咨询描述：你好，柴犬公幼犬。购买时说2月龄，打过一针疫苗驱过虫做过细小检查。「无证明」于3月9日购买，前期偶尔有打喷嚏情况。说是正常并没就医。
接回家后于3月15日上午10点去诊所补打第一针***五联疫苗，打完截止0点前一切正常，活泼，正常饮食排便。
当天晚上16日0点后突然呕吐，呕吐物疑似消化的狗粮。凌晨排便物疑似面条状虫。诊所建议吃驱虫药，16日上午服用半片***，17日服用半片***。
连续两天不吃东西，呕吐，16日上午吃了两小条鸡胸肉丝，晚上呕吐出肉渣。17日不进食。强行喂2汤匙葡萄糖。
看似没有力气，只想睡觉。牙龈发白。
接回来后期间饮食主食为**狗粮，每天2根鸡肉干地瓜干磨牙棒。喝**饮用水。喝过2天***羊奶粉拉肚，停奶后排便正常。
回复总结：狗狗出现拉虫子、呕吐的症状，考虑是由于消化道寄生虫感染引发了急性胃肠炎问题。治疗方面，建议给猫咪吃宠物专用广谱消炎药，减轻消化道炎症，同时配合服用促进消化道粘膜恢复的药物以及吸附性止的口服药。此外，建议配合体内驱虫用药来进行治疗。然后，建议保证狗狗生活环境温度能达到25度恒温，不要着凉。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的症状，我初步分析狗狗是有急性胃肠炎的问题，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. 狗狗拉出来的条形虫子，是什么样子的？是否有图片？是否像我给您发送的这个图片一样？
2. 狗狗喂的粮食牌子以及零食，是否是狗狗以前家里吃的牌子？
3. 狗狗发病之后，是否做过检查，结果都是什么样子的？
4. 狗狗除了驱虫用药，是否还有使用其它用药？如何使用？
5.狗狗生活环境温度能达到多少度？是否有昼夜温差？
为保护用户隐私不显示图片/视频
1.拉出来的虫子没有拍照，像绦虫那样是扁的，不动。可能死了。连续两天都有排虫子的现象。2.狗狗吃的狗粮为混粮，想给他换粮。前几天吃的是在上一任家庭喂养时吃的粮。后几天才和卫仕混合。
3.发病后与当时补打疫苗的诊所联系。给出的建议为喂食罐头，鸡胸肉，做体内驱虫。
4.只吃了体内驱虫药，没有其他另外用药。
5.生活城市成都，手机显示最高温29°，最低16°，室内最高温27°，夜晚稍凉。存在昼夜温差。
狗狗在夜晚睡觉时会在瓷砖和窝里两个地方睡。
另外在第一天拉虫时有腥臭味，其余拉虫时为臭味。每天干呕次数大概5次，能呕吐出物大概1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道寄生虫感染，引发了急性胃肠炎问题，从而导致了拉虫子等一系列症状。同时有昼夜温差，着凉，也会进一步导致疾病的发展。
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）的口服药，配合驱虫用药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药2-3周左右，直到疾病康复为止即可。然后一定要保证狗狗生活环境温度能达到25度恒温，不要着凉，因为着凉，可能会进一步加重狗狗的病情。其次就是狗狗的饮食，建议暂时更换回原来旧的牌子狗粮。等到疾病康复之后，再考虑换粮问题。
陈奕达
执业兽医师
您好，可以的。不过需要在狗狗没有频繁呕吐的情况下，以少量多次的给予喂食温热葡萄糖水。每次5-8毫升左右，2-3小时喂一次。
陈奕达
执业兽医师
好的，好的，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. ***，宠物专用吸附性止泻，大便成型之后立刻停药，吃多了容易便秘。
4.***，保护胃肠道粘膜，治疗消化道溃疡。
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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