咨询描述：基本情况:60天大的公性小体比熊，2月8号打的第二针二联疫苗，从屁股的毛都是大便和宠物店告知情况判断，9号应该在拉稀，12号接回来喂了益生菌后拉了正常的便便，到今天为止，每次便便都不成型，但是没有呕吐，昨天接回来没敢多喂泡软的狗粮，考虑到后面上班，宠物店建议一天三顿，所以没考虑少食多餐。 另外小狗晚上很安静，不叫不闹，要拉屎拉尿的时候会哼唧。
症状描述：1.每次拉的便便都不成型，2.时不时会甩身体的毛和坐着感觉像舔自己的屁股或者尾巴，有时会对狗窝和铁笼撕咬，有时舔舐自己的大便，3.偶尔会扒拉耳朵，看了下右耳有黑色的分泌物，左耳没有那么严重。4.时不时会发抖，睡在卧室开的空调，室温20°左右。
患病时长：从接回家到现在两天，精神还好，大部分时间在睡觉，饭点了我们就喂它15-20粒泡软狗粮，今天中午拌了半勺羊奶粉和碾碎的半颗微量元素片。
用药情况：昨天接回家喝了1/3袋益生菌，昨天晚上出现拉稀用了1/2袋益生菌，今天上午7点吃了狗粮后中途喝了1/3袋益生菌，没喝完。 中午喂了半颗微量元素片。
现在是想，1.怎么才能让它好起来，不拉稀，不出现异常行为。2.喂食方面因为要工作家里没人照顾，是准备7点13点19点各喂一次，可以吗？3.宠物店要我们现在做常规驱虫，但是现在小狗还在拉稀，我的***和***也没到，我想等它稳定了再驱虫，可以吗？
回复总结：狗狗有拉稀、大便不成形的症状，解决方面建议给狗狗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吸附性止泻的口服药。此外，还可以适当给狗狗补充益生菌调理肠胃。如果狗狗没有进行过驱虫以及完全疫苗，还需要怀疑是否有病毒感染，或者消化道寄生虫问题，建议带狗狗去宠物医院做病毒筛查和粪便检查。
问题大致一样，细节不同？
陈奕达
执业兽医师
我还有几个问题需要向您核实一下：
1. 狗狗接回家前后，是否做过基础的健康体检？；
2. 狗狗吃喝欲望如何？是否强烈？然后狗狗吃的狗粮，是新的牌子，还是在原来主人家喂的牌子？；
3. 狗狗除了腹泻，是否还有其它症状？
4. 狗狗是否趴在地面上休息，玩耍？
5.狗狗生活环境温度是否有昼夜温差？
1.没有去宠物医院做健康体检，太小又怕路途颠簸，也担心被医院其他宠物传染，就没去
2.吃喝欲望还好，一粒一粒，不抢食，狗粮是之前寄养的时候自己买了给宠物店的，要他们帮忙喂，接它回来时问了宠物店，可以直接换我的，不知道宠物店的话是否值得信
3.除了腹泻，就是第一次说的，咬笼子，舔粪便，甩身体等症状
4.接回来就笼养，没有放出来，大部分时间在睡觉
5.在卧室睡，空调整天开着，温差不大，现在准备把它放另一个单独房间，不过买了大功率的对流式暖风机，也是准备全天开。
6.图2是18点刚拉的便便，图4是下午16点左右喂1/3益生菌后拉的，宠物店让做驱虫，我担心它受不了驱虫药的药力，没喂。
为保护用户隐私不显示图片/视频
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，引发了肠炎问题，从而导致了一系列症状。跟吃的狗粮有一定的关系。同时如果狗狗没有进行过驱虫以及完全疫苗的情况下，还需要怀疑是否有病毒（细小病毒，冠状病毒）感染，或者消化道寄生虫（蛔虫，绦虫，滴虫，球虫）问题。
如果暂时不方便就诊，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，配合您手上的益生菌一同给予狗狗来进行治疗，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。
然后狗狗现在的饮食起居需要注意
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，因为着凉会加重宝贝的病情）。
②需要改善饮食，需要吃宝贝专用消化道处方粮，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。每次10粒左右的狗粮，然后一天喂4-5次。
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。
