咨询描述:你好,我家狗狗是8年小狗狗,这个两天拉血,但精神状态很好,喂了些药,已经喂食****和**
回复总结:狗狗拉血可能是出血性结肠炎引起,但也不排除是消化道异物以及病毒性疾病导致。如果狗狗年龄较大,还需要考虑消化道肿瘤的情况。建议带狗狗去宠物医院做肠道彩超检查以及血常规和C反应蛋白检查,查看结肠内情况后对症用药治疗。如果暂时不方便就诊并且狗狗精神状态好,可以先禁食24小时观察,同时给狗狗换肠道处方粮,配合修复肠道粘膜以及胃肠消炎调解肠道的药物观察能否恢复狗狗胃肠功能。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的狗狗拉血的情况
我初步判断很可能是出血性的结肠炎,但是也不排除是消化道异物以及病毒性疾病。8岁的狗狗还需要考虑消化道肿瘤的情况。
但仅仅根据目前您描述的情况,还不能做出进一步的判断。
我还有几个问题需要向你核实一下:
1. 宝贝您养了多久了?具体是何时发病的?家里还有其他动物吗?
2. 宝贝日常饮食主要喂什么吃?宝贝发病之前(最近几天)都给吃了什么食物;有没有吃过骨头?
3.宝贝有没有呕吐?拉的是黏黏的还是水样的,颜色是鲜红还是暗红?是整个粪便都是血色还是正常粪便里掺杂了血?可以附带照片发过来。
4.宝贝最近有没有洗过澡受凉,或者通风受凉等情况?家里环境温度多少度?(理想温度22-25度左右)
5.您用手掐一下他的肚子,看看有没有肚子疼的感觉?拉血这几天饮食,饮水,排尿都正常吗?
6.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
7.您给狗狗吃的什么药?有规格发上来我看一下。
8.还有宝贝的体重以及过往病史(是否有药物过敏史),疫苗以及驱虫情况。
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。
养了四年了,我们家没有其他宠物,毛毛总爱吃肉,平时吃肉多了会呕吐,很少吃狗粮,这几天吃肉比较多,有三天了,一开始拉的是干燥的大便第二天中午吃了好多肉,下午就呕吐拉稀,第二天大便带血,精神不好我就喂了****和**针剂,喂了两次,拉稀好点了,精神也好了,蹦蹦跳跳的,我就给他早上喂了一个熟蛋清,晚上吃了点肉,就又拉稀带血,带血一直没好,不喂时拉点滴血,有时一下午不拉,喂了点东西就拉稀带血
狗狗拉的是暗红色的血,前两天洗过澡,而且在车上呆了2个上午,车内很热,狗狗平时很少长病,就是爱吃肉吃多了就吐,拉稀,血便前大便干燥,不发热,拉稀前肚子鼓鼓的一拍噗噗响
王园龙
执业兽医师
感谢您耐心等待。
1.根据您提供的这些信息看,我觉得狗狗应该是慢性结肠炎的急性发作,导致的肠道出血的情况,这个情况建议您有时间的话带狗狗去就近的宠物医院做一下肠道彩超检查以及血常规和C反应蛋白的检查,主要看一下结肠内的情况,然后好对症用药,效果是更好的。
2.如果您暂时没时间带狗狗去检查,现在开始需要禁止给狗狗吃肉,需要吃肠道处方粮,并且配合修复肠道粘膜以及胃肠消炎调解肠道的药,看看能否恢复狗狗胃肠功能。(前提是吃喝都正常的情况下才可以)
3.如果这次用口服药可以调整过来狗狗胃肠情况,那建议您以后给狗狗吃肠道处方粮,并且要少吃肉,不可以多吃,以免加重消化道负担。
4.并且短时间内禁止给狗狗洗澡,禁止着凉。
这个饮食习惯是需要改正的,不可以把肉当主食的。
那可以给它吃些煮熟的鸡蛋和水吗,还不不让它吃东西空腹两天,服用葡萄糖水及药物,可以吃点****止血吗?
王园龙
执业兽医师
1.狗狗现在这个情况需要修复肠道粘膜,粘膜修复好了血自然就止住了。出血只是表现。所以光止血可能治标不治本。
2.需要先禁食24小时。禁食期间可以喝葡糖糖水,每3-4小时和一次每次5-10ml,这个葡糖糖水里可以添加调解肠道的药。
3.鸡蛋可以吃,只是需要等禁食24小时后再给吃。可以吃鸡蛋黄,不可以吃鸡蛋清,消化不了越吃拉的越严重。
根据狗狗的情况,我给它开个处方。
处方里面的
1. **成犬肠道处方粮,这个粮是针对消化不好,胃肠道有疾病的狗狗用的,可以帮助胃肠功能恢复。狗狗禁食24小时后可以给他吃上,每天3-4次,每次30-50g。等狗狗排便正常了可以改成每天两顿,每顿100-150g,或者根据狗狗具体体重按说明使用。
2.***,这个药有收敛止泻的作用,每天两次口服,每次半包,连用5天。
3.******,这个是狗狗肠道消炎药,也可不充肠道营养,口服每天两次,每次1ml,连用7-14天。
您可以根据需求自行选择购买。
除了以上用药以外,您还需要到药房去买一种叫***的口服药,这个药是修复肠粘膜,防止肠粘膜继续损伤的药。肠粘膜修复好了,血自然就止住了。每天两次,每次半包口服。连用7天。
以上用药3天如果效果很好,请坚持用药7天,7天后来找我复诊,我再帮您制定下一步治疗方案。
如果用药没有效果,那还是需要及时带狗狗去就近宠物医院化验救治的。
王园龙
执业兽医师
1.禁食的目的是为了让肠道以及消化腺得到休息和恢复。
2.需要您观察他的精神状态怎么样,排尿情况,以及不吃东西的话还是都会有排便或者是顺肛门流血。并且按时口服药。
如果不吃东西还有腹泻,便血,的情况,那就更需要即使就医了,可能口服药解决不了问题了。需要输液治疗,以免脱水或者是失血过多导致死亡。
王园龙
执业兽医师
可以出去的,要做好保暖工作,并且出去要戴牵引绳,看住他,别让他在外边乱捡东西吃。
如果一天不进食 ,血便减少,后期怎么治疗,葡萄糖水可用白糖水代替吗
王园龙
执业兽医师
您看一下下图位置的聊天记录里有具体方案和用药情况。
可以用白糖水代替葡糖糖,温水冲白糖,咱们尝略微有点甜味就可以,不可以喝浓度高的糖水,以免引起脱水。
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
**处方粮是医院渠道专供的,您也可以咨询当地宠物医院,宠物店是没有的。
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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