咨询描述：您好医生，我家小兔子两天不排便了，周四早晨发现便便很少，精神状态不好，周四和周五都没有吃东西，就喝一点点水
回复总结：兔子出现不排便、没有精神的情况，可能是消化不良导致的肠胃不适，腹痛，后续可能会拉稀。如果发现兔子粪便变得干硬，数量变小，变少，食欲下降或者不吃，精神变差说明兔子胀气积食了，可以给兔子口服益生菌，消食片调理肠胃，帮助消化，配合消炎，止疼，药物治疗。同时配合按摩肚子，按摩方法从上到下单向轻顺30分钟到1小时。如果后续兔子肚子咕噜咕噜响后排便变软或者拉稀，一定要及时治疗。可以禁食一天，水里面放葡萄糖预防低血糖。
问题大致一样，细节不同？
刘林钢
执业兽医师
根据您以上描述，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.请详细说明兔子现在的情况，现在还能不能站起来？有没有抽搐？脑袋有没有往后仰？有没有拉稀，呕吐，打喷嚏，流鼻涕，咳嗽的症状？屁股有没有脏臭？
2.呼吸是否急促？兔子多大了？平时有没有做过驱虫？ 兔子体重告诉我。
3.兔子平时都吃什么，最近吃什么了？ 有没有磨牙？肚子有没有咕噜咕噜响？
4.去药店买个人用的体温计，甩一下温度计，把体温表甩到35以下。温度计上涂一些凡士林或者红霉素软膏。将宠物尾巴提起，把温度计插入肛门大约3厘米左右，3分钟即可。注意温度计应该与宠物身体保持平行地插入。小心拿住温度计，2分钟后拿出，擦干净可以读数。正常体温38-39.5°C，或者把温度计夹在他的后腿和腹部之间夹紧，五分钟看一下多少度告诉我
年龄体重告诉我。确认一下。
请拍几张清楚的照片和视频发给我，我看看他的大便和精神状态，一定要拍清楚，用手机摄像头拍摄，不要用软件拍摄，摄像头聚焦一下，在灯光或阳光下拍摄。远近距离都要拍摄，多拍几张，谢谢。不用回复此信息，以免浪费您的追问次数。
兔子体重1.5公斤，现在是7个月了，是道奇兔。两天不吃东西了，但放出来后就咬箱子，今天早晨喂兔粮不吃，但为了油菜叶子，吃了两片，但不吃白菜叶子。出来能跑一会儿，但很快就缩在角落里不想动弹了。最近一次拉屎是周四上午有几个比原来屎球小很多的屎球，不是圆的，有点逗号样子。今天早晨又看到了两个逗号屎球，应该是尿了一到两次。我周四晚上给它喂了人用的益生菌，乳酸菌素片，一片泡水后，用针管灌进去的，周五又喂了一次。从小到大一直喂兔粮，没有加过其他食物，上周末给它买了兔子磨牙棒，挺爱吃的，第一次吃的有点多，但现在也不吃了。一直特别爱咬箱子，再就是给它买的草编的兔子窝，他也会咬着吃。现在的状态就是不太精神，没有抽搐没有脑袋后仰，没有拉稀呕吐，也没有打喷嚏流鼻涕。没有驱过虫，买的时候说打了疫苗。没有磨牙，肚子也没有咕噜咕噜响。怀疑是不是不能正常排便？便秘？
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
您好，根据您提供的信息初步诊断，他是消化不良导致的肠胃不适，腹痛，后续可能会拉稀。
如果发现兔子粪便变得干硬，数量变小，变少，食欲下降或者不吃，精神变差说明兔子胀气积食了，可以给兔子口服益生菌，消食片调理肠胃，帮助消化，配合消炎，止疼，药物治疗。同时配合按摩肚子，按摩方法从上到下单向轻顺30分钟到1小时。如果后续兔子肚子咕噜咕噜响后排便变软或者拉稀，一定要及时治疗。可以禁食一天，水里面放葡萄糖预防低血糖。口服拜有利和益生菌，一天两次，连续五到七天。
饲喂上要合理规划兔子的饮食，主要喂食提摩西草和燕麦草，兔粮。
兔子特别娇气，这种情况随时都有可能死亡。必须抓紧治疗。
