咨询描述:英短母猫,大概从6月中旬开始有尿血的情况,到医院打针也吃了药,药没有吃完,我们就停了,停了没有多久,它的情况也好了,但最近又出现了尿血的情况,且今天发现血里有晶体。
回复总结:母猫出现尿血的症状,造成原因可能是膀胱炎。治疗方面,建议给猫咪口服宠物专用广谱消炎药,每天2次。同时,还需要配合服用修复泌尿系统的药物,每天2次。如果猫咪尿液里还有晶体,可能是膀胱结石引发的问题。如果猫咪大量的膀胱结石,还要需要手术来进行治疗。另外,日常喂养上建议多给猫咪喝水,每公斤体重每天保证50毫升以上。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,看到您描述的情况了,就是当时有没有给猫咪进行就是血液检查X光 B超尿检之类的检查呢?有没有确定他到底是因为什么原因导致的尿血。因为一般常规的话就是特发性膀胱炎.膀胱结晶还是膀胱结石导致的了。像是你说你这种尿液里看到晶体的话嗯还不好说,会不会是有膀胱结石的问题了。我如果说我大量的膀胱结石的话,那么可能还要考虑需要手术来进行治疗的
当时医生就说了是膀胱炎,打了三天的针,然后吃了药,它也能正常吃猫粮,精神也很好,尿也正常,一天就只尿血一次,或者隔几天尿一次,尿在挨着它猫砂盆的外面,其余正常的都去猫砂盆,而且以前尿血还呈红色,但现在就是很淡的颜色,不知道它这是个什么情况?
邓薄鸿
执业兽医师
就是你这种虽然说很淡的颜色他还是有血的,你当时是医生有进行专门的检查最后的检查结果是膀胱炎,还是医生就只是看了一下就告诉你是膀胱炎的。就是你现在这种肯定有问题了,就主要就是考虑我刚才跟你说这三个方面,但是现在我没办法确定到底是什么问题。因为这种只有进行专门的检查之后才能够确定,如果说就是膀胱炎.膀胱结晶的话那么你就是正常吃药就可以。如果说要是膀胱结石的话,那么就需要根据具体的多少来考虑用不用手术了。
医生是看了一下,没有你说的血液检查和X光片,我们也是今天因为它尿了没来得及处理,等我们回来已经干了才发现有晶体,之前它尿了,即使处理了都没发现也不知道以前有没有,那我明天还是再带它再去医院做检查,如果是像你说的是膀胱炎,不是结石导致的,可以给它吃点什么药呢?生活上需不需要特别注意的,猫粮需不需要换,或者该给它吃什么样的猫粮呢?
邓薄鸿
执业兽医师
如果说就是膀胱炎的话一般就是考虑口服常规的消炎药***之类的,在就是配合***这种修复泌尿道的药物的,日常语言多喝水,每公斤体重每天保证50毫升以上,正常猫粮就可以或者可以换成湿粮也可以。根据宝贝的情况,我给它开个处方。处方里面的1.***,消炎,每天2次,每次0.5片。2.***,修复泌尿系统针对膀胱炎,每天2次,每次1毫升。
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
{"376444":{"id":376444,"case_id":43430,"user_id":1401608,"to_user_id":2065925,"type":3,"content":"如果说就是膀胱炎的话一般就是考虑口服常规的消炎药***之类的,在就是配合***这种修复泌尿道的药物的,日常语言多喝水,每公斤体重每天保证50毫升以上,正常猫粮就可以或者可以换成湿粮也可以。根据宝贝的情况,我给它开个处方。处方里面的1.***,消炎,每天2次,每次0.5片。2.***,修复泌尿系统针对膀胱炎,每天2次,每次1毫升。","media":{"images":{},"videos":{},"business_params":{"prescription_id":118040}},"is_doctor":1,"status":1,"created_at":"2022-07-18 19:42:49","show_rx":true,"rx_info":{"id":118040,"rx_no":2.0220718194246503e+24,"user_id":2065925,"doctor_user_id":1401608,"is_independent":0,"case_id":2824528,"pet_info":{"pet_id":311705,"pet_name":"英短","pet_nickname":"扣扣","pet_gender":2,"pet_birth":"0-8","pet_weight":2,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"8个月"},"diagnose":"血尿","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-07-18 19:42:46","updated_at":"2022-07-18 19:42:48","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":40078,"prescription_id":118040,"doctor_user_id":1401608,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-18 19:42:46","updated_at":"2022-07-18 19:42:46","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":40079,"prescription_id":118040,"doctor_user_id":1401608,"product_id":756,"product_sku_id":798,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-07-18 19:42:46","updated_at":"2022-07-18 19:42:46","product_info":{"id":756,"hash_id":"VjX39W4zeBpQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":169,"sell_point":"宠石益 宠物添加剂预混合饲料(UD-130)","title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫尿路结石","1":"用于犬猫膀胱炎","2":"用于犬猫泌尿道炎症、泌尿道综合症等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"泌尿道,结石,感染,膀胱炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/895d6f0d9fa345292dc5a725a1f5b086.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-11 09:35:45","ins":{"id":169,"hash_id":"","class_ids":"[1,2]","title":"宠石益宠物添加剂预混合饲料(UD-100)","common_name":"宠物添加剂预混合饲料(UD-100)","trade_name":"宠石益","en_name":"Pet additive premixed feed(UD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/94a2e7dfcd38a1c5614573330ff221f3.jpg","specification":"60ml\/瓶","reference_price":118,"component":"柠檬酸钾,葡萄糖胺,乙酰氧肟酸,维生素A,维生素C,维生素E,精氨酸,牛磺酸,蔓越莓等","indication":"1.