咨询描述:四个月小母猫,3.5斤,未打疫苗。有两个问题,第一:拉的粑粑有血,不多,偶尔发生,大概持续2周。第二:拉完粑粑,菊花不干净有残留物。粑粑成型,精神佳。混两种猫粮,****和***,间隔一周喂一袋猫条,和熟鸡胸肉。猫咪3个月大时喂过生的鸡胸肉,当时做过体内驱虫一次。
回复总结:猫咪出现便血的症状,可能是滴虫、球虫、肛门腺炎或者猫粮中动物蛋白不耐受造成。建议主人先给猫咪喂食一些调节肠道的益生菌,同时调整猫咪的饮食,可以煮一些鸡胸肉以及其他的肉类,带着点汤让猫咪直接吃。如果便血的症状不见好转,建议主人立即带猫咪去宠物医院做粪便镜检,检查寄生虫感染情况。
问题大致一样,细节不同?
徐灿
执业兽医师
一般来说,粪便带血的话,主要考虑的就是滴虫球虫,肛门腺炎以及猫粮之中动物蛋白不耐受造成的问题。需要问一下,有没有做过粪便镜检?同时,有没有肛门腺的挤压疼痛?滴虫和球虫常规的驱虫药物攻敏感,所以个人建议是优先做相关测试,有一定残留的话,可能与肛门腺的发病有关系,所以需要先挤压看一下有无疼痛感。以及是否存在某些分泌物等等。
(若您需要离开本诊室,稍后可以到微信官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
没有镜检,刚刚挤了一下肛门,不知手法是否精准,猫咪躲着但是,没有叫,也没有分泌物。猫粮如下。紫色的****是准备替换吃完的鸡鱼争鲜的米色的****。
为保护用户隐私不显示图片/视频
不知道这个猫咪的菊花算不算红…
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
实际上,猫粮方面并没有办法给出建议,因为受到限制,同时,每个猫的身体是不一样的,对于猫粮的耐受程度并不相同,所以要排查其他原因,最建议的是做一个粪便镜检,一般来说很便宜,只不过要多做几张,因为滴虫和球虫非常容易出现假阴性,她的肛门的确有一点突出,需要问一下,平时排出来的粪便特别干结吗?
有一点干,但是我之前以为不软就是好的,就没有关注过,只关注到她的粑粑残留是软的,我可以用湿巾擦掉,如果我好久才看见粑粑残留,残留也是干硬的。猫砂盆里粑粑形状基本上都是这样的。而且她的猫粮颜色也是有一种是偏棕黑色的。
肛门突出是什么意思呢?就是不好,有发病的可能性,还是说,是已经发病的现象呢?
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这样的粪便就是太干结了,实际上,从粪便上来说,并没有太大的问题,因为都属于正常的,她的肛门稍微有一点突出,但是不至于发病,就是因为太干结了,所以努咋过度,换一个说法就是便秘的时候太用力了。过一段时间自己就会恢复正常,粪便不是越干越好,而是有一定的湿润度即可。
所以总的来看,建议做一个粪便镜检,只要是没有寄生虫的话,后续绝大部分都是正常的。
您好,那您的建议是做一个镜检。谢谢您!
那您是否建议这两天给她体内驱虫呢?因为到月底的时候确实到了给她驱虫的日子。图片是卖家给的体内驱虫药。
还有关于粪便干结的解决方法,是否猫粮少放一点,让她多喝水呢?还是您有什么其他的办法呢?或者是喂湿粮,间隔时间短一点喂猫条,罐头,或者是泡奶呢?目前是不泡奶的。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个药我没有用过,所以我也不确定成分和效果,一般来说,体内外驱虫都是没有太大的区别的,只要成分和剂量正确即可。
干结的问题可以考虑换猫粮,或者是让他多喝一些水,如果太干结了,可以适当的给他喝一点***,按照每公斤0.1毫升,一天两次给。泡奶或者是用一些湿粮都是不错的办法,有一些时候是有用的。
第一是镜检,第二是近期做个驱虫,能麻烦您开一个您建议的体内和体外的驱虫药吗?第三是湿粮法,能麻烦您建议一下***和奶的牌子吗?谢谢您!
徐灿
执业兽医师
一般来说,***只是更换猫粮或者调节肠道菌群之后无效所用的方案,但是平台上并没有该药品,如果说粪便太干结,首选推荐,你可以尝试增加一些调节肠道的益生菌,调节菌群也会有一定效果,这个是最稳妥的,而且没有副作用。
至于体内驱虫药的话,这个我没有用过,我也不清楚具体成分,所以我就帮你开一个常规驱虫用药方案。
湿粮和奶的话,由于某些原因,我没有办法推荐,或者是你给他煮一些鸡胸肉,以及其他的肉类,带着点汤让他直接吃也行。这个也是不错的办法。
那我就帮你开了,体内外驱虫以及一些益生菌,然后后续你配合着使用就行,他们之间无配伍禁忌,可以同时使用。
益生菌是一天一袋吗?直至用完或者好转。
体外驱虫是一个月用一次。
那体内驱虫,我看它的说明书没有适用您之前提到的滴虫和球虫,也可以使用吗?或者有其他的合适的药吗?它的用法用量不是很清楚,是一共就吃那一次药吗?按照我家猫咪的体重,是2kg,吃半片,那是一共就吃半片吗?还是说第二天继续啥的吧?
徐灿
执业兽医师
里面有一个说明书,按照说明书指导剂量使用就行。
驱虫药物只是常规驱虫,滴虫和球虫一般来说,需要确诊之后才会用药,后续如果真的发生了感染,或者已经确诊的话,那么我会给出用药的建议,同时,驱虫的频率也并不是固定的,得看具体的情况或者与外界接触的频次,接触的比较少,可以适当降低频次。
体内驱虫药物吃半片就行,因为他是四公斤一片,1到3个月吃一次就行。具体的频次由具体情况决定。然后体外驱虫也是一样的。
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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