咨询描述：宝贝：狗狗，两个半月大的金毛，6.6公斤左右
症状描述：今天早上突然拉稀，到现在为止拉了三次，第一次不知道具体时间，第二次早上十一点左右，第三次下午两点多
狗狗情况：
（1）金毛平常吃狗粮，喝凉白开。
（2）本周四早上，家买了一只新的小狗狗，是博美犬，母狗，两个月大。博美习惯喝生水，就给金毛跟博美一起喂生水喝。
（3）本周三、周四早上给金毛吃了驱虫药，同时在狗粮里加了益生菌（驱虫药叫***，按照说明书，每天吃两粒，一共吃三天。）
（4）给金毛喂饭一直不太规律，用量也不太规律，吃驱虫药前两三天，喂饭比以前多了些，同时金毛便便有些软
（5）周三吃了驱虫药之后，它的便便更软了，如图一图二
（6）第三天的驱虫药因为疏忽，忘记给它喂了
（7）之后几天便便形状都跟图一图二差不多
（8）昨天早上金毛的肚子摸起来比往常瘪很多，昨天给它喂的狗粮量也比前一天少很多。早上九点多喂了一点，下午四五点又喂了一点，每次喂的狗粮量是之前的三分之一。（因为怕它是吃多了才软便）
（9）今天早上突然就拉稀了，肚子摸起来好像有水在里面，但是狗狗精神头很好，跟往常一样玩
问题：
金毛拉稀是什么原因导致的呢？应该怎么治？吃饭喝水有什么需要注意的地方呢？
回复总结：狗狗突然出现拉稀的症状，但狗狗精神很好，首先考虑是肠道细菌或者原虫引起的肠炎。治疗方面，建议给狗狗口服含有阿莫西林克拉维酸钾成分的药物，减轻肠道炎症。同时，配合服用含有甲硝唑成分的药物，对抗原虫感染。此外，还需要配合使用吸附性止泻的口服药。其次，不能排除细小或者冠状病毒感染的可能，建议带狗狗去宠物医院做检测细小和冠状病毒，然后再进行对症治疗。
问题大致一样，细节不同？
陆文健
执业兽医师
您照片上发的狗狗大便基本上形状是可以的，就是偏软，您说的今天早上出现拉稀，拉稀的大便是不是照片上的大便？如果不是的话，今天早上拉稀的大便有照片吗？
没有照片，从网上找来了类似的照片
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
如果金毛狗狗今天的大便像您发来的大便，而且到目前为止狗狗拉了三次，这种情况狗狗拉稀还是比较严重。
虽然您的狗狗精神状态挺好，但狗狗这种情况还不能排除细小或者冠状病毒感染，但也有可能是肠道细菌或者原虫引起肠炎导致拉稀。
我需要了解几个问题：
1、从您提供的资料上看，您的狗狗已经经过三次免疫注射？
2、这段时间给狗狗除喂狗粮外，还喂了什么食物？
3、狗狗有没有呕吐的症状？
1. 买它的时候，只是被告知三次疫苗都打完了。（有问过，是打了预防细小的疫苗的）
2. 有的。周三下午，洋洋偷吃了些白饼子，四五颗糖，一小袋糖醋酱、一小袋番茄酱（德克士调料包）；周四下午，吃了些干方便面渣渣；周五傍晚出门遛了一圈，吃了别的狗狗的粑粑，被扣出来了，周六偷吃了些米饭，又偷吃了一颗糖。几乎每天都会啃家里的仙人掌。
3. 没有呕吐症状。
陆文健
执业兽医师
根据您的描述所提供的信息，经过综合分析，我的判断狗狗细菌或者原虫（贾第氏鞭毛虫、滴虫、阿米巴原虫）肠道感染的可能性比较大，但不能排除细小或者冠状病毒感染的可能。另外狗狗啃仙人掌，仙人掌一般没有毒性，但不能确定对于狗狗是否有害。
给您的建议是：
1、去医院检测细小和冠状病毒，排除细小和冠状病毒感染；
2、做一次粪便检查，检查金毛狗狗粪便中有没有原虫（鞭毛虫、滴虫、阿米巴原虫等）；
3、把仙人掌收起来，放到狗狗够不到的地方。
如果是细菌混合原虫感染，给您的治疗建议是：
1、口服***，抗菌消炎；
2、口服**，抗原虫；
3、吸附性止泻药物。
