咨询描述:猫咪拉血便呕吐白色泡沫,食量不大,最近换了新环境,现在又回南天
回复总结:猫咪出现拉血还有呕吐的症状,主要原因就是肠胃炎,寄生虫或者是细小病毒。建议主人首先带猫咪去宠物医院做炎症反应测试和细小病毒排查,根据检查结果对症采取治疗措施。如果炎症反应测试比较高,同时没有细小等问题,可以使用对症治疗方案,用治疗肠胃炎的方案做逆向判断。如果主要的怀疑方向是体内寄生虫以及肠胃炎,建议主人给猫咪做体内驱虫,然后适当的用一点抗生素类药物做逆向诊断。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,对于这种情况来说,主要考虑的就是肠胃炎,寄生虫或者是细小病毒,但是目前来说,所知道的信息太少了,我需要了解一下她的疫苗接种安全吗?上一次做体内的驱虫是什么时候?精神状态如何?有没有发热的情况?是否有可能吞吃杂物呢?能不能拍摄一段视频?发过来看一下,以便与分析。
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。另外,把您家爱宠的『年龄、体重』提供一下,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。(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。)
疫苗12月20号第二针,第三针也打了,都是***。体内驱虫药没吃,1月24号滴的***,没有吞食异物,年龄六七个月,体重大概4.4斤,精神状态今天比较慵懒。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
需要问一下,他的排尿正常吗?因为这种情况,首先得确认一下他的排尿情况,他的排尿猫砂结块大小一致吗?同时,对于这种情况来说,个人仍然建议是做一个炎症反应测试和细小病毒排查,必须考虑疫苗接种失败这个问题,同时还要考虑密切接触导致的感染。如果说炎症反应测试比较高,同时没有细小等问题,可以使用对症治疗方案,用治疗肠胃炎的方案做逆向判断。
排尿量比较少,不过它喝水量和吃粮量都比较少,最近换环境粮也不咋吃,口臭呕吐便血肠胃炎可能性大一点吗?结块大小没法确认,因为两只猫拉在一起,分辨不出来。我也是今晚它吐之前看了一下,尿黄且少,尿完就好像开始不舒服。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
目前来说只是猜测,必须优先排查病毒性疾病,如果说细小测试没问题,而且炎症反应不太高的话,可以使用一些抗生素以及调节肠道的药物进行逆向诊断,不过现在要检查一下他的膀胱,他的膀胱现在很充盈嘛?
摸着很软,充盈的情况感受不出来,目前都没有去医院,吐是早上发现的白色泡沫。这个视频是他刚尿完的状态
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看着精神状态还是不错的。所以主要的怀疑方向就是体内寄生虫以及肠胃炎,因为她并没有做过体内驱虫,所以目前建议是进行一次体内驱虫,然后适当的用一点抗生素类药物做逆向诊断。
也可能它不吃它自己粮,有时吃另外那只猫的另一种粮,没有形成一个过渡期,才造成肠胃不适应,而且又换环境,天气还不好粮容易变质,它吐完尿完状态稍微好了一点,还会舔毛,图片也是它的状态。也想换一种粮,医生有推荐性价比高的猫粮吗
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这也是有可能的,因为在上一个视频中发现她的精神状态不错,在猫粮的方面,受到某些限制,我不能做出推荐,但是一般来说,更建议使用纯肉的猫粮,也就是无谷粮,或者是使用肉进行喂养,这个是比较推荐的,可以在网上进行查询。但是纯肉的猫粮相对来说价格贵一点,这个得具体看个人条件。
这是另外一只猫,它的情况就是换环境3月22号交配后,3月24号屁股还是尿道口发现血迹,最近也是粮没有正常过渡,拉屎臭且腥,想问问这是什么情况,这两天没有发现什么特殊情况
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
狭窄的地方是尿道,上面是肛门,所以首先我需要了解一下,是上面出血还是下面出血,如果是肛门出血的话,主要考虑的是肛门腺的问题,如果是上面出血,那么就得考虑一下交配过后产生的阴道损伤。粪便的腥味有可能是由于无法完全消化所导致的,但是也得看精神状态和干稀程度。
我当时也是看不出来到底是屁股还是阴道口,因为猫不在身边,能闻到一股腥味,猫看着也是比较慵懒,吃饭倒也正常,正常吃喝还会和别的猫打闹,不过我觉得比较有可能是阴道口,看她尿道口颜色比较接近。疫苗齐全,八九个月左右,不到六斤,银渐层,一直都长得不胖。
刚刚一开始询问的那只猫已经开始昏昏欲睡了,打呼噜睡觉了
徐灿
执业兽医师
如果是这种情况的话,个人建议是适当的增加一点抗生素,需要逆向的排查一下感染的可能性,因为在交配过后容易产生阴道的损伤,主要是因为公猫的生殖器上有倒刺,所以建议使用抗生素进行预防。
另外一只猫的话,建议观察一下,可以适当的使用一些青霉素类或者头孢菌素类药物进行逆向诊断,并且需要进行体内驱虫。
药物的具体名称方便提供的嘛?像她们这种情况需要常备哪些药品呢?
如果经常出现软便带血的情况,需要常备哪些药物?一般出现软便带血情况第一时间需要怎么做呢
徐灿
执业兽医师
药物方面是可以提供方案和处方的,但是需要提出处方申请,一般来说,常用的药品就是体内驱虫以及抗生素和调节肠道的等等,如果你需要的话,我可以帮你开一个常规建议。
一般来说,软便带血首先要做分辨镜检,但是它打过疫苗,可以暂时性不考虑病毒性疾病,主要是因为他精神状态不错。现在建议的就是用抗生素做逆向诊断。
徐灿
执业兽医师
我已经帮你开了一个方案,分别是常用的抗生素,以及调节肠道菌群的益生菌,还有一个常规的体内驱虫药物,这三种药物都是日常比较建议备用的,而且对于现在这种情况,也可以用得上。直接使用剂量的话,可以按照指导剂量使用。
徐灿
执业兽医师
具体用药方案的话,我已经给出,这两只猫的情况,都可以使用**,对于带血的情况,可以增加益生菌的使用。后续的话,主要是以观察临床症状为主。不过如果状态变差的话,还是建议做细小测试,另外,都需要做体内驱虫。
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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