咨询描述:猫味频繁上厕所,怀疑是尿道感染,吃了***片以十天,药一停好二天又发了,能不能推荐效果好的药,谢谢
回复总结:猫咪有频繁上厕所的情况,可能是尿路感染引发的。其次,不排除膀胱炎、膀胱结石、肾衰等情况。处理办法上,建议及时带猫咪去宠物医院做超声检查,确定病因后再对症治疗。治疗原则上,除了抗感染,还需要止疼、抗应激。如果暂时不方便去宠物医院就诊,建议先给猫咪口服含有阿莫西林克拉维酸钾成分的消炎药,以及治疗泌尿道综合症的药物。
问题大致一样,细节不同?
猫咪尿道感染,吃***和***片以十天,只要吃药症状就消失,不吃好二天症状又有了怎么办?
王明月
执业兽医师
根据您讲到的猫咪频繁上厕所,我初步分析猫咪可能存在膀胱炎、膀胱结石、肾衰等情况,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题要跟您核实一下:1、猫咪是公猫还是母猫,年龄?2、排尿频繁,一白天去几次猫砂盆?猫砂盆里的结块的猫砂团是大的还是零散一些小团。3、您是否观察过猫咪是否排尿通畅?是否有尿带血的情况?4、喂食上述两种药物的时候,猫咪有明显症状好转吗。5、是否到线下医院就诊过?医生确诊泌尿道感染吗?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【体重、年龄、品种、性别】提供一下,待会咱们沟通后如果涉及用药建议,方便给宝贝开具处方
是公猫,二岁,吃药症状就好了,不吃药就频繁的去,吃药结团就正常,不吃药就小团,零散。排尿还可以,没发现带血,有时尿过有一点粉色,偶尔。喂药症状就好转,也就过把小时就好转了,医生说是尿道感染(应急)就诊过,这次是复发,第一次吃***片和***片好了,这次再吃就效果不佳,换成***和***片,只要停下来最多好二天又发了。体重九斤年龄大概二岁是流浪猫,在路上被捡回来的是公猫,做个绝育。做个B超,没有结石,膀胱浑浊。
王明月
执业兽医师
您好,我看到了您发来的信息。根据它目前的症状,主要考虑是猫咪特发性膀胱炎,之前医生提到的应激是原因之一。这种疾病在公猫比较常见,主要是由于精神压力大、应激、膀胱感染等多种原因导致的膀胱炎,导致猫咪出现排尿频繁、可能出现尿血、排尿疼痛,有时候出现尿闭(堵塞)的情况,超声检查一般显示膀胱内浑浊,有泥沙状沉积物、膀胱壁增厚等。
它这个病的治疗原则除了抗感染,还需要止疼、抗应激。它现在尿频情况又反复,也不一定是因为速诺和您提到的那个药物药效不好了,可能是它排尿疼痛的情况还没有消失。而且这个病本身复发几率就在60%左右,一般五只猫咪得这个病,第一次治疗后3只都有可能复发。
根据它目前的情况,我给它出具一个治疗方案,您可以参考下。我大概需要15-20分钟时间编辑,请您稍等一下。
王明月
执业兽医师
处方里面的1、***,恩诺沙星,治疗细菌引起的皮肤、下泌尿道感染。抗菌效果强于***。(用法用量详见处方详情);注意,该药不可超剂量使用。2、***,呋塞米,强效利尿剂,利尿效果强于***,用法用量详见处方详情。建议在使用该药的同时,给猫咪大量饮水。3、
***,用于猫特发性膀胱炎,该药中的蔓越莓提取物、L-茶氨酸有舒缓猫咪情绪的作用;D甘露糖和N-乙酰-D葡萄糖胺有保护膀胱粘膜的作用(用法用量详见处方详情)。4、加巴贲丁,止疼药,治疗神经性疼痛(猫特发性膀胱炎引起的排尿疼痛),用法用量,口服,每天两次,每公斤体重10mg,用药7天。本平台目前还没有这个药物,需要您线下购买。您可(医生本人和平台是不支持宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。)
以上药物
王明月
执业兽医师
这次处方中,给它开具了药效更强的抗生素(拜有利)和利尿剂(呋塞米),但建议利尿剂考虑继续使用您手上的这个药物一段时间,增加泌尿安和加巴贲丁两种药,看下治疗效果。
用药期间,建议给它大量饮水,促使它大量排尿冲刷膀胱,抗感染的同时排尿冲刷膀胱,有利于它的恢复。
王明月
执业兽医师
您好,您可以点击处方详情,里面每种药物的下面,都标注了用法用量,如果还有不明白的,可以继续向我提问。
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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