您考虑一下，是否需要去医院进行化验检查？如果不去医院化验检查，我可以给您的狗狗按细菌或者原虫肠道感染开个处方，供您参考。
新带回家的博美犬一直在拉稀，所以周五的时候有带去诊所，用试纸测有没有得细小，结果是都没有。
博美是周四到家的，每餐按宠物店的惯例喂二十颗狗粮，配合益生菌，也一直在拉稀（每天拉三四次便便）。这几天的便便按时间拍如图。
问题：
1. 小金毛按您说的开个处方吧，谢谢啦。
2. 小博美拉稀是因为什么呢？有没有什么缓解方法（饮食啊，用药之类的）
陆文健
执业兽医师
1、小博美拉稀的大便什么形状？
2、小金毛的拉稀是小博美到家以后才出现的吗？还是小博美到家以前，大便就不是很好？
3、如果两只狗狗吃的同一种狗粮，而且这个狗粮小金毛在小博美到家以前也是一直吃那种狗粮吗？
1. 刚回家的那天有些成形，如图一，后来就是拉稀了，如图二
2. 小金毛拉稀是小博美到家后才出现的（博美周四到家，金毛今天是第一次拉稀）。但是之前一周左右它的便便都不是很标准，大多是如图三这样的。（时间再往前推，便便会更标准，类似图四。图四是六月三十号的便便）
3. 不是同一种狗粮，小金毛的狗粮没有换过，小博美是自带狗粮来家里的。
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
由于两个狗狗都出现相似的拉稀症状，但它们吃的狗粮不一样，那么应该可以确定小金毛的拉稀应该是被小博美传染上的，由于小博美检测细小是阴性，那么其他可能原因有冠状病毒，或者细菌和原虫肠道感染，两条狗狗可能需要同样的药物治疗。小博美体重是多少公斤？我给您的两条狗狗开两个处方，供您参考。
陆文健
执业兽医师
根据洋洋可能是细菌和原虫混合感染导致拉稀的情况，下面我给它开个处方。处方里面的：
1、***，抗菌消炎；
2、*** 甲硝唑片，抗原虫：用于阿米巴原虫病、肠道滴虫感染、贾第鞭毛虫的治疗；
3、*** 白陶土，吸附性止泻药。
洋洋的建议处方：
1、***（阿莫西林克拉维酸钾片），250mg×10片/板，一次口服1/3片，一天2次，连用5-7天；
2、*** 甲硝唑片，200mg×8片×1板，一次口服1片，一天1次，连用7天；
3、*** 白陶土，5g×10袋/盒，一次口服0.5袋，一天1次，连用3-5天（大便成形停止用药）。
小博美的用药剂量需要根据它的体重需要改变，可以参照小金毛的体重，和小博美的体重进行计算用药剂量。
陆文健
执业兽医师
关于饮食，适当控制喂食量，但不需要禁食禁水，饮水最好是凉白开，另外注意不要给狗狗吃到糖块之类的东西，如果吃到巧克力、葡萄等东西甚至会产生中毒现象。
1. 小博美的体重没称过，很轻很小，一只手就能轻松托起来
2. 处方就麻烦您啦
陆文健
执业兽医师
小金毛洋洋的处方已经给您开了，小博美的用药剂量参照小金毛的用药剂量，比如小博美体重如果是1kg，就按小金毛的剂量的大概1/6来喂就可以，不能超量很多。
小金毛拉稀，有没有可能是吃了驱虫药之后的正常现象呢？
陆文健
执业兽医师
口服***可能会出现软便，但一般不会拉稀怎么严重。如果您怀疑驱虫药的原因，停药2天，看看大便会不会好转。
开药的宠物诊所说，***是要连着吃三天的，因为疏忽，我只连着喂了两天，就没喂过了（就是上文说的，周三、周四两天吃了驱虫药），周三晚上还给狗狗洗了澡，跟这个有关系吗
陆文健
执业兽医师
我上面已经给您的狗狗做了大量分析，我的感觉狗狗的拉稀和吃驱虫药没有关系。
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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