咨询描述:第一天发现不正常是狗狗晚上发抖,以为是冷,就做了保暖处理。半夜三点左右开始有疼痛反应无法正常入睡,眯一会就又起来了。四点左右呕吐了一次,黄水加泡沫还有一些类似乳白色肥肉的东西。
第二天做了血液检查进行了输液。输液期间没有再发生呕吐,精神状态也恢复了,第三天准备接出院?想问问出院需要做些什么?以及提供什么饮食?
今年的驱虫还未做
回复总结:狗狗得胰腺炎的主要原因是饮食,如果狗狗平时吃的食物含脂肪和淀粉太多就可能会引起胰腺炎。针对狗狗得了胰腺炎的问题,建议主人将狗狗带到宠物医院进行输液治疗并配合治疗胰腺炎的宠物专用口服药,在治疗到狗狗能自主进食而且吃饭后不再呕吐,腹部不再疼痛了才建议出院。
问题大致一样,细节不同?
王冲
执业兽医师
您好,您发的化验单看到了,cPL是狗狗胰腺炎,您家宝贝确诊得了胰腺炎,正常值是小于200,检测结果是2000,胰腺炎强阳性,得这个病的主要原因是饮食,平时吃的食物含脂肪和淀粉太多引起的,引起的症状是呕吐拉稀,腹部异常疼痛,这个病需要输液治疗,要输专门治疗胰腺的药,比如***和***,还有止疼针,再加上补能量和补水的,在治疗到狗狗能自主进食而且吃饭后不再呕吐,腹部 不再疼痛了才建议出院。如果医生允许出院的话,您需要给狗狗吃低脂处方粮,至少一个月内只吃处方粮,一个月后可以换成普通狗粮,但是最重要的一点,禁止吃人饭,尤其是脂肪和淀粉含量高的食物,平时的饮食一定要清淡,可以在狗粮里掺上煮熟的西兰花,胡萝卜,青菜,都是可以的,一定要煮熟。下一条我给您开个处方建议,您参考一下用药。
王冲
执业兽医师
***是止疼的,每天1次,每次10mg
低脂处方粮必须吃,最少一个月
**这个平台没有,您可以从宠物医院购买,吃一个月的量。
强阳性应该也是比较严重,输液医生用的***请问有用吗?我看介绍说是治疗轻型胰腺炎的。是因为我家狗狗只吐过一次,没有腹泻之类的。所以才用的这个吗?担心医治以后,回家会不会又加重
王冲
执业兽医师
***治疗胰腺炎完全是可以的,但是***的用法您看看那边医生用的对吗?一支药配5%葡萄糖250毫升或者盐水都可以,输液速度按照2.5ml/kg,葡萄糖或者盐水500ml也可以,输液速度加倍就可以,输液要避光输,一般最少输8个小时。要配合着******来治疗,一般建议输液5天左右,再测胰腺炎,看看指标能不能降到正常范围,如果降到正常范围了您再选择出院,前提是狗狗能正常饮食。
那狗狗后期出院的话,第一餐应该喂些什么呢?直接就可以喂少量的西蓝花胡萝卜和鸡胸肉吗?是否需要控制饮水量?
除了止痛,是否还需要继续消炎?
王冲
执业兽医师
狗狗出院后要吃低脂处方粮,配合着西兰花胡萝卜,一定煮熟煮透。鸡胸肉就先不要喂了,很容易挑食,一挑食饮食就乱套了,喝水没有限制,保持充足水分就可以,上边说的***既能止疼也可以消炎。
这种症状和胆囊炎也很像,请问怎么区分是胆囊炎还是胰腺炎呢?如果是胆囊炎,现在这样的治疗是否也会有效果??
王冲
执业兽医师
胆囊炎和胰腺炎症状很相似,确诊胆囊炎需要做彩超,找到胆囊后看胆囊形态,有些胆囊炎是因为胆囊内结石或者寄生虫引起的,生化检测里边胆红素和谷丙转氨酶指数会异常。CPL是胰腺炎的指标,已经确定有胰腺炎,现在的治疗对胆囊也有作用。
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
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