咨询描述:您好,我家拉布拉多7岁胆结石引起的肝功能有问题,腹泻
回复总结:针对狗狗肝功能有问题的情况,用药治疗方面建议给狗狗吃胆汁酸或者是去熊氧胆汁酸。然后,还需要配合护肝药物。另外,建议是增加一些其他的进行配合,增加一些抗生素,以及调节肠道菌群的药物,肠道如果长时间不吃食物。突然吃些东西的话,也容易造成腹泻,因为肠道负担比较重。
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长对这种情况来说,能不能把化验的结果发给我看一下?我想了解一下实际的情况,一般来说,胆囊有结石的话,最终的解决方案都是手术。有没有出现胆囊阻塞,有没有什么别的症状或者异常?能不能把生化的结果给我看一下?有没有出现黄疸?
您好,我家拉布拉多7岁,胆管瘀阻引起的肝功能异常,有验血报告,目前腹泻,吃什么药
徐灿
执业兽医师
对于这种情况来说,能不能把化验的结果发给我看一下?我想了解一下实际的情况,另外就是胆囊里面的结石大概有多大?泥沙一样的吗?还是说比较大了呢?
徐灿
执业兽医师
这种情况请直接发送过来就可以,因为确实是没有办法加微信,不过可以详细的描述一下他的症状和状态,并且到现在为止都做了什么处置呢?尤其是她胆囊里的结石是泥沙一样的,还是颗粒的?
有黄疸是得病初期后来治好了,现在没有黄疸了就是腹泻严重,食欲不好
为保护用户隐私不显示图片/视频
第一次B超是泥沙样结石,胆道有瘀阻,吃的优思弗和胆汁酸
徐灿
执业兽医师
对于这种情况来说,能不能拍摄一段狗狗的视频发给我看一下?B超有没有视频的?因为从这个上我没有发现明显的结石,没有特别大块的。另外就是有没有持续性的高烧?一般来说,当代谢出现问题的话,出现轻微的腹泻也是正常的。现在他的食欲之类的正常吗?
不吃狗粮,只吃味道比较浓的食物,我们现在是火腿肠+馒头粒
为保护用户隐私不显示图片/视频
一直不发烧,昨天和今天有食欲了,但是吃狗粮和水煮鸡胸肉没有食欲,就是想吃味道浓的
徐灿
执业兽医师
我已经看到了它的排泄物,实际上也是比较黄的,对于这种情况来说,尽量让他吃东西,想吃什么就吃什么,也可以用一点儿香味比较重的食物,比如说卤制过的鸡腿,或者是肉类,这种情况要尽量的保证他的食欲,同时,胆汁酸或者是去熊氧胆汁酸都可以用,不过,****的话,不是一个很好的护肝药物,作用效果还是比较慢的,建议是增加一些其他的进行配合。
然后同时也建议增加一些抗生素,以及调节肠道菌群的药物,肠道如果长时间不吃食物,突然吃些东西的话,也容易造成腹泻,因为肠道负担比较重。
徐灿
执业兽医师
如果涉及到用药的话,需要提出处方申请,然后我才能帮你开出来一些,不过后续的话,建议是一定要保证正常的喂养,因为肝脏有问题的话,最重要的就是吃东西。其他的药物方面都是配合的。处方申请的话,在左下角位置。
徐灿
执业兽医师
体重的丧失是肯定的,因为疾病的时候肯定会有食欲的下降,尤其是像代谢性疾病肝病这种,那么,体重的丢失就是非常正常的。我帮你开了一个常用的方案,分别是调节肠道菌群的,用于控制继发性感染的,还有一个就是常规的护肝药物,护肝药物是两盒,因为他的体重很大,所以用药量也很多,并且护肝药物需要长时间使用。
徐灿
执业兽医师
没事的不用谢,上面的方案并不是唯一方案,主要是控制继发性感染,调节肠道菌群用于治疗腹泻,然后护肝的药物长时间使用,用于应对肝脏损伤。至于胆汁酸,或者是去熊氧胆汁酸,配合着用就行,他们之间没有配伍禁忌。
并且要嘱咐你一下,后续的话,最近一段时间可以给他吃一点卤肉或者是口味较重的肉类,然后混合着食物给他吃,这种情况首先考虑的是让它吃进去东西,用于加强营养。
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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