咨询描述:你好,我的猫是英短绝育公猫5岁,一周前发现尿频,尿量少,医院b超显示无尿,回家吃了3天消炎药,尿量正常,第五天发现尿不出来且伴有疼痛,带往医院发现膀胱有尿,开始导尿,留置尿管3天,并打吊瓶,昨天拔出尿管后带回家,昨天晚上至今天中午,尿量程水滴状,伴有红色血迹。吃了抗抑郁的药和消炎药。
回复总结:针对公猫尿闭的情况,治疗方面建议给猫咪进行尿管留置,保持尿路通畅,帮助猫咪导尿。如果猫咪能吃能喝,并且没有急性肾衰的症状,建议给猫咪口服宠物专用广谱消炎药,同时配合服用治疗下泌尿道综合症的用药进行治疗。如果猫咪久治不愈或者尿闭反复发作,需要给猫咪进行尿路改造手术,彻底治疗尿闭的问题。
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公猫尿闭的问题,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. 猫咪拔除尿管之前,是否有血尿的症状?
2. 猫咪现在是否频繁的去蹲猫砂?
3. 猫咪除了吃上述抗抑郁以及消炎用药,是否还有其它药物?
4. 猫咪什么原因引发的尿闭问题?是否经过化验?都做了什么化验,结果如何?
5.猫咪生活环境温度能达到多少度?是否有昼夜温差?
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『年龄、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:拔尿管前有血尿
2:频繁去猫厕所
3:无
4不知道什么原因尿闭,没有化验,但是膀胱里无结石
5生活在正常的屋里,没有昼夜温差
6、猫5岁,10斤
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现在这种疾病情况,还是由于尿闭没有完全康复,处于疾病发病期内,所以导致了一系列症状。这种情况,从治疗的角度来讲,1.还是需要给予猫咪进行尿管留置,保持尿路通畅。2.然后在猫咪能吃能喝,并且没有急性肾衰的情况下,可以考虑在家给予猫咪口服宠物专用广谱消炎,以及治疗下泌尿道综合症的用药进行治疗。当然如果能配合输液打针治疗效果就更好了。3.如果猫咪出现久治不愈,或者尿闭反复发作,那么就需要考虑给予猫咪进行尿路改造手术,来彻底治疗尿闭的问题。4.根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症。
2. ***,促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。
3.**,主治1.宠物尿路结石。2.膀胱炎。3.泌尿道炎症。4.泌尿道综合症等。
陈奕达
执业兽医师
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23-25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可以适当多给猫咪喝一些温开水,增加尿量,多排尿。
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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