咨询描述：症状描述：一直呕吐，因为什么东西都没吃 吐白沫，吃啥吐啥，喝水吐白沫，吃药 吐药，会拉稀，腥臭，拉的屎有虫，还有血，一直不吃东西
患病时长：三天，第一天只是不吃东西，粪便有一点稀，第二天呕吐，拉稀，粪便有虫，呈黑色，第三天症状更重，拉稀带血了，这三天都不吃东西
医院检查：在乡镇，妈妈是兽医给她打了针吃了药但是还没好
用药情况：吃的药用了藿香正气液，腹可安分散片，为了补充体力吃了葡萄糖，打针用了维生素C，犬猫康泰，还有恩诺沙星注射液
小狗八个月，母狗，柯基和比熊的杂交
只拍了粪便，我擦了之后拍的，里面有虫
回复总结：狗狗呕吐拉屎腥臭有血，可能是由于饮食不当、消化不良、着凉、消化道感染寄生虫引发了急性胃肠炎问题。如果狗狗没有完全免疫疫苗，以及驱虫，需要考虑是否有病毒，以及消化道寄生虫感染的问题。狗狗这种情况，最佳方案是去附近宠物医院就诊，进一步确诊病因，然后针对性给予治疗。如果暂时不方便就诊检查，可以在家先给狗狗吃宠物专用广谱消炎药，以及促进消化道粘膜恢复、吸附性止泻的口服药来进行治疗。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的信息，我初步分析狗狗是有胃肠炎方面问题，但仅仅根据目前信息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. 狗狗拉出来的什么虫子(蛔虫，还是绦虫)？是否有图片？
2. 狗狗发病之后，是否有检查？都检查了什么？结果如何？
3. 狗狗发病之前，都喂了什么食物？是否新鲜？
4. 狗狗生活环境温度能达到多少度？是否有昼夜温差？
以上这些情况您仔细回忆后详细的描述给我，对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
1 她主要拉出来的虫子是白色的米粒大小的虫子，偶尔条状，也是白色的，她拉稀频率不高，所以现在拍不到照片，今天只拉了两次，发给您的照片是今天下午拍的，我用纸擦了一下所以没看出来是什么虫子
2 我们在乡镇上没有仪器检查，所以就喂了跟您说的那些药，还打了针，请问这种情况还能继续喂葡萄糖吗，因为担心她没力气
3 吃了肉和狗粮，狗吃的火腿肠还有鸭脖，肉有点油，是人类吃的肉，排骨红烧肉那些有喂但是是用水洗过一次之后的，狗粮吃的是疯狂小狗冻干多半包，但是她吃不完我们会放一两天，还有她磨牙的骨头我们会放一星期左右
4 我们在云南昼夜温差不大，十一度到十五度左右
陈奕达
执业兽医师
好的，非常感谢您的回复，谢谢。根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于饮食不当，消化不良，着凉，消化道感染寄生虫引发了急性胃肠炎问题，从而导致了一系列症状。跟生活环境温度偏低，饮食，以及消化道寄生虫(如果像米粒一样的虫子尸体，大概率是绦虫)有一定的关系。同时如果狗狗没有完全免疫疫苗，以及驱虫的情况下，需要考虑是否有病毒（细小病毒，犬瘟病毒，冠状病毒），以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。
狗狗这种情况，最佳方案是去附近宠物医院就诊，进一步确诊病因，以及发病程度，然后针对性给予治疗，效果最好，最为安全稳妥。
如果暂时不方便就诊检查的情况下，可以在家先给宝贝吃一些宠物专用广谱胃肠炎（消炎，提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复，吸附性止泻）的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药2-3周左右，直到疾病康复为止即可。
如果考虑在家保守治疗，您可以告诉我，然后这边可以帮您开具一套用药，并且帮您计算好用法用量，供您采纳参考一下。
如果狗狗没有持续性呕吐，可以少量喂一些葡萄糖，能够起到补充能量效果。
谢谢您，因为我们在乡镇上去不了医院，想问一下，具体是什么药呢？我们还打了针，不知道您有没有看到我们打针用的药水。而且每次都是在打了针之后，小狗的症状会更严重。还有一个信息就是她今天拉的粪便里面的虫子变少了，但是更稀了，然后还带血。
陈奕达
执业兽医师
您好，1.以狗狗现在的情况，再进一步确诊病因以前，打针用药是没有办法判断的。并且盲目打针用药，个人认为并不适合给予狗狗进行，可能会起到反作用。2.在疾病没有确诊的情况下，保守治疗用药之后，没有效果，甚至越来越严重，一定要及时就诊，不然会耽误狗狗的治疗时机。
3.然后这边根据宝贝的情况，我给宝贝开个处方。供您采纳参考一下。
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. ***，宠物专用吸附性止泻，大便成型之后立刻停药，吃多了容易便秘。
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。
医生您好，您说的这些药我们这里是没有的，我们现在有的药是藿香正气液，腹可安分散片，还有阿莫西林胶囊这种，我想问问就是您诊断的我们家狗狗这种情况，打那些针有用吗？因为她都是打完针之后，她的症状会严重一点，之后就会好很多，她一般症状都是严重一个下午左右这样的时间。请问一下，还可以打针吗？我们现在的针水有硫酸庆大-小诺霉素注射液，穿心莲注射液，还有地塞米松磷酸钠注射液，还有青霉素钾这些兽用的注射液，请问可以用吗，您说的那些药我们这里真的买不到，如果网上买的话还得几天才到这样会耽误她的治疗。
她生这个病也没有眼神涣散什么的，她的眼睛还是很有精神的，也不流眼泪，她的鼻子也是很湿，也没有眼屎，还不嗜睡。
