狗狗胰腺炎好了又吐了

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患宠信息:贵宾/妹妹/5岁2个月

咨询描述:二月初拉肚子,去附近医院看就是炎症,测了胰腺炎显示阴性,一周后拉血在去医院测胰腺炎阳性,住院四天出院,出院后一周发现下巴脖子那里皮下好几个瘤状物,去我们这医院说淋巴炎淋巴癌都说不好,都是只能消炎,不能手术,最近半个月总是时不时就吐,不是那种弓着腰一下一下那种吐,是胃反流那种,还总被呛着,去医院,医生就让吃益生菌,说他胰腺炎刚好,不敢再用消炎药,怕胰腺炎再犯了,我不知道那个医生说的对不对,想听听您的意见,它出院以后吃的**处方粮,大便一直很正常,就是时不时打嗝似的吐,吐完那天就食欲不好,就这样好两天坏两天,我们这医生也不给治疗,真是揪心,您有什么办法嘛,拜托拜托🙏🏻

回复总结:狗狗胰腺炎好了后又出现呕吐的症状,考虑是还存在胃部炎症的问题。由于狗狗胰腺炎刚刚恢复不久,暂时不建议给狗狗使用消炎药,以免引发胃肠道刺激。治疗方面,建议给狗狗口服促进消化道粘膜恢复的药物以及抑制胃酸分泌的药物,来帮助狗狗进行恢复。此外,还需要配合服用第三方胰酶补充剂,减轻狗狗胰腺的负担。饮食上,建议给狗狗饲喂肠道处方粮。

问题大致一样,细节不同?

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陈奕达

执业兽医师

根据您的描述,狗狗这种情况很有可能是有胃部炎症持续存在的一个问题,所以才会出现反流的症状。这个跟狗狗之前患有胰腺炎,从而引发的消化道后遗症有一定的关系。 然后从治疗的角度来讲,您可以尝试给狗狗口服一些提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,以及抑制胃酸分泌,保护胃肠道黏膜,治疗消化道溃疡方面的用药,来帮助狗狗进行恢复。 其次,除了给予狗狗用药以及处方粮以外,还需要给予狗狗口服一些第三方胰酶补充剂,可以减轻胰腺的负担,这样能起到降低胰腺炎复发的概率。

您能告诉我这些药的具体明显嘛?您觉得它脖子那里的肿物,淋巴癌的可能性大吗?想要查是不是要做什么检查呀?

陈奕达

执业兽医师

您好,1.脖子上的肿物,这个需要进行进一步的细胞学检查,才能进行判断。不过结合狗狗的年龄,肿瘤问题个人认为概率不是很大。2.然后这边根据宝贝的情况,我给宝贝开个处方。 处方里面的 1. ***,抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。 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. ***,宠物专用第三方胰酶补充剂,减轻胰腺负担,减少胰腺复发概率。 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

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狗狗胰腺炎好了不吃饭,要是没有出现呕吐的症状,就说明症状在渐渐好转,还需要给狗狗继续调节胃肠道消化菌群,可以目前给他吃益生菌,温水化开,早晚各一次,让狗狗喝,有没有给口服的药,狗狗还是继续要吃药的,您需要过一周之后再去复查一下,看胰淀粉酶的指标有没有降下来。

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执业兽医师

狗狗胰腺炎好了后还是出现呕吐的症状,这种情况说明胰腺问题有所好转,但是没有彻底康复。处理办法上,建议再使用几天胰腺用药,巩固治疗效果。然后,还需要增加使用针对胃肠炎的用药进行治疗,比如消炎药、抑制胃酸分泌的药物和修复胃肠道黏膜的药物等等。如果狗狗呕吐症状明显改善,还可以给狗狗饲喂处方罐头或者处方粮,以少吃多餐为原则喂食。

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