咨询描述:1岁半比熊犬,6kg。从周一开始拉稀,不爱吃东西。昨天去宠物医院检查,医院说是胃炎,开了止泻,益生菌,消炎药。但是昨晚开始频繁呕吐,呕吐物是白色泡沫液体。请问怎么办呢。
回复总结:狗狗出现频繁呕吐、拉稀的症状,可能是胃肠炎引发的问题。治疗方面,建议给狗狗口服宠物专用广谱消炎药,减轻消化道炎症。同时,配合服用修复胃肠道黏膜的药物以及吸附性止泻的药物。此外,还需要给狗狗喂食宠物专用益生菌调理肠胃。如果条件允许,建议给狗狗打针输液治疗,效果更好。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,我看到您描述的情况和上传的结果,从化验结果来看目前就是炎症比较高,看到你没有进行生化检查,你现在这种你如果说比较担心的话你要考虑给他再进行一个生化检查看他会不会有明显的肝肾损伤的问题了。如果说想要暂时治疗的话,这种已经开始出现吐了,并且炎症这个这个情况的话,不建议继续吃药,你如果说想要恢复快一点,建议可直接按照胃肠炎静脉输液打针,这种恢复快的话一般三天左右会有很明显改善的
意思是现在排除不了各种情况,有可能是误食异物,有可能是吃了农药之类的导致肝肾损伤,最轻的就是肠胃炎,是这样吗
邓薄鸿
执业兽医师
是的,因为你这个检查结果就没有检测到那些东西的,就是从你现在这个检查结果,他只能说就是排除没有胰腺炎,同时炎症升高,其他的情况是排除不了的,如果说在没有进一步的检查之前的话这种就只能是先按照胃肠炎对症输液打针治疗了
那我们去做进一步检查。请问如果是肝肾损伤或者误食异物还有治疗手段吗
邓薄鸿
执业兽医师
就是如果说是异物的话,那么根据他具体的位置和大小来决定他是否需要手术,或者说是能够自己排出。肝肾损伤的话像这种一般急性损伤的概率更大一些,急性损伤主要看他具体损伤的程度,如果说不是损伤的非常厉害那种的话大部分可能就是通过输液促进身体毒素排出加上保肝保肾消炎加上液体疗法之类的话一般三到五天治疗成功率还是比较高的
邓医生,今天我们又去了医院,医生说他是咳嗽,不是呕吐。麻烦你帮我买点止咳和消炎的药吧
邓薄鸿
执业兽医师
如果说消炎和止咳的话就是考虑速诺配合果根素了。根据宝贝的情况,我给它开个处方。处方里面的1.速诺,消炎,每天2次,每次三分之一片。2.果根素,止咳平喘清热解毒,每天2次,每次6毫升。您可以根据需求自行选择购买
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
{"376136":{"id":376136,"case_id":43394,"user_id":1401608,"to_user_id":1578358,"type":3,"content":"如果说消炎和止咳的话就是考虑速诺配合果根素了。根据宝贝的情况,我给它开个处方。处方里面的1.速诺,消炎,每天2次,每次三分之一片。2.果根素,止咳平喘清热解毒,每天2次,每次6毫升。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":117519}},"is_doctor":1,"status":1,"created_at":"2022-07-13 21:24:37","show_rx":true,"rx_info":{"id":117519,"rx_no":2.02207132124285e+24,"user_id":1578358,"doctor_user_id":1401608,"is_independent":0,"case_id":2815941,"pet_info":{"pet_id":231335,"pet_name":"比熊","pet_nickname":"豆豆","pet_gender":1,"pet_birth":"1-2","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁2个月"},"diagnose":"咳嗽?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-07-13 21:24:28","updated_at":"2022-07-13 21:58:27","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":38926,"prescription_id":117519,"doctor_user_id":1401608,"product_id":709,"product_sku_id":752,"dose":0.33,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-13 21:24:28","updated_at":"2022-07-13 21:24:28","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":38927,"prescription_id":117519,"doctor_user_id":1401608,"product_id":801,"product_sku_id":843,"dose":6,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-13 21:24:28","updated_at":"2022-07-13 21:24:28","product_info":{"id":801,"hash_id":"L7kR354mN6gX8V1q","class_ids":{"0":1,"1":2},"category_ids":{"44":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":167,"sell_point":"果根素甘胆口服液 100ml","title":"爱迪森果根素甘胆口服液 100ml\/瓶","recommend_reason":{"0":"犬猫清热解毒、凉血宣肺、止咳平喘","1":"用于犬副流感、支气管炎以及犬、猫感冒等引起的上呼吸道感染","2":"用于抑制细菌性及病毒性呼吸道疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/e1a579aab3d1676aade73b04aabaa79a.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":164,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:41:53","updated_at":"2024-11-22 09:37:38","ins":{"id":167,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甘胆口服液","trade_name":"果根素","en_name":"Gan Dan oral liquid","brand_name":"爱迪森","is_prescription":0,"cover":"\/drug\/2021\/03\/f8c0dc6b7d1f3961ebb00aca9b2ed804.jpg","specification":"100ml\/瓶","reference_price":100,"component":"甘草、板蓝根、人工牛黄、冰片、猪胆粉等","indication":"清热解毒、凉血宣肺、燥湿化痰、止咳平喘\n1.