宠物尿路结石\n2.膀胱炎\n3.泌尿道炎症\n4.泌尿道综合症等","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"宠物若伴有泌尿道炎症,需配合消炎药使用效果更佳,泌尿道疾病没有办法根治,长期预防可配合处方粮服用,对结晶及小结石也有一定预防效果,详情可咨询在线医生。","interaction":"","approval_no":"苏饲预字(2018)768343","storage_method":"应贮存在干燥、避光、遮风、清洁的环境,不得与有毒有害等污染物混贮。","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-18 11:01:39","updated_at":"2024-06-01 18:21:53"}},"product_sku_info":{"id":798,"product_id":756,"title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c512d1875c2ba0f29337406b27220568.jpg","thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-20 21:30:02"}}},"drug_data_bak":{"0":{"id":40078,"prescription_id":118040,"doctor_user_id":1401608,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-18 19:42:46","updated_at":"2022-07-18 19:42:46","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺(阿莫西林克拉维酸钾片)50mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×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":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"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\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染,及治疗犬猫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1-2kg,吃半粒; \n体重3-5kg,吃1粒; \n体重6-9kg,吃2粒;\n体重10-13kg,吃3粒;\n体重14-18kg,吃4粒;\n体重≥19kg,请购买同品250mg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10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":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":40079,"prescription_id":118040,"doctor_user_id":1401608,"product_id":756,"product_sku_id":798,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-07-18 19:42:46","updated_at":"2022-07-18 19:42:46","product_info":{"id":756,"hash_id":"VjX39W4zeBpQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":169,"sell_point":"宠石益 宠物添加剂预混合饲料(UD-130)","title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫尿路结石","1":"用于犬猫膀胱炎","2":"用于犬猫泌尿道炎症、泌尿道综合症等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"泌尿道,结石,感染,膀胱炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/895d6f0d9fa345292dc5a725a1f5b086.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-11 09:35:45","ins":{"id":169,"hash_id":"","class_ids":"[1,2]","title":"宠石益宠物添加剂预混合饲料(UD-100)","common_name":"宠物添加剂预混合饲料(UD-100)","trade_name":"宠石益","en_name":"Pet additive premixed feed(UD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/94a2e7dfcd38a1c5614573330ff221f3.jpg","specification":"60ml\/瓶","reference_price":118,"component":"柠檬酸钾,葡萄糖胺,乙酰氧肟酸,维生素A,维生素C,维生素E,精氨酸,牛磺酸,蔓越莓等","indication":"1.宠物尿路结石\n2.膀胱炎\n3.泌尿道炎症\n4.泌尿道综合症等","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"宠物若伴有泌尿道炎症,需配合消炎药使用效果更佳,泌尿道疾病没有办法根治,长期预防可配合处方粮服用,对结晶及小结石也有一定预防效果,详情可咨询在线医生。","interaction":"","approval_no":"苏饲预字(2018)768343","storage_method":"应贮存在干燥、避光、遮风、清洁的环境,不得与有毒有害等污染物混贮。","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-18 11:01:39","updated_at":"2024-06-01 18:21:53"}},"product_sku_info":{"id":798,"product_id":756,"title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c512d1875c2ba0f29337406b27220568.jpg","thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-20 21:30:02"}}}}}}
微信扫一扫
立即问宠医