咨询描述:医生你好,我家猫咪今年十一二岁了,去年下半年她一开始出现了呕吐,不吃饭,我就带她去宠物医院看病,各种检查做了诊断为胃肠炎,然后就输液打针吃药,开了***和****吃,但是她就一直反反复复,好不了几天就又开始不想吃饭,呕吐,这大半年一直在反反复复去医院输液打针吃药,医生一直都说是胃肠炎,不知道有没有可能有其他原因呢
回复总结:猫咪出现呕吐、不吃饭的症状,首先考虑的原因是胃肠炎,建议给猫咪服用宠物专用消炎药,同时配合服用抑制胃酸分泌的药物进行治疗。其次,也有可能是毛球症导致的,建议给猫咪喂食适量的化毛膏,帮助猫咪排出体内毛发。最后,不排除是胃溃疡引发的,建议除了口服消炎药外,还需增加使用促进消化道粘膜恢复的药物。另外,可以给猫咪适当补充益生菌和维生素。饮食上,不能吃生冷以及不好消化食物。
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,我暂时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. 猫咪都做了什么检查,您需要把结果发送过来,然后帮您进行分析。
2. 猫咪发病之后的饮食都是什么?
3. 猫咪发病是否有规律性?
4. 猫咪现在是否处于发病状态?都有什么症状?
5.猫咪的疫苗,以及驱虫情况如何?
6.猫咪生活环境温度能达到多少度?是否有昼夜温差?
7.猫咪呕吐物都是什么样子?
你好 医生 基本上所有检查都做了 除了胃镜 血常规 生化 超生 b超 彩超 心超都做了 每次发病就是一开始不想吃饭 或者吃了就吐了 不吃东西可能胃里面就空了 就会进一步吐黄水或者白色泡沫 甚至有点带血 接下来就会开始脱水 肯定必须得去医院了 然后医生就会给她输液打针吃药 一般就是消炎的药 止吐的药 增强肠胃蠕动的药 补充营养的药 然后开的药就是***和**** 她每次吐 如果肚子里有食物 肯定就是先吐食物 偶尔有夹带一点毛发 偶尔又没有 肚子里没有食物时就会吐黄水和白水 她常年都在家里 自由活动 应该不至于受凉 她想睡哪里都可以 没有限制她 疫苗去年开始没有打了 医生说她已经打了十年了可以不用打了 驱虫每年都有做过 但是没有很频繁 家里环境很简单 四只猫和两个人 目前没有发现发病有什么规律 反正每次都是不吃饭开始 最近这次治疗 医生给她加了一点抗焦虑的药 她回来后能吃能喝能睡 但是也就持续了几天 前天开始又开始厌食了 一天当中有几个时间她好像有点焦虑 她会起来走过去走过来 就好像有什么事情 躺下一会又起来 比如晚上四五点钟的时候 或者白天某个时段 没有固定时间 但是我也不确定她是不是焦虑 因为她从小就有点喜欢半夜起来玩一会 检查身体的过程中 发现她的心脏好像有一点问题 然后就是肾脏有一边的缩小了 医生说害怕后续会有这两方面的问题 但是目前来看数据还是正常的 不需要治疗 只是在输液过程中输得比较慢 保护她的心脏 目前情况就是这样 医生您帮我看看吧
陈奕达
执业兽医师
根据您的描述,猫咪这种情况很有可能是有消化道毛球或者慢性胃溃疡等方面的问题,导致了一系列症状。然后这种情况除了在疾病发作期还需积极治疗以外。平时可以定位给予猫咪喂食一些专用化毛膏以及保护消化道粘膜,促进消化道粘膜的药物,来保养猫咪的消化道,减少发病的概率。
其次就是需要非常注意饮食,不能吃生冷,以及不好消化食物,最好是以猫粮糊糊为主,这样有利于消化。
那医生您的意思是说 我们这里的医生诊断结果和治疗方案是没有问题的吗 开的药***和***也是正确的吗 那是不是要长期给她吃这些药呢 还有那个抗焦虑的药 我害怕会有负作用呢 还有就是 猫咪各种东西都不爱吃 可怎么办呢 难道我只有不停地换新食物给她吗 可是勉强喂她 她又会吐出来 这样周而复始食欲越来越差 情绪越来越差 我有点担心越弄越糟糕 最近都有在吃化毛膏 可能确实以前吃得比较少 因为她不太喜欢吃
陈奕达
执业兽医师
您好,1.您没有给我提供进一步结果的情况下,我这边只能靠您的描述,来分析猫咪的病情。所以根据您的描述,猫咪这种情况就是胃肠炎方面的问题。医生诊断是没有问题的。2.猫咪这种治疗性用药,可以不用长期吃,按照疗程服用即可。3.抗焦虑用药,在症状不严重的情况下,您可以尝试使用一个叫***的挥发剂,是属于舒缓猫咪情绪的,而且对猫咪没有危害性。4.猫咪如果食欲不佳,可以在没有呕吐的情况下,给予猫咪人工灌喂流质型食物,来帮助猫咪摄入营养能量。5.然后还可以给予猫咪口服一些提供消化道营养,调整消化道菌群,促进食欲以及促进消化。
那请问医生促进消化的 您建议吃点什么好呢 还有流质食品 您能不能推荐一下
陈奕达
执业兽医师
您好,1.流质型食物就是泡开的猫粮糊糊,以及肉泥罐头。2.然后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. **益生菌,调理消化道菌群,促进消化。
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. 维生素口服液,提供消化道营养,促进食欲恢复。
好的 那这几种药每天都吃的话 间隔时间多久呢 应该不可以同时服用吧 用法用量方面有没有什么注意事项呢 毕竟我们猫咪的心脏和肾脏需要多加保护 还有就是胃溃灵和奥美拉唑还是继续吃吗 可以跟您开的药一起吃吗 我家宝贝一天要吃这么多药吗 好可怜
陈奕达
执业兽医师
您好,1.上述药物可以一同喂食,不会互相之间影响。2.用法用量已经帮您计算妥当,您可以点击查看详情按钮进入处方页面查看。3.其它药物是否继续服用,建议您再咨询一下主治医生。看看是否有规定计划。4.上述用药,需要跟家里其它药物间隔30-60分钟服用。
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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