咨询描述：你好，我家的小狗昨天凌晨吐的很厉害，以前也有偶尔吐，也是凌晨，到昨天比较严重，凌晨到中午吐了很多次，黄色的透明的…于是就去了附近的医院，化验血和b超…结果是肠胃积液…验血是有点炎症，诊断为肠胃炎，昨天输液及消炎针和止吐，昨晚回家喂食比较好，精神也不错…但是今天凌晨6点到九点又吐了两次…去医院看b超说是积液基本没了，你好，我家的小狗昨天凌晨吐的很厉害，以前也有偶尔吐，也是凌晨，到昨天比较严重，凌晨到中午吐了很多次，黄色的透明的…于是就去了附近的医院，化验血和b超…结果是肠胃积液…验血是有点炎症，诊断为肠胃炎，昨天输液及消炎针和止吐，昨晚回家喂食比较好，精神也不错…但是今天凌晨6点到九点又吐了两次…去医院看b超说是积液基本没了，疑似十二指肠溃疡，不确定……于是继续跟昨天一样输液和消炎…到最后输液快完成时又吐了两口…说是回家再看看…目前在家又吐了两次…请您帮忙看看到底什么情况疑似十二指肠溃疡，不确定……于是继续跟昨天一样输液和消炎…到最后输液快完成时又吐了两口…说是回家再看看…目前在家又吐了两次…请您帮忙看看到底什么情况
回复总结：猫咪突然连续呕吐，常见的原因有：食道炎、胃炎、胃溃疡以及十二指肠溃疡、急性胃肠炎、病毒感染等等。如果狗狗总是在早上呕吐未消化的食物，考虑是反流性食道炎的可能性比较大，建议给狗狗口服胃酸抑制剂，同时配合服用消化道粘膜保护类药物。关于饮食，建议近期采取少吃多餐的方式，最好将狗粮泡软，可以给狗狗补充适量纯酸奶，对于胃肠道等有一定的保护功能。
问题大致一样，细节不同？
陆文健
执业兽医师
根据您讲到的狗狗主要症状是呕吐，狗狗呕吐的原因有很多，比如食道炎、胃炎、胃溃疡以及十二指肠溃疡、急性胃肠炎、以及一些病毒感染导致的呕吐，比如细小、犬瘟等。
但仅仅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、狗狗品种、年龄、体重、公母、有无免疫、有无驱虫？
2、您的狗狗昨天凌晨出现严重呕吐以前，狗狗一般多长时间会出现一次凌晨呕吐？一般呕吐物有什么物质？是什么颜色？
3、狗狗除凌晨出现呕吐外，其他时间段有没有呕吐？大便正常吗？狗狗精神状态怎么样？吃食情况怎么样？
4、麻烦您把医院的化验报告单全部发给我作为参考；
3、麻烦您把医院这几天治疗药物名称告诉我，或者把处方发给我参考。
以上这些情况您仔细回忆后详细的描述给我，对我给狗狗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。
比熊，8个月，2.6公斤…小公，疫苗全，有驱虫
之前呕吐是两三天一次，凌晨居多，黄色的有时伴有没消化的狗粮。后来喂了几天益生菌，就有五六天没吐了，然后就是那天凌晨突然吐的厉害了。回想这两天的吃喝感觉就是当天晚上喂的泡了狗粮大概30颗左右是从冰箱里拿出来的。
其它偶尔吐非常少，我就记得一次在下午，玩的高兴了，卡卡两下吐了一口，大便都正常，就是吐的前一天开始，大便也前一段正常，最后滴了几滴稀的…这样的大便有两次，精神状态一直都好，也能吃，就是吐，
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
看了您发来的化验报告，数据没有什么大的问题，B超液未见肾脏和胰腺的问题，结合您的描述所提供的信息：
1、狗狗主要集中在早上出现呕吐；
2、狗狗早上呕吐发生已经有比较长的时间；
3、昨天狗狗早上比较严重的呕吐前，吃的狗粮是直接从冰箱中取出，温度比较低；
4、狗狗呕吐物黄色，有时候伴有未消化的狗粮。
根据以上的信息，通过综合分析，我的判断狗狗反流性食道炎形成的呕吐的可能性比较大，所谓反流性食道炎，主要是由于胃炎等因素，分泌胃酸旺盛，进入食道，对食道产生刺激，造成狗狗的呕吐。
从医院的治疗用的处方来看，主要是消炎、补充水分和电解质以及止吐药物进行治疗，但处方上显示有胃酸抑制，但没有标明使用哪种胃酸抑制药物（常规的有***或者***）。
给您的狗狗建议治疗方案为：
1、口服胃酸抑制剂，比如***；
2、口服消化道粘膜保护类药物，比如***，***片。
下面我给您的狗狗开个处方供您参考。
陆文健
执业兽医师
根据狗狗可能是反流性食道炎的情况，下面我给它开个处方。处方里面的：
1***片，抑制胃酸分泌，用于治疗和预防胃、十二指肠溃疡及反流性食管炎。
2、****（小）硫糖铝片，用于食道、胃、十二指肠粘膜的保护。
建议处方：
1、***片，0.1g×24片/盒，一次口服1/4片，一天3次，连用7天；
2、****（小）硫糖铝片，100mg×8片×3板/盒，一次口服1.5片，一天2次，连用7天。
这几天吃东西少…主要是不敢喂，吐的透明的液体比较多
陆文健
执业兽医师
关于饮食：
1、这几天喂食量需要控住，采取少吃多餐的方式，一天可以喂到4-6次，每一次给的狗粮少量就可以，最好泡软。
2、可以给狗狗补充适量纯酸奶，酸奶对于胃肠道等有一定的保护功能；
3、狗狗零食等东西，暂时不喂或者少喂；
4、饮水需要充足供应。
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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