咨询描述:医生你好,服药一周后,发现还是有咳嗽,是药效没这么快吗还是不属于心肌肿大这类病,是否考虑支气管塌陷
回复总结:如果猫咪由于心肌肥大诱发咳嗽的症状,治疗方面建议给猫咪口服含有氨茶碱成分的药物,一天2次,连用5-7天。氨茶碱对于猫咪没有什么副作用,对于心脏功能有一定的预防和保护作用,其他药物暂时不需要使用。然后,尽可能不要让猫咪进入高温环境,也尽可能不要让猫咪有比较剧烈的活动。如果条件允许,建议带猫咪去宠物医院排查是否存在肺部或者支气管塌陷的问题,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
您的猫咪服药一周,还是存在咳嗽症状,这种情况可能还不是心肌肥大型心脏疾病,这种情况有肺脏塌陷的可能性,也就是您说的支气管塌陷,但从您上次发的猫咪的拍片中没有看到有明显的肺部阴影。我需要了解几次问题:
1、猫咪的咳嗽症状一天出现几次?或者几天出现一次?一般持续多长时间?
2、猫咪咳嗽一般是在活动后出现,还是在其他状态下也会出现?
3、猫咪有没有气喘的现象?
1.喂药这一周里我发现了四次咳嗽,一般咳嗽30秒,最多一分钟这样。
2.跑动多了有时候也会出现,不过多的是在静息的时候或者莫名其妙的时候就咳嗽
3.气喘不懂是啥样的,腹部有起伏状,呼吸一样。肉眼看比较明显,看着比较快。腹部呼吸有啥影响呢?精神状态良好拉的粪便成型,饮水量也还行
陆文健
执业兽医师
1、咳嗽频率是不是比吃药前明显少了很多?
2、咳嗽持续时间比以前有没有明显缩短?
3、这周喂药是不是***、***、***?
4、根据您的观察,用药一周,猫咪的状态有没有比用药前有明显好转?
1.咳嗽频率可能少点,不过夏天咳嗽多,冬天就很少发现咳嗽,会不会是对啥过敏。猫砂盆里有带抽风机,所以灰尘很少。
2.咳嗽时间应该缩短一些,目前看得还不是很明显
3.这周已经停药了,上周喂的就是这些,一天一次。先咨询后再看看后续是不是继续喂药
4.喂药一周状态还是和以前差不多吧,无太明显的变化,是不是喂药时间还需加强
陆文健
执业兽医师
从目前来看,咳嗽似乎有些好转,但不是很明显。由于假如猫咪是肥厚性心肌病的话,喂这些药物也只能是控制,不能治愈,所以还不好否定猫咪心肌肥厚的疾病。关于是不是肺部或者支气管塌陷,虽然这种疾病猫咪也是有比较多的发生,但目前我不能确定或者否定。但我的判断是基本上可以否定是呼吸道感染导致的咳嗽。
下面给您的建议是:
1、药物方面服用***,这是保健性药物,对于猫咪没有什么副作用,但对于心脏功能有一定的预防和保护作用。其他药物暂时不需要使用;
2、目前天气比较热,尽可能不要让猫咪进入高温环境,也尽可能不要让猫咪有比较剧烈的活动;
3、注意观察,如果猫咪咳嗽频率和持续时间增加,到时候再来问诊,考虑是否使用支气管扩张类药物(比如氨茶碱)。
好的医生,麻烦医生先帮列个药吧,到时候咳嗽严重的话我好直接购买就行
陆文健
执业兽医师
建议处方:
***氨茶碱片,100mgx30片/瓶,一次口服1/4片,一天2次,连用5-7天。
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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