咨询描述:我家狗昨天晚上吃了两个韭菜饺子,目前四个月,昨天把饺子都吐出来了,但是还是一直呕吐和拉稀中午给他喂了庆大霉素那还是一直拉稀,然后呢刚才又开始吐白水。怎么办
回复总结:狗狗吃了韭菜饺子呕吐,实际上首先考虑的肯定是溶血的问题,还有寄生虫,其次,再考虑一下病毒性疾病。所以总体来说,建议要做一个血常规和炎症反应测试,看一下红细胞数值,白细胞数值,还有就是看一下是否有感染。之后要做的就是如果没有太大的问题,建议是使用抗生素和常规的驱虫药物做对症治疗。
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,实际上可能性比较多,一般来说,主要考虑的就是肠胃炎,寄生虫,细小病毒,冠状或者是异物的吞食等原因,能不能拍摄一段视频?发过来看一下,我需要问一下,疫苗打全了吗?有没有什么别的症状或者异常的?有没有定期的驱虫?有没有发热?上一次做体内驱虫是什么时候呢?
徐灿
执业兽医师
另外就是我需要补充一下,饺子里面身上是有硫化物的,有的时候容易造成溶血,所以我需要问一下他的牙龈颜色是什么颜色的?有没有别的异常?还有就是有没有尿液颜色改变呢?尿液颜色有没有发红或者发棕?
目前还是四个月疫苗打了两针,是一只吐和拉稀,他就是软便,就是像水那种的,也给他禁食禁水的。他呕吐就是一直吐的都是黄水,然后呢中午给他喂了庆大霉素之后,他就吐白水
徐灿
执业兽医师
我问一下,排泄物有没有一股腥臭味?能不能拍摄一段视频?发过来看一下,还有就是到现在为止做过什么检查吗?有没有什么别的不同或者异常的?它的黏膜颜色和尿液颜色有改变吗?
他现在还没做过检查因为没打完疫苗不经常出去然后呢他他的尿液也很正常,然后呢牙龈就是 淡粉色的。
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
如果是这种情况的话,那么,也必须核实一下它的驱虫历史,我需要问一下,上一次做体内驱虫是什么时候呢?我需要看一下狗狗的精神状态,一般来说,最好是能做一个血常规,还有就是要排查一下寄生虫和溶血的可能性。
他的精神状态就是把他从笼子里边儿放出来,一天没怎么动,然后呢一直在睡觉。他就是没有驱过虫因为没有打完疫苗嘛。
徐灿
执业兽医师
如果是这种情况的话,那么,实际上,首先考虑的肯定是溶血的问题,还有寄生虫,因为已经打完两针疫苗,那么其次,再考虑一下病毒性疾病。
所以总体来说,明天上午可能要做一个血常规和炎症反应测试,看一下红细胞数值,白细胞数值,还有就是看一下是否有感染。
之后要做的就是如果没有太大的问题,建议是使用抗生素和常规的驱虫药物做对症治疗。这个是目前来说比较建议的方案,因为总体来说,就历史来看,无法确定原发性原因。
我问一下这个有没有可能是肠胃炎啊?现在治还来得及吗?
徐灿
执业兽医师
有可能是肠炎,但是不能直接认为它就是肠炎,原因非常简单,因为他有可能是寄生虫或者是病毒性疾病以及溶血,因为她之前吃的是饺子,有可能会造成溶血的问题。
后续的话,最好是能做进一步的检查,尤其是排查一下细小病毒和溶血的问题。因为相对来说像是感染的问题,或者是寄生虫,都是比较好处置的。
这个我问一下,这这就是这几个疾病,有没有什么就是特别明显的点啊。因为我家狗这不是有可能是这三个病吧,然后呢就是排除一下。
徐灿
执业兽医师
有,但是目前来说没有表现出来,他现在的症状就是没有代表性,而且一般来说还有个体差异,从历史还有症状上来说,没有办法完全确定是某一个疾病,而且只是这四个疾病可能性最大,并不是只局限于这四种。所以说才后续需要检查进行确认。
徐灿
执业兽医师
一般来说,后续需要做一个血常规,还有炎症反应测试以及细小病毒的排查,做一个初步的检查,因为相对来说,这三个检查价格比较便宜,大概2到300元左右。然后初步确认一下,之后再考虑后续的用药方案。
狗食欲还有点儿差,就是给它撒地上的狗粮,然后呢他就平常都很喜欢吃,然后呢刚刚给他撒了一点儿,然后呢他就闻了一下就走了。
徐灿
执业兽医师
这种情况实际上就是食欲的减退,但是目前来说不能完全确定原发性原因,所以说后续的话才建议排查,尤其是状态比较差,食欲丧失的,就更应当比较注意。
徐灿
执业兽医师
目前来说,不能完全确定原因,一般的,只要是明天确定不是细小病毒或者溶血,那么你可以按照常规的方案去处置,给予一定量的抗生素和驱虫药物,然后排查一下肠炎或者寄生虫的可能性。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":69520,"prescription_id":132045,"doctor_user_id":1296147,"product_id":870,"product_sku_id":911,"dose":0.1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":1,"number":1,"remark":"每公斤0.1片","created_at":"2022-12-24 00:21:53","updated_at":"2022-12-24 00:21:53","product_info":{"id":870,"hash_id":"ZXn76zg9o6p9boBN","class_ids":{"0":1},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":1,"sell_point":"拜宠清复方非班太尔片","title":"拜耳拜宠清复方非班太尔片 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17:35:40","updated_at":"2022-01-11 15:29:08"}},"product_sku_info":{"id":911,"product_id":870,"title":"拜耳拜宠清复方非班太尔片 2片\/拆零","advword":null,"price":58,"market_price":88,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零装"}},"cover":null,"thumb":"","sale_count":54,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:48:29"}}}}}}
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