咨询描述:小型犬,11岁,公。无尿、无大便一周多,后来出现不吃不喝,走路很吃力,吐黄水。由于疫情没有办法去宠物医院,没有用药。请问可能是什么问题?有什么办法缓解他的痛苦吗?还可以用药治疗吗?
回复总结:狗狗呕吐不拉屎可能有消化道阻塞或者消化道蠕动能力下降问题,导致无法大便以及呕吐症状。建议最好先带狗狗去宠物医院进行相关的疾病筛查,确诊病因后再对症治疗。如果暂时不方便就诊,可以给狗狗外用通便药物在肛门灌肠,然后给狗狗人为灌喂一些蜂蜜水,能够起到通便润肠的效果。同时还需要给狗狗口服宠物专用提供消化道营养药物,配合促进消化道粘膜恢复以及治疗消化道溃疡的用药治疗观察。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析狗狗有几个方面的问题,1.便秘或者消化道梗阻。2.有肾脏方面的疾病问题。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.狗狗发病之前,是否吃过骨头,或者不好消化的食物?平时都喂什么食物?是否新鲜?
2. 狗狗几天没有尿尿?是尿的很少,还是没有尿?
3. 狗狗是否还有其它症状?
4. 狗狗生活环境温度能达到多少度?是否有昼夜温差?最近是否有降温?
5.狗狗的疫苗,以及驱虫情况如何?
6.狗狗是否有经常排便,排尿动作?
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『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。
1. 吃的米饭、鸡肉,平时也差不多是这样的,跟人吃的差不多
2.尿的很少,具体多少天不太清楚,但有一周多
3.腿抬不起来
4.住在院子里,5-14℃,没有大幅降温
5.打过狂犬疫苗,未作驱虫
6.腿抬不起来,所以做不出排尿排便动作
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。根据您描述的症状以及提供的信息,以个人的经验判断宝贝确实有两个方面的问题,1.消化道,很有了可能有消化道阻塞或者消化道蠕动能力下降问题,导致无法大便以及呕吐症状。2.肾脏问题,有肾衰,或者肾脏代谢异常,引发了尿尿少,以及呕吐症状。
而疾病的诱发因素,跟着凉,以及狗狗的饮食,年龄都有一定的关系。
如果暂时不方便就诊检查的情况下,说实话,能够在家帮助狗狗的方法十分有限制,而且狗狗的状态不好,有一定生命危险。
方案:1.可以给予狗狗在肛门灌肠,使用***,每次5-10毫升,帮助狗狗大便。2.然后给予狗狗人为灌喂一些蜂蜜水,可以起到一定通便润肠的效果。3.而肾脏问题,可以给予狗狗先口服一些保护肾脏的用药,来观察一下是否有效果。4.同时,还需要给予狗狗口服一些宠物专用提供消化道营养,减轻皮肤炎症,促进消化道粘膜恢复,以及保护胃肠道粘膜,治疗消化道溃疡的用药。
5.然后给您再总结一些照顾宝贝一定需要注意的几点,
①需要改善宝贝生活环境,需要环境温度达到26-25度恒温(不能着凉,因为着凉可能会加重宝贝的病情)。
②需要改善饮食,需要吃宝贝专用狗粮,用温水泡发,搅拌成糊糊(好消化,易吸收,对消化道刺激性小),以少吃多餐为原则喂食。
③由于宝贝现在体质比较虚弱,并且有低能量的症状,可以在喝水不吐的情况下,给宝贝口服一些温热的葡萄糖水,补充体液的同时,还可以补充能量。
④如果狗狗持续性呕吐,那么就需要考虑静脉输液治疗。
您好,非常感谢。还想问下,如果去医院的话,狗狗救治后恢复正常生活的可能性有多大?医院会采取哪些措施呢,会不会加重狗狗的痛苦?现在我想我们能做得到的,就是尽量陪伴他让他舒服一些,灌肠、灌水等操作都比较困难。。
陈奕达
执业兽医师
您好,1.狗狗这种疾病程度,由于没有具体病因的确诊以及化验结果分析,所以康复程度,以及预后没有办法帮您具体评估。根据症状大概预估治愈率能达到40-65%左右。2.是否会影响之后的生活,这个不太好判断。3.就诊首先需要给予狗狗进行血液常规,血液生化,腹部器官影像学检查,尿液常规检查,进一步确诊病因之后,就会针对狗狗的具体病情,来进行用药治疗。4.治病,生病,狗狗会有一些痛苦,这个没有办法。(鱼和熊掌不可兼得)。
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。
根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. ***,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复。
2. ***,保护胃肠道粘膜,治疗消化道溃疡。
3. **,帮助狗狗进行肾脏的维护,保护肾脏。
陈奕达
执业兽医师
不用客气,非常感谢您对我以及蘑菇宠医的信任🙏。如果没有其它的疑问,不要忘记动动小手,点击左下角评论按钮,给我一个五星好评呦😁 。(您的评论是对我的督促,让我精益求精,帮助更多的宝贝,谢谢💪)。
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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