咨询描述:小猫从下午开始总去厕所,每次去了之后,猫砂里都有点血迹。
回复总结:猫咪总去猫砂盆属于典型的自发性膀胱炎,一般是由于猫咪受应激造成。首先需要尽可能减少猫咪的应激,然后给猫咪大量喝水,每天的饮水量必须在45毫升每千克体重以上。同时针对猫咪的症状进行用药缓解,可以给猫咪口服膀胱黏膜保护剂和长期吃泌尿道处方粮,然后配合给猫咪口服消炎药预防继发细菌感染。此外,可以把猫咪抱在身上顺时针按摩腹部促进排小便。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断猫咪有下泌尿道综合症,但仅仅根据目前信息,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. 猫咪的基本信息:品种、年龄、性别、体重,有没有打疫苗和驱虫?有没有做绝育手术?之前有没有什么疾病史?
2. 猫咪平时喝水多吗?最近家里有没有换环境?有没有环境气温变化?有没有新的成员?
3. 猫咪,最近精神食欲,大小便情况怎么样了?
4. 他现在一天的总的尿量有没有减少?猫砂结团情况怎么样?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。
1.银渐层,公,6个月大,2公斤左右,疫苗驱虫正常做了,没有做绝育手术,最近得过猫癣和耳螨,猫咪喝水比较多,没有换环境新成员,最近喝水较多,食欲不错,精神不错,(刚发现一小时左右),从今天中午到现在几乎没有尿,四五点拉屎较正常。下午开始就频繁去厕所,大概5分钟去了三趟,然后就有一点淡红色的,但是我在上海,所以没办法开药,家里只有**看吃多少能不能管用。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你的描述来看,你家猫咪是典型的自发性膀胱炎。
这种一般是受应激造成的,比如说可能因为你们封闭,近期人员都在家里等这样的因素变化也有可能影响到它。
这种疾病的治疗最关键的在于3点:第一个是尽可能的减少猫咪的应激。第二个是大量的喝水,每天的饮水量必须在45毫升每千克体重以上。第三方面就是针对他的症状去帮助他缓解。
因为你现在封闭在家买药什么各方面都很困难,那你现在就先做好前两个方面,一个就是给他大量的喝水。第二个就是尽可能的安抚它,可以把他抱在身上,然后顺时针按摩腹部可以促进他自己排小便。你家里的**可以给他吃的,按照12.5毫克每千克体重,一天两次,连续喂一个星期左右,可以预防他继发细菌感染。
等你解封之后你最好还要给他口服膀胱黏膜保护剂和长期吃泌尿道处方粮。
根据猫咪的情况,我给它开个处方。处方里面的1.***,保护膀胱黏膜,一天一次,一次一片,连用30天。
2. 泌尿道处方粮,预防鸟粪石和草酸钙结石,促进猫咪饮水,建议长期吃。
3. ***,缓解猫咪焦虑情绪。
您可以根据需求自行选择购买。
应激反应这种可以怎么缓解吗?**先吃一个星期看看情况?或者中间出了两三天没有血了还用继续吃吗?按照现在的情况可能半个月都出不去只能一直封闭哈。
家里有一个比较脏的出入地毯脚垫,他总趴在上面玩,拦不住,可能会是这个情况产生的炎症么?
郭秋萍
执业兽医师
应激反应的话是需要给他点猫信息素这样的来帮它缓解,但是你买不到,现在出不去,那你就只能人为的多安抚他来减缓它的应激。
**吃一周,中间不要停。就算没有血了,也建议吃满一周。
膀胱的自发性膀胱炎,他一般是非细菌性的,所以他不是地毯脏这样的感染导致的,他就是身体自己内部的炎症造成的,是无菌性炎症。给它吃**只是为了预防继发细菌感染。
好的,他特别想尿,所以去好多次厕所但是每次就只有一点点血。先吃点**看下吧。
郭秋萍
执业兽医师
是的,**可以给他吃,但是最最关键的是一定要给他多喝水,你要保证每天的饮水量在45毫升以上,因为大量饮水能够稀释尿液,这样就不容易出现尿结晶,也就不容易堵塞了,他就不会造成尿闭。
今天早上排尿这样,是不是代表比昨天好多了。药正常吃,水也在喝,也在揉肚子。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从照片来看,确实比昨天要好很多,不过这个尿液结团还是比较小,所以你还是要继续给他大量喝水,然后继续吃**。
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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