咨询描述:连续两天吐没消化食物,频率昨天三次,刚刚一次,做了血常规检查,没啥问题,精神状态也还好
回复总结:猫咪连续两天呕吐没消化的食物,首先考虑是胃肠炎的引发的。治疗方面,建议给猫咪口服宠物专用广谱消炎药,每天2次,减轻消化道炎症。同时,配合服用抑制胃酸分泌的药物,每天3次,控制呕吐症状。此外,还需要给猫咪口服宠物专用益生菌调理肠胃,每天1次。然后,需要在猫咪最后一次呕吐后禁食禁水6小时,后续用药后建议少量多次喂食猫粮,减轻消化道负担。
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,疫苗打过几针。2.这几天都吃过什么食物。3.除了血常规有没有进行其他检查,血常规完全正常吗。4.排便是否成型。5.如果是猫咪的话平时多久喂食一次化毛膏。.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。
蓝猫,体重5公斤,2岁,疫苗都打全了,每天都有喂化毛膏,就做了血常规的检查,排便都成型,只有昨天吧食物都吐了,没有排便,昨天吐,禁食了12个小时,没有禁水,少量的喝了点,今天还需要继续禁食禁水吗
邓薄鸿
执业兽医师
你好,看到您描述的情况了,根据你描述的相对来说可能更考虑一个胃肠炎的情况,但是不排除可能有胃肠道异常甚至是肝肾异常导致o呕吐。血常规的话就是一个基础检测通过这个暂时没办法判断出来特多,这种情况还要持续呕吐的话,你可能就要考虑给他对症用药了,考虑西咪替丁配合益生菌,同时的话不要停食停水时间太长,最后一次呕吐后6小时就可以,后续用药后也需要少量多次喂食猫粮,一次性不能太多的。根据宝贝的情况,我给它开个处方。处方里面的1.益生菌,调理胃肠道,每天1次,每次2包。2.西咪替丁,止吐抑制胃酸,每天3次,每次四分之一。
4月底才做了生化检查,肝肾都没有问题,他有一点急性肠胃炎
邓薄鸿
执业兽医师
是的,益生菌和药物建议是停食停水之后再喂食,而且益生菌最好是只用很少量的水溶花开可能1.2毫升给他喂食。用药后可以间隔2小时药物起作用一些了,再尝试慢慢喂食猫粮之类的
这种情况的话,是在家继续观察,还是说再带到医院去看看呢,因为肠胃炎的问题,他很早以前就有,去年就是拉肚子,当天就好了,以前也有过吐粮食,但是当天就好了,只有这次是持续了两天
邓薄鸿
执业兽医师
就是这种明显呕吐多次的话,就是肯定需要外界干预了,不管是吃药还是打针,如果说猫咪状态很好的话,那么可以说先尝试用药控制,看用药1到2天会不会有所改善。但是如果哪怕是吃药后还是持续呕吐不停,这个时候就必须带到医院进一步治疗了
好的,谢谢医生,他这种的话,应该是属于低频率的吧,她昨天吐的三次都是间隔了好几个小时,第一次跟第二次是5个小时左右,第二次跟第三次是12个小时左右,然后到今天的第4次是间隔了8个小时
邓薄鸿
执业兽医师
嗯,目前这个频率还好,而且成年猫咪目前状态也没问题,但是就是怕这个控制不住,要是持续3天以上,哪怕没有问题,这种多次呕吐的话都会刺激他胃肠道可能有一部分损伤的了,所以目前这种还是考虑尽快进行干预的了
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
{"373651":{"id":373651,"case_id":43144,"user_id":1401608,"to_user_id":2026522,"type":3,"content":"你好,看到您描述的情况了,根据你描述的相对来说可能更考虑一个胃肠炎的情况,但是不排除可能有胃肠道异常甚至是肝肾异常导致o呕吐。血常规的话就是一个基础检测通过这个暂时没办法判断出来特多,这种情况还要持续呕吐的话,你可能就要考虑给他对症用药了,考虑西咪替丁配合益生菌,同时的话不要停食停水时间太长,最后一次呕吐后6小时就可以,后续用药后也需要少量多次喂食猫粮,一次性不能太多的。根据宝贝的情况,我给它开个处方。处方里面的1.益生菌,调理胃肠道,每天1次,每次2包。2.西咪替丁,止吐抑制胃酸,每天3次,每次四分之一。","media":{"images":{},"videos":{},"business_params":{"prescription_id":115151}},"is_doctor":1,"status":1,"created_at":"2022-06-20 05:35:21","show_rx":true,"rx_info":{"id":115151,"rx_no":2.02206200533485e+24,"user_id":2026522,"doctor_user_id":1401608,"is_independent":0,"case_id":2783167,"pet_info":{"pet_id":0,"pet_name":"猫","pet_nickname":"猫","pet_gender":1,"pet_birth":"1-0","pet_weight":5,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"呕吐","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-20 05:33:48","updated_at":"2022-06-20 05:35:21","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":33741,"prescription_id":115151,"doctor_user_id":1401608,"product_id":926,"product_sku_id":967,"dose":2,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-20 05:33:48","updated_at":"2022-06-20 05:33:48","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡,增强胃消化功能","1":"缓解队伍应激反应,提高免疫力及存活率","2":"净化肠道内环境,提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-09-17 12:44:22","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g,水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用,也可混入食物中饲喂。每天食用1次,5天为1个周期。\n1.体重2kg以下的宠物每次1袋;\n2.体重2-10kq的宠物每次2袋;\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物;\n2.用水冲食时,请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-09-17 09:58:32"}},"1":{"id":33742,"prescription_id":115151,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-06-20 05:33:48","updated_at":"2022-06-20 05:33:48","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"}}},"drug_data_bak":{"0":{"id":33741,"prescription_id":115151,"doctor_user_id":1401608,"product_id":926,"product_sku_id":967,"dose":2,"dose_unit":"包","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-20 05:33:48","updated_at":"2022-06-20 05:33:48","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡,增强胃消化功能","1":"缓解队伍应激反应,提高免疫力及存活率","2":"净化肠道内环境,提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-09-17 12:44:22","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g,水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用,也可混入食物中饲喂。每天食用1次,5天为1个周期。\n1.体重2kg以下的宠物每次1袋;\n2.体重2-10kq的宠物每次2袋;\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物;\n2.用水冲食时,请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-09-17 09:58:32"}},"1":{"id":33742,"prescription_id":115151,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-06-20 05:33:48","updated_at":"2022-06-20 05:33:48","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"}}}}}}
微信扫一扫
立即问宠医