咨询描述:猫咪不到四个月大,狸花猫,从昨天开始拉稀呕吐,到今天早上拉稀三次呕吐两次,中午给喝了一管益生菌还吃了一个医生开的***,但是吃完药之后继续呕吐,呕吐完后就会一直喝水,晚上又吃了一次***,半个多小时之后就又吐了,然后又去喝水了,刚刚测量体温三十七度五,现在就是一直在睡觉没精神,也没有进过食
回复总结:针对幼猫拉稀、呕吐的症状,用药治疗方面建议给猫咪吃宠物专用广谱消炎药,控制消化道炎症,以及促进消化道粘膜恢复的药物,同时配合服用吸附性止泻药和抑制胃酸分泌的药物,帮助猫咪止吐止泻。用药后观察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。
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,我初步分析猫咪有急性胃肠炎问题,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. 猫咪发病之后,是否做过化验?是否还有喂其它药物?
2. 猫咪最近都喂了什么食物?是否新鲜?最近是否有换粮,或者喂了以前没有吃过的食物?
3. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
4. 猫咪除了呕吐腹泻,是否还有其它症状?
5.猫咪的疫苗具体情况如何?
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。
1猫咪还没有进行化验,除了上述药物没有喂过其他的了
2最近在吃猫粮,但是家里有成年猫猫,他最近几天也去吃了成年猫猫的猫粮,他比较喜欢喝羊奶,之前一直在喝,没有出过问题,也没有出现拉稀呕吐的现象,大便都是成型的。
3生活环境就是室温大概二十多度吧,没有昼夜温差。
4除了呕吐腹泻之外没有其他的症状
5疫苗目前只打了一针
陈奕达
执业兽医师
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很有可能是由于饮食不当,消化不良,引发了急性胃肠炎问题,从而导致了一系列症状。如果猫咪生活环境温度达不到25-26度恒温,那么跟着凉有一定的关系。同时如果猫咪没有完全免疫疫苗,以及体内驱虫的情况下,需要考虑是否有病毒(猫瘟病毒),以及消化道寄生虫(蛔虫,绦虫,滴虫,球虫)感染的问题。
如果条件允许,最好还是给予猫咪进一步检查,确诊病因以及发病程度,然后针对性给予输液治疗,效果最好,最为安全稳妥。
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,吸附性止泻,保护消化道粘膜)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。
然后给您再总结一些照顾宝贝一定需要注意的几点,
①需要改善宝贝生活环境,需要环境温度达到26-25度恒温(不能着凉,因为着凉可能会加重宝贝的病情)。
②需要改善饮食,需要吃宝贝专用猫粮,用温水泡发,搅拌成糊糊(好消化,易吸收,对消化道刺激性小),以少吃多餐为原则喂食。
③其它的食物可以暂时先停掉,因为吃的食物越杂乱,消化道负担越重。
④由于宝贝现在体质比较虚弱,并且有低能量的症状,可以在喝水不吐的情况下,给宝贝口服一些温热的葡萄糖水,补充体液的同时,还可以补充能量。
⑤如果宝贝出现再次呕吐,建议先禁食禁水6-4小时,之后没有持续呕吐的情况下,再考虑吃喝以及口服药。如果持续性呕吐,那么就需要考虑静脉输液治疗。
陈奕达
执业兽医师
您好,这边根据宝贝的情况,我给宝贝开个处方。供您采纳参考一下。
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. ***,宠物专用吸附性止泻,大便成型之后立即停药,吃多了容易便秘。
4.****,抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。
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":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"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":"2024-11-21 22:49:09"}},"3":{"id":28519,"prescription_id":112800,"doctor_user_id":1249218,"product_id":726,"product_sku_id":768,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-05-26 21:50:32","updated_at":"2022-05-26 21:50:32","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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