咨询描述:症状描述:39天的小狗狗这两天突然咳嗽,还会打喷嚏流鼻涕,然后精神状况正常,吃饭也正常,网上查了怀疑是犬窝咳,喂了一次益生菌。
回复总结:针对狗狗咳嗽、打喷嚏、流鼻涕的症状,用药治疗方面建议给狗狗服用糖皮质激素药物以及抗生素和止咳的中药制剂,口服药需一天2次。如果症状消失,还需继续服用几天,相对来说会有较好的治疗效果。但是如果用药后控制不住,就必须考虑雾化治疗的方案。如果有条件,建议带狗狗做抽血检查,排查病毒性疾病。
问题大致一样,细节不同?
徐灿
执业兽医师
晚上好,家长,实际上,对于这种情况来说不只有犬窝咳,还要考虑犬瘟热以及流感病毒,能不能拍摄一段视频?发过来看一下,对于这种情况来说,一般建议优先检查犬瘟热的测试,另外,后续只要不是犬瘟热的话,绝大部分都是可以通过常规治疗方案进行治疗的。
(若您需要离开本诊室,稍后可以到微信官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
你好,视频的话晚点我看看可不可以拍给您,就是小狗会时不时咔咔地咳嗽,还会干呕,是昨天刚从狗妈妈那边接到家,昨晚发现它开始咳嗽但是没那么严重,今天变得更严重了,咳嗽次数干呕次数也变多了,便便尿尿都正常,喝的是羊奶泡奶糕粮。
徐灿
执业兽医师
可以的,没问题,实际上,如果39天这个天数是准确的,那么基本能确定是由于更换环境造成的肺炎,因为环境的更换会导致免疫力的降低,然后就会产生一系列问题。超过40天的小狗才更容易发生病毒性疾病,如果不够40天,可以先按照肺炎的方案进行治疗,常规就是使用糖皮质激素的药物以及抗生素和止咳的中药制剂。
徐灿
执业兽医师
通常来说,都是以抗生素类药物,加上一些缓解症状的药物为主,我帮你开一个常用方案,你可以参考使用,但是治疗周期一般都比较长,帮你开了一个抗生素,以及一个止咳药物,相对来说会有较好的效果,但是如果用药后控制不住,那么就必须考虑雾化治疗的方案。
那医生我想请问下我具体需要做些什么措施呢,需要给它吃一些什么药呢?但是我又希望药对它的伤害不要太大毕竟它现在还很小。您开的这些药一次是吃多少呢?然后狗狗表现什么状态是好转或者加重,然后平时是不能放它出来走就放进笼子嘛?
徐灿
执业兽医师
在上面,我已经帮你开了药物,基本上没什么太大副作用,但是主要是定期用药,而且用药时间会比较长,症状消失以后仍然要用药几天。*****每公斤十毫克,一天吃两次,******,每公斤一毫升,一天喝两次就可以。后续的话也可以把它关在笼子里面,一定要密切观察她的症状,一旦出现严重恶化,必须马上雾化治疗。
医生,小狗狗早上状态还好,但是就在刚刚就剧烈咳嗽还打喷嚏,咳嗽完就软趴趴的倒下但是一下子又跳起来好了,这样子持续有2,3次,到底是怎么回事呢?
这是它早些时候不舒服的样子,刚刚的比视频的还要剧烈一点。
徐灿
执业兽医师
实际上,这些都是上呼吸道的症状,类感冒症状的出现,主要考虑的就是感染或者是病毒性疾病,但是建议优先排查病毒性疾病为主。
怎么排查呢?去医院检查什么为主?这么小的狗狗带去医院会不会被传染其他疾病,毕竟它还没打疫苗。
徐灿
执业兽医师
一般来说,去医院的话有概率会被传染上疾病,但是还是要做一个权威任务测试的,一般都是使用抽血检查是最为准确的,其次才考虑试纸。
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
{"298406":{"id":298406,"case_id":35341,"user_id":1296147,"to_user_id":1966940,"type":3,"content":"通常来说,都是以抗生素类药物,加上一些缓解症状的药物为主,我帮你开一个常用方案,你可以参考使用,但是治疗周期一般都比较长,帮你开了一个抗生素,以及一个止咳药物,相对来说会有较好的效果,但是如果用药后控制不住,那么就必须考虑雾化治疗的方案。","media":{"images":{},"videos":{},"business_params":{"prescription_id":110316}},"is_doctor":1,"status":1,"created_at":"2022-05-02 04:18:28","show_rx":true,"rx_info":{"id":110316,"rx_no":2.0220502041759503e+24,"user_id":1966940,"doctor_user_id":1296147,"is_independent":0,"case_id":2720520,"pet_info":{"pet_id":290721,"pet_name":"拉布拉多","pet_nickname":"噗噗","pet_gender":2,"pet_birth":"0-1","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"1个月"},"diagnose":"疑似肺炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-02 04:17:59","updated_at":"2022-05-02 04:18:28","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":22860,"prescription_id":110316,"doctor_user_id":1296147,"product_id":699,"product_sku_id":742,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"每公斤10毫克,一天两次","created_at":"2022-05-02 04:17:59","updated_at":"2022-05-02 04:17:59","product_info":{"id":699,"hash_id":"kAW7LMp6ok4BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":39,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":258,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:23:18","updated_at":"2024-11-18 11:15:08","ins":{"id":39,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/2ae2bcaa3021ea3ef573ce955f954605.JPG","specification":"50mg×8片×2板\/盒","reference_price":160,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:28:35","updated_at":"2020-10-30 17:28:35"}},"product_sku_info":{"id":742,"product_id":699,"title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":99,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":276,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:23:18","updated_at":"2024-11-18 10:37:20"}},"1":{"id":22861,"prescription_id":110316,"doctor_user_id":1296147,"product_id":691,"product_sku_id":734,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"按照指导计量使用","created_at":"2022-05-02 04:17:59","updated_at":"2022-05-02 04:17:59","product_info":{"id":691,"hash_id":"yZ893BxE6qpE2mkO","class_ids":{"0":1,"1":2},"category_ids":{"0":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":43,"sell_point":"欣必先 麻杏石甘口服液","title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","recommend_reason":{"0":"本品具有清热解毒、止咳平喘的作用。","1":"适用于犬副流感、猫疱疹病毒、环境气候突变等引起的呼吸系统感染。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,感冒,疱疹,杯状病毒,呼吸系统,支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ebdae17dda025eaeb98a31c607d5b2a6.