咨询描述:你好,猫咪最近一个多月大便一直不太好,时好时坏,大便有的时候成型有的时候拉稀软便,最近这一两周尤其严重,有血便,这两天血便也变严重了。去宠物医院做便检,医生说目前没有看到寄生虫,后面又问了别的医生,说没有呕吐的腹泻不太像肠胃炎,先考虑球虫弓形虫,然后就吃了五天的球虫药,没有好转,后面去医院医生又开了五天的消炎止泻药,第一天晚上吃了一顿,第二天早上大便正常,后面又变的和以前一样,一直没有什么改善。昨天和今天出现了吐出没有消化的食物的情况,想问一下医生这个情况怎么办
回复总结:猫咪出现软便便血的症状,常见原因有:误食异物、细菌性肠炎、寄生虫感染。处理办法上,建议带猫咪去宠物医院做血常规、SAA、腹部B超检查以及粪便常规检查,同时排查肠道冠状病毒和胰腺炎,确定病因后进行对症治疗。如果暂时不方便去宠物医院就诊,建议先给猫咪做体内驱虫。同时,建议给猫咪服用益生菌调理肠胃。饮食上,建议将猫咪的食物换成肠道处方粮或者肠道处方罐头。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的 等等的情况,我初步判断可能有炎性肠病或者肠道冠状病毒感染,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. 猫咪平时如何喂养的?吃的什么食物?一天几次?喝的什么水?多久更换一次?
2. 平时多久做一次体内外驱虫?用的什么驱虫药?
3.猫咪目前精神食欲如何?
4. 除了大便软还有其他异常吗?
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。
1.平时是家里散养,吃的就是***的猫粮,偶尔喂点罐头,没有给他按次数喂过,都是吃完没了就给他加猫粮,喝的水是净水器烧开的水,一般三四天换一次水。
2.离上一次驱虫已经过了蛮久了,上次只做了内驱,上上次用的是***和***。距离上次大概已经过了三个月。前几天给他喂了炎迪净。
3.精神状态还行,但是不如以前,它现在喜欢趴在床底呆着。以前喜欢在客厅玩。
4.我能观察出来的其他异常就是软便,有的时候是拉稀,然后肛门的位置有的地方比较红,猫咪现在经常弓背,这两天开始吐粮了。
郭秋萍
执业兽医师
如果平时是散养的话,那他有没有可能吃到其他的有可能有毒的,或者是异物呢,这些有可能会刺激到肠道,拉软便,然后腹部疼痛。
他的饮水最好是每天都更换,有些是天气热了,会有很多细菌也会造成细菌性肠炎。
另外,如果是太长时间没有做体内驱虫,必须要做一下。虽然说做了粪便常规检查,没有看到寄生虫,但是粪便常规检查有一定的概率性,并不是每次检查就一定会看到寄生虫的。
你家猫咪现在的处理方案:
1,去医院做血常规,S AA和腹部B超检查,最好再反复做一下粪便常规检查,然后排查肠道冠状病毒和胰腺炎。
2,给他做体内驱虫,同时这几天都要用益生菌帮它调理。
3,将他的食物换成肠道处方粮或者肠道处方罐头。
根据猫咪的情况,我给它开个处方。处方里面的1. ***,体外驱虫,一个月一只,滴于颈背部皮肤。
2. ***,体内驱虫,一个月一次,一次口服一片。
3. 益生菌,调理肠胃,一天两次,一次1片,连用5天。
4,肠道处方粮。
郭秋萍
执业兽医师
慢性肠炎治疗好了后,需要长期吃肠道处方粮去进行管理的。它可以管理到大便基本上都正常,但是如果你一旦饮食给他发生改变,或者是环境改变,应激还有可能会出现软便的情况。
好的好的明白了,现在治疗主要就是驱虫和益生菌对吗?
郭秋萍
执业兽医师
这两个方面是必须要进行的,剩下的我前面跟你讲了,你还需要去医院做一下检查,看看有没有炎症,需不需要口服抗生素,然后有没有病毒,需不需要给他注射抗病毒的药物。
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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