咨询描述:24号开始发烧,不喝水,精神不好,也没发现有尿尿,便便正常,当天喝了几滴管水就有尿了,带去医院打了退烧针和消炎针,回家吃了好多也喝了好多水,第二天抽血检查,炎症高,也打了退烧和消炎针,昨晚退烧状态好多了,但半夜吐了未消化猫粮,今天看它好累的样子
用药情况:无
回复总结:猫咪呕吐没消化的猫粮,考虑是胃肠炎引发的问题。如果猫咪还有发烧的症状,极有可能是病毒以及消化道寄生虫感染导致的消化道症状。处理办法上,建议带猫咪去宠物医院进行猫瘟病毒、冠状病毒的核酸检查,同时做腹部超声检查、x光片检查以及大便常规检查。另外,在猫咪没有持续性呕吐的情况下,可以给猫咪喂食宠物专用营养膏以及营养液之类的营养补充剂,并且可以再灌喂适量的流质型食物,例如肉泥罐头、猫粮糊糊。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的有呕吐症状等信息,我初步分析猫咪有胃肠炎问题,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. 猫咪发病前后,都喂了什么食物?是否新鲜?是否有换粮,或者喂了以前没有吃过的食物?
2.猫咪除了上述图片中检查,是否还做了其它检查?
3. 猫咪现在吃喝欲望如何?
4. 猫咪平时生活环境温度能达到多少度?是否有昼夜温差?
5.猫咪是否还有其它症状?
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。
1、发病前后没有换新粮,但前一个星期开始有给鸡胸肉吃,吃得还行,就是乱尿尿几天被骂之后,就不太喝水,整天躲餐桌
2、就做了以上图片检查,没有做其他
3、猫咪吃喝算正常,会比生病前少吃点,现在整天嗜睡,叫不回应
4、猫咪室内温度可能昼夜温差大,它也喜欢摊地上
5、猫咪除了嗜睡,精神差,吃喝比之前少一点,尿尿便便算正常,叫它也不想搭理的样子,昨晚退烧了精神了点陪她玩了一会,今天早上好像又有点发烧
我怕是干性猫传腹,现在应该往哪个方向筛查
陈奕达
执业兽医师
根据您的描述,1.传腹个人不太怀疑,因为白球比在0.7,如果白球比达到0.6那么确实需要考虑是否有猫传腹问题了。2.然后猫咪这种发烧,呕吐症状,我们需要考虑是否有病毒,以及消化道寄生虫,引发的胃肠炎问题,导致了一系列症状。(打过疫苗,也并不能百分之百排除)。3.然后还需要怀疑是否有消化道梗阻等问题。4.所以综合性来考虑,猫咪后续个人建议给予进行,①猫瘟病毒,冠状病毒核酸检查。②消化道,腹部超声检查。③整体的x光片检查。④大便常规检查。
以上4种检查是否需要全部做?目前只能打消炎针和退烧针?打得太伤了,她更加没精神,需要给点什么补充一下营养
陈奕达
执业兽医师
您好,1.是的,基础检查都是不能落下的,不然可能会出现漏诊,误诊的情况。2.在猫咪没有持续性呕吐的情况下,可以给予一些宠物专用营养膏以及营养液之类的营养补充剂,来给予一定营养支持。并且可以再灌喂一些流质型食物,例如肉泥罐头,猫粮糊糊。
陈奕达
执业兽医师
然后这边根据猫咪的情况,我给宝贝开个处方。补充营养。
处方里面的
1. 维生素口服液,补充营养,同时还可以起到促进食欲效果。
2. 营养膏,补充营养。
你好,猫咪现在退烧了,精神也好点,还需要做四项检查吗
陈奕达
执业兽医师
您好,猫咪没有持续性发烧,说明是好事,症状有一定的缓解。但是如果条件允许,该检查还是需要的。或者实在不方便进一步检查,那么可以先给予用药治疗一段时间观察一下效果如何。
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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