咨询描述:狗狗咳嗽有痰,精神食欲都不错,大小便也正常
回复总结:针对狗狗咳嗽有痰的症状,用药治疗上建议给狗狗服用宠物专用广谱抗生素抑制呼吸道感染的症状,同时配合含有盐酸多西环素成分的药物,起到清热解毒、止咳平喘的作用。另外,还需要口服含有复合维生素成分的药物,辅助治疗犬窝咳。注意,口服药需一天2次,连用7天。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您讲到的狗狗咳嗽,有痰 ,我初步判断狗狗气管或者支气管炎(呼吸道感染)的可能性比较大。但仅仅根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、狗狗品种、年龄、体重、有无正常免疫和驱虫?
2、狗狗发病有多长时间了?一天大概有多少次咳嗽?有没有感觉晚上咳嗽的频率要比白天高?
3、这段时间有没有使用药物治疗?什么药物?效果如何?
以上这些情况您仔细回忆后详细的描述给我,对我给狗狗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。
边牧,3个月,差不多10多斤,3针疫苗已打完,应该有正常驱虫。
发病5天左右,最初只是偶尔咳1一两次,这两天明显严重了,最开始给它用***吃了一天半,没啥作用,昨天晚上开始服用了***和*******,今天开始明显听到有痰的声音。现在咳嗽频率大概是一天有10次以上,一般都是连续咳三次。每次咳都是闷在嘴里好多声然后再张嘴咳一声出来。
陆文健
执业兽医师
如果有狗狗咳嗽视频的话,给我发一个视频给我,方便我的诊断。另外您有没有注意到,狗狗晚上咳嗽的频率要比白天多?
陆文健
执业兽医师
根据您描述所提供的信息,您的狗狗应该是由犬副流感病毒、支气管败血博氏杆菌或者支原体等混合感染导致的咳嗽,也叫犬窝咳。治疗原则是使用有效的抗生素,以及中药成分的清热解毒止咳的药物。
下面我给您的狗狗开个处方,供您参考。处方中:
1、******,主要成分多西环素,对于败血波氏杆菌、支原体、犬副流感病毒治疗有效;
2、*******,含有多种中药成分以及复合维生素,辅助治疗犬窝咳。
这是它前两天的,今天也是这样子咳,不过明显听得到痰的声音
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
视频中狗狗咳嗽还比较严重,狗狗的疾病应该是窝咳,下面我给您开个治疗处方,应该会有效。
陆文健
执业兽医师
建议处方:
1、******,50mg×8片×3板/盒,一次口服0.5片,一天2次,连用7天;
2、****** ,60ml/瓶,一次口服3ml,一天2次,连用7天。
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
{"298283":{"id":298283,"case_id":35327,"user_id":1388751,"to_user_id":1967067,"type":3,"content":"建议处方:\n1、******,50mg×8片×3板\/盒,一次口服0.5片,一天2次,连用7天;\n2、****** ,60ml\/瓶,一次口服3ml,一天2次,连用7天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":110324}},"is_doctor":1,"status":1,"created_at":"2022-05-02 09:19:22","show_rx":true,"rx_info":{"id":110324,"rx_no":2.0220502091859502e+24,"user_id":1967067,"doctor_user_id":1388751,"is_independent":0,"case_id":2720650,"pet_info":{"pet_id":0,"pet_name":"狗狗","pet_nickname":"边牧","pet_gender":1,"pet_birth":"0-3","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"3个月"},"diagnose":"狗狗窝咳","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-02 09:18:59","updated_at":"2022-05-02 09:19:22","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":22876,"prescription_id":110324,"doctor_user_id":1388751,"product_id":716,"product_sku_id":758,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"和食物混合后喂服。","created_at":"2022-05-02 09:18:59","updated_at":"2022-05-02 09:18:59","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2024-11-21 09:08:42","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":0,"stock":38,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":98,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2024-11-21 08:32:37"}},"1":{"id":22877,"prescription_id":110324,"doctor_user_id":1388751,"product_id":752,"product_sku_id":794,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"混饲或直接饲喂","created_at":"2022-05-02 09:18:59","updated_at":"2022-05-02 09:18:59","product_info":{"id":752,"hash_id":"ekz3bB4vNX4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":166,"sell_point":"可立消 宠物添加剂预混合饲料(FD-130)","title":"蓝特斯可立消 宠物添加剂预混合饲料(FD-130)60ml\/瓶\/盒","recommend_reason":{"0":"犬副流感、感冒等环境气候突变引起的上呼吸道感染阶段","1":"爆发性窝咳(传染性气管支气管炎)阶段","2":"细菌性病毒性呼吸道疾病有辅助效果"},"baike_guide_text":"","baike_article_hash_id":"","advword":"咳喘,支气管炎,呼吸道感染,发烧,流泪,打喷嚏","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/27ccc1e8818abbbac55c93c2174c8ad1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:45:42","updated_at":"2024-11-21 13:36:29","ins":{"id":166,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"犬猫用液体复合预混合饲料(FD-100)","trade_name":"可立消","en_name":"Liquid compound premix feed(FD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/c0d2841a6fd028d076bf767e168654e6.jpg","specification":"60ml\/瓶","reference_price":118,"component":"葛根、鱼腥草、甘草、金银花、维生素B、维生素B6、维生素B2、赖氨酸、牛磺酸、精氨酸等","indication":"1.