咨询描述：柯基弟弟，两个多月，4月27号确诊细小，输液第五天拉出虫子，并体内驱虫，治疗至5月8号，检测没有细小，恢复至今，拉屎还不正常，期间有拉稀情况，反反复复有喂治拉稀的药，现在吃营养配方狗粮5天，体重还不到两斤，走两步就要趴一下，只有在看见狗粮兴奋度高一些。前天又出现拉稀，又开始喂药，现在30多个小时又不排便了，狗粮一顿喂35粒，一天3次。现在不知道怎么办了
回复总结：幼犬频繁出现拉稀的症状，考虑是有肠炎的问题。处理办法上，建议定期给狗狗复查大便常规，根据狗狗当时的便便情况，进一步了解肠道所处疾病程度，然后针对性给予用药治疗。如果暂时不方便就诊，建议先狗狗口服宠物专用广谱药，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。此外，还需要适当给狗狗喂服益生菌，调整消化道菌群，促进消化。饮食上，建议用温水把狗粮泡发，做成狗粮糊糊给狗狗喂食。
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，我初步分析狗狗还是有一定肠炎问题存在，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. 狗狗现在喂食物，您是如何饲喂的？
2.狗狗后续是否有给狗狗进行大便的复查？什么时候做的？结果如何？
3. 狗狗生活环境温度能达到多少度？是否有昼夜温差？是否给予狗狗做好保温？
4. 狗狗除了喂的都是什么药物？
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。
1.一天喂3顿，时间分别在7点、12点半、8点，一顿35颗，大概7、8克左右。
2.5月8号检测的没有细小，之后没有再验过大便。
3.在河南洛阳，室内喂养，一楼，室温25左右。狗狗晚上睡笼子，笼子铺有衣服，尿垫。
4.药味的是优立芷500优立维，一天喂半片。
狗粮包装也发给你了。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
1.需要麻烦您告诉我一下图片上的药物是什么成分的。2.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还是有肠炎问题的持续性存在，从而导致了一系列症状。
狗狗这种长期软便的情况，需要定期复查大便常规，这样才能根据狗狗当时的便便情况，进一步了解肠道所处疾病程度，然后针对性给予用药治疗，效果达到最大化。
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，调整消化道菌群，促进消化的口服药来进行治疗，观察5-7天的时间。如果效果不错，可以持续用药2-3周左右。
最后饮食，建议用温水把狗粮泡发，做成狗粮糊糊，给予狗狗喂食，更好消化，有利于恢复。
狗粮喂的是干粮，吃完他自己会喝水，我也是在指导下喂干粮，因为这款本身就是针对肠胃不好，含有益生菌，就没有额外再喂。我现在需要知道怎么可以不让他拉稀，让他长体重，长个，我们都不发育了，可咋整。疫苗都打不了，哪也不敢去。喂也不敢喂，喂的量少不少，感觉他可饿，天天舔地，啥都舔，我们家有院子，在院子也是到处问，还吃沙子。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
1.狗粮，还是泡开，制作成狗粮糊糊饲喂狗狗，更好一些。虽然麻烦，但是有利于狗狗的恢复。2.狗粮内益生菌，以及医疗级别的益生菌，还是两个概念的。3.狗狗这种情况如果需要治疗效果达到最大化，那么首先需要进行一下大便的检查，进一步判断消化道所处程度，然后针对性给予用药治疗2-3个疗程。4.如果暂时不方便就诊，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，试试效果如何。
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.***益生菌，调整消化道菌群，促进消化。
（由于没有宝贝的详细体重信息，然后预估宝贝体重为5公斤体重计算用药量，如果预估不准确，您可以根据宝贝实际体重，结合药物说明书，重新计算用量）
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，因为着凉可能会加重宝贝的病情）。
②需要改善饮食，需要吃宝贝专用狗粮，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减少狗狗饮水量，喝平时的一半到三分之二即可。
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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