咨询描述:我家的猫有12岁了,最近几天总呕吐不进食,之前是呕黄色的水和白色的,今天呕偏绿色的水,一天呕三次左右,今天早上看到昨晚就已经呕了三次,昨天给喂了***颗粒两次,精神还算可以的。请问要怎样治疗?请尽快回覆,急,谢谢。
回复总结:猫咪有频繁呕吐黄水、不吃东西的症状,常见的原因有:胃和十二指肠溃疡、胰腺炎、肠道梗阻。如果是胃和十二指肠溃疡引发的,建议给猫咪口服修复胃和十二指肠粘膜的药物。如果猫咪有胰腺炎,建议使用减少胰腺分泌的药物以及抗菌消炎的药物,同时配合抑制胃酸分泌的药物和止痛药。如果肠道梗阻可能需要手术。针对这种情况,建议最好是带猫咪去宠物医院化验检查,诊病因后进行针对性治疗。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您提到的猫咪频繁呕吐,以前吐出黄色的液体,那是胃液,今天吐出绿色的液体,应该是带有胆汁,初步印象猫咪肠道梗阻或者胰腺炎的有可能性。
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、猫咪呕吐发生有几天了?大便有没有拉稀?是软便还是水便?
2、猫咪有没有弓背症状?也就是猫咪有没有腹痛?
3、猫咪肚子大不大?
4、这段时间给猫咪喂了那些食物?
医生你好,
1. 猫咪应该是14号开始的呕吐的, 14,15号都是一天呕一次,16号昨天白天呕了三次, 早上看到地上有几滩呕吐物,说明昨晚又呕了三四次左右.很少去厕所,完全没有进食, 大便没有拉稀.
2. 猫咪没有弓背,没有腹痛,.
3. 猫咪肚子不大.
4. 都是吃猫粮,有时会给些鱼, 因为猫咪太老了, 不太喜欢吃猫粮,所以进食少.
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
根据您描述所提供的信息,您的猫咪12岁,频繁呕吐、呕吐物带有胃炎以及胆汁,大便没有拉稀,没有腹痛和胀气。这种情况猫咪可能的病因有:1、胃十二指肠溃疡;2、胰腺炎;3、肠道梗阻。我的判断猫咪胃十二指肠溃疡的可能性比较大,但不能排除胰腺炎和肠道梗阻。
由于以上这三种疾病临床症状相似,但治疗用药和方法完全不一样,建议需要送猫咪去医院检查确诊后进行治疗,检查的项目有:血常规、血液生化、fPL即猫胰腺特异性脂肪酶。如果以上化验结果正常,需要拍片检查肠道有没有堵塞,如果也没有肠道堵塞,那么猫咪胃十二指肠溃疡的可能性比较大,确诊需要胃镜检查。
如果胃十二指肠溃疡,需要口服****和***保护胃和十二指肠粘膜。胰腺炎需要口服****(抑制胃酸分泌,阻止胃酸对肠道的刺激)、***或者***(控制疼痛)、***或者**(补充消化酶),以及输液(乳酸林格氏液和5%葡萄糖液)等药物;
如果肠道梗阻可能需要手术。
陆文健
执业兽医师
另外您检查一下猫咪牙龈、眼结膜是苍白、分红还是发黄,肝胆疾病也有您描述的猫咪的症状。
1.但这样去医院治疗的话需要一大笔费用的, 我们负担不起, 猫咪精神是可以的, 昨天喂了***颗粒,今天早上看到它喝水了, 昨天精神相对差些, 因为它最近总呕吐毛, 因为它是长毛的, 会否是这个原因引起它肠胃炎呢?
2.如果先按胃十二指肠溃疡治疗, 请给具体药方, 谢谢.
3. 情况是否很紧急一定要送医院呢?
陆文健
执业兽医师
由于您的猫咪已经12岁了,属于老年猫了,最好是通过化验检查手段确诊病因后针对性治疗才会有效。如果您的经济负担比较困难,您尝试按猫咪胃十二指肠溃疡进行治疗,给您开个处方,猫咪多长时间没有胃化毛膏或者猫草了?
它一直没有吃化毛膏的, 有吃猫草, 它一直都能呕猫毛的, 只是最近掉毛比较利害, 毛比较多, 呕吐比较多, 如果我按胃十二指肠溃疡治疗吃药, 用对药的话多少天会有效果, 多少天没有效果就不能再拖要去医院了?
陆文健
执业兽医师
根据猫咪的呕吐情况,我给您开个处方:处方中:
1、*****片,抑制胃酸分泌;
2、******片,保护胃黏膜;
3、**营养化毛膏,促进毛团排出。
陆文健
执业兽医师
建议处方:
1、******片,0.1g×24片/盒,一次口服0.5片,一天2次,连用5-7天;
2、*****片,0.5g×8片×3板/盒,一次口服0.5片,一天2次,连用5-7天;
3、**营养化毛膏,120g/支,一次口服4cm,一天2次,连用5-7天。
药物使用注意点:先口服****,1个小时后再服用****
谢谢医生,
1.还想请问一下昨天吃的阿莫西颗粒还给不给它吃, 虽然早上看到还有呕,但感觉精神有好转.
2. 能否给它吃***.因为平时我们吃这个能止呕, 平知适不知合猫使用?
陆文健
执业兽医师
1、****可以喂,如果口服***的话,家里的*****不要再喂,不然会超量。2、*****我没有经验,里面含有比较高的酒精,对猫咪很敏感,建议不用。
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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