咨询描述:你好,医生,宝贝两个月,刚接过来差不多两个星期,接回来时又些流鼻涕,当时吃了三天些***,症状缓解,猫咪也比较精神了,但还是点流鼻涕,现在差不多一个多星期也还行断断续续流鼻涕,前天因为用营养膏给他伴着猫粮,吃了大半碗,肚子吃撑起来了,昨天晚上有点吐白色泡沫,用羊奶泡了益生菌大概20mg,吃完一个小时后又全吐出来了,自己上了一个厕所,便便软便加稀,猫咪吐的症状表现:先舔嘴巴,磨牙,然后吐,吐完大概又一个多小时的样子自己又去吃猫粮了,吃完就在我怀里睡着了,今天早上九点左右又有呕吐表现但是又没吐出来东西,体温感觉比较高,请问向他这样情况,这样我该如何是好
回复总结:针对猫咪呕吐白色泡沫还拉稀的症状,处理办法上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吸附性止泻药物。如果猫咪没有注射疫苗,也没有检查过抗体,还需要考虑是否有病毒性感染的可能,建议带猫咪去宠物医院做病毒筛查。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,猫咪家长,根据您以上描述,我初步分析猫咪很有可能是由于饮食不当,消化不良,引发了急性胃肠炎,导致了呕吐症状。
为了更好的帮助宝贝,我还有几个问题需要向您了解一下,
1. 猫咪今天食欲,吃喝状态如何?;
2. 猫咪体温您可以使用体温计测量一下。使用普通水银体温计,插在猫咪肛门内2分钟即可判断。正常体温37.5-39.0℃之间;
3. 猫咪平时生活环境温度能达到多少度?;
4. 猫咪最近吃的食物,是否有以前没吃过的新食物?最近是否有换猫粮?;
5.宝贝的疫苗,以及驱虫情况如何?
6.宝贝的年龄和体重信息您可以一同发送过来,如有需要,方便我待会儿给宝贝开具处方。
猫咪,今天大概4.5点左右自己吃过一次猫粮,然后我就抱她睡觉了,还没有打过疫苗,平时我抱着她睡觉,或者他自己猫窝我都开了电热毯,未更换过猫粮,接回来一直吃这个猫粮,没发生过不适,体外驱虫过,2个月体重0.95kg
陈奕达
执业兽医师
根据您的描述,个人大概率判断猫咪很有可能是由于消化不良,从而引发了一系列症状。然后我还有几个问题追问您一下,以进一步了解猫咪的病情,
一,猫咪生活环境温度是否可以达到25度恒温?是否有昼夜温差?
二,是否给猫咪进行过抗体的检查?
三,猫咪在今天吃喝之后,是否又出现持续呕吐的症状?(吐出东西来)
四,猫咪精神状态如何?跟它玩耍是否还比较活跃?
不能保证25度,现在长沙冬天都比较冷,我没有开空调,一般我出门她自己就在她的猫窝,一直开了电热毯温度都挺暖和,没有做其他检查,昨天四五点吃了东西,到现在应该没吃我也不是很清楚因为我在睡觉,我九点起来一直没进食,精神状态还好,流清鼻涕,一抱在怀里她就睡觉,和平时感觉差不多
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饮食不当,消化不良,着凉引发了急性胃肠炎问题,从而导致了一系列症状。跟生活环境温度偏低,以及之前吃撑有一定的关系。同时如果猫咪没有注射疫苗,并且没有检查过抗体的情况下,还需要考虑是否有病毒性感染的可能。所以这种情况下,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,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,保护胃肠道粘膜,促进消化的口服药来进行治疗,观察2-3天的时间。如果只是普通的胃肠炎问题,一般2-3天左右即可见效,然后持续用药1-2周的时间,直到康复为止即可。
如果实在不放心,可以带猫咪去附近宠物医院,进行血液,大便,消化道影像检查,进一步确诊病因以及发病程度,然后针对性用药治疗。
然后这边根据猫咪的情况,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。
可以先用药2-3天,如果3天后效果非常好的情况下,可以持续用药1-2周左右。
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26-25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6-8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。
如果我带她去,附近宠物店需要做一些什么检查是有必要的呢,什么又是不必要的,我想问清楚一下,需要一定做全套检查吗?
陈奕达
执业兽医师
您好,1.根据猫咪现在的疾病症状,基础检查项目,①血常规,②saa,③大便常规,④猫瘟病毒检测,⑤消化道超声,x光片。2.费用大概需要***-***左右,地区差异不一样,费用也是不同的。
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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