咨询描述:您好郭医生,最近几个月我家小泰迪(2岁半,公狗)一激动就咳嗽,然后出去遛他,拉紧狗绳或者他使劲往前走的时候就会咳嗽一下,咔咔的声音,感觉睡觉呼吸急促,是不是心脏有问题。谢谢,小狗对我很重要,我打算马上带他去看了,但是还是咨询一下。
回复总结:狗狗一激动就出现咳嗽的症状,初步判断可能是上呼吸道感染导致的,尤其是喉头发炎。治疗方面,建议给狗狗口服含有盐酸多西环素成分的药物,2毫克每千克体重,一天两次,连着喂七天,控制呼吸道感染。此外,还需要配合服用,止咳的药物,一天两次,一次5毫克每千克体重,连用7天。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的狗狗的情况,我初步判断它是有上呼吸道感染导致的,尤其是喉头发炎,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你核实一下:
1. 在你不给他寄牵引器或者不激动的状态下,会不会有咳嗽现象呢?另外你给他用的是什么样的牵引绳?
2. 他平时运动30分钟以上之后,会不会出现舌头发紫,喘气等这样的异常现象?
3. 他平时活动的时候有没有出现四肢无力,精神沉郁,运动缓慢,等这样的情况?
4.他精神食欲大小便情况怎么样?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。
他不系牵引绳的时候没啥事,不激动也没事,玩得好好的。但是今年冬天的时候有几天是老是咔咔的咳嗽,给吃了点感冒药好了,但是后面就出现这些症状。牵引绳是背心式的牵引。绳。平时玩半个小时以上不会舌头发紫但是会舌头伸出来哈哈哈的喘气,他特别活泼,爱玩球球,能多次跳起来接球,球伸出去再叼回来多次玩,老是蹦来蹦去的。这样能玩个半个小时,玩完就是舌头伸老长发出哈哈哈声音的喘气声。
他大小便正常,一天早晚遛两次,平时他就吃狗粮和鸭肉干,人吃的东西他不爱吃,鼻头黑黑的然后也比较湿润。
图片是最近两天的照片,睡觉和玩球球。
谢谢医生。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你的描述来看,他这个心脏病的可能性不是特别大,还是可能是因为过于激动,或者是牵引绳有勒到它的气道,所以造成的咳嗽。
除此以外,他很有可能还是喉头气管这一块儿是有炎症,所以他受刺激后就更容易出现咳嗽。
你可以给他口服多西环素2毫克每千克体重,一天两次,连着喂七天。
根据狗狗的情况,我给它开个处方。处方里面的1.多西环素,控制呼吸道感染,一天两次,一次5毫克每千克体重,连用7天。
2. ***,止咳,一天两次,一次5毫升,连用6天。
您可以根据需求自行选择购买。
好的医生,谢谢,我相信您的判断。但是他这个会拖这么久吗,上述说得情况从3月份那会到现在了,会不会发展成其他的问题,我本来打算带他做做个全面体检。然后他睡觉为啥呼吸急促,小泰迪都是那样吗,小肚子一起一伏的,频率挺快。
郭秋萍
执业兽医师
有些慢性呼吸道感染是会持续很长时间的,而且如果是曾经有过肺炎,已经造成肺部纤维化,那么,他也会有这种慢性咳嗽。当然,如果你能去拍摄X光片或者是让医生做一下触诊,可能得到的信息会更精准一些。
他睡觉的时候呼吸次数,你有没有数一下,1分钟具体多少次呢?一般一分钟的呼吸次数超过30,那就是呼吸急促。
你也可以录制一个一分钟的视频过来我这边看一下。
还有最近气温升高,环境温度高,也可能造成他呼吸急促。
这是今天下午睡觉的时候录的,我觉得超过30次了。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你录制了8秒钟,8秒钟他的呼吸次数是8,这个呼吸确实是比较急促的,那他在睡觉之前30分钟,是不是有剧烈运动过或者今天的气温是不是特别高?因为这些因素也会影响到呼吸频率。你可以在他休息1小时,静止状态下的时候,再给他数一下。
如果还是呼吸频率很快,那就必须要去医院做X光片检查。
这是这会录的,这会睡了有一会了,感觉慢了很多,他最近可能热喜欢贴着窗户台睡,再麻烦医生您看下。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
他这个呼吸就只快了一点点,15秒钟,我这边数到了9次呼吸,不过你拍的有点远有点模糊。
可能还是太热了,所以呼吸的比较快的,你可以在家里采取一下降温措施。空调不要对着它吹,可以开到28摄氏度。
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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