咨询描述:狗狗后腿无力,总是张着嘴喘气,还会弓背,吃不下饭,是什么原因
回复总结:狗狗出现张嘴哈气以及弓背的症状,可能是胰腺炎发病。胰腺炎主要就是引起腹痛腹部紧张、腹部剧烈疼痛,弓背,精神食欲差,发病原因和吃的食物脂肪和淀粉含量过高有关,确诊方法是抽血用检测胰腺炎试纸板检测,配合血常规和c反应蛋白,这两个主要是看炎症和感染程度的,如果确诊后必须要输液治疗,急性胰腺炎发病是有死亡率的,越早治疗治愈的可能性就越大。
问题大致一样,细节不同?
王冲
执业兽医师
您好,狗狗弓背是典型的腹部疼痛症状,后肢无力和张嘴喘气很可能是腹部剧烈疼痛牵引的,初步分析狗狗是有胰腺炎的问题,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. 狗狗多大了?发病几天了?发病之前都喂了什么食物?有没有大便困难?
2. 狗狗平时都吃什么食物?只吃狗粮还是肉类,骨头类,内脏类馒头菜汤都吃?狗粮吃的什么牌子?合多少钱一斤?
3. 狗狗有没有呕吐拉稀?平时有没有前腿趴着撅屁股的姿势?
4. 狗狗现在精神状态怎么样?
5.您按压狗狗上腹部,按压位置是在最后一根肋骨下边,两只手从两侧往里同时按压,用力按压深一点,肚子有没有很硬和绷紧,按压的时候狗狗有没有哼唧,正常情况下狗狗腹部是非常柔软的。
6.您给宝贝测一下体温,用水银温度计,水银头上抹点香油,起到润滑作用,以免插入时对宝贝造成疼痛,然后插到宝贝肛门里2厘米就可以,等2-3分钟后麻烦告诉我温度。
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『年龄、体重』提供一下,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。
快五岁了,昨天晚上一直坐立不安,今天早上就开始出现前面的问题了,发病以前不吃东西,最后一次吃了煮熟的猪肉还有一些火腿肠,昨天中午才大便过。平时不吃狗粮,只吃肉,骨头和火腿肠,没有呕吐拉稀。平时就有趴着撅屁股的行为。现在的情况是只要躺下或者趴下就不会大喘气,但是一坐起来或者走动几下就会大喘气。腹部很硬是紧绷的,而且这段时间刚好是狗狗的生理期,到今天已经来了十几天了。狗狗十三公斤,家里的水银体温计坏了,只有电子的,没办法给狗狗测体温
王冲
执业兽医师
您好,根据您平时的喂养,狗狗几乎都是吃人吃的饭菜,不吃狗粮,很怀疑狗狗是胰腺炎发病了,胰腺炎主要就是引起腹痛腹部紧张、腹部剧烈疼痛,弓背,精神食欲差,发病原因和吃的食物脂肪和淀粉含量过高有关,确诊方法是抽血用检测胰腺炎试纸板检测,配合血常规和c反应蛋白,这两个主要是看炎症和感染程度的,如果确诊后必须要输液治疗,急性胰腺炎发病是有死亡率的,越早治疗治愈的可能性就越大,您家狗狗现在的状态不适合喂药治疗,喂药很可能会把病情拖的严重了。
狗狗没有绝育还处于发情期,还需要做一项检查,就是做b超看看子宫有没有问题,如果子宫感染了也可能会出现腹痛,如果子宫感染必须要手术摘除子宫才行。
个人还是怀疑狗狗胰腺炎的可能性比较大,建议您首先给狗狗检查胰腺炎然后再检测子宫。
狗狗腹部紧绷的情况现在缓解了,现在因为疫情没办法做检查,有什么办法可以缓解疼痛吗,如果是胰腺炎,应该怎么治疗
王冲
执业兽医师
您那边能收快递或者能出去买药吗?如果是胰腺炎必须要输液,胰腺炎的治疗原则主要是止吐、止泻、止痛、生物酶抑制剂(比如乌司他丁或者胰肽康、奥曲肽,这是治疗胰腺炎的主要药物)、静脉补充营养、维持水和电解质平衡,治疗一般需要一周左右,这期间建议治疗5天左右再检查血常规和C反应蛋白来看需不需要停药。后期主要是低脂饮食(喂食低脂易消化处方粮)还有胰酶调理胰腺,一定不能喂人吃的食物,这是最关键的一点,吃人吃的饭菜容易复发。
您现在没法去医院直接,只能先口服药物来控制,主要是止疼药和胰酶补充剂,止疼药一定不能吃人用的止疼药,会引起中毒。
吃口服药效果不能保证特别明显,麻烦您告诉我狗狗体重,药物是根据体重服用的。
快递收不了,药店也去不了,正在静态管理。狗狗十三公斤,狗狗它不吃狗粮,它宁愿饿着都不吃狗粮,可以说一下需要服用药物的名字和剂量吗
王冲
执业兽医师
***30mg,止疼抗炎,每天一次,每次一片
***,胰酶补充剂,辅助治疗胰腺,每天三次,每次两粒
如果狗狗没有呕吐,您可以少量多次喂小米粥添加葡萄糖,再就是多给狗狗按摩肚子防止疼痛超厉害。
您家狗狗这种情况必须要禁止吃人吃的饭菜,如果再吃很可能会加重病情。
您家狗狗现在是严重挑食了,改正挑食的毛病一般一周就能改过来,主要是看您能不能忍下心不喂零食和人吃的饭菜,最关键的是在您身上,改正挑食的方法是这样的,拿一天两顿来说,这期间一定不能喂狗粮以外的任何东西,早上狗粮放到盆里,就给5分钟,吃不完或者吃的慢都要收走,等到晚上再放5分钟,吃不完或者吃的慢都收走,其他时间狗狗找你要吃的一定不要给,您只要保证充足水分就可以,每天都是这样喂,一般一周内就能改掉挑食的毛病
我家狗狗的这种情况应该不是急性胰腺炎吧,它的状态是时好时坏的,给狗服用的葡萄糖可以是人喝的那种葡萄糖吗,实在是买不到狗狗服用的
王冲
执业兽医师
可能是常年吃人吃的饭菜导致胰腺损伤,现在胰腺承受不住了才表现出明显的症状。
买不到宠物用的您可以给狗狗喝人用的葡萄糖
狗狗现在可以吃人吃的消炎药阿莫西林或者乳酸菌素片吗剂量是多少
王冲
执业兽医师
医生本人和平台是不支持给宠物使用人用药的,但是考虑到您这边有这方面的要求,给出您这样的人用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。
阿莫西林,每天两次,每公斤10mg
乳酸菌素片按照成人量一半服用
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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