咨询描述：肝腹水
患病时长：一个多月
用药情况：吃了几天利尿药 停了 现在在吃护肝药 肚子小了一点点 请问自己吃药有没有可能慢慢自愈
回复总结：如果是肝脏问题引起的狗狗肝腹水，治疗方面建议给狗狗长期吃护肝片，还需要给狗狗服用利尿剂，有利于腹水排出。然后，建议给狗狗肌肉注射三磷酸腺苷和辅酶A，一天1次，连续7天。另外，建议给狗狗适当补充复合维生素，促进代谢。饮食上，建议尽可能多给狗狗吃容易消化的蛋白质食物，比如水煮鸡肝、鸡胸肉、蛋黄等，还需要给狗狗喂低脂肪、低盐的食物。如果狗狗的肝脏损伤比较严重，建议最好将狗狗带去宠物医院治疗。
问题大致一样，细节不同？
陆文健
执业兽医师
看了您2月4日的化验报告，您的狗狗肝功能数据是由问题的，也是引起腹水的主要问题，但目前还不能确定导致肝功能障碍是肝炎或者脂肪肝的问题。我给您的建议是给狗狗做个腹部B超或者拍片，观察肝脏有没有肿胀。我还需要了解几个问题：1、目前狗狗精神状态和食欲怎么样？2、检查一下狗狗的牙龈、嘴唇、眼结膜颜色是淡红色还是发白或者发黄？3、狗狗大便怎么样？大便有没有拉稀？什么颜色？
腹部b超做了 因为是农村的诊所 他只告诉我说肠子 肝脏什么的都在水上飘着 没说有肿胀 精神状态不是很好 比较蔫 因为肚子肿大 导致背部瘦骨嶙峋 吃东西还可以 只不过也是吃的少 大便没有拉稀 有点棕黑色 也有黄色 跟正常时候拉的没差太多 之前它的牙龈就是比较黄 因为不像在城市的小狗每天刷牙 所以应该不是生病导致的 但是应该是有口臭 肝脏疾病导致的
陆文健
执业兽医师
目前您主要给狗狗喂什么药物？喂了多长时间？把药物的成分拍成照片发给我看一下。
药品没在我身边 我给您发商品图 利尿药大概吃了三四天 一天一次 从1.30开始吃的三天前已经停药了 护肝片一天一次也是1.30吃的 吃到现在
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，您的狗狗腹水应该是肝脏问题引起，从您的生化报告，肝功能数据也是比较糟糕，肝脏损伤比较严重，目前的狗狗的精神状态也比较差，如果有条件的话医院治疗比较好，如果想自己治疗我给您一个建议方案，供您参考：1、目前您的狗狗的护肝片需要长期吃；2、利尿剂（应该是****）再口服3-4天，有利于腹水排出；3、建议*****和****肌肉注射，*****一次肌肉注射量是20mg，***一次肌肉注射量是50单位，都是一天1次，连续使用7天；4、口服复合维生素（促进代谢），比如，*****；5、给狗狗口服葡萄糖水（解肝脏产生的毒素）（葡萄糖粉兑水，按1：5兑水），一天100ml左右，连续5天。
必须肌肉注射吗 利尿药继续吃会不会影响白蛋白 体重12斤以内 您先帮我开吧
陆文健
执业兽医师
1、****和***，一般都是注射剂，您也可以去宠物医院购买，叫做能量合剂，成分中含有三磷酸腺苷和辅酶A，由于您的狗狗腹水比较严重，说明肝脏问题也是比较严重，而且时间比较长，建议上面的这两种药物尽可能使用，对狗狗的恢复有帮助。2、利尿药再吃3-4天，一般不会影响白蛋白，但如果利尿药使用时间比较长的话，可能造成低血钾。3、我给您开一个含有钾的******，此药虽然主要使用在严重呕吐和腹泻，但对您的狗狗肝功能异常以及可能的低血钾有帮助，并且里面含有复合维生素和一些矿物质元素外，还含有葡萄糖，您可以不用再购买葡萄糖粉。4、狗狗的饮食建议尽可能多使用容易消化的蛋白质食物，比如水煮鸡肝、鸡胸肉、蛋黄等，增加狗狗蛋白质的供应。尽可能给狗狗喂低脂肪、低盐的食物。
陆文健
执业兽医师
根据您的狗狗比较严重的腹水、以及肝功能障碍，需要利尿可能导致的低血钾的情况，我给它开个处方。处方里面的******，含有多种维生素和矿物质元素，包括钾元素和葡萄糖，对于您的狗狗肝脏以及腹水问题有帮助。您可以根据需求自行选择购买。
陆文健
执业兽医师
建议方案，供您参考：1、目前您的狗狗的护肝片需要长期吃；2、利尿剂（应该是***）再口服3-4天，有利于腹水排出；3、建议****和***肌肉注射，****一次肌肉注射量是20mg，***一次肌肉注射量是50单位，都是一天1次，连续使用7天；4、口服*****，一次口服2ml，一天2次，连用10天。以上治疗建议供您参考。请用药1周后复诊，根据您的狗狗的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。
狗狗的饮食建议尽可能多使用容易消化的蛋白质食物，比如水煮鸡肝、鸡胸肉、蛋黄等，增加狗狗蛋白质的供应。尽可能给狗狗喂低脂肪、低盐的食物。
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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