咨询描述:是一只猫咪弟弟 2月21天
症状描述:从周三开始就不主动进食了 不吃猫粮 不喝奶 周三晚上吃的鸡胸肉和少量猪肝 周四晚上吃的罐头(只吃了三分之一)然后晚上就吐了 周五一天什么也没吃 喝了少量的水 精神不好 拉稀 昨天半夜呕吐(白色泡沫)
罐头是新粮 但这也是吃的第三罐了 头两罐吃了也没有异常
医院检查:血常规 猫瘟 冠状
回复总结:猫咪出现呕吐白色泡沫还拉稀的症状,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,建议给猫咪口服宠物专用广谱消炎药,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。其次,还需要考虑是否有蛔虫、绦虫、滴虫、球虫等寄生虫感染的问题,建议给猫咪做粪便检测,然后考虑是否需要给猫咪做驱虫。
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,我初步分析猫咪是有胃肠炎问题,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. 猫咪是否做了大便常规检查?是否有消化道寄生虫感染问题?
2. 猫咪吃的罐头是否现吃现开?还是开封之后吃一天或者两天?
3. 猫咪吃的奶什么奶?是否新鲜?其它食物是否新鲜?
4. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
5.猫咪现在接受什么治疗?什么药物?
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。
猫咪的食物 牛奶都是新鲜的 各项检查我发了 在图片里 都无异常 但是我们这边的医师让打干扰素 消炎针
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,消化不良问题,引发了急性胃肠炎问题,从而导致了一系列症状。跟吃的食物有一定的关系。同时如果没有进行消化道寄生虫检查,那么需要考虑是否有蛔虫,绦虫,滴虫,球虫感染的问题。
而猫咪没有病毒感染,那么个人认为不用给予干扰素等抗病毒用药。主要治疗原则就是广谱消炎,控制消化道炎症,止吐,止泻,保护胃肠道粘膜,治疗消化道溃疡,补充能量以及体液(输液)即可。
如果暂时不方便就诊用药治疗,可以在家先给宝贝吃一些宠物专用广谱消炎,提供消化道营养,减轻皮肤炎症,促进消化道粘膜恢复,治疗消化道溃疡,吸附性止泻的口服药来进行治疗,观察1-2天的时间。如果有效果,可以持续用药1-2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。
陈奕达
执业兽医师
您好,猫咪不吃不喝,有两个方法帮助猫咪,1.猫咪如果频繁呕吐,那么就进行静脉输液治疗,补充能量以及体液。2.如果没有频繁呕吐,可以认为以少吃多餐为原则,温柔灌喂流质型食物,例如猫粮糊糊。
这边医生说怀疑是冠状 所以要让用干扰素 我看报告是阴性 所以不太确定
陈奕达
执业兽医师
您好,阴性结果就是没有感染病毒,使用干扰素的目的,也只能是处于预防。个人认为以猫咪现在的情况,是不用这方面用药的。
这是今天医生开的药 让我们明天继续去打针 明天不准备去了 您看其他口服药这些能行吗 还需要其他的药物吗
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.如果暂时不考虑继续打针,那么除了上述的口服用药,还需要给予广谱消炎,以及抑制胃酸分泌,治疗消化道溃疡的药物,来帮助猫咪。2.您好,根据宝贝的情况,我给宝贝开个处方。
处方里面的
1. ***,宠物专用广谱消炎,控制消化道炎症
2. ***,抑制胃酸分泌,治疗消化道溃疡,有一定止吐效果。
3.***,保护胃肠道粘膜,治疗消化道溃疡。
好的 谢谢医生 最后想问 今天检查的时候医生说摸到猫咪前腹部有小硬物 怀疑是肠道淋巴结 这种情况是吞食异物可能性大还是淋巴结的可能性大呢
陈奕达
执业兽医师
您好,触诊无法判断是否有异物或者淋巴结问题,这个问题,需要给予猫咪进行消化道超声,才能进行进一步的判断。盲目的猜测是不行的,容易出现漏诊误诊的问题。
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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