咨询描述:你好,医生我家猫前天吃了过夜的罐头开始吐,一开始以为吐毛球没怎么关注,后面吐了很多次。昨天禁食了12小时就不吐了自己吃东西了,吃了一些鸡胸肉今天又开始吐了,吐了4次最后一次吐了一些淡红色的血水。
回复总结:猫咪出现呕吐带血水的症状,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,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额药物。其次,如果猫咪没有完全免疫疫苗,还需要考虑是否有病毒以及消化道寄生虫感染的问题,建议带猫咪去宠物医院做病毒筛查和粪便检测,然后根据检查结果对症治疗。
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,我初步分析猫咪是有急性胃肠炎的问题,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. 猫咪您养了多久?
2. 猫咪发病之后,是否做过检查?是否有用药治疗?
3. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
4. 猫咪除了呕吐,是否还有腹泻症状?
5.猫咪的疫苗,以及驱虫情况如何?
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,养了一年左右
2,还未去宠物医院做检查,用了一点止吐药,猫咪很反抗后面没喂进去。
3,无昼夜温差
4,没有腹泻的状况,铲了几次都是正常形状。
5,驱虫内外按时驱过,疫苗未去补打。
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。跟吃的食物有一定的关系。同时如果猫咪没有完全免疫疫苗,以及检查的情况下,需要考虑是否有病毒(猫瘟病毒),以及消化道寄生虫(蛔虫,绦虫,滴虫,球虫)感染的问题。
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1-2周左右,直到疾病康复为止即可。
猫咪呕吐出红色液体,这个是由于胃部粘膜损伤,引发的出血,然后血液夹杂了胃液。
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
好的,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。
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。
医生这边网上购买快递太慢了,能否用***胶囊和***先替代?
陈奕达
执业兽医师
您好,人类用药个人不建议使用。因为人用药是针对人类设计的,并不一定适合给予狗狗服用,效果不一定好,而且可能会有未知性副作用,还请您慎重考虑后使用。
如果实在想使用,可以使用****(每公斤10毫克,一天两次口服)以及***(每公斤2毫克,一天两次口服)。
二次药都是同时喂吗?后期宠物药到了立即换可以吗?喂药期间需要继续给宠物禁食吗?
陈奕达
执业兽医师
您好,1.两个药物可以同时喂服。2.可以的。3.如果猫咪出现持续性呕吐,需要禁食禁水8-12小时,稍微让猫咪的胃肠道休息,恢复一下,然后再试探性给予吃喝。
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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0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine 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17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
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