咨询描述:刚到家4天的45天大的小猫拉稀喂了两天止泻药和益生菌,今天第三天开始没有看见便便,拉了3次都是一小团粘液和血,
回复总结:猫咪有呕吐的症状,并且拉稀带血丝和粘液,首先可能是传染病,主要是猫瘟和猫冠状。其次,还可能是食物不耐受引发的急性胃肠炎。最后,考虑是寄生虫感染,尤其是滴虫和球虫。处理办法上,建议带猫咪去宠物医院就诊,确定病因后再对症治疗。如果暂时不方便去宠物医院就诊,建议给猫咪口服含有甲硝唑成分的药物,每天2次,以及止泻、修复肠粘膜的药物,每天2次。此外,还可以喂食益生菌调理肠胃。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,还不能做出进一步的判断。我还有几个问题需要向你核实一下:1.猫咪具体吃的什么止泻药物。2.这几天除了猫粮有没有吃其余食物,有没有换猫粮。3.除了这种腹泻外有没有其它症状,目前精神状态怎么样,能否正常吃喝,有没有呕吐。.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。另外,把您家爱宠的信息补充完整,特别是『年龄、体重』,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
猫咪吃的止泻药物是猫咪爱和蒙脱石散,蒙脱石散喂了2天,妈咪爱一直有喂,开始前两天呕吐过第一天是白色泡泡粘液和一点黄色还有毛发,第二天是黄色粘液没有泡泡,之后第3天4天没有吐过,目前精神状态蛮好,就是不吃粮只喝水和奶。没有换猫粮之前他在主人家吃的什么我都拿回来了,一开始喂的舒化奶我怀疑是奶的原因,第3天就是昨天换了羊奶一天小猫吃了昨天今天都很精神,但是开始拉粘液一小团和血,一开始是血丝后来是大概一个小血球,没有排便拉的就是粘液和血我想知道是为什么,今天去过宠物医院做了猫瘟试验已经排除猫瘟,请问目前的情况要怎么解决,第一天拉便是正常的,现在天天不正常大便,应激也不太可能抱回来的当天晚上就吃奶还比较活跃就是一直不吃粮。
邓薄鸿
执业兽医师
你好,看到您描述的情况了,就是根据您这种描述了,目前怀疑有三种可能。一种可能话,就要考虑有传染病的风险,主要就是猫瘟和猫冠状。第二种的话,可能就是考虑是不是又突然有个食物不耐受的一个急性胃肠炎。第三种的话,就是考虑寄生虫感染,尤其是滴虫和球虫。就是不知道你除了猫瘟做没做猫冠状检查还有寄生虫。就是他拉血拉粘液,就是因为肠炎太严重了,但是你现在没办法确定他具体是哪一种,你这种的话就是如果说确定排除掉,其他的和猫冠状还有寄生虫感染,那么可以说目前就是一个肠炎,那针对这种的话除了现有的益生菌继续使用,就是考虑配合甲硝唑和***了。根据宝贝的情况,我给它开个处方。处方里面的1.甲硝唑,厌氧菌肠道消炎,每天2次,8公斤吃一片。2.***,止泻修复肠粘膜,每天2次,10公斤吃一片。
邓薄鸿
执业兽医师
就是你目前这个年龄情况下,不用考虑其他的食物了,饮食就是除了猫粮就是羊奶粉,其它任何东西就都不要喂了。
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
{"377017":{"id":377017,"case_id":43497,"user_id":1401608,"to_user_id":2022224,"type":3,"content":"你好,看到您描述的情况了,就是根据您这种描述了,目前怀疑有三种可能。一种可能话,就要考虑有传染病的风险,主要就是猫瘟和猫冠状。第二种的话,可能就是考虑是不是又突然有个食物不耐受的一个急性胃肠炎。第三种的话,就是考虑寄生虫感染,尤其是滴虫和球虫。就是不知道你除了猫瘟做没做猫冠状检查还有寄生虫。就是他拉血拉粘液,就是因为肠炎太严重了,但是你现在没办法确定他具体是哪一种,你这种的话就是如果说确定排除掉,其他的和猫冠状还有寄生虫感染,那么可以说目前就是一个肠炎,那针对这种的话除了现有的益生菌继续使用,就是考虑配合甲硝唑和***了。根据宝贝的情况,我给它开个处方。处方里面的1.甲硝唑,厌氧菌肠道消炎,每天2次,8公斤吃一片。2.***,止泻修复肠粘膜,每天2次,10公斤吃一片。","media":{"images":{},"videos":{},"business_params":{"prescription_id":114846}},"is_doctor":1,"status":1,"created_at":"2022-06-16 18:16:46","show_rx":true,"rx_info":{"id":114846,"rx_no":2.02206161816215e+24,"user_id":2022224,"doctor_user_id":1401608,"is_independent":0,"case_id":2778730,"pet_info":{"pet_id":302594,"pet_name":"暹罗","pet_nickname":"妙妙","pet_gender":1,"pet_birth":"0-1","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1个月"},"diagnose":"血便","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-16 18:16:21","updated_at":"2022-06-16 18:16:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":33081,"prescription_id":114846,"doctor_user_id":1401608,"product_id":697,"product_sku_id":740,"dose":0.2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-16 18:16:21","updated_at":"2022-06-16 18:16:21","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}},"1":{"id":33082,"prescription_id":114846,"doctor_user_id":1401608,"product_id":914,"product_sku_id":955,"dose":0.2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-16 18:16:21","updated_at":"2022-06-16 18:16:21","product_info":{"id":914,"hash_id":"ZjEadAxN72pJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":218,"sell_point":"坦必欣碱式碳酸铋片 0.5g","title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","recommend_reason":{"0":"止泻药,用于胃肠炎及腹泻等。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"拉稀,腹泻,止泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/e1795862e0fe2674b4866ad361ade8e1.