咨询描述:您好,医生,我的狗狗肚子很大,然后运动不耐受也,是不是有胸腔积液的可能呀
回复总结:如果狗狗只是单纯的肚子大,没有其他异常症状,可能是吃多了导致消化道胀气,处理办法上建议改善饮食,以狗粮为主,可以喝清水或者羊奶粉,不要给狗狗喂容易发酵的食物。如果狗狗还有大口喘气、呼吸急促的症状,考虑是肝脏损伤引发的腹水,建议带狗狗做b超检查,如果确诊有腹水,需要做抽腹水处理,同时配合服用保肝药物和利尿药物。
问题大致一样,细节不同?
王冲
执业兽医师
您好,狗狗家长,根据您以上描述,我初步分析宝贝是有腹水的可能。但仅仅根据描述还不能做出进一步的判断。我还有几个问题需要向您了解一下,
1. 宝贝多大了?发病多久了?
2. 宝贝平时都吃什么食物?狗粮什么牌子?合多少钱一斤?
3. 宝贝什么品种?近期有没有食欲很好但是越来越瘦,而肚子越来越大,摸上去有没有波动感?
4.宝贝近期有没有特别能喝水?
5.宝贝有没有出现呼吸急促或者呼吸困难?活动也比较少?
6.宝贝的疫苗打了几针?以及驱虫情况如何?
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的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『年龄、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。
他大概五个月左右了,最近不怎么爱喝水,可能是因为饭里面给了水。我给他买的***鸡肉狗粮,22斤,***左右。我爸爸最近给他喂的是炒熟的玉米喝黄豆,然后用开水冲泡,加***狗粮,加羊奶粉一起喂他的。他的食欲一直很好,肚子一直很大,但是我觉得它并不胖。他就是不爱爬上坡,走一段要停一会儿,然后大口喘气,呼吸急促。不爱活动。疫苗打全了,体内驱虫有按时,体外驱了两次。
为保护用户隐私不显示图片/视频
王冲
执业兽医师
好的,您家宝贝体重不是特别瘦,略微偏瘦,正常5个月拉布拉多公犬体重在18-20公斤左右,这个年龄段的狗狗应该是最活泼最愿意动的时候,活动一会就大口喘气,呼吸急促,而且肚子特别大,建议您带狗狗做个b超,看看腹腔内有没有腹水,如果有的话需要抽取一部分腹水减轻腹腔内的压力,还要抽血检查生化,大多数腹水都是肝脏损伤引起的,看看是不是肝脏出问题引起的腹水,如果腹腔内没有腹水,狗狗应该问题不大,可能就是吃的多肚子大而已。然后平时饮食改变一下,以干狗粮为主,不要泡,喝清水或者羊奶粉就可以,黄豆磨的豆浆就先不要喝了,豆浆容易发酵,导致消化道内气体增加,消化功能不好的狗狗不建议喂食,喝多了会胀气,肚子看起来也会大,胀气引起的肚子大您可以弹一弹,声音就像敲西瓜声一样,腹水的声音是实质的,声音很闷。
它小时候有点贫血医生说。我这里里医院太远了,在老家,您看他严重吗?给我开点药吧,能不能排腹水的那种,小时候一两个月看他的医生是建议我对症治疗,不方便的话给他用点***先,您觉得呢?
您帮我听一下它肚子正不正常,如果是有这个病的话,严重吗?您看他严重吗?能不能先利尿?
为保护用户隐私不显示图片/视频
王冲
执业兽医师
现在狗狗的精神状态看起来还不错,从视频中看肚子是有点大,听声音问题也不是太大,您不方便去医院,我先给您推荐几种药,您可以喂一段时间药,给您推荐的药即使没有腹水吃了也不会有影响,这方面您可以不用太担心,***是可以的,在治疗肝脏方面效果很好。
王冲
执业兽医师
***,修复肝脏,每天一次,每次两片,您有***的话可以换成***
***,是补血也保肝的,每天两次,每次4ml
***,利尿,每天一次,每公斤2.5mg,
***先吃3天,如果肚子小了就可以不用吃了
饮食方面,以狗粮为主,可以掺着吃粗粮,也可以吃高蛋白的食物,比如水煮鸡胸肉,也可以和狗粮掺到一起喂,饮水量要控制,如果真有腹水,喝水多会促进腹水的产生。
刚刚不让我敲,您在帮我听听,我实在太担心了,但是他还挺活波的,除了不爱走路,咬娃娃什么的都可以,另外像他这么大的应该吃多少狗粮,我怕是给他吃多了。
为保护用户隐私不显示图片/视频
王冲
执业兽医师
听着声音感觉像是胀气,您可以买点西***给狗狗喝,您可以去药店买***,是排胀气的,喝5毫升就可以,平时不要给狗狗吃容易发酵的食物。5个月狗狗一般一天喂300-500g狗粮,现在是正想发育的最佳时间,您平时看狗狗的大便,每天喂三顿,定点定量喂,如果狗狗大便干燥成型,可以适当加量,如果大便软了,就需要减量,因为每只狗狗饭量都不一样,您要观察狗狗的大便来改变狗狗的饭量。这期间最好是只喂狗粮,等成年后可以掺着喂点其他食物
王冲
执业兽医师
您先给它喂***,肚子里的气排出后,肚子应该会小点,排气的方式多数是通过放屁来排,您按我说的喂食方法喂三四天,看看狗狗会不会好点,再一个就是天气太热的时候不要出去遛狗狗,尤其是中午前后这段时间,天气太热也会让狗狗稍微一活动就呼吸急促,伸舌头大口喘气。如果三天后狗狗情况好点了,可以只给狗狗喂***,这个还有个名字叫****,可以给狗狗喝一个月,对狗狗贫血有很大帮助,其他的药可以先不用吃了。这三天内狗狗吃干狗粮,正常喂水,或者羊奶粉也可以。
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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