咨询描述:狗狗前段时间一直都有点拉稀,便便是那种软软的,今天中午还正常吃了饭,晚上回家看到厕所里面狗狗拉的稀粑粑里面有血,精神有点点不好,并频繁跑厕所(并没有拉出粑粑,全是血点点)(昨天才在医院体检,说血常规和肝功肾功没有问题)
回复总结:狗狗出现拉稀、大便带血的症状,可能是肠炎导致的,引起肠炎的原因可能是细菌感染,也可能是原虫。针对这种情况,建议给狗狗口服宠物专用消炎药,一天2次,连用5天,同时配合服用含有甲硝唑成分的药物,一天2次,连用5-7天,起到驱杀原虫的作用。如果条件允许,建议最好带狗狗去宠物医院做粪便检查,然后根据确诊结果对症治疗。
问题大致一样,细节不同?
陆文健
执业兽医师
看了您发来的大便的照片,大便带血,并有粘液,结合您描述所提供的信息,您的狗狗应该是肠炎,引起肠炎的原因可能是细菌感染,也可能是原虫(滴虫、鞭毛虫等)。我还有几个问题需要向你核实一下:1、狗狗目前的食欲怎么样?精神状态是很差还是比正常稍微不好点?2、狗狗最近一次驱虫是什么时间?有没有使用过甲硝唑驱原虫?3、最近一段时间给狗狗喂了哪些食物?有没有喂骨头之类的食物?4、前段时间狗狗拉稀,拉稀了多长时间?您有没有使用什么药物进行治疗?效果怎么样?
1、现在食欲不怎么样,晚饭没有吃。精神状态比正常稍微不好一点2、最近驱虫是在2021年8月,驱虫药是去宠物医院拿的,不知道是不是***驱虫3、昨天带他去医院洗了牙,昨天和今天一直吃的是稀饭,他有点点贫血,吃了一点补血的营养膏,因为他有点拉血,昨天去医院医生给他开了一些益生菌一样的东西,吃了昨天晚上和今天早上,狗狗一直是吃狗粮,没有喂过骨头4、狗狗拉稀大概有10来天了,没有使用药物治疗
最后一张是他刚刚拉的
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
从您发的狗狗血常规,除淋巴细胞和中性粒细胞偏高外,未见红细胞和血红蛋白下降,提示狗狗有轻度炎症,但未有贫血的现象,生化肝功能和肾功能正常。
您的狗狗已经有10多天拉稀的病史,目前看到的狗狗大便有有果冻样粘液,并带血。通过综合分析,我对您的狗狗大便拉稀,目前带血的病因的判断,原虫(阿米巴、滴虫、鞭毛虫)感染的可能性比较大,但不排除细菌感染,如果要确诊需要去医院进行便检。
给您的狗狗治疗建议是:1、口服**,抗菌消炎;2、口服***,杀原虫。如果我的判断正确的话,使用以上治疗方案3天左右就能看到明显的效果。我下面给您开一个处方供您参考。
陆文健
执业兽医师
建议处方:1、****(阿莫西林克拉维酸钾片),50mg×10片/板,一次口服1片,一天2次,连用5天;2、*****,200mg×8片×1板,一次口服0.5片,一天2次,连用5-7天。
陆文健
执业兽医师
几点说明:1、目前我对您的狗狗的便血的病因判断为原虫感染的可能性比较大,但不排除细菌感染,如果要确诊需要去医院进行便检;2、我给您的用药治疗方案,如果我的判断正确,用药3天后就会有明显的效果;3、如果您采用我给您的治疗方案,请用药3天后复诊,根据您的狗狗便血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。
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
{"315785":{"id":315785,"case_id":37101,"user_id":1388751,"to_user_id":1841604,"type":3,"content":"建议处方:1、****(阿莫西林克拉维酸钾片),50mg×10片\/板,一次口服1片,一天2次,连用5天;2、*****,200mg×8片×1板,一次口服0.5片,一天2次,连用5-7天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":101045}},"is_doctor":1,"status":1,"created_at":"2022-01-20 23:43:58","show_rx":true,"rx_info":{"id":101045,"rx_no":2.0220120234343501e+24,"user_id":1841604,"doctor_user_id":1388751,"is_independent":0,"case_id":2583555,"pet_info":{"pet_id":267950,"pet_name":"泰迪","pet_nickname":"丑丑","pet_gender":1,"pet_birth":"9-0","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"9岁"},"diagnose":"狗狗原虫感染导致便血并拉稀,不排除细菌感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-20 23:43:43","updated_at":"2022-01-20 23:43:58","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":2315,"prescription_id":101045,"doctor_user_id":1388751,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"饭后","created_at":"2022-01-20 23:43:43","updated_at":"2022-01-20 23:43:43","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","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\/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1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","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":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":2316,"prescription_id":101045,"doctor_user_id":1388751,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后","created_at":"2022-01-20 23:43:43","updated_at":"2022-01-20 23:43:43","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}}},"drug_data_bak":{"0":{"id":2315,"prescription_id":101045,"doctor_user_id":1388751,"product_id":712,"product_sku_id":755,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"饭后","created_at":"2022-01-20 23:43:43","updated_at":"2022-01-20 23:43:43","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","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\/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1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","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":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":2316,"prescription_id":101045,"doctor_user_id":1388751,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"饭后","created_at":"2022-01-20 23:43:43","updated_at":"2022-01-20 23:43:43","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}}}}}}
微信扫一扫
立即问宠医