咨询描述:1.猫咪是布偶品种,出生大概3个多月了,体重1.8kg,体温38.2。5月20日接到我家的。
2. 5月22日,夜间23:00左右,猫咪睡觉时突然抽搐,口吐白沫,地上打滚狂叫,持续2分钟,走路不稳,大小便失禁,吃喝正常,早上起来精神很好,去医院检查,排除猫传腹,猫瘟,血液只有一些炎症,其余一切都正常,建议做核磁,因为疫情暂时也没办法去大医院看。
5月27日,早上7:00左右,持续1分钟,走路不稳,小便失禁,大便是等抽搐结束后有了第一次经验,立即放进猫砂盆,排便了。抽搐结束后吃喝正常,一天精神不佳,几乎除了吃喝就在睡觉,当天大小便次数共5次
3.视频为抽搐后拍的,因为抱着她没拍抽搐的视频。抽搐结束后,几乎无法站立,腿软。但半分钟后又可以走路了,就是不太稳
回复总结:猫咪抽搐吐白沫考虑是癫痫发作引起,神经症状一方面可能是原发性癫痫,另外也可能是继发性癫痫。如果不方便带狗狗去宠物医院做检查,可以暂时先给狗狗口服抗癫痫的药物,早晚各一次,同时配合口服修复神经的药物,然后观察一周,看狗狗症状是否有好转。如果还是不见好转,考虑有传染性腹膜炎的可能性,建议给狗狗注射传腹药物,在治疗一段时间看是否好转。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好宠物家长,感谢您对蘑菇宠医的信任!问题我已经看到,我需要15分钟左右时间进行分析,并编辑文字回复您的问题。(请勿回复此条消息,以免浪费您的追问机会。)
孙厚福
执业兽医师
我初步诊断癫痫神经症状,但仅仅根据目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发病之前是否有应激反应?
2父母是否有癫痫病史?是否有外伤?
3.目前用过其他药物?
4.吃的什么粮食?
5.排尿是否偏黄
6.目前精神状态怎么样?
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。
1.发病前无应激反应,都是在它睡觉时突然发作
2.卖家说小凯父母没有癫痫,而且非近亲。没有任何外伤
3.23号医院开了阿莫西林和盐酸西环素片,已用3天。但之前卖家给他鼻子滴了药,因为有鼻涕,是什么抑菌液。
4.冠能奶糕粮
5.尿为浅黄色
6.目前精神状态还不错,能吃能喝,互动玩耍了几分钟又去睡了
孙厚福
执业兽医师
目前从症状看的话是癫痫发作,神经症状一方面可能是原发性癫痫,另外的话可能是继发性癫痫,目前不能排除传染性腹膜炎的可能性。如果目前做不了进一步检查,可以暂时先口服抗癫痫的药物,****,每公斤体重2毫克,早晚各一次,同时配合口服修复神经的药物****口服液。观察一周看一下是否还有好转,如果还是不见好转,建议注射传腹药物。在治疗一段时间看一下是否好转。
我给您发的那些检查结果的图片,还是无法排除传腹的可能是吗?
孙厚福
执业兽医师
是的目前白球比0.6偏低,癫痫神经症状也是传腹症状,所以目前不能排除传腹可能性,先吃药看看,如果不好转建议使用传腹药物。
我给它开个处方。处方里面的1.****每公斤2mg早晚各一次
2****口服液早晚各一次修复神经
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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