主治犬副流感,犬传染性支气管炎以及犬、猫感冒等环境气候突变引起的呼吸道感染,尤其对爆发性窝咳(传染性气管支气管炎)有良好的控制作用;\n2.对细菌性及病毒性呼吸道疾病有快递的抑制作用,有效缓解单发或群发的咳嗽、气喘、流鼻涕等呼吸道症状。","usage_dosage":"1.用法:直接喂食;拌于干粮\n2.用量:犬、猫每1kg体重1~1.5ml,1日2次,连用7~10天,或遵医嘱。(建议病情好转后再持续喂药一段时间以巩固效果)","contraindication":"","adverse_reaction":"","attention":"长久贮存可能会有少量沉淀析出,可摇匀后使用,不影响疗效。","interaction":"","approval_no":"兽药字(2016)010125217","storage_method":"常温,避光,密封保存。","validity":"2年","manufacturer":"爱迪森(北京)生物科技有限公司","status":1,"created_at":"2021-03-17 17:31:45","updated_at":"2021-03-17 17:31:45"}},"product_sku_info":{"id":843,"product_id":801,"title":"爱迪森果根素甘胆口服液 100ml\/瓶","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":225,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":171,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:41:53","updated_at":"2024-11-22 09:00:39"}}},"drug_data_bak":{"0":{"id":38926,"prescription_id":117519,"doctor_user_id":1401608,"product_id":709,"product_sku_id":752,"dose":0.33,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-13 21:24:28","updated_at":"2022-07-13 21:24:28","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":673,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:28:26","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":38927,"prescription_id":117519,"doctor_user_id":1401608,"product_id":801,"product_sku_id":843,"dose":6,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-13 21:24:28","updated_at":"2022-07-13 21:24:28","product_info":{"id":801,"hash_id":"L7kR354mN6gX8V1q","class_ids":{"0":1,"1":2},"category_ids":{"44":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":167,"sell_point":"果根素甘胆口服液 100ml","title":"爱迪森果根素甘胆口服液 100ml\/瓶","recommend_reason":{"0":"犬猫清热解毒、凉血宣肺、止咳平喘","1":"用于犬副流感、支气管炎以及犬、猫感冒等引起的上呼吸道感染","2":"用于抑制细菌性及病毒性呼吸道疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"清热解毒,凉血宣肺,燥湿化痰,止咳平喘","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/e1a579aab3d1676aade73b04aabaa79a.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":164,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:41:53","updated_at":"2024-11-22 09:37:38","ins":{"id":167,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甘胆口服液","trade_name":"果根素","en_name":"Gan Dan oral liquid","brand_name":"爱迪森","is_prescription":0,"cover":"\/drug\/2021\/03\/f8c0dc6b7d1f3961ebb00aca9b2ed804.jpg","specification":"100ml\/瓶","reference_price":100,"component":"甘草、板蓝根、人工牛黄、冰片、猪胆粉等","indication":"清热解毒、凉血宣肺、燥湿化痰、止咳平喘\n1.主治犬副流感,犬传染性支气管炎以及犬、猫感冒等环境气候突变引起的呼吸道感染,尤其对爆发性窝咳(传染性气管支气管炎)有良好的控制作用;\n2.对细菌性及病毒性呼吸道疾病有快递的抑制作用,有效缓解单发或群发的咳嗽、气喘、流鼻涕等呼吸道症状。","usage_dosage":"1.用法:直接喂食;拌于干粮\n2.用量:犬、猫每1kg体重1~1.5ml,1日2次,连用7~10天,或遵医嘱。(建议病情好转后再持续喂药一段时间以巩固效果)","contraindication":"","adverse_reaction":"","attention":"长久贮存可能会有少量沉淀析出,可摇匀后使用,不影响疗效。","interaction":"","approval_no":"兽药字(2016)010125217","storage_method":"常温,避光,密封保存。","validity":"2年","manufacturer":"爱迪森(北京)生物科技有限公司","status":1,"created_at":"2021-03-17 17:31:45","updated_at":"2021-03-17 17:31:45"}},"product_sku_info":{"id":843,"product_id":801,"title":"爱迪森果根素甘胆口服液 100ml\/瓶","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":225,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":171,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:41:53","updated_at":"2024-11-22 09:00:39"}}}}}}
微信扫一扫
立即问宠医