狗狗胃出血的症状和治疗方法

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咨询描述:您好,狗子前段时间总会晨吐,有时是吃了不易消化的食物会吐,拉的很正常。给它吃了****、****、****、益生菌都不管用,后来呕吐物变成了深棕色,且有血块,拉的也变成了黑棕色。后来打了抗病毒的针剂,配合天天给它吃小米稀饭,馒头,打碎了的鸡肉、西兰花、胡萝卜,这几天没吐。但拉的还是黑棕色,我有点担心是胃肠出血,打过两针**,精神状态很好。

回复总结:狗狗胃出血可能会出现频繁呕吐食物、拉稀黑色粪便、拉血等症状。狗狗胃出血的症状可能是胃肠道问题引起,也有可能是血小板减少引发贫血造成。建议将狗狗带去医院做炎症测试以及血常规检查,如果跟胃肠道炎有关,需要服用调理肠胃的宠物专用药。如果是贫血问题,建议立即将狗狗带去宠物医院住院治疗。另外,治疗期间要同时补充营养促进生血。

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王广龙

执业兽医师

您好,根据您提供的信息,还不能做出进一步的诊断,请详细介绍一下他现在的情况,症状,状态,越详细越好。体重和年龄和性别和绝育情况告诉我。请拍几张清楚的照片和视频发给我,我看看他的状态。

金毛犬,三岁九个月,公犬,体重65斤,未做绝育。现在的精神状态很好,但我刚刚发现它耳朵@牙齿都有出血点,鼻子里有浅粉色血水,加上这几天一直黑便,怀疑是体内出血了吧?药吃了一大堆,肠胃也调理了,这几天喝水都是喝温水,也没吐,但总感觉身体是哪里出血了还是有其它问题?对了,上次检查做了生化,血常规和胰腺炎检测,结果都没有问题。

为保护用户隐私不显示图片/视频

王广龙

执业兽医师

根据您的描述和图片信息,现在这个狗狗出现频繁呕吐和拉稀黑色粪便情况,说明现在胃肠道正在有慢性出血和牙龈出血的情况,说明现在血小板可能有问题,现在这种不是简单胃肠道问题,这个慢性出血,考虑血小板减少症和贫血问题。现在出现这种情况主要考虑是血液寄生虫病或者免疫介导血小板减少症或者是巴贝斯虫病。

这样的情况严重吗?需要如何治疗或检查呀?这三张图片是上次检查的报告,您看有用吗?狗狗需要吃些什么呀?

为保护用户隐私不显示图片/视频

王广龙

执业兽医师

现在这种情况算是比较严重的,先确定病因后才能确定是怎么样治疗,现在主要怀疑方向,把主要检查做一下,血常规复查和炎症反应和血图片和4d和巴贝斯虫检查。上一次血常规血小板很低和红细胞压积很低的,说明已经有贫血了。

哦,明白了,那我再去带它做检查,再次和您确认一下是做以下几项检查,对吗? 1.血常规复查 2.炎症反应 3.血涂片和4d 4.巴贝斯虫检查 1.2.应该都是血常规检查吧?还有什么要补充的吗?我去做这几项检查,做完了再回来让您看对吗?

王广龙

执业兽医师

这个都是都是抽血做的检查,还有血图片和巴贝斯虫pcr检查,看看这些结果有没有异常的,没有异常就要考虑免疫介导血小板减少症。

王大夫,为了节省问诊次数,所以刚刚去做检查了,没给你及时回复,见谅☺️我又给狗子多做了一项凝血检查,结果是血小板很低,其他没什么呀。你看看到底是哪里出现问题了?刚刚出去拉的屎更黑了,是软便不稀,而且上面有粘膜。精神状态依然很好。刚刚舌头上也有出血点了,鼻涕还是有一点浅粉色。

为保护用户隐私不显示图片/视频

王广龙

执业兽医师

现在没有做爱德士4d吗?查血液寄生虫的,现在这种没有血液寄生虫感染就要考虑免疫介导血小板减少症了,需要用激素去长期控制治疗的。

医院的大夫说做了血图片就不用做4d了,让我加了一项凝血,结果凝血也没用问题。它血小板降得这么低,会不会是脾、胃等器官有异常出血啊?如果是免疫介导血小板减少症,会不会危及生命?如何用激素长期控制?吃药还是打针?用什么药?在哪里买?(不好意思,最后一次问诊了,尽量多问几个问题)

王广龙

执业兽医师

做4d和血图片不一样的,凝血功能这个看不到虫子的,最好是把4d这个也做一下,4d没有问题主要考虑免疫性血小板减少症,现在是血小板减少导致胃肠道出血的情况,这个出血量多了以后就会有生命危险的,一般这种都是慢性出血和贫血,慢慢突然有一天就低血压和低血氧出现,假如是长期吃激素去免疫调节,这个药这边来给您,按照0.5mg每公斤体重使用,一天一次口服。持续吃一段时间,后续减半维持治疗。补血液也要吃维持营养补血。消炎抗感染药*****,一天一次,一次3片的,连续喂两周。

做巴贝斯虫检查已经确定是阴性了,还需要做4d吗?狗狗免疫系统出现问题,是不是以后就离不开这些药了?一直吃到狗狗离开吗?也就是不治之症了吧?它现在还不到4岁,为什么突然会得这种病呀?它今后是不是还会出现其它的并发症?我该如何注意喂养它?平时吃什么,注意些什么?还有,它的寿命是不是会因此缩短?谢谢您王大夫🌸🌹

王广龙

执业兽医师

巴贝斯虫也是血液寄生虫病一种,我说4d是其他血液寄生虫病也是要做的。还是要做的,筛查四种媒介传播疾病 心丝虫 美国 50 个州的犬都曾检出心丝虫病。尽管心丝虫病既可治疗亦可预防,但它是一种严重且致命的疾病,而且可能在早期阶段不会表现出临床体征。每年筛查该疾病有助于加快诊断速度,提高诊断几率,进而把握最有利的治疗时机,即便是针对虫负担低的患者也不例外。 莱姆病 借助久经验证的 C6 ELISA 技术,更准确地鉴别临床和亚临床患犬的莱姆病病况。SNAP 4Dx Plus 检测能够鉴定抗体是否仅因伯氏疏螺旋体感染而产生。 埃里希体病 检出 Ehrlichia canis 或 Ehrlichia ewingii 抗体说明有蜱暴露和感染因子传播。对于此类患者,建议通过附加检测来确定是否仍处于感染期。尽早控制感染是使患者免受慢性病影响的最佳方法。 边虫病 通过每年对犬进行疾病筛查来确定其是否暴露于 Anaplasma phagocytophilum 和 Anaplasma platys。早期检测不仅可改善患者预后,还可巩固蜱控制效果。 确定这个病了后面就是药物维持治疗的,一直激素低剂量维持治疗。可以药物维持治疗,也不是不治之症。出现这种病可能是血液寄生虫感染引起的,就是常见蜱虫叮咬后感染的,有一些是免疫系统缺陷引起的,有一些是遗传的。后续出现最严重并发症就是凝血功能障碍,一直慢性的出血,后续慢慢贫血和营养不良和消瘦的。后期要喂高蛋白营养食物,补血营养品还有营养膏和维生素都要吃的,定期一个月体外驱虫,定期体内驱虫。现在他的寿命肯定会比较正常金毛寿命短的,这个跟这个病有关系。

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