猫咪肠梗阻怎么治疗

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咨询描述:你好 还是我捡到的流浪猫猫 他是之前25号做了钡餐嘛 25号上午十点左右喝的钡餐液,然后当天禁食了24小时,昨天26号去拍了一下片,显示到了结肠位置,然后昨天把猫粮打碎了 和成了糊糊喂了点,没喂太多。他现在不吐,精神好,一直找吃的,但是因为我怕他肠胃受不了,就没给多少,一直都是猫粮打成糊糊喂的,第一张图是没有喝钡餐之前的影像,第二张是昨天喝了钡餐后的过了24h拍的影像。今天已经过去36h,还没有排便。25号做了肛测体温,和便检之后就拉稀了,拉了不少,我在想是不是因为当天排空了肠道的粪便,又禁食,昨天吃的还很少,因为生病导致的肠胃蠕动过慢呀。兽医院和我说需要开刀,肠梗阻什么的,可是我查了肠梗阻的状况,一般是吃东西就吐,不喜欢进食,可是他目前非常喜欢进食,没有呕吐的现象,想问问医生,这种有开刀的必要吗?是不是他只要排便了,就不需要开刀了呀。还有就是猫瘟的数据,他目前来看是不是已经不是猫瘟了呀,兽医院还和我说如果是潜伏爆发就会很恐怖之类的。目前也还是输液 抗体嘛,可是他现在精神比较好,也输液了三天,摸着也不发烧了,第一天39.9度 如今也不热了,我就想把输液和抗体停一下可以吗

回复总结:针对猫咪肠梗阻的情况,治疗方面,如果暂时不想手术,可以尝试给予猫咪口服一些软化大便,通便润肠的用药观察一下。如果猫咪能顺利的排便,那么就可以继续的保守治疗观察,但是如果无法正常排便,那么确实需要考虑进行手术治疗。如果猫咪吃喝欲望不错,并且没有呕吐症状,可以考虑停止输液,但是抗体打针还是需要继续的。然后猫咪吃喝食物的量,可以适当的增加一些。

问题大致一样,细节不同?

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陈奕达

执业兽医师

您好,感谢您的信任,谢谢。根据您的描述,1.从图片上看,钡餐位置阻塞在肠道内,这个影像不是肠道蠕动过慢导致的,个人也是倾向于有消化道梗阻的问题。如果是消化道蠕动慢,钡餐不会堆积到一起。2.如果暂时不想手术,可以尝试给予猫咪口服一些软化大便,通便润肠的用药观察一下。3.如果猫咪能顺利的排便,那么就可以继续的保守治疗观察,但是如果无法正常排便,那么确实需要考虑进行手术治疗。4.如果猫咪吃喝欲望不错,并且没有呕吐症状,可以考虑停止输液,但是抗体打针还是需要继续的。5.然后猫咪吃喝食物的量,可以适当的增加一些。6.现在猫瘟的警戒还是不能接触。

但是因为他之前拉稀嘛,如果目前给一些乳果糖之类的,让他排便排出来后,不会再次过度拉稀吧,或者可以使用开塞露嘛,营养膏化毛膏之类的,好的,那我继续打抗体针打到七天,那打到七天后还需要再次便检查看病毒数量这种嘛,那喂食的猫粮是糊糊比较好,还是也可以给他按粒给了呀。

陈奕达

执业兽医师

您好,1.说实话,猫咪这种情况出现腹泻的症状还是好事儿,最起码不会再有阻塞加上便秘的问题了。如果再便秘,那真就雪上加霜了。2.从x光片来看,用开塞露意义不大。3.化毛膏可以用,也能起到通便润肠的效果。4.7天以后需要再次检测病毒,看病毒数值处于什么状态。5.建议给予猫粮糊糊,更好消化,对消化道负担小。

那化毛膏给5cm左右的量可以嘛,如果晚上还不拉再给乳果糖这样?那我是否还需要再去拍一个正位侧位的片子呀?看看目前在什么位置?因为他吃的很少,所以我在想是不是还有便检的时候刺激得他现在不敢拉屎,他这个位置是到了大肠左右嘛,正常来说是不是就快要排出来了呀。

陈奕达

执业兽医师

您好,1.化毛膏建议每公斤2CM左右,每天。2.乳果糖可以吃,每公斤1-2毫升左右,一天2-3次。3.可以明天再拍摄x光片,查看钡餐位置。如果没有动,那么就肯定是消化道梗阻了,如果排不出来,只能考虑手术治疗。4.吃的少,跟身体不舒服有关系。5.大概的位置需要正位以及侧位同时拍摄,才能判断。

好的!我刚刚给猫猫揉了揉肚子 抬起他的屁股 发现自主滴了两滴银白色钡餐液,同时拿棉签探了探,发现也有一些粪便痕迹,又喂了一些化毛膏,希望可以自主排出粪便😭 还有就是他的留置针,每次打完都会打一小管的封针,今天打算把她的留置针拿掉了,晚上输液后就打算拔掉留置针,那么是不是就不需要打封针了呀

陈奕达

执业兽医师

您好,如果今天晚上最后一次输液,然后拔除留置针,那么今天输液之后,就不用注射封针药水了。

好哒 我还有个疑问 我今天观察他一天 他比较想吃东西 但是对水 没有那么渴望 是因为输液的原因嘛?一天输液量,一共在80ml左右,他一天大概尿4-6个比较大的尿团。输液的药中还有止吐药,明天停了以后,会产生再次呕吐的症状吗?

陈奕达

执业兽医师

您好,猫咪本身不喜欢喝水,并且一直在输液的情况下脱水不严重,所以猫咪没有饥渴感觉,不喝水正常。是否会再次呕吐,这个需要明天的观察,有可能会出现呕吐的情况。

好哒 昨天凌晨一点多他排便啦!虽然不是特别成型的!但是感觉也拉了不少!这样是不是就可以避免开刀手术了呀!还需要再次拍片查看吗?然后今天是停止输液第一天,食欲依旧良好,状态良好,没有呕吐,又增加了一点点猫粮糊糊,现在的情况是不是给他正常使用流食,少量多次,然后喂一些调理肠胃的药就可以了呀。

为保护用户隐私不显示图片/视频

陈奕达

执业兽医师

您好,1.猫咪这种情况可以今天下午或者晚上再给予一次x光片的复查,看看钡餐是否有移动,就可以判断猫咪是否有消化道梗阻了。从现在的情况分析,可以大概率的排除梗阻问题了,就差最后的证据证明了。2.是的,可以适当增加一些食物了,可以给予泡开的猫粮糊糊(以少吃多餐为原则)。口服用药也可以给予猫咪服用了。 根据宝贝的情况,我给宝贝开个处方。 处方里面的 1. ***,宠物专用广谱消炎,控制消化道炎症 2. ***,提供消化道营养,促进消化道粘膜恢复,减轻消化道炎症 3. ***益生菌,调整消化道菌群,促进消化。 4.***,保护胃肠道粘膜,治疗消化道溃疡。 您可以根据需求自行选择购买。 (由于没有宝贝的详细体重信息,然后预估宝贝体重为4公斤体重计算用药量,如果预估不准确,您可以根据宝贝实际体重,结合药物说明书,重新计算用量)

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说猫咪半梗阻,做彩超说胆管有点粗,让吃****,麻烦看下是他说的这种情况吗?不吐,昨天还拉屎了

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