咨询描述:猫上月初开始腹泻,就医检查无寄生虫无传腹无猫瘟,脂肪酶略高,疑似慢性胰腺炎。按医嘱喂食***及***,仍有间歇性腹泻。因猫抗拒喂药,采用猫条拌***的方式,自制猫饭加少许***固便及益生菌。最近两日未喂食益生菌,昨日发现猫在软便(无血)后腹泻,随后直接便血两次。附近宠物医院建议使用抗生素,今日已喂食***一颗
回复总结:猫咪出现腹泻、便血的症状,是怎么了,可能是原虫感染导致猫咪的。治疗方面,建议给猫咪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,配合口服含有甲硝唑成分的药物,对抗原虫感染。另外,还可以给狗狗喂食宠物专用益生菌调理肠胃。如果条件允许,建议带狗狗去宠物医院做PCR检测以及粪便检测,然后进行对症治疗。
问题大致一样,细节不同?
陆文健
执业兽医师
根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、麻烦您把最近的猫咪在医院的所有化验报告发给我参考;
2、猫咪从上个月开始腹泻到现在为止,大便是什么形状?昨天大便带血液以前大便有没有带血液?一天大便几次?把昨天带血大便发给我看一下;
3、猫咪出现腹泻以来,有没有呕吐的症状?
4、把猫咪出现腹泻后,使用的所有药物的名称告诉我,病附上使用时间?和使用后感觉效果?
5、猫咪的精神状态和食欲怎么样?
以上这些情况您仔细回忆后详细的描述给我,对我给猫咪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。
猫从上月开始腹泻,有时软便但成形。大部分时候是一摊浓稠的希屎。昨天第一次大便时有一点血液,以后腹泻就明显有血。它很少有呕吐,只发生过两三次,进食很正常。以下使用按时间排序
***:无明显改善
***:粪便成型
***:使用两次,无法确认是否有效
***(加猫条喂食):无法确认
为保护用户隐私不显示图片/视频
我拍的报告照片一下找不到了,核酸显示四种寄生虫都是阴性,血检报告显示有炎症,只有脂肪酶的数据53
陆文健
执业兽医师
1、您回忆一下,核酸显示的四种寄生虫,有没有包括贾第氏鞭毛虫、滴虫、阿米巴原虫、球虫?
2、有没有进行大便检查虫卵和原虫?
3、您的猫咪最近一次驱虫是什么时间?使用什么驱虫药物?
1、你看图片
2、当时宠物医院是取粪便检查的
3、我的猫没服用驱虫药,只喷过一些体外药剂
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
开始的时候我是怀疑您的猫咪可能是原虫(贾第氏鞭毛虫、滴虫、阿米巴原虫等)感染导致猫咪的慢性腹泻,但从PCR检测报告中贾第氏鞭毛虫、滴虫均未阴性,您的描述医院取粪便检查,可能没有检测到虫卵。根据以上的化验数据似乎应该确定不是寄生虫或者原虫导致的猫咪腹泻。
至于您提到的猫咪的脂肪酶53,是超标,也是需要怀疑胰腺炎。但从目前您的猫咪使用的药物***和***似乎效果不明显。
根据您的描述所提供的信息,以及猫咪的年龄,猫咪慢性胰腺炎的可能性还不能排除。
关于治疗方案,我的建议是:
1、口服阿莫西林克拉维酸钾片+甲硝唑,替代多西环素;
2、其他药物正常使用;
3、给猫咪的喂食量需要控制,食物需要低脂肪食物,最好使用处方粮。
陆文健
执业兽医师
根据猫咪可能慢性胰腺炎的消炎用药,我给它开个处方。处方里面的:
1、***,治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染;
2、*** 甲硝唑片,主要使用于厌氧菌以及原虫的治疗。
建议处方:
1、***(阿莫西林克拉维酸钾片),50mg×10片/板,一次口服1片,一天2次,连用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。
谢谢医生,请问我家现在有猫用甲硝锉,0.2克一粒,请问如何服用最安全。另外,今天已经喂了多西环素,甲硝锉和阿莫西林是否就明天再服用
陆文健
执业兽医师
甲硝唑和***明天服用就可以。
甲硝唑一片0.2g,您可以一次口服0.5片,一天2次,连用7天。
请教下陆医生,目前猫猫便血有些吓人,有没有必要服用止血药物。我买的是肾上腺色腙片,人用的2.5mg一粒,不知道用多少量合适
陆文健
执业兽医师
如果便血比较严重的话,可以使用止血敏尝试止血,由于平台不建议医生推荐人用药物,根据我的经验,肠道出血,口服云南白药胶囊具有良好的止血作用,一次口服1/4胶囊,一天2次,您可以尝试。医生本人和平台是不支持给宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。
陆文健
执业兽医师
您的猫咪可能还不能使用肾上腺色腙片止血。猫咪对于水杨酸类药物很容易引起中毒,但肾上腺色腙片这种药物的化学特点我不太清楚,可能含有水杨酸类的结构。建议不能使用在猫咪止血。
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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