咨询描述：狗狗（母狗，年龄四岁半），十天前开始出现食欲减退，稍有呕吐，呕吐物为黄色稀水样，量少； 近一周的症状是不呕吐也不腹泻，但食欲明显变差（七天前还可以主动进食，但近四天几乎什么都不吃），精神状态也差、目光呆滞（平时特别活泼），发烧（最高温度达40℃）。今天早上用注射器给狗喂了约200ml的流食，然后今天中午将食物全部吐出来了，并且呕吐时在地上翻滚，站立不稳，摇摇晃晃。
用药情况：曾用****退烧，用阿莫西林克拉维酸钾消炎，用***促进胃肠动力，还吃过***助消化。
希望得到陈医生的帮助，是狗狗得胃肠炎还是慢性食物中毒还是犬瘟热呢？谢谢医生。
回复总结：狗狗突然出现食欲下降还呕吐的症状，首先考虑是由于饮食不当、消化不良，引发了急性胃肠炎问题。治疗方面，建议给狗狗口服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抑制胃酸分泌的药物。其次，如果狗狗没有完全免疫疫苗以及驱虫，还需要考虑是否有病毒以及消化道寄生虫感染的问题，建议带狗狗去宠物医院就诊检查，确诊病因以及发病程度，然后针对性给予治疗。
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，我暂时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. 狗狗发病之前，以及最近一段时间都吃了什么食物？是否新鲜？
2. 狗狗平时是否自行外出玩耍？是否有乱捡东西吃的习惯？
3. 狗狗吃了多少含有对乙酰氨基酚的药物？什么时候喂的？
4. 狗狗发病之后，是否做过检查？
5.狗狗的疫苗，以及驱虫情况如何？
6.狗狗平时是否经常吃肉？日常饮食都是什么？
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。
1. 狗狗发病前几天吃过酒席桌上剩下的排骨和猪蹄，最近患病这2周内，一开始病情不那么严重时，狗狗总想吃肉蛋奶，所以就给狗吃了这些，最近四天病情加重后，由于狗不主动进食，所以我把鸡蛋和火腿肠打碎并且加入了少量葡萄糖水。
2. 狗狗平时都是家人带着他去玩的，但有时候由于狗跑得很快，确实看见过狗狗吃地上的脏东西。
3. ***片吃过3次，每次吃半片，每次都是狗狗体温超过39℃时给他吃的。
4. 发病后没有做过任何检查。
5. 狗狗从未接种过任何疫苗，也从未驱虫。
6. 平时经常吃肉，因为狗狗特别挑食，面食和米饭根本不吃，所以经常给它吃肉、蛋、奶，蔬菜和水果还有蛋糕。
陈奕达
执业兽医师
根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于饮食不当，消化不良，引发了急性胃肠炎问题，从而导致了一系列症状。跟吃的骨头等食物有一定的关系。同时如果狗狗没有完全免疫疫苗，以及驱虫的情况下，需要考虑是否有病毒（细小病毒，犬瘟病毒，冠状病毒），以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。最后，如果狗狗经常吃肉，那么需要考虑是否有胰腺炎问题，导致了一系列症状。
然后千万不要再喂对乙酰氨基酚成分药物，对狗狗的肝脏有很大损伤，容易引发肝衰竭问题。
由于狗狗的症状比较严重，最佳的方案就是带狗狗去附近宠物医院就诊，进一步检查，确诊病因以及发病程度，然后针对性给予用药治疗，效果最好，最为安全稳妥。
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，抑制胃酸分泌，治疗消化道溃疡）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。
陈奕达
执业兽医师
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。
好的，感谢陈医生。我还有以下问题想咨询您。
1. 目前狗狗可以吃（用注射器喂）哪些食物为宜？
2. 除了广谱的治疗胃肠炎的药物，还需服用哪些药物？
3. 如果狗狗有幸能挺过这一次，那以后的喂养是不是必须做出改变呢？
陈奕达
执业兽医师
您好，1.狗狗现在建议喂食泡开的狗粮糊糊，以少吃多餐为选择进行喂食。用温水，把狗粮泡发，搅拌成糊糊。2.狗狗的最佳饮食，就是狗粮。康复以后，建议给予狗狗喂食狗粮。3.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（点击查看详情按钮，进入处方页面查看）
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.***，抑制胃酸分泌，治疗消化道溃疡，有一定止吐效果。
4.***，保护胃肠道粘膜，治疗消化道溃疡。
医生您好，我家狗狗刚才突然出现了以下情况：挣扎着想站起来，但是四肢无力，头也仰不起来，请问医生这是不是快要不行了的预兆啊？谢谢医生。
陈奕达
执业兽医师
您好，狗狗这种情况应该是非常的难受，并且疾病情况还是有一些严重的。如果条件允许，还是建议及时就诊，进行治疗，这样更为安全稳妥一些。
医生您帮忙看一下，目前狗狗就是这个状态。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，图片上是没有办法看出来狗狗的精神以及疾病程度的。如果暂时不方便就诊，您可以尝试上述方案来帮助狗狗。同时可以给予狗狗使用温水袋，温敷一下肚子，应该可以让狗狗稍微舒服一些。
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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