咨询描述:狗狗近期曾独自在家十佘天,这几天食欲不振,不愿活动,喝水也少,每次尿量也少,
回复总结:狗狗独自在家出现食欲不振的情况,可能有抑郁症,也不排除是肝肾疾病导致的。如果狗狗有尿黄的症状,肝肾疾病的可能性比较大。如果暂时不方便去宠物医院就诊,建议狗狗增加饮水量,可以给狗狗多灌喂。然后,建议给狗狗口服消炎药以及是保肝的药物,同时配合补充适量的复合维生素b,促进狗狗的食欲。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的狗狗的情况,我初步判断可能有抑郁症,不排除肝肾疾病,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你核实一下:
1. 狗狗的基本信息:品种,年龄,性别,体重,有没有打疫苗和驱虫?有没有做绝育手术?之前有没有什么疾病史?
2. 狗狗独自在家的时候,你有没有给他准备足够的食物和足够的水?这期间有没有监控可以监测他10天之内的一些行为表现?
3. 你回来陪他有几天呢?他具体是从什么时候开始出现精神食欲下降小便减少的?
4.有没有带她去医院检查过?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。
因疫情原因,家中来过防疫消杀,现狗狗喘气有些粗,睡觉较多
拉布拉多,八岁,母,30kg左右,有打疫苗没驱虫,没做绝育手术,之前无病
独自在家水粮充足
大约七天左右时间开始尿黄,食欲不振,近三夫严重些
近期因疫情居家隔离,无法去医院
郭秋萍
执业兽医师
从你的描述来看,你家狗狗肯定是有肝肾方面的问题,他尿液现在是有多黄?可以把尿液拍照发过来我看一下吗?如果尿液特别黄或者偏红,有可能是有胆红素尿。
喘气的话,因为你家狗活这么大年纪,一方面考虑可能是心脏问题造成的喘气。另外一方面担心是有喷洒消毒剂之后出现的肺炎,或者是哮喘过敏。
现在你没有办法去医院的话治疗,一方面给他增加饮水量,可以给它灌喂。第二你能不能在附近购买一些常规的消炎的药啊,或者是保肝的药呢?或者你家里有哪些药物可以拍照过来,我看有没有可以给他用的。
郭秋萍
执业兽医师
你先把它尿液拍过来我看一看,因为我什么都没有看到,我只是推测可能有肝肾问题,你把尿液拍过来我看看,还有你自己扒开她的眼睛,看他的眼睛有没有发黄?他身上的皮肤有没有发黄?
我确定之后再跟你说吃什么药物。
现无尿,眼睛,皮肤没有发黄,可以先喂些****片吗,消炎药买什么药好,饮食喂些什么
郭秋萍
执业兽医师
如果他身上没有发黄,然后眼睛也没有发黄,那说明他暂时是没有黄疸的。另外,对于这么大年纪没有做绝育的狗狗,你要观察他的阴道部位有没有往外流黄色的液体?他的腹围有没有增大?如果有的话,那也有可能有子宫蓄脓的问题。
他这种情况,我只能先给你开消炎药去给他吃,然后你自己在家里给他大量的喂水。
根据狗狗的情况,我给它开个处方。处方里面的1. **,抗菌消炎,一天两次,一次1.5片,连用7天。
2.复合维生素b,促进食欲,一天两次,一次5毫升,连用14天。
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
{"326225":{"id":326225,"case_id":38142,"user_id":1004931,"to_user_id":1992232,"type":3,"content":"如果他身上没有发黄,然后眼睛也没有发黄,那说明他暂时是没有黄疸的。另外,对于这么大年纪没有做绝育的狗狗,你要观察他的阴道部位有没有往外流黄色的液体?他的腹围有没有增大?如果有的话,那也有可能有子宫蓄脓的问题。\n\n他这种情况,我只能先给你开消炎药去给他吃,然后你自己在家里给他大量的喂水。\n\n根据狗狗的情况,我给它开个处方。处方里面的1. **,抗菌消炎,一天两次,一次1.5片,连用7天。\n2.复合维生素b,促进食欲,一天两次,一次5毫升,连用14天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":112367}},"is_doctor":1,"status":1,"created_at":"2022-05-22 09:26:18","show_rx":true,"rx_info":{"id":112367,"rx_no":2.02205220924125e+24,"user_id":1992232,"doctor_user_id":1004931,"is_independent":0,"case_id":2747359,"pet_info":{"pet_id":0,"pet_name":"狗狗","pet_nickname":"狗狗","pet_gender":2,"pet_birth":"8-0","pet_weight":30,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"8岁"},"diagnose":"肝肾待查,子宫蓄脓待查?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-22 09:24:12","updated_at":"2022-05-22 09:26:18","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":27500,"prescription_id":112367,"doctor_user_id":1004931,"product_id":708,"product_sku_id":751,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-22 09:24:12","updated_at":"2022-05-22 09:24:12","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3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":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}},"1":{"id":27501,"prescription_id":112367,"doctor_user_id":1004931,"product_id":717,"product_sku_id":759,"dose":5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2022-05-22 09:24:12","updated_at":"2022-05-22 09:24:12","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":586,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-22 09:22:26","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏,加强红细胞的发育和成熟,使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞,减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分,铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg,喂服1ml\/次或遵医嘱。本品口服,直接喂服或者兑在水中饮用,一日2次(早晚各1次),用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":214,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":603,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-21 22:33:29"}}},"drug_data_bak":{"0":{"id":27500,"prescription_id":112367,"doctor_user_id":1004931,"product_id":708,"product_sku_id":751,"dose":1.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-22 09:24:12","updated_at":"2022-05-22 09:24:12","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3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":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"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\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬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9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}},"1":{"id":27501,"prescription_id":112367,"doctor_user_id":1004931,"product_id":717,"product_sku_id":759,"dose":5,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2022-05-22 09:24:12","updated_at":"2022-05-22 09:24:12","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":586,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-22 09:22:26","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏,加强红细胞的发育和成熟,使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞,减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分,铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg,喂服1ml\/次或遵医嘱。本品口服,直接喂服或者兑在水中饮用,一日2次(早晚各1次),用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":214,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":603,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-21 22:33:29"}}}}}}
微信扫一扫
立即问宠医