咨询描述:猫咪10个月,打喷嚏一个多月,生化血常规正常头腔胸腔x光正常,今天开始咳嗽呕吐,一天呕吐了三次。请问会是什么问题要怎么办呢!
回复总结:猫咪打喷嚏咳嗽还呕吐,考虑呼吸道感染引起的。如果猫咪精神状态还可以,吃喝拉撒都没有问题,可以给他口服治疗呼吸道感染的药物看看效果,一般情况下五到七天,严重的10到15天基本上就可以治愈了,注意别洗澡,别着凉。如果无法口服药物可以打针试试。如果每天打一到两个喷嚏,可以不管,把家里有刺激性气味的东西全部都排除,香水,消毒液,洁厕灵,有的是因为气味过敏引起的。
问题大致一样,细节不同?
刘林钢
执业兽医师
您好,根据您提供的信息,还不能做出进一步的诊断,请详细介绍一下他现在的情况,症状,状态。越详细越好,谢谢。
体重告诉我。确认一下。
把所有用过的药物都把给我。
猫鼻支查了吗?
请拍几张清楚的视频发给我,我看看他的打喷嚏,咳嗽状态,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。
谢谢医生回复。体重是4.1千克,因为没有眼睛没有分泌物,当时好像没有查猫鼻支。附件了一个血常规,生化,一个PCR报告『我也看不懂这个PCR查了什么,但是当时医生说没问题。』还有一个打喷嚏的视频,有几下小的,不知道是咳嗽还是喷嚏没打出来。也许是干呕。昨天有喂一种新的冻干,不知道是不是食物问题。10个月里也一直没有吐过毛球。
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
好的,稍等一下,马上回复。打字比较慢,大概需要10到15分钟左右的时间,别着急。
刘林钢
执业兽医师
您好,根据您提供的信息,初步诊断他是呼吸道感染引起的打喷嚏,咳嗽。
打喷嚏一个多月了,应该已经形成了慢性呼吸道疾病,不太容易根治了,平时吃药控制症状即可。
如果不严重可以不管他。严重的会转成肺炎有死亡率。
猫鼻支不是,他给您做检查了,PCR就是。
如果他精神状态还可以,吃喝拉撒都没有问题,可以给他口服治疗呼吸道感染的药物看看效果,一般情况下五到七天,严重的10到15天基本上就可以治愈了,注意别洗澡,别着凉。
如果无法口服药物可以和他打针试试。如果每天打一到两个喷嚏,可以不管,没事儿。把家里有刺激性气味的东西全部都排除,香水,消毒液,洁厕灵,有的是因为气味过敏引起的。或者灰尘太多的猫砂。
现在是咳嗽导致的干呕。
如果后续呕吐频繁,查下猫瘟热。
最近不能洗澡。保暖。
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。
点击处方详情,里面有详细的用法用量。付款后一到三天到货。具体物流信息联系平台客服咨询。
啊,好的谢谢。呕吐会有肠胃炎的可能性嘛?请问呼吸道感染这个是可能由什么引起的呢?家里也没有什么粉尘,另外一只猫也好好的。主要是想知道怎么筛查,需要做过敏源筛查吗?香水啊清洁剂也都没有,地也是每天都拖。
刘林钢
执业兽医师
如果是咳嗽以后紧接着呕吐,就是干咳导致的呕吐。
如果不咳嗽也呕吐,就是肠胃炎导致的。区分一下即可。
过敏或者细菌感染导致的。
过敏体质,过敏源查下最好。其他的不需要检查了。不是所有的一切疾病都能找到根源。有的只需要对症治疗即可。空气中的微小颗粒,猫砂,尘螨,都可能导致过敏,引发呼吸道感染。
拖地尽量不用任何清洁剂,清水拖地。
谢谢医生。不好意思又打扰您了。刚刚她又吐了一次。吐了三滩,最后一摊有少许毛球,这三滩都红色絮状物。这个该不会是血吧?😭😭需要急诊吗?