她现在吃什么就吐什么，我们给她喂驱虫的药，她也会吐出来。
陈奕达
执业兽医师
您好，人类用药建议停止使用，因为人用药是针对人类设计的，并不一定适合给予宠物（动物）使用，效果不一定好，而且可能会有未知性副作用，还请您慎重考虑后采纳使用。
然后这边根据狗狗的情况，再帮您对症建议一些打针用药。
1.宠物专用头孢噻呋，每公斤10毫克，一天两次，皮下或者肌肉注射。（广谱消炎）
2.宠物专用复方昂丹司琼注射液，每公斤0.1-0.2毫升，一天2-3次，皮下或者肌肉注射。（止吐）
3.宠物专用干扰素，每公斤50万单位，一天一次。皮下或者肌肉注射。（抗病毒）
4.0.9%氯化钠，5%葡萄糖水，或者林格注射液，每公斤15-25毫升，静脉输液，一天2-3次。（补液）
医生您好，您说的这些药我们买不到，就只有我们发给您的这些药，除了藿香正气液和阿莫西林其它都是兽用的，请问可以用吗？他们也是有止吐、止血、抗静的作用。然后驱虫是不是也很重要，但是她一吃驱虫的药就吐。
她的身体比健康的时候凉了很多请问是怎么回事？
我们纠结的点就是到底打不打针，因为她吃不了药一吃就吐，我们只能打针，她已经三天没有吃东西了，但是打针之后的三四个小时她的症状都会很严重，之后会稍微好一点，所以我们纠结到底要不要打，您说的那些药我们是没有的，我们只有手上的这些药。
陈奕达
执业兽医师
您好，1.驱虫很重要。2.您可以测量一下体温，狗狗正常体温37.5-39.0度之间。3.狗狗体温下降，是由于生病，以及身体能量下降的因素。4.医疗条件受到限制，这个确实没有太好的方法了。
医生您好，我看您之前给我开的那些注射液，要不就是消炎、止吐、抗病毒这样的注射液，我们这里的注射液也是有这种功效，可以替代用的吧？我们现在治疗他的同时也是要驱虫的是吧？我们这里用的驱虫药是阿苯达唑片，因为她年纪还小，我们只能喂这个，上个月我们喂的是七片，隔天一次，喂了两次，感觉没有喂干净，她的粪便里还是有虫子，请问加量到十片左右合适吗？她现在打针严重的症状已经过了，现在在闭目养神，精神状态也好了很多，现在暂时没有吐。
陈奕达
执业兽医师
您好，
1.抗病毒用药无法替代，其它的可以替代，不过效果不一定理想。
2.需要驱虫。
3.您需要按照药物说明计量给予狗狗服用驱虫用药，不能随意加量，可能会引起中毒的问题。
4.症状缓解，是好事，并且说明狗狗没有那么难受了。
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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Pian","brand_name":"拜耳","is_prescription":0,"cover":"\/drug\/2022\/01\/5eafc201d2bd023e992c4024c533c93d.JPG","specification":"6片×1板\/盒","reference_price":229,"component":"0.7765g\/片（含非班太尔0.15g，吡喹酮0.05g，双羟萘酸噻嘧啶0.144g）","indication":"用于治疗犬的线虫和绦虫感染。如犬弓首蛔虫、犬狮蛔虫、犬窄头钩虫、犬钩口线虫、毛首线虫、棘球绦虫、带绦虫、复孔绦虫等。","usage_dosage":"内服片剂。\n1.限2周龄以上犬服用，每10kg体重使用1片每次，不足10kg的犬可以等比例掰开药片用药。\n2.可直接吞服或包于肉或食物中给药，无需禁食。\n3.成年犬例行驱虫，每3个月1次。\n4.用于控制犬弓首虫时，哺乳的母犬应在产后2周投药，且每2周给药1次至断奶。幼犬也应在2周龄时给药，且每2周给药1次至12周龄，随后每3个月给药1次，建议在给母犬投药的同时也给幼犬投药。\n5.对于线虫感染严重的犬，应在首次投药14天后再重复给药1次。","contraindication":"禁止2周龄以下犬服用。","adverse_reaction":"有少部分的犬服用拜宠清后可能呕吐，腹泻或产生蛔虫逆流现象。这些现象与肠道内寄生虫的数量有关系，属于正常范围内的不良反应，一般维持1到2天。","attention":"1.本品仅用于宠物犬。\n2.妊娠母犬可用，须严格按照推荐剂量使用。\n3.勿让儿童接触本品。\n4.工作人员给狗狗投药后应洗手，药片使用后的剩余部分勿留用。\n5.新到家的犬，刚打完疫苗的犬，以及精神状态不好的犬建议观察15天左右再进行驱虫。\n6.出现严重不良反应的情况请及时联系宠物医生。","interaction":"勿与哌嗪类药物同时使用。","approval_no":"（2019）外兽药证字41号","storage_method":"密封，25℃以下保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2019-12-27 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":97,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零装"}},"cover":null,"thumb":"","sale_count":39,"status":1,"delete_status":0,"created_at":"2022-01-11 15:31:35","updated_at":"2024-03-29 23:09:14"}}}}}}
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