咨询描述:今天早晨狗狗出现呕吐的症状,先是呕吐深褐色的,然后呕吐淡黄色的粘液,很浓稠。吐完尝试喂了几口水喝,狗狗吞咽不适,精神不好。
回复总结:狗狗出现呕吐黄色粘液的症状,一种是食物不耐受、消化不良导致的急性胃肠炎,第二种考虑有肠道异物,也不排除肝肾损伤的情况。处理办法上,建议带狗狗去宠物医院检查,然后根据检查结果对症治疗。如果暂时不方便去宠物医院就诊,建议先停食停水8小时,再配合吃消炎和止吐的药物。
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.宝贝的疫苗是否每年按时注射。2.这两天除了狗粮有没有吃其余食物,自己有没有乱捡东西,排便是否成型。目前呕吐了几次。3.体温多少度,可以用水银体温计插肛门测量2分钟。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。
狗狗体重18斤,6岁。疫苗是每年都在接种,今年的加强针是在7月21日打完的,狂犬疫苗还没去打。它的饮食除了狗粮拌鸡肉罐头以外就是喂了蛋黄,应该没偷吃别的。水银温度计强行测了两分钟是37.5℃
邓薄鸿
执业兽医师
你好,看到您描述的情况了,目前体温应该是没问题的,就是根据您这种描述了,目前怀疑有三种可能。一种可能话,可能就是考虑是不是又突然有个食物不耐受消化不良的一个急性胃肠炎。第二种的话,就是考虑有偷吃什么东西有一个肠道异物。第三种的话,就是自身会不会有个肝肾损伤的情况。目前这种如果说比较担心的话可能要考虑带到医院进一步检查,保守治疗考虑目前停食停水8小时,配合吃一些消炎和止吐口服药物,看它恢复情况。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,每次半片。2.***,止吐,每天3次,每次半片。
今天早上就吐了一次,吐了三泡。平时不吃狗粮的时候饿了也会吐,不过吐的是黄水吐完没多大异常。今天的呕吐物是第一次出现。吐完精神不好,吞咽好像都很不舒服。嘴巴一直在吧唧吧唧嘴。请问医生,什么时候可以给它喂食吗?家里有益生菌和速诺,可以吃吗?
邓薄鸿
执业兽医师
如果说家里有益生菌***的话可以使用,像是这种你需要在他最后一次呕吐之后停食停水八个小时的,给胃肠道一个缓解的时间,再停四个小时左右没有异常的情况,这个时候可以先喂食益生菌,吃完益生菌间隔一个小时在使用***
好的谢谢医生,它这禁水禁食期间如果空腹饿了吐的话能给点吃的吗?另外我想先观察1天,后续如果去医院的话需要做哪些检查项目?
邓薄鸿
执业兽医师
因为目前这个阶段你可能没办法判断它到底是饿吐了还是胃肠道原因,如果说比较担心胃肠道敏感怕饿吐了,那么可以考虑缩短一些时间,停6个小时的。如果说去医院检查的话,这种一般常规的血常规和c反应蛋白看它身体炎症情况,x光看整体肠道有没有异物积气之类的,在就是生化检查看它肝肾功能有没有损伤了
医生,我想再问问,这种情况狗狗可以洗澡可以出去遛弯吗?它很想出门
邓薄鸿
执业兽医师
洗澡是百分之百不可以的,溜弯的哈可以给他带牵引绳正常排便排尿,但是不要给他特别疯的到处跑
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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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":725,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":716,"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":"2024-11-25 18:31:51"}},"1":{"id":41978,"prescription_id":118895,"doctor_user_id":1401608,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-07-27 07:41:26","updated_at":"2022-07-27 07:41:26","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 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17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
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