咨询描述：你好医生，我家狗刚刚起床不断发出呼哧呼哧的声音，跳上床的时候也有这种很费劲的声音，感觉她不太舒服，请问可能是什么原因呢，她之前有肠胃问题，是吃硬的东西导致胃出血了，后来胃就一直不好。但是没有出现这种声音，今天也没有呕，昨天就给她吃了牛肉棒和罐头，早上拉了尿，还没拉屎。
回复总结：针对狗狗十二指肠溃疡的症状，治疗方面建议给狗狗服用含有甲硝唑处方的药物，对幽门乳杆菌造成的胃炎、胃溃疡有效。同时，还需要使用抗菌消炎、抑制胃酸分泌的药物，保护胃粘膜控制胃溃疡。另外，建议给狗狗服用含有多种维生素和微量元素的药物，补充狗狗的营养。饮食方面，建议狗粮可以泡软再喂，不要给狗狗喂冻干等硬的食物，也不要给狗狗喂大量的肉类，可以喂切碎的水煮鸡胸肉、酸奶。
问题大致一样，细节不同？
陆文健
执业兽医师
您视频中的狗狗呼哧呼哧的声音，应该是干呕的症状。我注意到您的狗狗2021年11月份的时候就诊过，是作为胃炎或者胃溃疡治疗过。我还有几个问题需要向您核实一下：
1、2021年11月份出现呕吐出血，是不是按照医生开的药物进行治疗的？用药多长时间？治疗效果怎么样？
2、近一段时间您描述狗狗的胃不好，主要表现哪些症状？比如呕吐黄水、食欲差、挑食（喜欢吃软的食物不喜欢硬的食物）等；
3、近几个月到现在，您给狗狗主食喂什么？其他还喂了什么食物？
4、近一段时间有没有给狗狗喂药物？喂了什么药物？效果如何？
5、近来狗狗大便有没有出现软便？大便什么颜色？或者软便带血？
6、有没有去医院检查过？
1,治疗了一两周，恢复正常了
2,就是一吃硬的东西第二天早上就会呕吐黄水，有时候带血，喂药后两天又恢复正常，没有挑食的情况，一直很贪吃，有时候自己的狗粮吃完了还会吃猫碗里的猫粮。都是喂的纽顿的干粮。
3,主要喂食干粮，有时候喂点肉干，零食，罐头。
4,上个月喂了**和***，每次喂几天就恢复正常
5,大便一直都正常，棕黑色，昨天大便有一点软，没发现带血。
6,第一次呕血的时候去医院做过拍片和胰腺炎检查结果都正常。分析是肉干划伤了上消化道，然后就喂了药。
这两天是喂了新的肉干和罐头，在图二，不知道跟新食物有没有关系，我家狗狗吃东西总是很快，也不怎么嚼就直接吞，之前伤到胃后每次吃到硬的东西就会呕吐带血，当天没食欲，不吃不喝，然后吃那两种药后的第二天又恢复正常。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
根据您的描述所提供的信息，您的狗狗的疾病胃十二指肠溃疡的可能性很大，分析如下：
1、2021年11月份的时候狗狗出现呕吐带血，应该不是鸡肉干划伤胃粘膜导致，鸡肉干进入胃内后会被胃酸、一些液体软化，不可能会导致划伤胃粘膜导致胃内出血；
2、从去年11月份后，狗狗的一直有胃肠问题，也就是消化功能障碍，狗狗吃比较硬的食物，出现吐黄水（含有胃酸），可以排除细菌性、原虫感染导致的胃肠炎；
3、狗狗排便棕褐色，怀疑大便带血，也就是上消化道出血造成；
4、您的狗狗的治疗，使用**和***（保护胃粘膜）有效，说明胃粘膜有损伤；
5、采用止吐和抗菌消炎进行治疗，止吐药物是治标不治本，抗菌消炎药物可能使用后有些效果，但对于如果胃粘膜、十二指肠粘膜损伤（胃十二指肠溃疡），作用不是很好。
6、目前您的狗狗视频中表现的症状，是干呕症状，精神状态和食欲不佳，和胃有疼痛或者不适有关；
7、狗狗的吃食喜欢吞咽，也会增加胃肠道的负担，导致胃十二指肠溃疡的发生。
