咨询描述:猫咪3岁,母,英短,今年4月做绝育。去年11月接手四川运到深圳,从去年12月多开始突然滴血在地上,5滴左右。呕吐,后面检查看病是肠胃炎,药物治疗。好了一段时间。今年绝育后3天左右复发,中途最严重脱水,不吃不喝,体重从8斤到4斤7两。做输液打针等。四川来之前做完3针疫苗,检查天生一个肾,一侧卵巢。最新检查30天前,肠胃淋巴结,腹腔淋巴结肿大。肠胃炎。表现目前6斤,拉血拉稀呕吐,精神状态中等。目前7得病到现在8个月左右个月一直断续吃药都不好
回复总结:猫咪出现拉血、拉稀以及呕吐的症状,首先考虑是胃肠炎问题。如果猫咪不吃不喝,精神状态也不是很好,不排除是冠状病毒感染引发的猫传腹。处理办法上,建议最好带猫咪去宠物医院进行血液生化检查、大便常规检查以及病毒筛查,进一步确诊病因以及发病程度,然后针对性给予治疗。如果暂时不方便就诊检查,建议先给猫咪吃宠物专用广谱消炎药,减轻消化道炎症。同时,配合服用促进消化道粘膜恢复的药物以及吸附性止泻的口服药。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您现在上传的结果以及描述症状,猫咪确实有胃肠炎问题,并且长期的一个病程,属于慢性疾病问题。
然后我还有几个问题需要向您核实一下:
1. 猫咪滴血,您指的是哪里滴血?
2. 猫咪最近一次复查,是什么时候?然后都检查了什么,结果如何?是否有进行血液常规,大便常规,冠状病毒,血液生化,猫瘟病毒的检查?
3. 猫咪最近都喂的什么食物,是否新鲜?如何饲喂的?
4. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
5.猫咪的疫苗,以及驱虫情况如何?
6.猫咪现在都吃的什么药物?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝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。
1.就是家里地板上滴血,从肛门,应该就是大便后带血,我观察它有几次拉血是拉完便便后再拉血结束。目前肛门里肉眼见一直发红
2,就是6.16号做的腹部超声,结果就是我第一次给您发的图片和文字。有做血常规和采便,有过肾损伤,之前最严重时候贫血,没有做生化,猫瘟病毒
3.***处方猫粮,前一个月处方罐头,新鲜,每天放盆里,空了就加
4.26-32左右
5.疫苗3针都打了。驱虫3个月之前做的,内外,因为是家养.没有做太勤
6.没有任何药物之前***,***,益生菌,维生素B,医生开的,还吃过对肠胃有副作用的止痛药一周多,4月多,因为绝育。打抗生素(消炎)
陈奕达
执业兽医师
根据您描述的症状以及提供的信息,以个人的经验判断宝贝是有胃肠炎问题,从而导致了一系列症状。然后综合现在的所有的化验结果,个人怀疑猫咪很有可能有猫传腹(猫冠状病毒)感染的可能,从而引发了一系列症状。
猫咪这种情况建议最好给予猫咪进行一下血液生化,大便常规,冠状病毒方面的检查,进一步确诊病因以及发病程度,然后针对性给予用药治疗,效果最好,最为安全稳妥。
如果暂时不方便就诊检查的情况下,可以在家先给宝贝吃一些宠物专用广谱胃肠炎(消炎,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,吸附性止泻)的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
陈奕达
执业兽医师
这边根据现有信息以及宝贝的症状,帮您开具一些用药,供您采纳参考,然后如果您有什么疑问,可以继续提问,我会一一为您解答。
处方里面的
1. ***,宠物专用广谱消炎,控制消化道炎症
2. ***,提供消化道营养,促进消化道粘膜恢复,减轻消化道炎症
3. ***,宠物专用吸附性止泻,大便成型之后立刻停药,吃多了容易便秘。
4.***,保护胃肠道粘膜,治疗消化道溃疡。
谢谢您。这半年一直在看医生,因为这只猫天生只有一个肾,这些药会不会伤肾啊,它之前吃了几个月药后肾有损伤
它是本来好了,绝育后那次就复发,然后一直不好,目前就是治疗一段时间吃药打针感觉快好了,又拉血反复
,图片是今天早上7:29排便,它就是排到最后有这种粘液血滴,最近没吃药,体重从5长到了6斤2
传染?它没有出门啊平时,就绝育那次去医院还有平时看病去医院,中途没有出来过。,这样也会得吗?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.只要是药物,都会对肾脏,肝脏有负荷的。不过生病的情况下,是没有办法的。2.猫咪不出门,我们人类会出门,也有一定概率会携带病原回家,被猫咪接触,被传染。
谢谢您,我是两只猫,另外一只猫目前健康,都是一样饮食,除了生病后分开吃。
这只生病的猫半年来,每次检查体温都是正常
那我去检查一下,担心另外一只猫也被传染了
陈奕达
执业兽医师
您好,如果两个猫咪长时间生活,另外一个猫咪没有问题,那么患病猫咪应该是没有传染性的。
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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9240,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1817,"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":"2024-11-24 11:58:14"}},"3":{"id":40436,"prescription_id":118200,"doctor_user_id":1249218,"product_id":728,"product_sku_id":770,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"保护胃肠道粘膜,治疗消化道溃疡","created_at":"2022-07-20 10:33:14","updated_at":"2022-07-20 10:33:14","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 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0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":541,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":309,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-24 19:59:41"}}}}}}
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