如果状态不好，不吃东西，可以配合灌服50%的葡萄糖，预防低血糖，别灌呛了。
配合化毛膏，促进排便，增强食欲。
所有药物，兔兔可以放心使用。
注意保暖，别着凉。
根据您家宠物的情况，我给他开个处方。点击处方详情，里面有详细的用法用量。您可以根据需求自行选择购买。
为保护用户隐私不显示图片/视频
我昨天给它买了葡萄糖，但是看到网上说喂了葡萄糖可能会增加胃肠功能紊乱，所以就没有喂它。听你这么说，可以喂葡萄糖是吧？他现在水也不怎么喝了，不知道这种情况一般持续多久能好一些？我继续给它喂昨天买的乳酸菌素片化水喝就可以是吧？一天两次，一次一片？这几天是否可以喂胡萝卜，青菜叶子？如果担心它着凉，采取什么措施？给它盖个毯子？屋里温度18度，是不是有点凉？
刘林钢
执业兽医师
葡萄糖可以给，否则一旦不吃东西，造成低血糖，随时猝死。
一般五到七天就完全治愈了，快的话，三天左右会看到明显效果。乳酸菌素片可以吃。一次一片，一天两次，没问题。
只要不拉稀，蔬菜，水果可以随便吃。
开空调，盖毯子，买个取暖器。18度有些冷。
我们在室内穿短袖，如果感觉不冷，他就不冷，如果感觉冷，他也冷。自己掌握。
谢谢刘医生。小兔子吃胡萝卜和油菜叶子，状态好一些了，但还是不爱动，刚才拉了两个屎球，但还是比原来小，并且是两个合并在一起的，我给您拍个照片，把葡萄糖溶解在水里了，但是它不喝，葡萄糖也要强行喂进去吗？给兔子喂药太难了，需要两个人配合，它还是有时候喝有时候闭着嘴巴不喝，有什么好的办法吗？谢谢刘医生。
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
如果状态不活泼，不太好，需要给他灌输葡萄糖预防低血糖。
大便有些干硬小。按我开的处方用药就可以了。喂药没有太好的办法，只能碾碎以后用凉白开稀释以后灌服或者直接把嘴巴掰开塞到喉咙里面，塞深一些。不张嘴就掰开或者用注射器撬开嘴缝灌服。
好的谢谢刘医生，我一会儿给它灌一些葡萄糖。
但现在有个问题，我点开查看详情时，看不到任何开药的信息，这个是怎么回事？
还有个问题，网上查的兔豆菌素和兔趣球能用吗？以后它好了是不是要经常用兔趣球。谢谢您，问完这次，好像只有一次提问的机会了
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
看不到开药的信息，应该是平台系统的问题，稍等我给您问一下客服，我刚才问客服了，还没有回复我，他可能在忙，别太着急。
您说的那两种药，理论上上可以吃，但是效果一般。第二种药就是化毛膏。也就是我给您开的那个。平时可以常服用，祛除毛球。
处方我再给您开一次，看能不能看到。
谢谢刘医生，还是看不到，我也联系了客服，还没有回复。葡萄糖一天喂几次？一次几毫升比较合适？50%葡萄糖，浓度低一些是不是也没事儿？
小兔子昨晚拉了四个屎球，还是比较少，也跟昨天一样的小屎球。看起来精神状态好一些了，喂了胡萝卜和油菜，比昨天吃得多了。今天是第四天了。感谢刘医生，药能不能直接打字显示在回复里吗？
刘林钢
执业兽医师
葡萄糖每天三四次就可以。每次5到10毫升左右，多少都没副作用。浓度稍微低一些也问题不大。
可能周六日客服忙。您直接在您的页面，联系平台客服，着急就打电话试试。有客服电话。
为保护用户隐私不显示图片/视频
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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