狗狗之所以会甩动头部，扒拉耳朵，跟耳朵痒，脏有关系，每天给予狗狗进行耳道清理即可缓解症状。而狗狗舔舐屁股，是由于腹泻之后，肛门不舒服导致的。等到腹泻康复之后，就好了。然后狗狗咬笼子或者小垫子，这个应该是在磨牙，可以等到狗狗完全康复之后，给予磨牙棒。最后就是驱虫，可以使用大宠爱，进行体外滴剂的驱虫，副作用很小的，只要不被狗狗误食即可。
1.专用消化道处方粮具体是什么？能否说下？请问怎么喂食，还是按照说明书即可。
2.这个处方粮不知道能不能买到，如果按现有的食物，应该怎么投喂。也可以去宠物诊所，但是有之前说的几点顾虑，如果风险大的话，可以在家先观察，也请您给个建议。
3.以上问题解决的话，大致费用是多少呢，至少缓解也可以
4.家里有测三大传染病的试纸，但是刚打完针，有弱阳性，怕显示不准
5.现在小狗拉完狗一直在卧室叫，平时不都这样，之前都是睡觉吃饭拉，现在叫的很大声，有点反常，好揪心！
6.现在只做体外驱虫就可以了吗？体内什么时候做合适
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
1.从小视频上看，狗狗叫声中气十足还是不错了。狗狗就是想出来玩耍，所以才叫的。2.厨房间按照狗狗现在的情况，可以每次10粒左右，用温水泡发，然后给予狗狗喂食，一天4-5次即可。然后随着狗狗的消化道适应，疾病恢复健康，逐渐的适当加量即可。3.如果需要检查化验，并且系统治疗，费用大概在1500-3000左右，地区差异不一样，疾病不同，药物不同，费用也会有浮动。4.大宠爱，属于皮肤透剂，不单单可以预防体外寄生虫，对消化道寄生虫也会有一定的效果。5.如果暂时不方便就诊，可以先在家给予狗狗进行一定的治疗，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。
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.消化道处方粮，狗狗消化道疾病期间，最佳饮食。
1.现在家里有葡萄糖酸钙口服液，****，****胶囊，****，****这几种药品，请问可以用这些药止腹泻和消炎吗，可以的话计量和服用频率能否告知下？ 您推荐的药品挺好，但是现在远水解不了近渴，看能否先稳住情况，不让它更严重。
2.打算给它明天晚上用***驱虫，可以吗
3.因为没有处方狗粮，准备禁食禁水到明天晚上，可以吗？非常感谢您的耐心解答，另外小狗不叫了
陈奕达
执业兽医师
您好，1.您说的这些药物，只有***以及***可以勉强使用，***可以每次半包，一天两次。***每次一包，一天两次。然后人类用药是针对人类设计的，并不适合给予狗狗服用，效果不一定好，而且可能会有未知性副作用，还请您慎重考虑后使用。2.爱沃克，大宠爱，都是可以的，这个没有问题。因为皮肤透剂相对还是很安全的，不过不能被狗狗误食。3.幼犬不建议长期禁食禁水，在不输液的情况下，会导致低血糖以及脱水问题。最长时间禁食禁水不能超过6小时。
医生，您好，早上打扰了。我自己很焦灼，我带宠物的大便去医院查了下，因为粪便超过一个小时，兽医说高度怀疑球虫感染，好像因为什么组织破裂导致确认不了，下次带新鲜粪便确认，同时也排除了细小，暂时阴性。让我继续观察，和您建议的一样。后面确认球虫，用大宠爱就可以吧？
陈奕达
执业兽医师
您好，如果狗狗后续确诊球虫问题，需要给予狗狗进行专用的驱杀球虫用药，***以及***对于球虫没有效果。
医生您好，和您报告下最新情况
1.昨天晚上那餐小家伙吃了20粒泡软小狗粮和撒在狗粮上的益生菌，没有拉，今天早上7点30左右喂20粒小狗粮，也没有拉，吃完玩了会就睡了，精神还好。能吃能睡就是没拉，有些担心
2.我早上看尿垫有点黄，给他吃的泡软的狗粮，早上吃完过半个小时给他喝水，他就舔了口，然后打了两个喷嚏就自己玩了，还是在咬笼子，不知道是喂的少了还是它在磨牙，摸了肚子不鼓，又怕喂多了肠胃承担不了，现在只敢喂20粒泡软的狗粮。
3.准备中午去带它医院看看，可以吃完午饭去医院还是空腹去好些。
感谢您
陈奕达
执业兽医师
您好，1.不用担心狗狗不拉，狗狗大便有所恢复之后，排便次数可能会减少。2.咬笼子应该是想出来或者磨牙。3.可以空腹去附近宠物医院就诊，更好一些。
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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