咨询描述：症状描述：昨天中午突然开始呕吐 然后不吃东西精神萎靡不振 我也不敢让它吃 只能隔一段喂它清水 今天下午拉出血水
患病时长：一天半
医院检查：我家这边没有宠物医院 我在网上查阅大量资料之后推测可能是急性肠胃炎
用药情况：去诊所开了点消炎药和治疗腹泻的药 一次喂它一粒药片加一颗胶囊 今天下午我把药品碾成粉末用针管往狗狗嘴里打， 但是感觉狗狗好像没有好转
回复总结：狗狗出现呕吐、拉血水的症状，一般有三种原因。第一种是由于狗狗消化不良引起的，是普通的胃肠炎，可以给狗狗吃止吐的药，还有消炎药，大概吃五到七天左右。第二种是由于狗狗比较小，抵抗力和免疫力比较差，有可能感染犬细小病毒，需要领狗狗去宠物医院做临床方可确诊。第三种原因是由于狗狗体内寄生虫感染，需要每三个月给狗狗做一次体内驱虫，每一个月给狗狗做一次体外驱虫。如果有虫体就确诊是体内寄生虫感染。
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，我初步分析狗狗是消化不良引起的胃肠炎。但仅仅根据目前的信息还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1.您家狗狗3个月大了，体重大概是2千克
2.您养狗狗大概多长时间了，狗狗平时都吃哪种食物，最近有没有给狗狗换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致狗狗出现呕吐的症状，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，腹泻拉血水了
4.狗狗有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样，有没有吃东西.喝水，狗狗有没有接种过疫苗，做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温，狗狗趴在垫子上，还是地板上
7.狗狗用的药是人用药还是宠物专用药，您把名称发我，剂量发我
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。
跟我在一起快三个月 真实年龄应该5个月 体重2公斤以内 狗狗平常都吃面条鸡蛋偶尔会给他吃香肠还有肉肉，特殊的东西倒是没有 骨头也没有 呕吐的是透明粘液 没有咳嗽打喷嚏 今天下午给他用了消炎药我妈买的叫啥我也不知道 没有接种过疫苗也没有做过驱虫 狗狗喜欢趴在地板上 但是因为它的毛毛比较长 应该不是着凉 用的药是人用药 但是我邻居之前用这种药治好过狗 剂量是一粒治疗腹泻的药片跟一颗消炎的胶囊
刘文飞
执业兽医师
您好，狗狗主人，根据您的详细描述来看，狗狗有呕吐、腹泻的情况，呕吐、腹泻一般有三种原因，第一种是由于狗狗消化不良引起的呕吐、腹泻，是普通的胃肠炎，正常可以给狗狗吃止吐的药，还有消炎药，大概吃五到七天左右，狗狗就会正常恢复。第二种是由于狗狗比较小，抵抗力和免疫力比较差，有可能感染犬细小病毒，导致狗狗出现频繁呕吐、拉血水得症状。犬细小病毒感染需要领狗狗去宠物医院做临床的，方可确诊，第三种原因是由于狗狗体内寄生虫感染导致出现呕吐拉血水的症状症状。正常需要每三个月给狗狗做一次体内驱虫，每一个月给狗狗做一次体外驱虫，体内寄生虫感染会出现呕吐的症状，正常呕吐物腹泻物还会有虫体。您注意观察一下狗狗呕吐物、腹泻物是否有虫体，如果有虫体就确诊是体内寄生虫感染。您家狗狗目前拉血水、呕吐，这个症状是典型的犬细小病毒感染的症状，建议要给狗狗做临床的检查，而且狗狗不能吃人用药，人用药给狗狗用有风险，别人家的狗狗可能吃人用药治愈了，但是不一定您家的狗狗吃也会治愈，因为呕吐和腹泻的原因有很多，我前面也分析您了，如果是普通的胃肠炎，吃完也许有好转，但是如果是传染病感染，吃完是没有效果的。以上是根据您的详细描述，结合狗狗的那种症状给您做出的分析和建议，您可以先参考一下。
但它不吐黄色液体 刚才我去看它它又拉血水了我也怀疑是被传染了 因为邻居家有只狗前几天也在呕吐 我家狗喜欢跟它玩 但是那只狗现在活蹦乱跳的
刘文飞
执业兽医师
您好，狗狗主人，狗狗感染犬细小病毒之后出现的症状是不一样的，不一定是所有的狗狗都会出现呕吐、呕吐白色粘液或者黄色粘液，有的还会吐血，有的会出现拉血的情况，并不是符合犬细小病毒所有的特征才是感染犬细小病毒，有可能是出现其中的一种症状，就是是感染全细小病毒，狗狗最近也和其他呕吐的狗狗接触过，人家的狗狗活蹦乱跳的您家狗狗生病了，这个属于个体差异，就像同一节车厢，有的人感染新冠了有的人却很健康，这个就是个体差异
我就想知道它还能活多久 能不能扛过今晚 明天我带它去医院还来得及吗
刘文飞
执业兽医师
您好，狗狗主人，目前已经出现了拉血的情况了，狗狗一旦出现吐血或者拉血的症状，就是狗狗感染犬细小病毒的中后期了，随时有可能出现生命危险。今天晚上狗狗还是出现了拉血的情况，这个情况不好说，如果狗狗生命力顽强，今晚坚持，如果抵抗力和免疫力比较差，随时会有生命危险的
谢谢医生 明天我就带它去医院 但是如果真的是细小的话 我也无能为力了 家里不会支持我花上千块给狗狗看病的 我自己也没有经济能力去给狗狗治病
刘文飞
执业兽医师
您好，狗狗主人，您所描述的这种情况我们也理解，因为传染病治疗下来确实费用比较高，但愿您家狗狗是普通的胃肠炎，我处方按照普通的胃肠炎给您家狗狗开了药，您可以参考一下。如果真的是犬细小病毒感染，需要给猫咪输液体治疗，开口服的药是起不到任何作用的。
根据狗狗的情况，我给它开个处方。处方里面的1.阿莫西林克拉维酸钾，对狗狗呕吐，腹泻引起的炎症作用效果比较好，按狗狗的体重用药；2.益生菌对狗狗呕吐，腹泻的作用比较好，具有收敛止泻，止吐的作用，使用时用37度温水化开，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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