咨询描述:医生你好,早上我家狗狗便秘拉不出,我回家给用了开***,后来排便出来了!以后去医院拍片完,处理了肛门腺,回来黄色软便,细条粘地的那种,然后便中带有大条红血丝。
回复总结:狗狗便秘使用开塞露后出现大便带血的症状,考虑是便秘以及药物刺激损伤了肠道粘膜。处理办法上,建议持续观察狗狗后续的排便,如果后续没有大量出血,或者没有出血症状,什么没有问题了,正常在家饲养即可。然后,建议给狗狗口服促进消化道粘膜恢复的药物,同时配合服用益生菌,调整消化道菌群,促进消化。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的狗狗使用开塞露,缓解便秘情况,我初步分析狗狗后续的软便,以及带血丝,很有可能跟使用开塞露以及便秘的时候,过硬的大便损伤了局部的肠道粘膜,引发的血丝症状。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. 狗狗最近是否吃过硬的,不好消化食物?;
2. 狗狗便秘几天了?;
3. 狗狗现在吃喝玩,精神状态如何?
4. 是否有狗狗大便的图片,您可以发送过来。
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『年龄、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。
就今天早上便秘的,日常没有吃除了狗粮以外的东西,除了蔬菜。吃喝正常,精神正常。这张便图可能不太清楚。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
从图片上,血液只有一点点,问题不大,就像我上述的那样,很有可能是由于便秘,损伤了局部的肠道粘膜,从而导致了一系列症状症状。可以持续的再观察一下狗狗后续的排便,如果后续没有大量出血,或者没有出血症状,那么没有问题,正常在家饲养即可。然后可以给狗狗口服一些宠物专用提供消化道营养,促进消化道粘膜恢复,调整消化道菌群,促进消化用药,帮助狗狗恢复即可。
根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. ***,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复。
2. ***益生菌,调整消化道菌群,促进消化。
陈奕达
执业兽医师
您好,如果主治医生没有医嘱,在狗狗没有呕吐的情况下,可以不用禁食禁水,正常给予吃喝即可。然后以少吃多餐为原则给予狗狗喂食即可。
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
{"347300":{"id":347300,"case_id":40355,"user_id":1249218,"to_user_id":1721256,"type":3,"content":"从图片上,血液只有一点点,问题不大,就像我上述的那样,很有可能是由于便秘,损伤了局部的肠道粘膜,从而导致了一系列症状症状。可以持续的再观察一下狗狗后续的排便,如果后续没有大量出血,或者没有出血症状,那么没有问题,正常在家饲养即可。然后可以给狗狗口服一些宠物专用提供消化道营养,促进消化道粘膜恢复,调整消化道菌群,促进消化用药,帮助狗狗恢复即可。\n\n根据狗狗的情况,我给宝贝开个处方。\n处方里面的\n1. ***,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复。\n2. ***益生菌,调整消化道菌群,促进消化。","media":{"images":{},"videos":{},"business_params":{"prescription_id":101717}},"is_doctor":1,"status":1,"created_at":"2022-01-28 11:00:02","show_rx":true,"rx_info":{"id":101717,"rx_no":2.0220128110000502e+24,"user_id":1721256,"doctor_user_id":1249218,"is_independent":0,"case_id":2595045,"pet_info":{"pet_id":249978,"pet_name":"巴哥","pet_nickname":"阿布","pet_gender":4,"pet_birth":"10-11","pet_weight":9,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10岁11个月"},"diagnose":"初步分析是由于便秘,导致了局部消化道粘膜损伤的问题,引发了一系列症状。","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-28 11:00:00","updated_at":"2022-01-28 11:00:02","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":3830,"prescription_id":101717,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复","created_at":"2022-01-28 11:00:00","updated_at":"2022-01-28 11:00:00","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":204,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 13:34:38","ins":{"id":183,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料 (SP-100)","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2024-06-01 18:21:02"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":220,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":216,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 12:04:11"}},"1":{"id":3831,"prescription_id":101717,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":1,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-28 11:00:00","updated_at":"2022-01-28 11:00:00","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}},"drug_data_bak":{"0":{"id":3830,"prescription_id":101717,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复","created_at":"2022-01-28 11:00:00","updated_at":"2022-01-28 11:00:00","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","recommend_reason":{"0":"宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段","1":"宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段","2":"宠物的便秘状况等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"肠胃,菌群,消化,胰腺","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/dd27793dd41de67c0aaf5a1e9cb9bf85.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":204,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 13:34:38","ins":{"id":183,"hash_id":"","class_ids":"[1,2]","title":"宠物添加剂预混合饲料 (SP-100)","common_name":"宠物添加剂预混合饲料 (SP-100)","trade_name":"威常康","en_name":"Pet additive premixed feed(SP-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/64e01ac610e38021efc1c5ba8c91ab19.png","specification":"60ml\/瓶","reference_price":118,"component":"葡萄糖浆、纯净水、低聚果糖、维生素B1、维生素B2、维生素B6、维生素B12、维生素C、烟酰胺、叶酸、硫酸锌、硫酸亚铁、氯化钾、谷氨酰胺等","indication":"1.宠物腹泻、呕吐、急慢性胃炎肠炎、胃肠道手术恢复阶段\n2.宠物胰腺分泌功能不全(EPI)、胰腺炎、结肠炎、炎症性肠道疾病(IBD)阶段\n3.宠物的便秘状况等。","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"应储存于干燥、通风、避光、清洁的环境,不得与有毒有害等污染物混贮","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-24 15:40:00","updated_at":"2024-06-01 18:21:02"}},"product_sku_info":{"id":792,"product_id":750,"title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 60ml\/瓶","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":220,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":216,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:15:03","updated_at":"2024-11-20 12:04:11"}},"1":{"id":3831,"prescription_id":101717,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":1,"dose_unit":"g","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2022-01-28 11:00:00","updated_at":"2022-01-28 11:00:00","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}}}}}
微信扫一扫
立即问宠医