咨询描述:症状描述:狗狗三月大 四天前打了第一针疫苗 回家第二天出现呕吐拉稀症状 喂了***三天还在拉稀 精神状态不是特别好 试纸测出了犬瘟 去附近的宠物医院做了便检 没有寄生虫 今天还是有拉稀症状 加喂了*** 除了拉稀外精神状态不是特别好 别的没什么症状
回复总结:幼犬出现呕吐、拉稀的症状,用药治疗方面建议给狗狗吃宠物专用广谱消炎药,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口服药。用药后观察2-3天的时间,如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。如果条件允许,建议带狗狗去宠物医院进行犬瘟、细小、冠状三种病毒的pcr检查,同时进行消化道寄生虫以及影像学检查,排查病毒感染和肠道寄生虫的因素。
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,我初步分析狗狗是有急性胃肠炎的问题,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. 狗狗除了大便以及犬瘟病毒检测,是否还有做其它化验?
2. 狗狗发病之前,都喂了什么食物?是否新鲜?
3.狗狗生活环境温度能达到多少度?是否有昼夜温差?
4. 狗狗现在吃喝欲望如何?今天是否有呕吐症状?
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。
是这样的医生 我在网上也查阅了很多资料 其中有说在疫苗接种后的两周内测试犬瘟都有可能出现假阳性的情况 我想咨询一下现在我家狗狗有没有可能就是这个情况 然后我看犬瘟症状有咳嗽流鼻涕浓眼屎发烧呕吐拉稀 从昨天测出来犬瘟以后到现在为止我给它测量了6次体温 都在38度7到38度8的样子 然后我家狗狗现在的症状拉稀和无力精神没有平时好 吃饭没有平时凶猛以外没有别的症状 在打疫苗前的一周半 有点感冒和咳嗽 还有肠炎 去家附近的宠物医院打了消炎针和开了消炎药 打完针以后精神状态正常 便便正常 吃喝都正常 询问了宠物医院的医生 说停药三天后可以进行疫苗接种 所以在三天后带狗狗去打了疫苗 打完疫苗后就出现了刚刚跟你描述的那些症状 宠物医院医生让我带回家观察两天 看是否是犬瘟 麻烦您帮我看一下 我现在是否需要做些什么别的么 需不需要给它喂一些补充营养的东西 葡萄糖蛋黄或者鸡胸肉这类的呢 我现在每天只给它吃了狗粮 营养膏 妈咪爱益生菌 蒙多石散 别的都不敢喂 我还想知道它现在的症状是假阳性的可能会有多大 如果真的是犬瘟 以它现在的症状我该怎么给它治疗呢 需不需要补充一些提高它自身抵抗力和免疫力的东西 如果需要希望您推荐一下谢谢
1.三项测试犬瘟 细小 冠状 便检都做了 只有犬瘟测试板中有两条杠
2.狗狗拉肚子前喂了狗粮 和一点牛肉粒 吃完并没有不适
3.狗狗在室内生活 白天温度在二十度左右 晚上在十几度的样子 身上穿的有衣服 在睡觉的时候窗户会关上 留小缝 笼子上面盖有瑜伽垫
4.狗狗在吃纯狗粮的时候吃的特别干净 但是狗粮里加了药或者益生菌它就不吃 已有3天没有出现呕吐症状
陈奕达
执业兽医师
您好,1.狗狗这种情况确实会有可能出现假阳性结果,跟注射疫苗有很大的关系。2.狗狗这种情况如果进一步检查,需要给予进行犬瘟,细小,冠状三种病毒的pcr检查,这种检查相对来讲,还是比较准确的。受到疫苗的影响要小很多。其次就是进行一下消化道寄生虫以及影像学检查。3.30-40%概率假阳性。4.如果真的是犬瘟病毒,那么需要给予狗狗进行针对性抗病毒治疗消化道,使用单抗(每公斤1毫升,一天1-2次,皮下或者肌肉注射)以及干扰素(每公斤50万单位,每天一次,皮下或者肌肉注射)等一系列用药,同时需要考虑输液治疗,来补充体液,防止脱水的问题。
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27-28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如果宝贝出现再次呕吐,建议先禁食禁水6-4小时,之后没有持续呕吐的情况下,再考虑吃喝以及口服药。如果持续性呕吐,那么就需要考虑静脉输液治疗。
陈奕达
执业兽医师
如果暂时不方便就诊检查的情况下,可以在家先给宝贝吃一些宠物专用广谱胃肠炎(消炎,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)的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
我还是考虑在家用药 我现在也不能确定它到底是否真的是犬瘟 我需要什么时候再给它进行测试呢? 针对它现在腹泻和精神状态不太好有些无力的情况我该给它吃些什么呢?
陈奕达
执业兽医师
您好,1.进一步检查,可以按照上述的建议,然后这边再帮您截图圈画一下。2.然后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。
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.***,保护胃肠道粘膜,治疗消化道溃疡。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
补充一下,如果再次复查,建议最近几天。然后如果想保守治疗一下复查,那么可以考虑一周之后复查。
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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