咨询描述:猫咪呕吐且频繁进出猫砂盆,前段时间去医院导尿,输了两天液,但第三天因为疫情原因去不了了,这两天隔段时间就吐,进食少,而且基本都吐出来了,估计早上喂得消炎药啥的也都吐出来了,这种情况需要先止吐吗?
回复总结:猫咪出现频繁进猫砂盆还呕吐时,建议先将患病猫咪与健康猫咪隔离饲养,然后观察猫咪的排尿情况。如果猫咪已经无法进行排尿,需要及时带去宠物医院进行导尿治疗,同时进行血液生化检查观察猫咪是否有肾衰。如果猫咪呕吐非常频繁,建议给猫咪进行肾脏指标检查,确诊是否有肾衰后积极输液治疗。如果暂时不方便就诊,可以暂时给猫咪口服宠物专用保护胃肠道粘膜的药物,配合止吐药帮助猫咪缓解症状。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的症状,我初步分析猫咪这种情况很有可能出现了急性肾衰的问题,从而引发的呕吐。但仅仅根据目前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. 猫咪是否有进行尿管留置?现在尿尿情况如何?
2.猫咪之前去宠物医院进行治疗的时候,是否检查了肾脏?
3. 猫咪最近都喂了什么食物?除了呕吐,蹲猫砂盆,是否还有其它症状?
4. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
5.给猫咪吃的都是什么药物?如何使用的?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝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。另外,把您家爱宠具体的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
年龄一岁四个月,体重三公斤左右。
1.尿管已经拆掉,应该是能排出尿液,但尿量较少,因为家里还有一只猫,两只猫目前会窜用猫砂盆,但清理猫砂时候看量应该是排出少量尿液了。
2.做了腹部b超,肾脏没有什么问题。医生说左肾可能有轻微损伤因为肾脏成像的囊泡比较多。
3.开的泌尿的处方粮,昨天吃了一点,也吃了点主食罐头,其他喂什么。主要就是呕吐和蹲猫砂盆,以及不进食。
4.家里温度具体我也不清楚,但没用太大温差。
5.吃了***,和消炎药****(猫用的)早晚各一粒,还喂了***早晚四粒
现在吐的比较频繁,需要先止吐吗?
陈奕达
执业兽医师
您好,感谢您的信任,谢谢。1.猫咪这种情况需要隔离饲养,来细心观察排尿情况。如果猫咪无法进行排尿,需要及时发现,然后给予导尿治疗。不然一但尿闭,无法排尿,疾病问题会越来越严重。2.b超只能查看肾脏形态,无法观察是否有肾衰的问题,观察猫咪是否有肾衰,需要进行血液生化检查。3.如果呕吐的非常频繁,个人建议给予猫咪进行肾脏指标检查,确诊是否有肾衰,然后积极的输液治疗。因为尿闭并不是可怕的疾病问题,但是尿闭引发的肾衰,这个问题严重会有生命危险。如果是由于肾衰引发的呕吐问题,即使使用止吐用药,效果也是非常不好的。4.如果实在不方便就诊,那么您可以暂时给予猫咪口服一些宠物专用保护胃肠道粘膜,抑制胃酸分泌,止吐方面的用药,来帮助猫咪,观察一下效果如何。
猫咪现在排尿量小给他喂***片能有用吗?
尿闭的原因可能是应激导致的
陈奕达
执业兽医师
您好,1.猫咪是由于尿路阻塞问题,导致的尿路减少,现在给予***等利尿用药,反而可能会加重病情。2.尿闭的因素有很多,例如应激,着凉,尿液结晶,猫咪发情,尿路肿胀等。3.如果想根本性治疗尿闭问题,只能考虑手术,做尿路改造,拓宽猫咪的尿道。
陈奕达
执业兽医师
这边根据现有信息以及宝贝的症状,帮您开具一些用药,供您采纳参考。
处方里面的
1. ****,抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。
2.***,保护胃肠道粘膜,治疗消化道溃疡。
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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