咨询描述:您好,陆续找了您四次了。家里的猫咪有问题都是过来咨询您的。
加菲猫 六岁了,前阵子连续三天呕吐,带去了医院,做了如下的诊断,以及开的药物,好了几天又开始吐了,现在又连续两天,麻烦您给看看,精神状态很好。
回复总结:猫咪出现经常呕吐症状有几个常见的原因,一是最普通的肠胃不适,二是食物导致的消化道敏感,三是猫咪内脏方面引发的问题。建议主人针对不同问题对症下药,如果是肠胃不适引起,可以吃一些肠胃的药物调理。如果是内脏方面的问题,则需要做一下详细的血液学检查,根据检查结果对症采取治疗措施。
问题大致一样,细节不同?
刘镇恺
执业兽医师
针对猫咪呕吐的情况,有很多可能性,我看收费单里有b超这个项目。能否发过来我看看。
B超的话他们就是拿的一个小纸条,给我解释我也听不太明白,总之说是没有问题。最后就是怀疑猫咪便秘导致的呕吐
刘镇恺
执业兽医师
从片子看猫咪的大肠里确实有大便,但是大便应该排的挺顺畅,但是片子看猫猫好像不怎么胖哦,有点瘦是吧?呕吐常见有这么几个问题,首先是最普通的肠胃不适,可以针对吃一些肠胃的药物调理,第二考虑饮食问题比如吃了额外一些食物或者换了食物导致消化道敏感。第三可能是内脏方面问题。则需要做一下详细点的血液学检查。
猫咪九斤6两,我平时有喂***的益生菌,我也没有换粮,一直吃**的高蛋白,我在想会不会是猫粮的问题,不过另一只布偶也吃就没问题,按照您的意思是给猫咪检查内脏?会不会肚子里的毛毛多导致的?
刘镇恺
执业兽医师
毛球一般不会,接下来我们需要检查和明确的是b
超下肠壁的分层情况和厚度,肠道淋巴结情况。第二生化全套的血液情况。下面是我给你开的呕吐调理肠胃非常好的药,一个是***,止吐效果非常好,第二个是抑制胃酸的,从而减小对胃的刺激。
刘镇恺
执业兽医师
**的话我处方里写了用法和用量哦,一般有呕吐的话连续吃四天。这个药物是抑制胃酸分泌从而保护肠胃减少刺激。如果要止吐最好搭配***一起使用
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
{"273834":{"id":273834,"case_id":32791,"user_id":1379641,"to_user_id":1455130,"type":3,"content":"毛球一般不会,接下来我们需要检查和明确的是b\n超下肠壁的分层情况和厚度,肠道淋巴结情况。第二生化全套的血液情况。下面是我给你开的呕吐调理肠胃非常好的药,一个是***,止吐效果非常好,第二个是抑制胃酸的,从而减小对胃的刺激。","media":{"images":{},"videos":{},"business_params":{"prescription_id":107463}},"is_doctor":1,"status":1,"created_at":"2022-04-02 11:32:23","show_rx":true,"rx_info":{"id":107463,"rx_no":2.0220402113006502e+24,"user_id":1455130,"doctor_user_id":1379641,"is_independent":0,"case_id":2680428,"pet_info":{"pet_id":223461,"pet_name":"加菲","pet_nickname":"Billion","pet_gender":1,"pet_birth":"6-3","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6岁3个月"},"diagnose":"胃炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-04-02 11:30:06","updated_at":"2022-04-02 11:52:39","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":16568,"prescription_id":107463,"doctor_user_id":1379641,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-02 11:30:06","updated_at":"2022-04-02 11:30:06","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"1":{"id":16569,"prescription_id":107463,"doctor_user_id":1379641,"product_id":795,"product_sku_id":837,"dose":0.5,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":2,"number":1,"remark":"","created_at":"2022-04-02 11:30:06","updated_at":"2022-04-02 11:30:06","product_info":{"id":795,"hash_id":"3a0E6Qpj6mp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":19,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片24mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×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\/23b20684e8d2ecaaaf654d7079c9bdc8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":198,"max_price":198,"sale_count":9,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-15 09:07:09","ins":{"id":19,"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\/c53a4874b795a415f4619f4360bfe6a7.JPG","specification":"24mg×4片\/盒","reference_price":260,"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22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 14:23:00","updated_at":"2020-10-27 14:23:00"}},"product_sku_info":{"id":837,"product_id":795,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","advword":null,"price":198,"market_price":260,"cost_price":0,"stock":87,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-14 11:37:31"}}},"drug_data_bak":{"0":{"id":16568,"prescription_id":107463,"doctor_user_id":1379641,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-02 11:30:06","updated_at":"2022-04-02 11:30:06","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}},"1":{"id":16569,"prescription_id":107463,"doctor_user_id":1379641,"product_id":795,"product_sku_id":837,"dose":0.5,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":2,"number":1,"remark":"","created_at":"2022-04-02 11:30:06","updated_at":"2022-04-02 11:30:06","product_info":{"id":795,"hash_id":"3a0E6Qpj6mp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":19,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片24mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×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\/23b20684e8d2ecaaaf654d7079c9bdc8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":198,"max_price":198,"sale_count":9,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-15 09:07:09","ins":{"id":19,"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\/c53a4874b795a415f4619f4360bfe6a7.JPG","specification":"24mg×4片\/盒","reference_price":260,"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22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 14:23:00","updated_at":"2020-10-27 14:23:00"}},"product_sku_info":{"id":837,"product_id":795,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 24mg×4片\/盒","advword":null,"price":198,"market_price":260,"cost_price":0,"stock":87,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:03:48","updated_at":"2024-04-14 11:37:31"}}}}}}
微信扫一扫
立即问宠医