咨询描述:2岁绝育公猫昨天半夜尿床,床单上有血迹但是不在尿液周围。昨天去宠物医院打了一针消炎针做了尿检,说是尿液中有晶体并且ph值较高。昨天下午开始到现在没有排尿,并且开始没有精神未进食。尿道口附近有血,猫咪经常舔舐。
回复总结:猫咪尿道附近有血经常舔,是尿血的症状,有以下两种种原因。第一种是中毒,这种情况建议及时带往带往医院进行治疗,治疗方法主要是输液代谢,再给猫咪补液。第二种是成年猫咪患有膀胱结石、尿道结石会引起猫咪尿血的情绪,膀胱结石如果比较大,需要给猫咪手术把结石取出来,然后后期做好护理。如果结石比较小可以吃化石头的药和消炎药。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1.您家猫咪两岁大了,体重大概是7千克,猫咪做了尿检,再有没有做其他检查
2.您养猫咪大概多长时间了,猫咪平时都吃哪种食物,吃不吃家常饭菜,最近有没有给猫咪换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
3.猫咪吃饭,喝水,排便,排尿,玩的状态怎么样
4.猫咪有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样,有没有吃东西,喝水,猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
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。
1. 是的2岁绝育公猫大概7千克。除了尿检没有在做其他检查。
2. 从三个月开始养的一直到现在,差不多一年9个月。目前只要吃的干粮是渴望Orijen,湿粮是巅峰ZIWI PEAK。从不吃家常饭菜支持猫粮。目前没有呕吐腹泻的情况,排便正常。
3. 到昨天为止猫咪吃饭,喝水,排便,玩耍都正常。今天早晨开始没有精神,没有进食,早晨有排便但是没有排尿。
4. 没有咳嗽打喷嚏等症状。昨天去看了兽医,因为我在境外,所以药物这边不是肯了解有了什么药,只知道好像是一针消炎针和一针抗菌针。我把药的名字放到图片里。
5. 没有环境上的突然改变,猫咪一般趴在垫子上晚上会在床上睡。
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,猫咪主人,您家猫咪是尿血的症状,猫咪尿血会导致贫血,尿血有以下两种种原因,第一种猫咪吃家常饭菜中毒,猫咪是不能吃饭菜里的葱、蒜的,葱、蒜里面含有N-丙基二硫化物成分,它会导致猫咪的血红蛋白收到破坏,猫咪食入蒜之后就会出现中毒症状,临床上表现为尿血、呕吐、腹泻、溶血,严重者会导致机体出现贫血、脱水、休克、死亡,这种情况建议及时带往带往医院进行治疗,治疗方法主要是输液代谢,再给猫咪补液;第二种是成年猫咪(一岁以上)患有膀胱结石、尿道结石会引起猫咪尿血的情绪,结石在膀胱里面来回摩擦会导致猫咪膀胱上皮细胞脱落引起排尿浑浊,上皮细胞脱落后会引起猫咪尿鲜血的症状,膀胱结石如果比较大,需要给猫咪手术把结石取出来,然后后期做好护理,如果结石比较小可以吃化石头的药和消炎,根据您的详细描述来看猫咪排除食物中毒的可能性,有可能是膀胱结石或者尿道结石造成的,需要给猫咪做临床检查。目前做了尿检,尿里有结晶说明是尿道结晶或者膀胱结石的症状,需要做进一步的临床检查确诊结石的大小和位置,然后制定治疗方案,以上分析与建议您可以先参考一下。
可以麻烦问一下您建议做一些什么检查吗?我也好和这边的医生沟通下?
现在的话就是他没有去排尿,但是排尿处那里一直有血液流出,这种情况是很严重吗?
刘文飞
执业兽医师
您好,猫咪主人,猫咪目前已经出现排不出来尿,并且尿道口出现滴血的情况,这种情况已经非常严重了,需要及时给猫咪做检查检查,可以拍X光片主要看一下它膀胱和尿道里面结石的情况,您家猫咪目前的症状。吃药恢复的可能性比较小,是要开刀做手术的。您和宠物医院尽快取得联系,做完检查考虑要给猫咪做手术。
您好医生,昨天已经带猫咪去做手术了,非常感谢您,后面确诊是尿管堵住了。
然后还想问下您后续有没有一些国内可以买的药物可以帮助恢复和预防复发
刘文飞
执业兽医师
您好,猫咪主人,手术已经给猫咪做了,您后续给猫咪饮食上需要注意,要给猫咪吃泌尿道处放粮,然后要给猫咪喝纯净水或者矿泉水,自来水不能给猫咪喝,担心自来水杂质比较多,加上饮食上再不注意,还会出现尿道堵的情况,所以饮食上需要注意,后续给猫咪再用消炎药就可以了。
根据猫咪的情况,我给它开个处方。处方里面的1.阿莫西林克拉维酸钾,对猫咪尿道的炎症作用效果比较好,按猫咪的体重用药;2.泌尿道处方粮辅助治疗尿道结晶效果比较好,您可以根据需求自行选择购买
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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