咨询描述:你好医生,我想咨询一下,拉布拉多6岁,前两天拉稀了,还有便血了一次(鲜血),前天吐了一次,今天又吐了一次,黄色粘稠物,带红色的点点,是啥原因呀,去年得过急性胰腺炎已经治愈了
回复总结:狗狗出现拉稀、便血、呕吐的症状,可能是肠胃炎,也有可能是胰腺炎,此外不排除寄生虫感染的因素。处理办法上,建议最好带狗狗去宠物医院做炎症反应测试以及粪便镜检,然后进行对症治疗。如果暂时不方便去宠物医院就诊,建议先给狗狗吃抗生素,然后断食不断水,后续再用驱虫药物口服即可。
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,常见的原因就是胰腺炎,肠胃炎,或者是寄生虫等因素造成的,请问一下,有没有肚子的按压疼痛?上一次做体内驱虫是什么时候?有没有用过什么药物呢?我需要了解一下具体的情况,一般来说,主要考虑的实际上还是上面三种原因,但是要综合实际情况来分析,最近一段时间有没有更换过食物呢?
摁压肚子没有反应,但是精神状态不好,去年得过胰腺炎以后就没做过驱虫了,刚刚喂了庆大霉素
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
对于这种情况来说,个人建议是明天做两个测试,一个是炎症反应测试,看一下是否是胰腺炎或者是肠炎,并且做一个粪便镜检,因为长时间没有做体内驱虫,寄生虫的可能性也是存在的。
我们这因为疫情原因出不去,医院也关着的,它的精神状态不好,前几天有一次拉稀带鲜血,这几天都是软便状态,今天晚上便便正常但是带红色,前天呕吐过一次呕吐黄水里面带青菜,今天这次呕吐就刚刚给您发的照片状态,有红色点点,不厌食,就是精神状态不好,有点燥一会就起身换个地方躺着,但是感觉和上次胰腺炎不一样,吐的东西也不带灰色的
徐灿
执业兽医师
实际上,并不能完全排除胰腺炎的可能性,目前来说,个人建议是明天尽快的做一个炎症反应测试,以及粪便镜检,建议是先给他吃一些抗生素,然后断食不断水,因为他的状态还是比较差的。等到后续的话,你可以把化验的结果发给我看一下,然后我再给出新的建议或者治疗方案,因为只有症状,目前来说无化验结果没有办法确诊。
我们因为疫情出不去,如果能出去的话我直接就去医院了,您觉得最有可能是什么原因呢,推荐用什么药呢,宠物用药现在不太好买,有替代的人用的药吗
徐灿
执业兽医师
一般来说,这种情况抗生素的使用是必须的,但是为了避免拖延,最好还是能先做一个胰腺炎的排查,那么建议是先用抗生素口服,如果说能够稳定下来的话,那么,后续再用驱虫药物口服即可,如果说用完抗生素两次以后没有任何效果,甚至有所加重,那么就必须做进一步检查
徐灿
执业兽医师
当然是可以吃的,硫酸庆大霉素是治疗肠胃炎的非常好的药物,一般来说,胰腺炎的话会有肚子的按压疼痛,而且如果真的是胰腺炎,那么,用抗生素口服完之后会没有太好的效果
徐灿
执业兽医师
实际上并不需要,两种药物选择一种就可以,等到后续,如果用完药之后有好转,等到恢复之后再进行一次体内驱虫即可。
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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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11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":"2020-10-23 12:09:57","updated_at":"2020-10-23 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":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"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 19:05:02"}},"1":{"id":43479,"prescription_id":119579,"doctor_user_id":1296147,"product_id":870,"product_sku_id":911,"dose":0.1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":1,"number":2,"remark":"每公斤0.1片","created_at":"2022-08-03 02:55:36","updated_at":"2022-08-03 02:55:36","product_info":{"id":870,"hash_id":"ZXn76zg9o6p9boBN","class_ids":{"0":1},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":1,"sell_point":"拜宠清复方非班太尔片","title":"拜耳拜宠清复方非班太尔片 2片\/拆零","recommend_reason":{"0":"用于治疗犬的线虫和绦虫感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体内驱虫药,蛔虫,钩虫,绦虫,鞭虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2片拆零装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/e7feb0e630c04bfba7ad743f4ffa6f09.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":52,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:59:01","ins":{"id":1,"hash_id":"","class_ids":"[\u00221\u0022]","title":"拜耳拜宠清复方非班太尔片","common_name":"复方非班太尔片","trade_name":"拜宠清","en_name":"Compound Febantel Pian","brand_name":"拜耳","is_prescription":0,"cover":"\/drug\/2022\/01\/5eafc201d2bd023e992c4024c533c93d.JPG","specification":"6片×1板\/盒","reference_price":229,"component":"0.7765g\/片(含非班太尔0.15g,吡喹酮0.05g,双羟萘酸噻嘧啶0.144g)","indication":"用于治疗犬的线虫和绦虫感染。如犬弓首蛔虫、犬狮蛔虫、犬窄头钩虫、犬钩口线虫、毛首线虫、棘球绦虫、带绦虫、复孔绦虫等。","usage_dosage":"内服片剂。\n1.限2周龄以上犬服用,每10kg体重使用1片每次,不足10kg的犬可以等比例掰开药片用药。\n2.可直接吞服或包于肉或食物中给药,无需禁食。\n3.成年犬例行驱虫,每3个月1次。\n4.用于控制犬弓首虫时,哺乳的母犬应在产后2周投药,且每2周给药1次至断奶。幼犬也应在2周龄时给药,且每2周给药1次至12周龄,随后每3个月给药1次,建议在给母犬投药的同时也给幼犬投药。\n5.对于线虫感染严重的犬,应在首次投药14天后再重复给药1次。","contraindication":"禁止2周龄以下犬服用。","adverse_reaction":"有少部分的犬服用拜宠清后可能呕吐,腹泻或产生蛔虫逆流现象。这些现象与肠道内寄生虫的数量有关系,属于正常范围内的不良反应,一般维持1到2天。","attention":"1.本品仅用于宠物犬。\n2.妊娠母犬可用,须严格按照推荐剂量使用。\n3.勿让儿童接触本品。\n4.工作人员给狗狗投药后应洗手,药片使用后的剩余部分勿留用。\n5.新到家的犬,刚打完疫苗的犬,以及精神状态不好的犬建议观察15天左右再进行驱虫。\n6.出现严重不良反应的情况请及时联系宠物医生。","interaction":"勿与哌嗪类药物同时使用。","approval_no":"(2019)外兽药证字41号","storage_method":"密封,25℃以下保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2019-12-27 17:35:40","updated_at":"2022-01-11 15:29:08"}},"product_sku_info":{"id":911,"product_id":870,"title":"拜耳拜宠清复方非班太尔片 2片\/拆零","advword":null,"price":58,"market_price":88,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零装"}},"cover":null,"thumb":"","sale_count":54,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:48:29"}}}}}}
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