咨询描述:症状描述:一个半月小狗,拉稀带血,不吃饭,呕吐,精神不好,去医院检查,无传染病无病毒,有球虫,打了三针吃了药,第三天情况好转,主动吃了点火腿肠,精神好,不拉稀。今天大便又带血,不吃饭,呕吐,精神不好
患病时长:4天
医院检查:无传染病无病毒
用药情况:驱虫棒,达利建营养补充剂
回复总结:幼犬出现呕吐、拉稀带血的症状,可能是急性胃肠炎和球虫病导致的。针对这种情况,建议给狗狗服用驱虫药,驱杀球虫,也可以给狗狗注射驱球虫的针剂,连续注射3天,发挥作用更快。然后,建议在狗狗呕吐时候禁食四个小时,不吐的情况下可以给狗狗口服止泻药,同时配合服用益生菌调理肠胃。饮食方面,少量多次,给狗狗吃低脂易消化食物。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的小白的情况,我初步判断有急性胃肠炎,球虫病,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. 狗狗在生病之前吃过什么东西?你养了多久?它平时有没有异食癖?
2. 可以把医院的所有检查化验报告都发过来我看看吗?
3. 医院给狗狗开的什么成分的驱球虫的药呢?
4. 狗狗今天状态如何?吐了几次?呕吐前有没有发出咔咔的声音?呕吐的什么东西?大便是稀的还是干的?拉了几次?
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。
养了三周吧,我感觉有点异食癖,他平时就喜欢在角落里,厕所里吃地上的什么东西。
今天精神不好,一直趴着,不吃饭,吐的是刚吃进去的碎面条,今天吐一次。大便不是特别稀,浆糊妆,黄色,有点血,昨晚拉了两三次。
昨天下午已经好了很多了,很有精神,今天又不行了。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的化验单来看,确实有球虫感染,不过医院开的球虫药因为看不到成分,所以不确定它驱虫效果如何,而且它呕吐,这个药物有没有喂进去,到底有没有发挥作用?
从血常规和病毒检测来看,目前主要是有贫血。细小冠状没有,那它呕吐,拉稀,大便带血还是主要因为球虫感染导致。球虫药需要继续吃,如果这个喂了吐发挥不了作用,你可以考虑让医院给它注射磺胺嘧啶驱球虫,注射药发挥作用更快一些,连续注射3天。
另外,他如果有异食癖,也不排出有胃肠道异物,可以告诉主治医生,让它触诊胃肠道,并且做腹部b超检查和拍摄x光片看看胃肠是不是同时有异物。
治疗的话,还是需要静脉输液,打消炎针,止吐,止血针。同时呕吐的时候空腹四个小时,不吐的情况下可以给它口服止泻药,益生菌调理肠胃。这几天在不吐的情况下,少量多次,吃低脂易消化食物,比如幼犬肠道处方罐头之类的。
如果单纯球虫感染,一般静脉输液,注射球虫针,五天左右是会恢复的。
根据腹泻的情况,我给它开个处方。处方里面的1.***,止泻,一天一次,一次半包,口服3天。
2.益生菌,调理肠胃,一天1次,一次一包,与1间隔2小时以上服用。
郭秋萍
执业兽医师
那还是球虫没有完全好。球虫药继续吃。
然后现在不吐了,你可以给他少量多次的喂一点容易消化的食物。
中午给它喂了一点水煮鸡腿肉,它自己吃了,但是它晚上全吐了,买的益生菌还没到,还要喂它吗。
郭秋萍
执业兽医师
他如果呕吐了,暂时不能给他吃东西,你还是要给他空腹,另外可以给他喝点,葡萄糖水,要不然他容易脱水低血糖休克,你今天没有带她去医院检查和治疗吗?
他这种情况还是需要继续输液打针呀。
今天没去,因为它中午吃饭挺好的,以为它好了,那明天再去
郭秋萍
执业兽医师
那今天晚上多注意观察他,少量多次给它喝葡萄糖水和婴儿补液盐水。以免脱水休克。
如果家里气温低的话,还要注意给它保暖哈。
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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