咨询描述:狗狗昨晚零时左右开始出现大量多次排尿的症状,随后不愿意回窝一直在到处徘徊。至零时以后出现多次排黑色稀便并呕吐的情况至此刻。便便无明显臭味,但今早这几次大便颜色已变为大量浅色血迹颜色并伴有未消化的食物颗粒。目前狗狗精神尚可
回复总结:狗狗出现多尿的情况,常见原因是肾脏有疾病问题,比如肾小球炎、肾功能衰竭等,可能和肝炎、脂肪肝有关。针对这种情况,建议将狗狗送去宠物医院检查,主要检查项目有尿液检查、粪便检查、血常规和生化检查。如果暂时不方便去宠物医院就诊,建议对症给狗狗服用抗菌消炎的药物,一天2次,连用5-7天,同时配合修复肝细胞损伤的药物,一天一次,连用15天以上。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您讲到的狗狗多尿,大便黑色以及浅色血液,结合狗狗的年龄12岁多,我初步推断狗狗肾功能和胰腺功能可能有异常。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、狗狗昨晚以前有没有饮水量增多、多尿、频尿的现象?尿液什么颜色?
2、狗狗昨晚以前有没有有没有经常出现呕吐、大便拉稀的症状?
3、狗狗以前有没有过病史?发生过什么疾病?什么时间发生和什么时间治愈的?
4、狗狗如果以前有化验报告单的话,发给我参考;
5、狗狗没有打过疫苗和驱虫?
6、平时给狗狗喂那些食物?
昨晚前没出现过大量饮水和排尿状况。昨天尿液是淡黄色。昨天前没出现过经常呕吐、拉稀症状。前一周前因病住过院,四天前出院。当时血检化验单我发给您,请您帮忙看下。老年人养犬所以除狂犬疫苗外并没有给狗狗注射过其它疫苗和驱虫。狗狗一直进食很少,一般都是吃的饭菜。家里还有一只成年健康的狗狗和两岁小孩,所以需要把病犬隔离起来吗?
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
从4月21日的化验报告来看,主要问题是肝功能有异常,有轻度炎症,其他指标基本上正常。也就是根据您的狗狗21日化验报告来看,主要是肝脏问题。肝脏问题是可以导致呕吐和消化道出血的(血便)。您的狗狗不是传染性疾病,不需要隔离。
我还需要了解一下:
1、当时医院诊断为什么疾病?治疗使用了那些药物?
2、狗狗出院后,医院有没有开一些口服药物?如果开的话是什么药物?把药物名称告诉我。
陆文健
执业兽医师
狗狗出院后,医院有没有开一些口服药物?如果开的话是什么药物?把药物名称告诉我。
什么药也没有开,因为当时医生询问我喂药狗狗是否配合,我说非常困难。所以他们就直接开的注视针剂,都是当天输液完毕后直接注射,所以我也不知道使用的药品名称
陆文健
执业兽医师
我把您的狗狗的病因分析如下:狗狗将近13岁,属于老年狗狗,身体机能严重下降,可能会导致各种组织器官发生疾病。目前您的狗狗主要症状是呕吐和大便带血,昨晚多尿。狗狗呕吐和血便导致的疾病主要有:胰腺炎、肝功能衰竭、肠道细菌或者原虫感染等;狗狗多尿主要疾病有肾脏问题,比如肾小球炎、肾功能衰竭等。4月21日化验报告主要问题是肝脏问题。根据以上分析我的判断您的狗狗这些症状可能和肝脏问题(肝炎、脂肪肝等)有关,但建议狗狗送医院再检查一下,主要项目有尿液和粪便检查、血常规和生化检查。
下面我按您的狗狗肝功能衰竭的病因,建议治疗用药如下:
1、口服**(抗菌消炎)一次口服120mg,一天2次,连用5-7天;
2、口服*****(主要治疗肝炎或者肝脏细胞损伤),宠物专用的有**,一次口服25mg,一天2次,连用7天以上。
3、******(修复损伤的肝细胞),一次口服2g,一天一次,连用15天以上。
陆文健
执业兽医师
建议处方:
1、****阿莫西林克拉维酸钾片,250mg×10片/板,一次口服0.5片,一天2次,连用5-7天;
2、******(猫),2g×30粒/盒,一次口服1-2粒,一天1次,连用15天以上;
3、****,一次口服25mg,一天2次,连用7天以上。
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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