咨询描述:请问小猫大号完菊花带血是怎么回事啊?便便形状正常不软,没有吃过奇怪的东西,就吃干粮然后小时候得过疱疹已经好了,前段时间刚刚吃过内驱虫药,然后给她擦肛门血滴的时候也没有挣扎或者嚎叫的反应
回复总结:猫咪大便完出现肛门有血的现象,可能是肛门腺发炎或者肛周炎导致的。如果猫咪大便比较硬,判断是大便比较硬,排便不通畅,导致了肛裂或者肛周炎。处理办法上,建议给猫咪肛门口涂抹抗生素软膏,防止肛门出现感染,同时配合口服化毛膏5-7天,化毛膏含有油类的物质,可以软化大便,通顺排便。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,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、猫咪的品种、年龄、体重、公母、有无免疫、有无驱虫?
2、猫咪发生大便后带血有多长时间了?血液是鲜红的还是棕色的?
3、猫咪肛门腺有没有发炎?猫咪屁股有没有很臭的气味?
4、猫咪大便是不是很硬?有没有便秘的现象?
5、如果有猫咪肛门的照片,发给我看一下。
以上这些情况您仔细回忆后详细的描述给我,对我给猫咪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。
1. 布偶 一岁零一周 3.45公斤左右 母 已接种猫三联+一针狂犬 已绝育 每月外驱一次+2-3个月内驱一次
2.大便带血不是每次都有,偶尔会有。之前都是便便发硬所以带血丝。最近的情况:前两天因为连续吃了几顿主食罐(金色交响乐 200g)出现轻度软便情况,紧急喂了一顿干粮(***)又喂完了最后一块罐头肉(大概50g)出现软便+便血的情况。之后体内驱虫+喂了一天半干粮恢复正常。之后继续正常吃干粮,结果刚刚大便带血。血液是鲜红的
3.应该是没有发炎,没有明显臭味
4.大便是正常长条,应该没有便秘,但是便便落地可以听到声音
5.这是肛门带血的图片
还有一个问题,我们家猫小时候得过疱疹病毒(42天大发病),我们现在在韩国这边药性可能不太强,治疗了两个月才痊愈。然后现在猫咪经常会打喷嚏(平均大概1-2天一次),打喷嚏前会有鼻塞症状,打出来的喷嚏是浓黄色粘稠鼻涕有时候会带血丝,请问这个要紧吗?是不是疱疹病毒的后遗症啊?孩子精神状态,吃喝睡眠状态都非常好
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
关于您的猫咪大便带血,根据您提到的,大便带血偶尔,以前大便发硬,目前便便时有落地声,说明大便还是比较硬,大便带血是鲜红的,肛门没有明显的臭味,等信息,结合您发来的照片,猫咪的大便带血应该不是肛门腺发炎导致,我的判断应该是大便比较硬,排便不通畅,导致肛裂或者肛周炎,引起大便出血。
建议处理方案:
1、肛门口涂抹抗生素软膏,防止肛门肛门感染;
2、给猫咪口服化毛膏(而不是猫草)5-7天,化毛膏含有油类的物质,可以软化大便,通顺排便。
关于猫咪打喷嚏流出脓性鼻涕以及带有血丝,这种情况应该是猫咪的化脓性副鼻窦炎,有可能是有疱疹病毒感染(猫鼻支)引起。这种化脓性副鼻窦炎可以使用口服***进行治疗有效,但这种疾病比较顽固,停药后常常会复发,严重的病例有时候需要手术使用抗生素冲洗鼻窦。
下面我给您开一个处方供您参考。
陆文健
执业兽医师
根据猫咪大便带血的情况和流脓性鼻涕的情况,我给它开个处方。处方里面的:
1、***,用于治疗由于细菌、支原体等感染导致的副鼻窦炎;
2、***营养化毛膏,软化粪便,润滑肠道,用于治疗有于大便硬导致肛裂等原因引起的出血。
您可以根据需求自行选择购买。
建议处方:
1、***盐酸多西环素片,50mg×8片×3板/盒,一次口服1/3片,一天2次,连用7天;
2、***营养化毛膏,120g/支,一次口服5cm,一天2次,连用7天。
这个血有没有可能是内痔呢?虽然昨天带血的便便并没有软便,但是这段时间第一次便血是前两天连着吃罐头之后,软便之后出现的(软便+便血),她这个情况有没有必要去去医院做个便检呢?然后小猫现在一岁零一周了,但是只有不到7斤,虽然是母猫,但是体重是不是还是偏轻呀?不能连着吃罐头是因为肠胃系统脆弱吗(小时候没有这些毛病,长大之后反而变得挑食+软便),请问有没有什么强身健体的方法呢?等回国之后打算去市场买新鲜肉给她自制猫饭,或许这样您觉得可行吗?然后年底准备带猫回国了,她胆子比较小,为了防止她坐飞机应激可以准备镇静剂类药物吗?还是买一个不透明的航空包保护罩给她简单创造一个幽暗的环境就好呢?
陆文健
执业兽医师
所谓痔疮,就是肛门口静脉曲张,排便导致静脉曲张的部位有破损后出血。猫咪临床上很少肛门内静脉曲张,也就是您说的内痔,但也并不是不可能。实际上猫咪大便后出血,很多病例和肛门腺发炎有关,但您的猫咪不像是肛门腺发炎引起的大便后出血。总之,我的判断您的猫咪大便后出血,应该和肛门口或者肛门内有损伤导致流血的可能性比较大。
由于猫咪的流血是偶尔发生,并不是一段时间内都会出现大便出血,而且猫咪的出血明显是大便后出现,这种情况和猫咪肠道细菌感染或者原虫感染导致的出血可能性不大,便检可能没有什么意义。
可以麻烦您再回答一下刚刚提出的问题嘛(如图)?然后最后一个问题是因为我现在在国外不太好买到红狗化毛膏,针对猫咪连续吃罐头软便和大便出血的情况去宠物医院买点益生菌能有帮助吗?
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
1、您的猫咪(布偶)1岁正常体重应该在4公斤以上,目前不到7斤确实是体重偏小,可能和猫咪挑食有关;
2、关于猫咪的饮食,我的建议是以猫粮为主,适当补充猫罐头、冻干、营养膏、奶制品(纯酸奶等),如果给它水煮鸡胸肉、蛋黄之类的自制食物,进行补充,也是很好的饮食习惯;
3、可以适当补充复合维生素B和猫咪必需的牛磺酸,对于猫咪的健康很重要,比如蓝特斯喵多补含有复合维生素、牛磺酸等其他营养物质,可以一个月饲喂5-7天;
4、回国后,还是建议以猫粮为主,配合自制食物;
5、有的猫咪确实会在运输途中出现晕车、晕飞机的现象,可以使用晕车药,但目前没有宠物专用的晕车药物,由于剂量问题,需要谨慎使用,可能按您的方法,搞一个航空包,创造一个幽暗的环境也是一个好方法。
陆文健
执业兽医师
您可以给猫咪购买益生菌,对胃肠道消化功能有帮助,没有副作用,但对于猫咪大便后的出血可能意义不大。您可以到当地的宠物医院购买治疗毛团症的,类似化毛膏的药物,这类药物一般都会含有使用石蜡油,对于大便的软化和润滑肠道有好处,也就是便于大便的排出,减少出血的可能。
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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