022-02-12 14:22:33"}},"product_sku_info":{"id":954,"product_id":913,"title":"汉维宠仕优泌可尿路健康营养支持片(猫用)30片\/瓶","advword":null,"price":128,"market_price":240,"cost_price":0,"stock":950,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30片\/瓶"}},"cover":null,"thumb":"","sale_count":109,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:40:33","updated_at":"2024-11-20 00:45:33"}}}}}}
微信扫一扫
立即问宠医