咨询描述:十三岁公泰迪,早起呕吐半消化食物残渣(昨日进食:早餐:牛肉冻干+狗狗羊肉肠一小根,晚餐:鸡肉冻干威化+鱼饼冻干一片+小号西红柿一颗),闭尿,有结石病史,去医院检查后发现结石复发,但并未堵塞尿道。下午回家后连续软便,最后一次为水样便,已给予益生菌继续观察,狗狗精神,食欲均不佳。
回复总结:狗狗出现呕吐还拉水样大便的症状,首先考虑是急性胃肠炎。治疗方面,建议给狗狗客服口服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泻的药物。其次,还需要考虑是否有胰腺或者肝胆管方面的疾病问题。最后,如果狗狗没有完全免疫疫苗以及驱虫,需要考虑是否有病毒以及消化道寄生虫感染的问题。如果条件允许,建议最好带狗狗去宠物医院,确诊病因以及发病程度,然后针对性给予治疗。
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,我初步分析狗狗有胃肠炎问题,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. 狗狗您养了多久?发病之前吃的食物是否新鲜?
2. 狗狗今天就诊之后,都做了什么化验?可以把结果发送过来分析一下。
3. 狗狗吐了几次?拉了几次?
4.狗狗生活环境温度能达到多少度?是否有昼夜温差?
5.狗狗的疫苗,以及驱虫情况如何?
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『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.狗狗我养了十三年,食物都是他日常吃的冻干。
2.就诊后只做了x光,发现了结石复发,因为以为是和以前一样的闭尿,所以就只检查了膀胱。因为早起狗狗拉了一个正常的便便,只是吐了食物残渣,向坐诊医生询问后,坐诊医生表示没事,就没有检查消化系统。
3.狗狗一共吐了一次,拉了四次,第一次正常,第二次偏软,第三次一摊,最后就是图片上的样子了。
4.狗狗生活的环境应该是在24~26℃左右,中午热时给与空调。
5.狗狗年纪大了,两年没有打过疫苗了,最近一次驱虫是三月份。狗狗体重是4.98公斤
6.以上是狗狗十点三十分以来唯一一次排尿的照片,膀胱照片,和排出的小碎石照片。现在狗狗属于蜷缩熟睡状态,一直没有再次排尿。
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,1.狗狗的结石问题,不会引发狗狗出现呕吐,腹泻的症状。2.而呕吐,腹泻明显的就是消化道系统的疾病问题。不太清楚主治医生为什么没有针对消化道疾病问题,给予狗狗进行检查。3.以个人的经验判断宝贝很有可能是由于饮食不当,消化不良引发了急性胃肠炎问题,从而导致了一系列症状。跟吃的食物比较杂乱有一定的关系。其次,还需要考虑是否有胰腺或者肝胆管方面的疾病问题。同时如果狗狗没有完全免疫疫苗,以及近期驱虫的情况下,需要考虑是否有病毒(细小病毒,犬瘟病毒,冠状病毒),以及消化道寄生虫(蛔虫,绦虫,滴虫,球虫)感染的问题。
由于狗狗年龄比较大,所以最好的方案就是带狗狗去附近宠物医院,进一步检查确诊病因以及发病程度,然后针对性给予治疗,最为安全稳妥,效果也是最好的。
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。
因为早起的时候狗狗还没有拉这种性状的便便。一直以为是狗狗闭尿,然而狗狗现在一直不排没有再去排尿,更没有排尿的姿势,我已经给狗狗补充了许多水分,可狗狗还是不去,已经四个半小时了,一直在窝里睡觉,请问肠胃问题会引起狗狗闭尿么?
陈奕达
执业兽医师
您好,1.消化道疾病,不会引发狗狗出现尿闭的问题。2.泌尿系统疾病问题,也不会引发狗狗出现腹泻症状。3.狗狗之所以一直睡觉,很有可能是肚子不舒服导致的。
您的意思是,狗狗目前持续不排尿也没有关系,先干预肠胃炎症状,等到有精神了,可能就会自己排尿了?那么请问一下狗狗持续多久不排尿,需要去医院导尿?对了,狗狗的鼻尖冰凉湿润,没有发烧。
陈奕达
执业兽医师
您好,1.排尿问题还是有待观察的。毕竟狗狗的结石问题已经确诊了。2.在观察尿尿同时,还是需要积极应对狗狗的消化道系统疾病问题的。3.狗狗现在并不是单一一个疾病问题,是有结石以及消化道系统疾病。4.如果喝水正常,超过24-36小时没有排尿,就需要进行导尿了。5.狗狗不发烧是好事儿(并不是所有疾病问题都会引发狗狗发烧)
请您推荐一些适合狗狗现在的状况吃的止泻药和消炎药,我现在去采购,给狗狗喂食后,持续观察。还有请问,狗狗目前可以喝人用的***及***吗?
陈奕达
执业兽医师
您好,1.人类用药建议停止使用,因为人用药是针对人类设计的,并不一定适合给予狗狗服用,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.然后这边根据宝贝的情况,我给宝贝开个处方。供您采纳参考一下。
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。
再次感谢您的回答,最后一次追问,问您一个问题,狗狗频繁吐舌头,反复吞咽口水,是什么身体异常的信号吗?
陈奕达
执业兽医师
您好,狗狗吞咽口水,大多数是由于咽喉或者口腔粘膜有异常。但是如果狗狗没有持续性出现这种情况,或者持续性流口水,吃喝费劲的情况下,一般是没有太大问题的。然后夏天天气炎热也会导致狗狗吐舌头以及吞咽口水的症状,狗狗在散热。
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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