根据以上的分析，我的判断您的狗狗胃十二指肠溃疡的可能性很大，如果确诊，需要去医院做胃镜，检测胃粘膜有没有严重损伤。
根据狗狗可能的胃十二指肠溃疡，下面我给它开个处方。处方里面的：
1、***，对幽门乳杆菌造成的胃炎胃溃疡有效；
2、 ***，抑制胃酸分泌，对控制胃溃疡有较好的效果；
3、*****，主要成分是**和硫糖铝，**抗菌消炎，硫糖铝保护胃粘膜；
4、**** ，含有多种维生素和微量元素，补充营养，药物中含有谷氨酰胺，也有修复胃肠道粘膜的功效。
陆文健
执业兽医师
建议处方：
1、*****片，200mg×8片×1板，一次口服0.5片，一天2次，连用7天；
2、*****片，0.1g×24片/盒，一次口服0.5片，一天2次，连用7天；
3、*****硫糖铝片，0.5g×8片×3板/盒，一次口服0.5片，一天2次，连用7天；
4、*****，60ml/瓶，一次口服1.5ml，一天2次，连用7天。
陆文健
执业兽医师
几点说明：
1、狗狗胃十二指肠溃疡，可能需要比较长的时间治疗，可能需要一个月左右的治疗，目前我给您开的药物，先治疗1周，如果有效还是需要继续用药，请用药5天后复诊，根据您的狗狗恢复的情况再来考虑是否需要调整治疗方案，有问题可随时在线联系。
2、狗狗的饮食很重要，食物我建议：狗粮可以泡软再喂，不要给狗狗喂冻干的硬的食物，也不要给狗狗喂大量的肉类，可以喂一些水煮切碎的鸡胸肉、酸奶（对胃粘膜和肠道功能有帮助），少喂零食；定时给狗狗喂食，一天3-4餐就可以，饮水充足供应。
谢谢医生，就是当时喂的那个鸡肉干是非常硬的那种，是整块风干的，当时喂她的肉干也有点大块，她吃得急，吞的时候就明显卡住了，第二天就开始呕得厉害。治疗后也是一吃硬的第二天早上就会呕吐。
她今天呼哧呼哧的没有呕，像是呼吸道和肺的问题，有可能是除了胃以外的问题吗，这两天也没喂硬的东西。每次喂胃溃宁效果都很好，但是胃一直没恢复好。请问这个问题做胃镜有用吗，能看出来吗？我觉得就是那个肉干划伤了上消化道，如果一直吃药的话能恢复正常吗，需要吃多久呢？非常感谢陆医生。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
1、您的视频中所表现的狗狗不像是咳嗽，也就是不像是呼吸道感染导致的咳嗽症状；
2、我上面也给您做了一些分析，您的狗狗很多症状的指向是胃部问题，我的判断胃溃疡的可能性很大，如果使用胃镜是可以检查出胃溃疡的。
3、我给您开的药物主要针对胃溃疡进行治疗，如果坚持治疗，并且在饮食上适当注意，可以很好改善胃肠道功能，但是胃溃疡的引起主要和狗狗饮食习惯导致，治愈难度很大，如果通过治疗以及饮食注意的话，可以缓解病情，也有可能基本上治愈；
4、您先给狗狗服用一周，建议您用药5天后复诊，我根据情况再给您的狗狗考虑是否进行药物调整或者给您医嘱。
你好医生，下午六点的时候狗狗拉了便便，是有点血，刚刚给狗狗吃了以前一直吃的罐头，喂了家里有的胃溃宁一片，现在还有点呼哧，状态还好，又开始贪吃了。其他药已经买了在路上了。非常感谢医生的帮助。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
饮食上您需要控制狗狗的吃食，尽可能给它吃容易消化的食物，酸奶可以给它喂一些。
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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