犬副流感、犬感染支气管炎、犬猫感冒等环境气候突变引起的上呼吸道感染阶段\n4.爆发性窝咳(传染性气管支气管炎)阶段\n5.细菌性病毒性呼吸道疾病有辅助效果","usage_dosage":"犬猫每4kg体重2ml,混饲或直接饲喂。一天3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":"2021-03-17 14:29:09","updated_at":"2021-03-17 14:29:09"}},"product_sku_info":{"id":794,"product_id":752,"title":"蓝特斯可立消 宠物添加剂预混合饲料(FD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":48,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/df45772eebe50c22bdcaf35a2bcd9256.jpg","thumb":"","sale_count":109,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:45:42","updated_at":"2024-11-21 12:28:09"}}},"drug_data_bak":{"0":{"id":22876,"prescription_id":110324,"doctor_user_id":1388751,"product_id":716,"product_sku_id":758,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"和食物混合后喂服。","created_at":"2022-05-02 09:18:59","updated_at":"2022-05-02 09:18:59","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2024-11-21 09:08:42","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":0,"stock":38,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":98,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2024-11-21 08:32:37"}},"1":{"id":22877,"prescription_id":110324,"doctor_user_id":1388751,"product_id":752,"product_sku_id":794,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"混饲或直接饲喂","created_at":"2022-05-02 09:18:59","updated_at":"2022-05-02 09:18:59","product_info":{"id":752,"hash_id":"ekz3bB4vNX4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":166,"sell_point":"可立消 宠物添加剂预混合饲料(FD-130)","title":"蓝特斯可立消 宠物添加剂预混合饲料(FD-130)60ml\/瓶\/盒","recommend_reason":{"0":"犬副流感、感冒等环境气候突变引起的上呼吸道感染阶段","1":"爆发性窝咳(传染性气管支气管炎)阶段","2":"细菌性病毒性呼吸道疾病有辅助效果"},"baike_guide_text":"","baike_article_hash_id":"","advword":"咳喘,支气管炎,呼吸道感染,发烧,流泪,打喷嚏","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/27ccc1e8818abbbac55c93c2174c8ad1.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:45:42","updated_at":"2024-11-21 13:36:29","ins":{"id":166,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"犬猫用液体复合预混合饲料(FD-100)","trade_name":"可立消","en_name":"Liquid compound premix feed(FD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/c0d2841a6fd028d076bf767e168654e6.jpg","specification":"60ml\/瓶","reference_price":118,"component":"葛根、鱼腥草、甘草、金银花、维生素B、维生素B6、维生素B2、赖氨酸、牛磺酸、精氨酸等","indication":"1.犬副流感、犬感染支气管炎、犬猫感冒等环境气候突变引起的上呼吸道感染阶段\n4.爆发性窝咳(传染性气管支气管炎)阶段\n5.细菌性病毒性呼吸道疾病有辅助效果","usage_dosage":"犬猫每4kg体重2ml,混饲或直接饲喂。一天3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":"2021-03-17 14:29:09","updated_at":"2021-03-17 14:29:09"}},"product_sku_info":{"id":794,"product_id":752,"title":"蓝特斯可立消 宠物添加剂预混合饲料(FD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":48,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/df45772eebe50c22bdcaf35a2bcd9256.jpg","thumb":"","sale_count":109,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:45:42","updated_at":"2024-11-21 12:28:09"}}}}}}
微信扫一扫
立即问宠医