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:43:00","updated_at":"2024-04-09 09:03:50","ins":{"id":218,"hash_id":"9MqykBxrQXgwb1Or","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"坦必欣碱式碳酸铋片","common_name":"碱式碳酸铋片","trade_name":"坦必欣","en_name":"Diarrop","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/1cf40dfa9b5914428de492ca32cb6e17.JPG","specification":"0.5g×7片×5板\/盒","reference_price":300,"component":"碱式碳酸铋","indication":"止泻药,用于胃肠炎及腹泻等。","usage_dosage":"内服:犬猫轻微腹泻每10kg一片,一天一次;犬猫严重腹泻每10kg一片,一天两次。","contraindication":"","adverse_reaction":"本品不经过血液循环,未出现不良反应。\n个别会出现便秘情况,停药即可恢复。","attention":"每次服用最多不超过4片,症状缓解即可减少为药量。","interaction":"","approval_no":"兽药字090241563","storage_method":"密封,在干燥处保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:39:44","updated_at":"2022-03-03 11:54:25"}},"product_sku_info":{"id":955,"product_id":914,"title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","advword":null,"price":188,"market_price":240,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5板盒装"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:43:00","updated_at":"2024-11-11 10:35:02"}}},"drug_data_bak":{"0":{"id":33081,"prescription_id":114846,"doctor_user_id":1401608,"product_id":697,"product_sku_id":740,"dose":0.2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-16 18:16:21","updated_at":"2022-06-16 18:16:21","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}},"1":{"id":33082,"prescription_id":114846,"doctor_user_id":1401608,"product_id":914,"product_sku_id":955,"dose":0.2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-16 18:16:21","updated_at":"2022-06-16 18:16:21","product_info":{"id":914,"hash_id":"ZjEadAxN72pJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":218,"sell_point":"坦必欣碱式碳酸铋片 0.5g","title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","recommend_reason":{"0":"止泻药,用于胃肠炎及腹泻等。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"拉稀,腹泻,止泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/e1795862e0fe2674b4866ad361ade8e1.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-02-12 17:43:00","updated_at":"2024-04-09 09:03:50","ins":{"id":218,"hash_id":"9MqykBxrQXgwb1Or","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"坦必欣碱式碳酸铋片","common_name":"碱式碳酸铋片","trade_name":"坦必欣","en_name":"Diarrop","brand_name":"汉维宠仕","is_prescription":0,"cover":"\/drug\/2022\/02\/1cf40dfa9b5914428de492ca32cb6e17.JPG","specification":"0.5g×7片×5板\/盒","reference_price":300,"component":"碱式碳酸铋","indication":"止泻药,用于胃肠炎及腹泻等。","usage_dosage":"内服:犬猫轻微腹泻每10kg一片,一天一次;犬猫严重腹泻每10kg一片,一天两次。","contraindication":"","adverse_reaction":"本品不经过血液循环,未出现不良反应。\n个别会出现便秘情况,停药即可恢复。","attention":"每次服用最多不超过4片,症状缓解即可减少为药量。","interaction":"","approval_no":"兽药字090241563","storage_method":"密封,在干燥处保存","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 14:39:44","updated_at":"2022-03-03 11:54:25"}},"product_sku_info":{"id":955,"product_id":914,"title":"汉维宠仕坦必欣碱式碳酸铋片 0.5g×8片×5板\/盒","advword":null,"price":188,"market_price":240,"cost_price":0,"stock":60,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5板盒装"}},"cover":null,"thumb":"","sale_count":40,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:43:00","updated_at":"2024-11-11 10:35:02"}}}}}}
微信扫一扫
立即问宠医