咨询描述:你好 我十个月大的英短蓝猫发现有呕吐血水 前两天发现她有吐毛球,这两天还是有吐了一天吐了三四次 今天晚上才发现呕吐物是粉色的 今天也吐了三四次 不吃猫粮 有点蔫儿了 上次驱虫好像是九月左右。
症状描述:
患病时长:三天
医院检查:无
用药情况:无
症状描述:吐血水
回复总结:猫咪出现吐血水的症状,可能是受凉或者食物不当引起的急性胃炎。建议主人首先对猫咪禁食,可以暂时不禁水,然后尽快带猫咪去宠物医院就医,需要给猫咪打止吐针同时服用宠物专用消炎药。如果打止吐针后还是会呕吐,就需要检查血常规、saa、X光,然后根据检查结果拟订下一步处理方案。另外,注意保暖,近期可喂点胃肠道处方粮。
问题大致一样,细节不同?
文茂桂
执业兽医师
您好,这种情况初步考虑以下可能性:1,毛球蓄积过多导致消化道不完全梗阻。2,受凉或者食物不当引起的急性胃炎,呕吐带血主要是因为木头次数过多导致胃粘膜受损引起的。
但仅仅根据目前您提供的信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.猫咪最近吃了些什么(尽量详细一些) ;
2.平时食物主要是网购还是线下宠物医院购买,近期有没有更换过食物或者更换过环境 ;
3. 目前除了呕吐有没有腹泻;
4. 是否在医院注射的三次疫苗;
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,把您家爱宠的准确『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。)
猫咪吃的**的猫粮 上次的猫粮有比较多的碎猫粮 我怀疑**的猫粮里有刺 之前我看到过一次猫粮里头有刺。前天有吃**营养膏,喂多了有一点拉稀又喂了益生菌注射了三针疫苗,体重应该是九斤左右。
文茂桂
执业兽医师
结合您补充的信息,目前主要考虑饮食不当造成的呕吐,并且不排除鱼刺划伤胃肠道的可能性。建议今晚先禁食,暂时不禁水,但如果喝水也吐那就把水也禁了,然后明天早上尽快带它就医,初步先打个止吐针(***,皮下注射,每公斤体重0.1毫升),然后再医院开点**(口服,每公斤体重12.5毫克,每天两次,连用5到7天)用于消炎、***(口服,每公斤体重50毫克,每天两次,连用5天)用于修复和保护胃及十二指肠粘膜、*****(每公斤体重50毫克,每天两次,连用3到5天)用于止泻,手里的益生菌可以继续喂,不过需要和**间隔两个小时喂。如果打了止吐针还是会呕吐,那么就需要禁食禁水,初步查血常规、saa、X光,然后根据检查结果拟订下一步处理方案。另外,注意保暖,尽量不要网购食物,近期可喂点胃肠道处方罐头,更容易消化一些。
这边将**、***、***开在处方里供您参考,您可以根据需求购买
我今天带她去检查了 麻烦医生帮我分析一下这个结果
做了腹部彩超便检血常规啥的
为保护用户隐私不显示图片/视频
文茂桂
执业兽医师
血常规未见明显异常,X光下胃内空虚、结肠积气明显,结合B超结果,主要还是诊断为急性肠炎。目前的处理方案还是参照上面长文,胃内轻度积液,可在以上用药基础上再喂点****(每公斤体重1毫克,每天一次,连用一周)用于抑制维胃酸分泌,以达到保护胃部的作用。
另外,若是猫咪打了止吐针后依然持续呕吐或者腹泻,那么建议住院输液治疗(消炎、静脉营养支持、维持水及电解质平衡)三天后再改为口服药的方案治疗。
近期建议喂肠道处方罐头或者处方粮
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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