回复总结:猫出现排尿时间长但能尿出来的情况,考虑是慢性的尿储留症状。针对这种情况,建议先观察一下猫咪排尿的情况,如果确实一直没有排尿,且膀胱十分充盈,建议尽快带猫咪去宠物医院进行导尿手术或穿刺手术,先帮猫咪排出尿液,缓解膀胱压力。然后建议给猫咪做腹部B超检查,重点看膀胱是否存在结构性病变或膀胱三角区、前列腺部是否有病变。如果是肿瘤、前列腺增生,需要手术治疗。如果是前列腺炎,可以考虑先使用药物进行保守治疗。
问题大致一样,细节不同?
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。从您描述的症状以及它目前的年龄、性别进行诊断,初步判断是下泌尿道综合征引起的排尿困难。
我还有几个问题需要向你核实一下:第一、它这次发病有多长时间了?之前有过这种症状或者病史吗?第二、如果有过病史,请问是否有过导尿?第三、它目前是否还能排除尿液?第四、它目前精神状态和食欲是否还正常?
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。
它蹲厕所几分钟才尿尿的情况大概有三个月了,之前没有病史,没有导尿,目前没有排出尿液,食欲和精神正常
周琪林
执业兽医师
按照您反馈的信息,我对它的病情有进一步了解。您是说它并不是排不出尿,而是每次排尿前都需要蹲很久才会排出来尿,是这种情况吗?
如果是这种问题,那请问您有观察它每次排尿尿量大吗?是否有很大的结块?
如果排尿量大,且没有出现尿频或者憋尿等情况,那这种情况就不考虑下泌尿道综合征的问题,而是重点考虑其他泌尿道方面的疾病。
对,它排尿大概有3厘米的直径的圆球,并不知道是否有憋尿情况,它这一次是蹲了十几分钟没有尿出尿
周琪林
执业兽医师
那说明它并没有尿频或者不能排尿,而是每次排尿都会很长时间才能够排出来。这种情况考虑慢性的尿储留症状。
通常引起尿储留的原因有下泌尿道感染、前列腺炎(如果没有绝育)、尿结晶、膀胱功能性障碍等。而且这个病不排除从慢性转为急性,导致尿闭的问题。
针对它目前的情况,建议您观察一下它本次排尿情况,如果确实一直没有排尿,且膀胱十分充盈(可以触诊下腹部,看能否摸到坚硬的膀胱),建议尽快去宠物医院进行导尿手术或者穿刺手术,先帮它排出尿液,缓解膀胱压力。然后建议给它做一个腹部B超检查,重点看看膀胱是否存在结构性病变(如肿瘤)或者膀胱三角区、前列腺部是否有病变。如果存在问题,根据具体问题进行相应治疗。肿瘤,前列腺增生需要手术治疗。而如果是前列腺炎,可以考虑先使用药物进行保守治疗。
周琪林
执业兽医师
感谢您的信任,目前平台只能提供针对下泌尿道感染、慢性前列腺炎的治疗方案,而如果需要导尿手术或者其他切除手术,建议进行进一步检查评估后进行。
处方建议:第一、口服****,*****抗生素,对泌尿道感染,前列腺炎有一定治疗作用。按照每公斤体重5毫克,一天一次给药。第二、***,针对泌尿道炎症、尿结晶有较好的治疗作用。如果是下泌尿道感染和前列腺炎,可以参考这个治疗方案给它进行用药治疗。
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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