咨询描述：4个月柯基，大便黑，成型软，精神好，食欲好，一天5.6餐，鸡肉或牛肉与狗粮2：1.每天150~180克，两叁天给个蛋黄
回复总结：狗狗出现大便微软呈黑色可能与饮食吃肉有关，由于消化不好引起。可以给狗狗口服宠物专用益生菌调理消化道菌群，同时促进消化。此外，还需要给狗狗改善饮食，可以将狗粮用温水泡发搅拌成糊糊进行饲喂，以少吃多餐为原则喂食。其它的食物可以暂时先停掉，因为吃的食物越杂乱消化道负担越重。如果狗狗出现持续性腹泻，可以再考虑给狗狗口服提供消化道营养、减轻消化道炎症以及促进消化道粘膜恢复的用药来帮助狗狗恢复。
问题大致一样，细节不同？
陈奕达
执业兽医师
您好，根据您的描述，狗狗大便微软，黑色，这个很有可能跟饮食吃肉有一定关系。消化的可能不是很好。
陈奕达
执业兽医师
您好，1.可以给予狗狗口服一些宠物专用益生菌，调理消化道菌群，促进消化。2.然后给您再总结一些照顾宝贝一定需要注意的几点，
①需要改善宝贝生活环境，需要环境温度达到26-25度恒温（不能着凉，因为着凉可能会加重宝贝的病情）。
②需要改善饮食，需要吃宝贝专用狗粮，用温水泡发，搅拌成糊糊（好消化，易吸收，对消化道刺激性小），以少吃多餐为原则喂食。
③其它的食物可以暂时先停掉，因为吃的食物越杂乱，消化道负担越重。
试过只喂狗粮，用小米粥泡软喂，每天还是150克/6餐，没天给点益生菌，可情况还差，大便有不成型的时候，只喂狗粮又看它太瘦，两个月前宠物店抱回来就很瘦，个头长了不少，就是太瘦一天到晩找吃的，喂稍多点比如40克/4餐就拉稀，就现在这样喂拉的还成型，减少肉的比例咋样？谢谢了！
陈奕达
执业兽医师
您好，理解您的心情，1.狗狗虽然属于杂食动物，但是吃的越杂乱，对于狗狗的消化道负担越重。这是固定规律。2.狗狗现在的情况，最好是以温开水，泡狗粮即可，然后按照现在的频率以及喂食量给予。3.只要狗粮的质量没有问题，那么狗狗是不会缺乏营养的。4.益生菌需要持续性给予，在狗狗消化道不好的情况下，需要按照一个月的时间连续服用。5.如果实在想给予肉类食物，那么您可以减少肉类食物的量。同时需要保证肉食的新鲜程度。6.如果狗狗出现持续性腹泻，可以再考虑给予狗狗口服一些提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复的用药，来帮助狗狗恢复。
一星期前去检查过虫和抗体，抗体正常，就是有滴虫，吃了打虫药和几天的修复肠胃的药，拉的成型药就停了，喂小米粥泡狗粮拉的不好，就又喂肉和狗粮
陈奕达
执业兽医师
您好，根据您的描述，1.狗狗有滴虫感染，那么出现软便，甚至呕吐腹泻都是正常的。因为滴虫严重的情况下，会引发寄生虫性急性胃肠炎问题。2.然后滴虫感染问题，需要每周进行一次大便的复查，连续3-4次，判断是否彻底清除干净。3.综合现在所有信息来讲，狗狗除了需要注意饮食照顾方面的问题。还需要定期复查大便检查，判断是否还有残留的滴虫作怪。
陈奕达
执业兽医师
不用客气，非常感谢您对蘑菇宠医的信任🙏。然后这边根据宝贝的情况，我给宝贝开个处方。
处方里面的
1. **益生菌，调整消化道菌群，促进消化。
2. ***，提供消化道营养，促进消化道粘膜恢复，减轻消化道炎症
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
{"293148":{"id":293148,"case_id":34778,"user_id":1249218,"to_user_id":1968640,"type":3,"content":"不用客气，非常感谢您对蘑菇宠医的信任🙏。然后这边根据宝贝的情况，我给宝贝开个处方。\n处方里面的\n1. **益生菌，调整消化道菌群，促进消化。\n2. ***，提供消化道营养，促进消化道粘膜恢复，减轻消化道炎症","media":{"images":{},"videos":{},"business_params":{"prescription_id":110439}},"is_doctor":1,"status":1,"created_at":"2022-05-03 10:21:43","show_rx":true,"rx_info":{"id":110439,"rx_no":2.0220503102140502e+24,"user_id":1968640,"doctor_user_id":1249218,"is_independent":0,"case_id":2722357,"pet_info":{"pet_id":291084,"pet_name":"柯基","pet_nickname":"二妞","pet_gender":1,"pet_birth":"0-4","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"4个月"},"diagnose":"促进消化，促进消化道粘膜恢复。","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-03 10:21:40","updated_at":"2022-05-03 10:21:43","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":23147,"prescription_id":110439,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复","created_at":"2022-05-03 10:21:40","updated_at":"2022-05-03 10:21:40","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":179,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-04-21 10:04:33","ins":{"id":183,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境，不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2021-03-24 15:40:00"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":187,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-04-20 20:52:55"}},"1":{"id":23148,"prescription_id":110439,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":0.5,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-03 10:21:40","updated_at":"2022-05-03 10:21:40","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒（本药品不接受退换）","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ，Lactobacillus acidophilus，Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量，拌入少量饲料、奶中（不超过40℃）饲喂或直接经口喂服，治疗量7天为一疗程。\n1.体重2kg以下，前2天早晚各1\/2袋，以后每天1\/2袋。\n2.体重10kg以下，前3天早晚各1袋，以后每天1袋。\n3.体重10kg以上，前3天早晚各2袋，以后每天2袋。\n4.保健量 每两周用一个疗程，每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时，应现配现用。\n2.服用本制剂时，应停止使用各类抗菌药物。\n3.饮用时，用煮沸后的凉开水稀释，水温不得超过30℃，不得用含氯自来水稀释，稀释后限当日用完。\n4.幼禽幼畜出生后立即服用，效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}},"drug_data_bak":{"0":{"id":23147,"prescription_id":110439,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复","created_at":"2022-05-03 10:21:40","updated_at":"2022-05-03 10:21:40","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":179,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-04-21 10:04:33","ins":{"id":183,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境，不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2021-03-24 15:40:00"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":187,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-04-20 20:52:55"}},"1":{"id":23148,"prescription_id":110439,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":0.5,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-03 10:21:40","updated_at":"2022-05-03 10:21:40","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒（本药品不接受退换）","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ，Lactobacillus acidophilus，Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量，拌入少量饲料、奶中（不超过40℃）饲喂或直接经口喂服，治疗量7天为一疗程。\n1.体重2kg以下，前2天早晚各1\/2袋，以后每天1\/2袋。\n2.体重10kg以下，前3天早晚各1袋，以后每天1袋。\n3.体重10kg以上，前3天早晚各2袋，以后每天2袋。\n4.保健量 每两周用一个疗程，每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时，应现配现用。\n2.服用本制剂时，应停止使用各类抗菌药物。\n3.饮用时，用煮沸后的凉开水稀释，水温不得超过30℃，不得用含氯自来水稀释，稀释后限当日用完。\n4.幼禽幼畜出生后立即服用，效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}}}}}
去微信领券提问
实时接受医生通知
