咨询描述:王大夫您好,我家金毛公,年龄6岁8个月,大概五天前开始,肚子痛,好像是阵痛,我摸到腹部有硬的东西,去医院做了检查。生化,血常规,X片和B超,脾脏大。医生说可能是脾脏折转,让观察三四天,如果自行转回就好了,如果严重了就手术摘除脾脏。我想咨询您,看看您的意见。感谢🙏
回复总结:针对狗狗脾脏肿大的情况,如果狗狗精神还不错,您以选择观察3天左右,但是需要注意,避免狗狗暴饮暴食,避免喂食喂水前后剧烈运动,一定要等狗狗完全平静后再喂食喂水。然后,经常观察狗狗是否出现肚子胀大的情况,如果3天后狗狗症状不见好转,建议手术切除脾脏,这样能有效帮助狗狗解决腹痛。
问题大致一样,细节不同?
王冲
执业兽医师
您好,b超中显示狗狗脾脏肿大,狗狗目前有什么症状,比如除了腹部阵痛,食欲怎么样?精神状态怎么样?
如果狗狗精神还不错,您可以选择观察3天左右,但是需要注意,避免狗狗暴饮暴食,避免喂食喂水前后剧烈运动!一定要等狗狗完全平静后再喂食喂水,经常观察狗狗是否出现肚子胀大的情况,如果3天后狗狗症状不见好转,建议手术切除脾脏,这样能有效帮助狗狗解决腹痛。
但是如果狗狗出现,坐立不安,吭吭唧唧哀嚎,呕吐/干呕表现出痛苦的症状建议直接手术。
王大夫您好,狗狗这些天不爱动,吃喝除了三天前疼的那天不吃早餐,其他时间吃饭喝水还正常,精神状态远不如从前。您的意见,不考虑其他因素吗?直接考虑手术摘除脾脏吗?不需要其他检查方法吗?
王冲
执业兽医师
您给狗狗检查的比较全面了,生化检测比较全面,内脏功能都没有问题,b超中脾脏形态不正常,您可以先这样,给狗狗喂止疼抗炎药,平时的饮食注意一下,不能吃大油水和带盐的食物,清淡一点,如果3天狗狗吃了有好转,精神变好了,一般不会特别严重了,但是如果止疼了还是效果不明显,最好是摘除脾脏
王大夫,医生给开了4粒止疼药,4天的量。说是便于静止少动的情况下,看能否自行转回来。我想知道,狗狗这是确诊为脾脏折转吗?王大夫,抗炎药没有,您看吃什么药?另外,如果摘除脾脏,会有什么后遗症?以及注意事项?
王冲
执业兽医师
还有一点,您家狗狗还有胆泥淤积,这种情况狗狗也可能会出现腹痛,而且有时候会呕吐,您还需要给狗狗服用胆汁酸来清除胆泥。
狗狗脾脏是细长状,脾头出现折转就是属于扭转了,需要静养看能否自行恢复,剧烈活动可能会加重。
止疼药如果是贝安可或者瑞莫迪就不用服用其他单独的抗炎药了,这两种都是止疼抗炎一体的。
脾脏是一个免疫器官,摘除后会免疫力下降,平时需要给狗狗多补充营养提高免疫力,摘除后不会影响狗狗正常生活。
非常感谢王大夫🙏止疼药是***。您看还需要看一眼片子吧?还需要吃什么药,您给开药方吧。
为保护用户隐私不显示图片/视频
王冲
执业兽医师
片子中狗狗胃上移,还有就是有宿便,其他问题片子中反应不明显
根据宝贝的情况,我给它开个处方。处方里面的
1. ***250mg,消炎抗感染,每天两次,每次2片
2.***,祛除胆泥,保护肝脏,增加食欲
您可以根据需求自行选择购买
王大夫,做B超时,B超大夫说肝脏偏小,脾脏有点大,您怀疑肝脏肿大?
王冲
执业兽医师
从片子中看是感觉肝脏有点大,但是b超中肝脏质地均匀,没有增大,我不确定是哪个检查在前,您不用太担心,我只是怀疑,吃肝脏药是清除胆泥,保护肝脏不受损伤
王冲
执业兽医师
消炎抗感染一般要吃一周左右,保护肝脏的最好是吃一个月左右,祛除胆泥比较慢
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":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}},"1":{"id":52893,"prescription_id":123965,"doctor_user_id":1869081,"product_id":900,"product_sku_id":941,"dose":3,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-09-20 11:33:24","updated_at":"2022-09-20 11:33:24","product_info":{"id":900,"hash_id":"V9we7N4JwwgPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"3":164},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":205,"sell_point":"欧苷宝宠物营养补充剂 0.5g×30片\/盒","title":"欧苷宝宠物营养补充剂 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