咨询描述:您好,我之前找您看过猫咪便血,然后也去宠物医院了,没有虫也不是猫瘟,说是肠胃炎,打了一针好了也没有再打,但是这两天又出现了,还是不放心,拍了便便照片给您看看,能不能确定是肛门处有破裂,还是确实是炎症呢,要怎么治疗呢
回复总结:猫咪出现大便带血有粘液的症状,可能是原虫感染导致,或者有可能是原虫和细菌混合感染引发的。针对这种情况,建议给猫咪口服宠物专用广谱消炎抗菌药,一天2次,连用5-7天,同时还需要配合服用含有甲硝唑成分的药物,一天1次,连用5-7天。饮食方面,建议近期以猫粮为主,适当补充水煮鸡肉、蛋黄、酸奶等食物,尽可能不要给猫咪喂水果。
问题大致一样,细节不同?
陆文健
执业兽医师
看了您发来的照片,粪便带血并且有些粘液,但带血是红褐色。结合您的猫咪大便带血已经有一周时间,虽然医院进行抗生素消炎,但带血现象反复出现。通过分析,您的猫咪应该不是肛门处有破裂的原因,可能是原虫(贾第鞭毛虫或者滴虫)等感染导致,或者原虫和细菌混合感染导致。给您的建议是给猫咪口服**和***进行治疗。以上建议供您参考,如果需要开具处方,请完善您的猫咪的资料(品种、年龄、体重、公母、有无免疫、有无驱虫),以及您家里有什么药物告诉我。也可以直接申请处方,在申请时填写猫咪的资料。
可是去检查的时候,看报告是没有虫的,我现在去完善宠物资料,资料是直接说给您,还是我自己去哪里填写呢,已经把宠物信息添加了,家里只有益生菌和驱虫药
陆文健
执业兽医师
粪便检查一般普通寄生虫卵比较容易检查出来,原虫粪便检查很容易漏检,您申请处方吧,在申请处方的时候填上猫咪的资料就可以了。
陆文健
执业兽医师
建议处方:1、****(抗菌消炎),50mg×10片/板,口服一次0.5片,一天2次,连用5-7天;2、****(抗原虫),200mg×8片×1板,一次口服0.25片(1/4片),一天1次,连用5-7天。
我前几天给他喂过蛋黄,是半熟的,也不是无菌蛋,您说跟这个有关系吗,还有这段时间饮食上有什么需要忌口的吗
陆文健
执业兽医师
原虫感染虽然有大便出血,一般病情比较温和,不是很严重,很少出现精神状态和食欲的减退。您的猫咪大便带血和吃蛋黄没有关系。这段时间可以以猫粮为主,适当补充水煮鸡肉、蛋黄、酸奶等食物,尽可能不要给猫咪喂水果,喂食量需要控制。饮水正常供应。用药3天后找我复诊,如果我的判断正确,猫咪用药3天后大便不会出现带血。
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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"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":"2024-11-24 11:58:14"}},"1":{"id":12619,"prescription_id":105661,"doctor_user_id":1388751,"product_id":697,"product_sku_id":740,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"饭后服用,一次口服1\/4片,一天1次。","created_at":"2022-03-13 10:00:54","updated_at":"2022-03-13 10:00:54","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"}}}}}}
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