咨询描述:拉布拉多4岁多,今年7月15号左右溜了1小时回来后突然呼吸急促四肢僵硬抽搐并呕吐,半小时后缓解恢复正常,送医院查血和体温正常,医生诊断是中暑导致。
今天没有出门,在家里突然又呼吸急促,四肢僵硬走路不稳,15分钟左右缓解恢复正常。无呕吐饮食大便都正常。
请问这是缺钙引起还是癫痫啊?我需要给狗狗用什么药?
回复总结:狗狗出现呼吸急促、四肢僵硬的情况,狗狗出现神经性症状的可能性比较大,也就是癫痫。然后,也有可能是缺钙,缺钙治疗比较简单,您可以领他去宠物医院做骨密度的检查,看狗狗是否缺钙,也可以正常给狗狗补钙。按照狗狗的体重补,但是也不能补得太过量。第二种情况就是狗狗如果是癫痫,需要领它去宠物医院做核磁的检查,检查如果确诊是癫痫后需要长期给狗狗吃抗癫痫的药物。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述,狗狗从七月份到现在,三个月的时间已经抽搐第二次了,这种情况来看,狗狗出现神经性症状的可能性比较大,也就是癫痫,但是也不能够确诊。您需要咨询一下狗狗的父亲和母亲,看有没有癫痫病史,或者其他神经方面的症状,狗狗目前的症状也有可能是缺钙,缺钙治疗比较简单,您可以领他去宠物医院做骨密度的检查,看狗狗是否缺钙,也可以正常给狗狗补钙。按照狗狗的体重补,但是也不能补得太过量;第二种情况就是狗狗如果是癫痫,需要领它去宠物医院做核磁的检查,检查如果确诊是癫痫后需要长期给狗狗吃抗癫痫的药物。癫痫迄今为止是无法给狗狗治愈的,只能吃药缓解症状,后期药量会加大,狗狗如果是癫痫不建议狗狗生育,担心会遗传,以上分析与建议您可以先参考一下。
癫痫致命吗?如果下次再次发作当下我们应该怎么处理呢?
刘文飞
执业兽医师
您好,狗狗主人,癫痫会致命,而且会越发作越严重,如果确诊是癫痫,下次发作前提前吃药做预防
根据狗狗的情况,我给它开个处方。处方里面的1.苯巴比妥片抗癫痫效果比较好,您可以根据需求自行选择购买
刘文飞
执业兽医师
您好,最好做个检查看看缺不缺钙,以及微量元素,如果缺按照体重吃,不缺不需要额外的补,钙、维生素吃多了也不太好,有副作用
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
{"417160":{"id":417160,"case_id":47617,"user_id":1345841,"to_user_id":2162563,"type":3,"content":"您好,狗狗主人,癫痫会致命,而且会越发作越严重,如果确诊是癫痫,下次发作前提前吃药做预防\n根据狗狗的情况,我给它开个处方。处方里面的1.苯巴比妥片抗癫痫效果比较好,您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":125974}},"is_doctor":1,"status":1,"created_at":"2022-10-16 16:49:12","show_rx":true,"rx_info":{"id":125974,"rx_no":2.02210161648165e+24,"user_id":2162563,"doctor_user_id":1345841,"is_independent":0,"case_id":2925438,"pet_info":{"pet_id":335295,"pet_name":"拉布拉多","pet_nickname":"窝里","pet_gender":3,"pet_birth":"4-6","pet_weight":38,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"4岁6个月"},"diagnose":"疑似癫痫","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-10-16 16:48:16","updated_at":"2022-10-16 16:49:12","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":57138,"prescription_id":125974,"doctor_user_id":1345841,"product_id":819,"product_sku_id":861,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-10-16 16:48:16","updated_at":"2022-10-16 16:48:16","product_info":{"id":819,"hash_id":"02EmLAg0aNxo1NwW","class_ids":{"0":1},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":192,"sell_point":"拜维安苯巴比妥片100mg","title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫具有镇静、抗惊厥、抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/00f9defbac5ae37e78528971f9b4f1b3.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":848,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01","ins":{"id":192,"hash_id":"evObG6x8eXpw0akj","class_ids":"[1]","title":"拜卡拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2021\/12\/0027d1e7c41d3515b545ccc1c550dc68.PNG","specification":"100mg×8片×2板\/盒","reference_price":240,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}}},"drug_data_bak":{"0":{"id":57138,"prescription_id":125974,"doctor_user_id":1345841,"product_id":819,"product_sku_id":861,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-10-16 16:48:16","updated_at":"2022-10-16 16:48:16","product_info":{"id":819,"hash_id":"02EmLAg0aNxo1NwW","class_ids":{"0":1},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":192,"sell_point":"拜维安苯巴比妥片100mg","title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫具有镇静、抗惊厥、抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/00f9defbac5ae37e78528971f9b4f1b3.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":848,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01","ins":{"id":192,"hash_id":"evObG6x8eXpw0akj","class_ids":"[1]","title":"拜卡拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2021\/12\/0027d1e7c41d3515b545ccc1c550dc68.PNG","specification":"100mg×8片×2板\/盒","reference_price":240,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041225","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2021-12-01 16:47:12","updated_at":"2024-10-10 10:52:48"}},"product_sku_info":{"id":861,"product_id":819,"title":"拜卡拜维安苯巴比妥片 100mg×8片×2板\/盒","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":881,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:39:56","updated_at":"2024-10-02 13:19:01"}}}}}}
微信扫一扫
立即问宠医