咨询描述:泰迪九岁,一直肠胃不好,前段时间吐黄水,买的***,改善不少,大便成型顺畅。这两天不爱吃东西,今天早上下午突然吐血了,不知怎么回事
回复总结:狗狗突然吐血考虑是由于上消化的粘膜受损溃疡引起。引起狗狗粘膜溃疡受损的原因较多,比如慢性胃炎、消化道肿瘤、消化道划伤、幽门螺旋杆菌、肝功、肾功异常、胰腺炎或者消化道异物等。建议最好先带狗狗去宠物医院进行相关的疾病筛查,根据检查结果对症采取治疗措施。如果暂时不方便就诊,可以先给狗狗进行止吐缓解症状。
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,从目前您所描述的症状来看,狗狗出现了吐血的症状,肯定是由于上消化的粘膜受损溃疡引起的出血,但是究竟是什么原因引起的粘膜溃疡受损,暂时还不能下结论。因为能够形成这种现象的原因就太多了,比如说像性或者慢性的胃炎,消化道肿瘤,消化道划伤,幽门螺旋杆菌,肝功,肾功异常,胰腺炎,消化道异物等等够引起动物出现呕吐的疾病,均可以造成这种情况。所以说就目前您提供的这些线索不足以确诊原因。那么想要确诊病因只有一个办法,就是通过进一步的临床检查才能够知道。
由于吐血在临床上属于比较严重的急症,所以自己在家里肯定是处理不了的,再拖下去可能就会引起更严重的问题或者耽误最佳治疗时间,因此对于这种情况,个人建议您最好能够及时带狗狗去医院,查一下病因,在确诊之后,我们才有进一步的治疗方向。那么如果没有办法带狗狗去医院检查的话,想要处理这个方法,那么只能开点药去治标,但是既然是治标,那么大概率就是治标不治本,也就是说虽然有可能把症状控制下去,但是后期会不会复发或者能不能治愈,这里没办法下结论。
所以我想问一下您是怎么想的?如果您选择带他去医院检查,那么在这里我就做一些检查项目的推荐,如果您选择先治标,那么我就做一些药物推荐。
在海南保亭,当地没有宠物医院,我想根据症状先开点药试试?
孙嘉辰
执业兽医师
您好,那么我给您根据狗狗的症状开药,之前购买的***还是需要继续吃。除此之外,需要对症指吐。这里我给开一下药:
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
{"305805":{"id":305805,"case_id":36129,"user_id":1000287,"to_user_id":1977108,"type":3,"content":"您好,那么我给您根据狗狗的症状开药,之前购买的***还是需要继续吃。除此之外,需要对症指吐。这里我给开一下药:","media":{"images":{},"videos":{},"business_params":{"prescription_id":111106}},"is_doctor":1,"status":1,"created_at":"2022-05-09 16:41:21","show_rx":true,"rx_info":{"id":111106,"rx_no":2.0220509164040502e+24,"user_id":1977108,"doctor_user_id":1000287,"is_independent":0,"case_id":2731328,"pet_info":{"pet_id":292864,"pet_name":"泰迪","pet_nickname":"肉松","pet_gender":1,"pet_birth":"9-2","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"9岁2个月"},"diagnose":"对症止吐","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-05-09 16:40:40","updated_at":"2022-05-10 07:02:13","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":24680,"prescription_id":111106,"doctor_user_id":1000287,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"","created_at":"2022-05-09 16:41:15","updated_at":"2022-05-09 16:41:15","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":24681,"prescription_id":111106,"doctor_user_id":1000287,"product_id":711,"product_sku_id":754,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-09 16:41:15","updated_at":"2022-05-09 16:41:15","product_info":{"id":711,"hash_id":"kAW7LMp6eaxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":152,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-13 10:35:05","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":754,"product_id":711,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","advword":null,"price":128,"market_price":159,"cost_price":0,"stock":1091,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格3板装"}},"cover":null,"thumb":"","sale_count":161,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-24 21:20:57"}}},"drug_data_bak":{"0":{"id":24680,"prescription_id":111106,"doctor_user_id":1000287,"product_id":794,"product_sku_id":836,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":5,"number":1,"remark":"","created_at":"2022-05-09 16:41:15","updated_at":"2022-05-09 