咨询描述:狗狗晚上频繁呕吐 ,类似干呕,吐出来 我看了是透明液体,昨天下午不小心喂食了鸭骨头,请问怎么办才好
回复总结:狗狗吃了骨头呕吐考虑是骨头刺激导致的,因为骨头没办法消化,只能通过排便拉出来或者吐出来。针对这种情况,建议先给狗狗口服含有西咪替丁成分的药物,并配合口服益生菌调理胃肠,然后观察狗狗能否把骨头排出。如果48小时后狗狗还是没有把骨头拉出来或者吐出来,就需要尽快带狗狗到宠物医院拍X光片确定骨头的位置,看是否需要手术取出。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,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.宝贝的年龄,品种,体重。2.吃了大概多少鸭骨头,骨头是有都吃进去吗,上面有没有肉。3.目前精神状态怎么样,排便是否成型。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。
四岁多金毛八十多斤,一根鸭骨头,吃进去了,骨头上没有肉,目前精神较好,排便是吃鸭骨头之前排的,排便成型
邓薄鸿
执业兽医师
你好,看到你描述的情况了,就是目前这种呕吐的话基本上就是考虑是骨头刺激的了,因为骨头是没办法消化的,只能是通过排便拉出来或者吐出来。目前这种呕吐只能说尽量控制不可能完全控制住,考虑口服西咪替丁和益生菌调理,观察看48小时骨头能否排出,48小时骨头还是出不来的话这个时候就需要到医院拍片子确定具体位置,看是否需要手术了。根据宝贝的情况,我给它开个处方。处方里面的1.西咪替丁,止吐,每天3次,每次2片。2.泰淘气,益生菌调理胃肠,每天2次,每次3包。您可以根据需求自行选择购买
邓薄鸿
执业兽医师
如果说不是骨头的原因的话,那么这种症状是在这种吃完骨头之后出现的话,也还是考虑他主要刺激导致的,可能急性胃肠炎,或者诱发胰腺炎的问题。
邓薄鸿
执业兽医师
用药的话上面最开始已经和你说了,按照文字告诉你的剂量使用就可以,就是****和益生菌的。观察看48小时之内粪便里能不能看到骨头。同时的话这期间饮食考虑是少量多次喂食,如果说能够喂食流体食物减少刺激是最好的
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
{"360905":{"id":360905,"case_id":41682,"user_id":1401608,"to_user_id":2039112,"type":3,"content":"你好,看到你描述的情况了,就是目前这种呕吐的话基本上就是考虑是骨头刺激的了,因为骨头是没办法消化的,只能是通过排便拉出来或者吐出来。目前这种呕吐只能说尽量控制不可能完全控制住,考虑口服西咪替丁和益生菌调理,观察看48小时骨头能否排出,48小时骨头还是出不来的话这个时候就需要到医院拍片子确定具体位置,看是否需要手术了。根据宝贝的情况,我给它开个处方。处方里面的1.西咪替丁,止吐,每天3次,每次2片。2.泰淘气,益生菌调理胃肠,每天2次,每次3包。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":116053}},"is_doctor":1,"status":1,"created_at":"2022-06-30 06:43:48","show_rx":true,"rx_info":{"id":116053,"rx_no":2.0220630064343503e+24,"user_id":2039112,"doctor_user_id":1401608,"is_independent":0,"case_id":2796523,"pet_info":{"pet_id":0,"pet_name":"犬","pet_nickname":"犬","pet_gender":1,"pet_birth":"2-0","pet_weight":40,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁"},"diagnose":"呕吐","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-06-30 06:43:43","updated_at":"2022-07-01 09:08:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":35738,"prescription_id":116053,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":3,"number":1,"remark":"","created_at":"2022-06-30 06:43:43","updated_at":"2022-06-30 06:43:43","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 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 Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 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"}},"1":{"id":35739,"prescription_id":116053,"doctor_user_id":1401608,"product_id":816,"product_sku_id":858,"dose":3,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":3,"number":2,"remark":"","created_at":"2022-06-30 06:43:43","updated_at":"2022-06-30 06:43:43","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}},"drug_data_bak":{"0":{"id":35738,"prescription_id":116053,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":3,"number":1,"remark":"","created_at":"2022-06-30 06:43:43","updated_at":"2022-06-30 06:43:43","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 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 Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 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"}},"1":{"id":35739,"prescription_id":116053,"doctor_user_id":1401608,"product_id":816,"product_sku_id":858,"dose":3,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":3,"number":2,"remark":"","created_at":"2022-06-30 06:43:43","updated_at":"2022-06-30 06:43:43","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}}}}}
微信扫一扫
立即问宠医