咨询描述:医生你好,我家猫咪现在快两岁,今年一二月份第一次发生呕吐,到现在四月份,一共吐了差不多七八次,每次吐的都是黄水,伴随一些她吞的异物包括塑料袋或者衣服上的松紧带,她特别喜欢嚼这些东西,网上查了一下可能是有异食癖?以及胃肠炎方面的问题,猫咪精神方面感觉一直都挺正常,平时比较活跃喜欢跑酷,饮食方面除了猫粮什么都喜欢吃,每天会喂它一顿罐头或者一顿冻干,想请医生帮忙判断一下,我需要做些什么给她喂什么药之类的?
回复总结:猫咪呕吐黄水,可能是由于误食异物引发的胃肠炎问题。针对这种情况,建议给猫咪吃宠物专用广谱消炎药,同时配合服用抑制胃酸分泌的药物,治疗消化道溃疡,减轻消化道炎症。用药后观察2-3天的时间,如果效果不错,可以持续用药一周左右,直到疾病康复为止即可。然后,建议控制猫咪尽可能不要乱吃异物。
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,我初步分析猫咪是有异食癖问题。然后吃异物之后,刺激消化道,从而引发呕吐症状。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. 猫咪最后一次呕吐什么时候?
2. 猫咪现在吃喝玩排便状态如何?是否持续性呕吐?
3. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
4. 猫咪呕吐出来的是否有毛发?多久喂一次化毛产品?
5.猫咪的疫苗,以及驱虫情况如何?
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。
最后一次呕吐是今天中午,所以来咨询,上一次是几周以前了吧,频率大概几周一次,
猫粮一直是自助喂食,她兴趣不大,只有零食或者肉才能让她兴奋,喝水比较正常,但是不多,排便也比较正常,很少拉稀,
生活环境是根据城市环境来的,坐标成都,现在10-20度,不会刻意为她开空调,
呕吐物只有黄水和异物,没有毛发,她一岁以前很少掉毛,现在换季会掉,好像她从来没吐过毛球,猫草经常给她种着,化毛膏只买过两三次,哦原来吐过一次黄水伴随猫草,但只有一点点
疫苗因为她抵抗力弱,经常感冒,从小就流眼泪,感冒治好了也会流眼泪,所以一直没带她去打,但是猫鼻支查过两次都是阴的,驱虫一年多没有驱过了
体重因为没有称过,所以说不准,体型偏瘦,可以看照片参考
为保护用户隐私不显示图片/视频
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误食异物,引发的胃肠炎问题,从而导致了一系列症状。跟乱吃异物有一定的关系。
如果暂时不方便就诊,可以在家先给宝贝吃一些宠物专用广谱消炎,抑制胃酸分泌。治疗消化道溃疡,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药一周左右,直到疾病康复为止即可。然后之后需要控制一下猫咪尽可能不要乱吃异物。可以考虑在没有人监护猫咪的情况下,笼养。然后家里有人,可以看着猫咪的时候,再放出来玩耍。这样可以尽最大程度避免乱吃异物。
哦哦,好的谢谢医生,那我应该给她吃什么药呢,异食癖这个问题我该怎么改善一下,网上查了一下可能是因为缺乏微量元素?
陈奕达
执业兽医师
您好,1.异食癖问题,可以给予猫咪补充维生素,但是最关键的还是人员监护。2.您好,根据宝贝的情况,我给宝贝开个处方。
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。
4.***,保护胃肠道粘膜,治疗消化道溃疡。
(由于没有宝贝的详细体重信息,然后预估宝贝体重为3公斤体重计算用药量,如果预估不准确,您可以根据宝贝实际体重,结合药物说明书,重新计算用量)
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":9246,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1811,"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":"2024-11-23 08:56:16"}},"3":{"id":19939,"prescription_id":108966,"doctor_user_id":1249218,"product_id":726,"product_sku_id":768,"dose":20,"dose_unit":"mg","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-04-19 14:28:44","updated_at":"2022-04-19 14:28:44","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
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