咨询描述:今年元旦捡到的流浪猫,在家已养4个月,已完成三针疫苗,身体各项指标良好。4.10下午去医院测抗体,结果良好。4.11白天状态良好有正常排便,4.12早上6-10点共呕吐四次,均是黄水带泡沫,然后白天精神萎靡,没有平时活跃,不太爱动睡得比较多,白天断水断食,晚上喂了一点水煮鸡胸肉,4.13凌晨三点又呕吐,是一些未消化完全的鸡肉,截止到目前精神状态有所好转,但是没有排便过了,有医生说是急性胃肠炎我觉得不是很像,现在大概两天没怎么吃东西,不知道怎么办.
回复总结:猫咪出现呕吐黄水带泡沫的症状,考虑是由于消化不良或者毛发刺激引发了急性胃肠炎问题。治疗方面,建议给猫咪口服宠物专用广谱消炎药,控制消化道炎症,同时配合服用促进消化道粘膜恢复的药物以及抑制胃酸分泌的药物。宠物,还需要配合适量的化毛膏来进行治疗。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,我初步分析猫咪确实有急性胃肠炎问题,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. 猫咪发病之前,都喂了什么食物?是否有换粮,或者喂了以前没有吃过的食物?
2. 猫咪生活环境温度能达到多少度?是否有昼夜温差?最近是否有降温?
3. 猫咪除了呕吐,是否还有其它症状?
4. 猫咪呕吐物内是否有毛发?最近舔毛是否频繁?
5.猫咪多久喂一次化毛产品?
1.发病前没有换猫粮,吃的还是一直吃的猫粮
2.我居住在深圳,气候比较温暖,温差不大
3.除了呕吐没有其他症状,昨天精神状态不是很好,不太爱动,睡得比较多.平时是比较活跃的.今天早上看着状态比昨天要好一些
4.呕吐物没有毛发,舔毛属于正常频率,
5.从今年元旦带回家喂化毛膏的次数不多,只喂过两次
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是由于消化不良,或者有消化道毛发刺激引发了急性胃肠炎问题,从而导致了一系列症状(呕吐,以及呕吐出没有消化食物)。跟不定期给予化毛产品,以及消化道消化异常有一定的关系。
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,抑制胃酸分泌,治疗消化道溃疡)的口服药,配合一些化毛膏来进行治疗,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。
1.您说的这个药一般的宠物医院可以购买到吗?
2.如果猫咪不配合吃药可以通过哪些方式喂呢?
3.按照目前我的描述猫咪症状算是严重吗?一定要去医院吗?如果去医院应该要检查什么项目?
4.现在猫咪两天没有怎么吃东西,可以喂一些什么东西吃呢?
5.化毛膏这几天需要天天吃吗?
陈奕达
执业兽医师
您好,1.给您推荐用药都是常见用药,一般宠物医院都会有售卖。2.可以使用针管灌喂,或者放在食物中喂食。3.如果猫咪没有持续性呕吐,并且精神状态有好转,那么问题暂时不严重。如果条件允许,最为安全稳妥的还是去附近宠物医院就诊。需要检查基础的血液,大便,以及消化道影像学检查。4.化毛膏需要天天给予喂食,每次1-2CM,每天3-4次左右。5.饮食,可以以少吃多餐为原则,喂食一些用温水泡发的猫粮。6.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。
1.您推荐的这几个药是都需要买还是吃任意一种都可以呢?
2.刚刚喂了一个猫条给他都吃了,但是化毛膏不肯吃,可以怎么喂呢?化毛膏也可以化水搅拌到猫粮或者其他湿粮里喂吗?
3.猫咪会不会因为应激而出现急性胃肠炎?这只猫捡到的时候先天性眼镜有问题,看过医生都说没有视力,所以比较敏感胆小,周日去测抗体那天有点害怕,吐舌头,是不是有点应激?会有关系吗?
4. 您开的这些药都可以用水化开再喂吗?
陈奕达
执业兽医师
您好,1.上述用药一套,需要都给予猫咪服用,来帮助猫咪。2.化毛膏也是可以放在食物中,或者直接灌喂。兑水不行,效果会降低。3.猫咪如果有强应激问题,确实会有抵抗力低下,引发急性胃肠炎问题(如果体检过程非常害怕,那么确实会收到惊吓)。4.上述用药,可以用水化开给予猫咪灌喂。但是相对口感就会变得非常差。不太好吃了。
1.上次去医院有给他测抗体拍片子,他叫的很惨,出来就吓坏了,反应很大一直发抖吐舌头,抱了好一会才好,比较担心是不是因为去医院才导致他目前的身体状况,很担心现在去检查又出问题
2.如果是因为应激反应导致的胃肠炎,那么可以居家治疗吗?会不会延误病情?
3.感觉目前的状况比较棘手,您能给一个综合性的治疗建议吗?
陈奕达
执业兽医师
您好,1.如果实在反应应激,并且猫咪现在状态还可以,那么您可以考虑采纳一下我上述的方案来帮助猫咪。2.保守治疗有利有弊,这个说实话,现在暂时无法预估,是否会耽误病情。可以先尝试试探着用药观察。3.综合性治疗的建议,就是使用上述的用药方案。然后在家注意猫咪的照顾,
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。
1.现在他是吃过东西以后过几个小时就会吐,这种情况的的话我需要等他吐完以后禁食禁水4-6小时再喂他吃东西吗?
2.如果反复出现上述吃了就吐的情况,没有好转的话,是不是必须去医院了?
3..葡萄糖水是人用的那种就可以吗?
陈奕达
执业兽医师
您好,1.需要在猫咪最后一次呕吐的时间开始计时,禁食禁水4-6小时,然后再给予吃喝。2.如果保守用药治疗之后,还是持续性呕吐,或者反复呕吐,那么必须就诊,以免耽误猫咪的治疗时机。3.葡萄糖水,就是普通人喝的那种10-25%浓度的就行。
谢谢您医生
1.他今早凌晨三点呕吐的,那我现在可以喂他吃东西了吧?吃完以后观察他是否还会呕吐,如果还有呕吐,是直接去医院?还是再禁食禁水再等4-6小时再尝试一次喂食,同时喂药?再观察是否呕吐?如果吃了药以后还是吃饭后就呕吐那就要去医院了对吗?
陈奕达
执业兽医师
您好,1.没有持续性呕吐,现在可以喂了。2.如果猫咪状态稳定,可以今天保守用药,然后观察一天(按照上述的流程)。3.如果用药,吃喝之后还是呕吐,那么就建议及时就诊了。
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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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"}},"3":{"id":18595,"prescription_id":108402,"doctor_user_id":1249218,"product_id":727,"product_sku_id":769,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-13 10:10:04","updated_at":"2022-04-13 10:10:04","product_info":{"id":727,"hash_id":"LEd98jx12epZaNMK","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":22,"sell_point":"胃溃宁(小)硫糖铝片100mg","title":"保灵胃溃宁(小)硫糖铝片 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