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":39,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:36:18","ins":{"id":43,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"麻杏石甘口服液","trade_name":"欣必先","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/cf1275655c6288242e6b7585666329d0.JPG","specification":"10ml×10支\/盒","reference_price":98,"component":"麻黄、苦杏仁、石膏、甘草。(10mL相当于原生药24g)","indication":"本品具有清热解毒、止咳平喘的作用。适用于犬副流感、犬传染性支气管炎、感冒、猫疱疹病毒、杯状病毒和环境气候突变等引起的呼吸系统感染。","usage_dosage":"1.口服:犬、猫0.5~1mL\/kg体重,每日2次,连用3~5天。\n2.服用后20分钟内暂勿饮水,30分钟后临床症状可明显缓解。","contraindication":"","adverse_reaction":"","attention":"使用前请摇匀。","interaction":"","approval_no":"兽药字030466112","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:13:21","updated_at":"2020-11-03 18:13:21"}},"product_sku_info":{"id":734,"product_id":691,"title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","advword":null,"price":78,"market_price":98,"cost_price":0,"stock":166,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10支盒装"}},"cover":null,"thumb":"","sale_count":45,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:34:50"}}},"drug_data_bak":{"0":{"id":22860,"prescription_id":110316,"doctor_user_id":1296147,"product_id":699,"product_sku_id":742,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"每公斤10毫克,一天两次","created_at":"2022-05-02 04:17:59","updated_at":"2022-05-02 04:17:59","product_info":{"id":699,"hash_id":"kAW7LMp6ok4BVDnv","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":39,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":258,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:23:18","updated_at":"2024-11-18 11:15:08","ins":{"id":39,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/2ae2bcaa3021ea3ef573ce955f954605.JPG","specification":"50mg×8片×2板\/盒","reference_price":160,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:28:35","updated_at":"2020-10-30 17:28:35"}},"product_sku_info":{"id":742,"product_id":699,"title":"远征巧乐林 盐酸多西环素片 50mg×8片×2板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":99,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":276,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:23:18","updated_at":"2024-11-18 10:37:20"}},"1":{"id":22861,"prescription_id":110316,"doctor_user_id":1296147,"product_id":691,"product_sku_id":734,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"按照指导计量使用","created_at":"2022-05-02 04:17:59","updated_at":"2022-05-02 04:17:59","product_info":{"id":691,"hash_id":"yZ893BxE6qpE2mkO","class_ids":{"0":1,"1":2},"category_ids":{"0":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":43,"sell_point":"欣必先 麻杏石甘口服液","title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","recommend_reason":{"0":"本品具有清热解毒、止咳平喘的作用。","1":"适用于犬副流感、猫疱疹病毒、环境气候突变等引起的呼吸系统感染。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,感冒,疱疹,杯状病毒,呼吸系统,支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ebdae17dda025eaeb98a31c607d5b2a6.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":39,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:36:18","ins":{"id":43,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"麻杏石甘口服液","trade_name":"欣必先","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/cf1275655c6288242e6b7585666329d0.JPG","specification":"10ml×10支\/盒","reference_price":98,"component":"麻黄、苦杏仁、石膏、甘草。(10mL相当于原生药24g)","indication":"本品具有清热解毒、止咳平喘的作用。适用于犬副流感、犬传染性支气管炎、感冒、猫疱疹病毒、杯状病毒和环境气候突变等引起的呼吸系统感染。","usage_dosage":"1.口服:犬、猫0.5~1mL\/kg体重,每日2次,连用3~5天。\n2.服用后20分钟内暂勿饮水,30分钟后临床症状可明显缓解。","contraindication":"","adverse_reaction":"","attention":"使用前请摇匀。","interaction":"","approval_no":"兽药字030466112","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:13:21","updated_at":"2020-11-03 18:13:21"}},"product_sku_info":{"id":734,"product_id":691,"title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","advword":null,"price":78,"market_price":98,"cost_price":0,"stock":166,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10支盒装"}},"cover":null,"thumb":"","sale_count":45,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:34:50"}}}}}}
微信扫一扫
立即问宠医