咨询描述:老年金毛13岁,凌晨三四点抽搐后吐出白沫,后喘粗气,休息后正常,今早进食饮水正常。
回复总结:老年狗狗抽搐吐白沫考虑是心脏衰竭引起的。如果确定有心衰,可以给狗狗口服增强心脏肌肉收缩的药物,一天口服两次,同时还要监测狗狗的血压,看血压会不会有明显的升高。如果血压有明显的升高,还需要配合使用降压药物,同时给狗狗使用利尿剂。日常生活中需要降低盐分的摄入,尽量不给狗狗吃人吃的食物,同时给狗狗补充不饱和脂肪酸和卵磷脂,有营养心肌功能的作用,还要减少狗狗的剧烈运动和应激反应,早晚适当的活动即可。
问题大致一样,细节不同?
魏新立
执业兽医师
根据您以上描述,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.宝贝之前有过类似的症状吗?有抽搐的症状是第一次吗?
2.最近半年有没有给宝贝做过心脏相关的影像学检查或者体检呢?
3.根据您的描述,结合宝贝的年龄,我最担心可能会有心脏方面的问题,心脏衰竭在临床上就会有突然的倒地抽搐、晕厥,慢慢地又会恢复正常,这可以通过给宝贝做心脏的超声来确诊。当然还有可能存在癫痫的可能性,这跟体内激素水平有一定的关系。但宝贝目前13岁高龄,属于严格意义的老年犬,心脏问题的可能性应该更大一些。
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息,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。
没有,第一次抽搐。
没有
年龄13岁,体重40kg
魏新立
执业兽医师
那我们主要考虑可能有心脏衰竭的问题的,这对于老年犬在临床上是很常见的。
如果确定有心衰,我们可以给宝贝口服增强心脏肌肉收缩的药物,比如****,0.25mg/kg,一天口服两次,同时要监测宝贝的血压,看血压会不会有明显的升高,如果有升高,也需要配合使用降压药物,比如******。同时给宝贝使用利尿剂,推荐用***。
这些药药店都可以买到吗?还是需要在网络上购买宠物专用药
魏新立
执业兽医师
人的药店是买不到的,还是要动物专用的,我推荐给您,您可以参考了解一下。
魏新立
执业兽医师
尽量不能吃人吃的食物,降低盐分的摄入,同时给宝贝补充不饱和脂肪酸和卵磷脂有营养心肌功能的作用,减少宝贝的剧烈运动和应激反应,早晚适当的活动,控制宝贝的体重也很重要,可以再减少5公斤左右的体重,这对宝贝心脏的负担会小很多。
现在吃的狗粮是******狗粮,是否适合狗狗,不饱和脂肪酸是需要补充鱼油吗?
魏新立
执业兽医师
是的,狗粮还是很不错的,可以给宝贝使用的。
不饱和脂肪酸就是鱼油类的、卵磷脂类,也同样推荐一个临床上常用的,您可以参考了解一下,我自己的狗狗也在使用的。
****根据我家狗的体重是5mg的一天吃几次,降压药是怎么吃?会有什么不良反应吗?谢谢魏医生的耐心解答。
魏新立
执业兽医师
宝贝的体重,****5mg,一次口服两颗,每12小时使用一次,贝那普利5mg,一次口服两颗,一天口服一次,这两个药在临床上是很安全的,目前还没有遇到有明显副作用情况的病例,希望宝贝用药后可以控制到没有任何症状,生活质量更高。
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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