咨询描述:狗狗九岁,两天前呕吐,呕吐物类似胆汁,今天发现便血
回复总结:狗狗呕吐便血可能是由于胃肠问题或异物引起。此外,如果狗狗之前有患慢性肾衰,还可能是由于肾衰复发引起。建议立即给狗狗喂食肾衰药观察,然后带狗狗到宠物医院检查血常规、CRP、肝肾生化、DR以及胰腺CPL,根据检查结果对症采取治疗措施即可。同时每天需要多让狗狗喝水,将狗粮更换为肾脏处方粮饲喂。
问题大致一样,细节不同?
陈昆明
执业兽医师
根据您讲到的情况,我初步判断为胃肠问题或异物。但仅仅根据目前您提供的信息还不能做出准确判断。我还有几个问题需要向你核实一下:1.平时多久驱虫一次,体内外都驱吗,上次体内驱虫是什么时候;2. 最近两天狗狗有吃骨头或玩具等其它异物的可能性没;3. 平时吃的纯狗粮还是兼搭有人吃的食物;4.最近两天 是否到线下宠物医院进行过检查治疗;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,把您家爱宠的品种和体重提供一下,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。)
1、因疫情,今年还未驱虫。平时半年驱虫一次。2、未吃过骨头和异物。3、最近不怎么吃饭,只有将狗粮和过水的蔬菜拌在一起,才会吃些。4、去年夏天,因发现他偶尔渗尿进行过线下检查,当时说的是肝肾有问题,有慢性肾衰的迹象,打了一周吊针,换成了减轻肝肾负担的狗粮,症状没有太多缓解。我们增加了遛狗的次数,症状有所减轻。
陈昆明
执业兽医师
根据您提供的信息并结合我个人临床经验判断为:肾衰复发可能性较大。建议如下:马上吃肾衰药观察几天,等可以外出时,到线下宠物医院检查:血常规,CRP(C反应蛋白),肝肾生化,DR,胰腺CPL。如果你愿意在我们平台购药,可以申请处方。
好的,明白了,我想申请开药吧,他现在身体轻微的颤抖,把自己蜷缩地紧紧的。就像人打冷颤似的
陈昆明
执业兽医师
这是疼痛的表现,每天多让狗狗喝水,建议改成肾脏处方粮。处方中的药:***,止吐药。****,抗感染药。** ,帮助消化同时对胰腺炎有帮助。***,利尿,加速肾衰引发的高氮、高磷,高肌酐的恢复。
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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18:31:12"}},"product_sku_info":{"id":869,"product_id":827,"title":"拜恩复合消化酵素5g×10包\/拆零","advword":null,"price":58,"market_price":100,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋装\/拆零"}},"cover":null,"thumb":"","sale_count":57,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 18:09:40","updated_at":"2024-05-24 14:03:17"}}}}}}
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