咨询描述:你好,今天我们家猫咪有一次呕吐,呕吐物是像口水那种,他昨天和今天老是去猫砂盆,但是又不拉,今天呕吐没多久就去猫砂盆旁边尿了,有点带血丝,他食欲挺好的,这是什么情况啊?
回复总结:猫咪呕吐尿血考虑是自发性膀胱炎引起。由于应激导致的膀胱逼尿肌不开张,尿液在膀胱蓄积导致结晶的形成,会引起膀胱出血导致尿血尿频甚至尿闭。其次,可能是平时日粮不均衡导致膀胱结石或者结晶的形成,从而引起尿血尿频的情况。最后,可能是细菌性膀胱炎导致膀胱黏膜增厚,黏膜脱落形成栓子也会造成尿出血的现象。如果只是呕吐一次,可能是生理性因素。如果呕吐频繁并且食欲不振,可能是尿频或者尿闭时间长导致的氮质血症引起。
问题大致一样,细节不同?
朱保录
执业兽医师
您好,根据您现有的描述还无法做出准确的诊断,所以我需要向您核实几个问题以便做出进一步的诊断。
第一,宝贝多大了?有没有打疫苗?宝贝是公猫还是母猫?
第二,宝贝最近几天都有频繁上厕所的情况吗?宝贝尿团大小如何?几天没有排便了?
另外如果家里有体温计您给宝贝量一下体温看是否发烧?宝贝正常体温是37.5-39度。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『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。
快一岁了,橘猫(公),体重5kg,没有打疫苗,昨天才发现频繁上厕所,我也观察了他去了但没有排便,因为家里两只猫共用一个猫砂盆,无法辨认他排便的具体情况。尿团是要比之前小一些,直径大约5cm左右。测量了两次体温,38摄氏度。
朱保录
执业兽医师
您好,根据您的描述结合宝贝尿液有血丝的情况。有尿频的情况。初步怀疑宝贝下泌尿道综合征的可能性比较大。引起公猫尿血尿频的原因一般有几种情况。
第一,自发性膀胱炎,由于应激导致的膀胱逼尿肌不开张,尿液在膀胱蓄积导致结晶的形成,会引起膀胱出血引起尿血尿频甚至尿闭的情况。
第二,如果平时日粮不均衡,导致膀胱结石或者结晶的形成,会导致出现尿血,尿频甚至出现尿闭的情况。
第三,细菌性膀胱炎,导致膀胱黏膜增厚,黏膜脱落,形成栓子,也会造成出血,尿频的现象。
而宝贝呕吐如果只是呕吐一次,有可能是生理性的。如果呕吐频繁食欲不振有可能是尿频或者尿闭时间长导致的氮质血症引起的呕吐。
这种情况建议如果家附近有医院带宝贝去医院打个腹部彩超,如果有大量结晶,需要用化结晶的药,如果只是膀胱炎吃一段时间的消炎药就能好。
除了打腹部彩超还有什么其他的办法可以判断是上述哪种问题?
猫咪食欲还挺好的,没有发现厌食行为。精神状态比较好,玩逗猫棒这些也很积极。如果是结晶或者结石的话会有什么反应?
化结晶和消炎药是什么呢?
可不可以先给猫咪吃消炎的药呢?
朱保录
执业兽医师
您好,如果宝贝目前吃喝精神状态良好,您想先尝试性治疗也可以,但如果发现宝贝一旦出现尿闭,也就是尿团越来越小或者没有尿团而频繁上厕所,一定要及时带医院疏通尿道。
给宝贝开了个消炎药以及修复膀胱黏膜化结晶的药,您可以给宝贝用上试试,再次期间想办法让宝贝多摄入水份,让多排尿。比如吃汤罐,水煮鸡胸肉,或者直接用注射器喂水都可以。
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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