咨询描述:你好,狗狗现在1岁半,最近又开始间歇性呕吐,今天早晨吐了胃液加血点,之前查过肝肾功能(已附图)。当时查完后,一直到今年4月份都很好。4月份开始,大便一直不好,4.16日至今,一直便秘,拉非常小的羊屎蛋,狗粮一直吃肝脏处方粮,会加点水煮鸡胸肉,今早吐完之后伴有肠鸣音,4.16、4.19号吐完食物后没有肠鸣音,食欲很好。
回复总结:狗狗出现间歇性呕吐考虑是由于饮食不当、消化不良或者胃酸分泌过多引发的胃肠炎问题,与狗狗平时的饮食有关。如果暂时不方便就诊检查,可以先给狗狗吃宠物专用广谱胃肠炎药,配合减轻消化道炎症的药物以及抑制胃酸分泌的口服药治疗观察2-3天。近期建议单纯给狗狗饲喂狗粮即可,其它食物暂时都停掉,吃的食物越杂乱越容易引发消化不良,不利于疾病恢复。
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,我初步分析狗狗有可能会有慢性胃溃疡,或者消化方面的问题,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. 狗狗您养了多久?平时除了狗粮,是否还有喂其它食物?
2. 狗狗后续是否有复查?
3. 狗狗是否检查过有关消化道方面的化验?
4. 狗狗一般除了早上呕吐,其它时间是否呕吐?是否有规律性?
5.狗狗是否还有其它症状?
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。
1、狗狗从2020.10.4号出生,11.2日抱回来,养了快一年半。自今年3月份起,除了狗粮给他喂食过水果:苹果、梨、黄瓜、西梅、蓝莓;肉类:单独为它烤制的鸡肉干(偏硬)。水果一天2-3块,鸡肉干3-5块,4月7号左右喂食可能较多,可能积食,次日早晨呕吐。
2、后续暂没有复查,4月份发生呕吐后,一直想去查查,但我怀孕无法开车,先生工作太忙,频繁出差。现在适逢疫情封了小区,实在没办法。
3、检查过,B超、贝餐,血常规都做过,没有提示异常。
4、其它时间不呕吐,目前呕吐频率大致在5-7天。
5、其它症状:便秘(羊屎蛋非常小),肠鸣音,暂没发现腹痛(前驱趴,捏肚子无抵抗)
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是由于饮食不当,消化不良,胃酸分泌过多引发的胃肠炎问题,从而导致了一系列症状。跟平时的饮食有一定的关系。
如果暂时不方便就诊检查的情况下,可以在家先给宝贝吃一些宠物专用广谱胃肠炎(消炎,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,抑制胃酸分泌,治疗消化道溃疡)的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药1-2周左右,直到疾病康复为止即可。
然后饮食,最近一段时间,建议单纯给予一些狗粮即可,其它食物暂时都停掉,吃的食物越杂乱,越容易引发消化不良的问题,不利于疾病恢复。
请问***+益生菌就可以吗?需要加****胶囊吗?
陈奕达
执业兽医师
您好,根据宝贝的情况,我给宝贝开个处方。(配合您上述的这两种用药,一同服用)
处方里面的
1. ***宠物专用广谱消炎,控制消化道炎症
2.***,提供消化道营养,促进消化道粘膜恢复,减轻消化道炎症
3.****,抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。
陈医生,送不过来啊,疫情😂家里现在有**、***、***益生菌、****胶囊。先吃***、益生菌、****胶囊可以吗?另外想问您,它这个便秘怎么治疗呢?
陈奕达
执业兽医师
您好,1.您说的这几种药物可以给予狗狗服用。能够对狗狗起到一定的帮助。2.便秘问题,您可以尝试给予狗狗喝一些蜂蜜水,增加消化道内液体,可以起到软化大便,通便润肠效果。
非常感谢。另想咨询您,*****和*****可以给狗狗吃吗?
陈奕达
执业兽医师
您好,人用药个人不太建议给予狗狗服用。因为人类用药是针对人类设计的,并不一定适合给予狗狗服用,效果不一定好,而且可能会有未知性副作用,还请您慎重考虑后使用。
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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