16:41:15","product_info":{"id":794,"hash_id":"ay8LblpOPV49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"29":188},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":18,"sell_point":"赛瑞宁 枸橼酸马罗匹坦片16mg","title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","recommend_reason":{"0":"预防化疗药物引起的呕吐","1":"治疗和预防除运动性呕吐以外的呕吐"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呕吐,止吐","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"4片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/be2dd9e4acac77d870258b0cfeafe3c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":58,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:42:29","ins":{"id":18,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"枸橼酸马罗匹坦片","trade_name":"赛瑞宁片","en_name":"Cerenia Maropitant","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/5ae2095030031dfc147b1aba304a73a8.JPG","specification":"16mg×4片\/盒","reference_price":210,"component":"枸橼酸马罗匹坦","indication":"1.预防化疗药物引起的呕吐。\n2.治疗和预防除运动性呕吐以外的呕吐。","usage_dosage":"1.用于8周龄及以上的犬。\n2.以马罗匹坦计。内服用药,2.0mg\/kg\/次\/日。最多连用5日。","contraindication":"1.马罗匹坦对钙和钾离子通道有亲和性,患有心脏疾病的犬镇用,且不能与钙离子拮抗剂合用。\n2.肝功能障碍的犬慎用。","adverse_reaction":"1.推荐剂量可引起嗜睡(8%)、多涎(5%)、食欲不振(2%),偶见如稀便、镇静或抑郁、肠胃胀气等情况。\n2.高剂量上述多种不良反应可同时发生,但程度均较轻,停药后不良反应的症状会逐渐消除。\n3.对小于11周龄的犬,可增加骨髓细胞减少症的发生。","attention":"1.仅在兽医指导下用药。\n2.严重呕吐可先使用马罗匹坦注射液一次或两次控制呕吐,症状减轻后使用马罗匹坦片。\n3.仅用于犬。\n4.不能将本品包在食物中给药,否则会延迟本品的溶解而影响药效。\n5.对处于发情期、妊娠或哺乳期的雌犬,以及胃肠道梗阻和中毒的犬,未进行靶动物安全性研究。\n6.可导致采食量和体重下降,应给予补液、补充营养等支持治疗。\n7.置于儿童不可触及处。\n8.个别人群接触药物后会引起皮肤局部过敏,长期或多次接触药物也可导致皮肤致敏,使用时做好防护,意外接触时可用肥皂水或清水清洗。","interaction":"马罗匹坦与血浆蛋白的结合率大于996,但未进行本品与其他高血浆蛋白结合率药物联合用药试验。应谨慎与其他高血浆蛋白结合率药物联合使用。临床上常用的高血浆蛋白结合率药物有非甾体类抗炎药、抗心律失常药、抗凝血药、抗惊厥药等。","approval_no":"(2016)外兽药证字21号","storage_method":"15-30°C保存。片剂打开铝箔包装的药片,在2天内使用完。","validity":"2年","manufacturer":"法瑞瓦公司法国生产厂( Areva Amboise)","status":1,"created_at":"2020-10-27 14:13:38","updated_at":"2020-10-27 14:36:06"}},"product_sku_info":{"id":836,"product_id":794,"title":"辉瑞赛瑞宁 枸橼酸马罗匹坦片 16mg×4片\/盒","advword":null,"price":168,"market_price":220,"cost_price":0,"stock":49,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"4片盒装"}},"cover":null,"thumb":"","sale_count":67,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 19:02:13","updated_at":"2024-11-19 09:20:24"}},"1":{"id":24681,"prescription_id":111106,"doctor_user_id":1000287,"product_id":711,"product_sku_id":754,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-09 16:41:15","updated_at":"2022-05-09 16:41:15","product_info":{"id":711,"hash_id":"kAW7LMp6eaxBVDnv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":152,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-13 10:35:05","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":754,"product_id":711,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","advword":null,"price":128,"market_price":159,"cost_price":0,"stock":1091,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格3板装"}},"cover":null,"thumb":"","sale_count":161,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-24 21:20:57"}}}}}}
微信扫一扫
立即问宠医