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
抓紧去查猫瘟热。这个年龄段猫瘟的概率挺高的。如果乱吃东西,再拍两张X光片。
如果没有猫瘟,就是普通肠胃炎,打几天针就好了。
有少量血。
体温是100.8 华氏度,38.2摄氏度,这个是正常的吗?
好的谢谢医生。请问肠胃炎主要拍哪个部位的x光呢?猫瘟英文叫什么呀?它的疫苗应该叫什么您知道吗?我记得我们打了三联但不确定。
刘林钢
执业兽医师
拍的时候,身体整体拍摄就可以,猫这么小,他的肠道,胃部,胸部,都可以拍到的,正好也看下他的呼吸道。
猫瘟名称看下图:FPV
疫苗:妙三多,看下图。
为保护用户隐私不显示图片/视频
谢谢医生,太感激了。
您看附件里的疫苗是包涵猫瘟的三联疫苗吗?
可惜现在晚上了美国医院都关门了,我恐怕得明天才能测了。明天的话可能这个对话就过期了。请问我下次要如何才能再找到您呢?另外付费也可以的。电话的话主要是我没有国内号码国际长途就有点费钱。我在附件里加了信息,我可以继续按您自己的费率付费的,就是怕明天对话过期找不到您了。看不到图的话账号是pianississimo
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
疫苗不管哪个厂家,都是预防一样的三种病。所以是包括的。
进入微信小程序“蘑菇云医”,在您的的个人中心,关注的医生里面就可以看到我。
谢谢您,我今晚需要强行喂他流食和营养膏吗?家里实在是没有其他药了。
刘林钢
执业兽医师
如果呕吐严重,吃了也会吐,建议禁食禁水24小时。
拉稀呕吐不可以吃营养膏,只能吃猫粮。
24小时以后如果还不吃东西,您可以把猫粮碾碎成粉末状,用热水泡成糊糊状,再放一些羊奶粉和50%葡萄糖。拿注射器给他灌服,灌慢一些,别灌呛了,口服益生菌调理肠胃,配合治疗肠胃炎的药物。一次10到15毫升左右。每天灌三到四次。连续四五天,他自己就开始吃东西了。必须有耐心,每天给他灌食物,连续五天左右,他自己会就会主动吃东西。
您好刘医生。早上带她去进行了检查。摸了一下肚子没有疼痛反应所以这里医生先不考虑异物按肠胃炎处理了。因为打了疫苗所以也没让我们做FPV的测试。😭今天注射了一个叫cerenia的针,让我观察24小时内如果还吐的话,就考虑是吞噬异物,明天再去拍x光。另外还配了一个抗过敏的,和一些益生菌。现在在家睡觉,偶尔有想要吐的动作,但是都没有吐出来。您看她这样处理是否合理呢?如果24小时内一直是想要吐的动作但是没有吐出来,我是不是也要考虑异物呀?拍了一些药的照片。我会继续按照您的指示给她喂食的,呼吸道非处方药打算等肠胃炎好了再去跟医生说。
为保护用户隐私不显示图片/视频
刘林钢
执业兽医师
抱歉,久等了,刚上班。
疫苗不是百分百都会产生抗体,有的会免疫失败,所以猫瘟还是需要查的。
肠胃异物不是都会表现腹痛。这个不是诊断标准。
如果后续还吐,查猫瘟,异物,胰腺炎,肝肾功能检查即可。
但是重点还是怀疑猫瘟。这个必须查。
如果检查以后都没有,按普通肠胃炎治疗即可,打针或者输液三五天就好了。
先按您那里医生说的去做吧,毕竟听医生的没啥错。
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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其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字10号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":754,"product_id":711,"title":"辉瑞速诺(阿莫西林克拉维酸钾片) 50mg×10片×3板","advword":null,"price":128,"market_price":159,"cost_price":0,"stock":1091,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格3板装"}},"cover":null,"thumb":"","sale_count":161,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:48:09","updated_at":"2024-10-24 21:20:57"}}}}}}
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