咨询描述：陈大夫您好，我家柴犬九个月大，从前天起开始频繁呕吐，先是白色泡沫粘液，每天早上吐，后来变为黄色泡沫粘液，且不爱吃饭。昨天早上排便后带他去宠物医院拍片子(前三张)且注射了止吐针，后来大夫让拍显影，昨天一天没吃没喝，回家吐了四次，黄色液体。今天早上去拍片，里面已经没有显影剂了，可能是吐完了，说是胃胀的厉害，又打了一针止吐针，回家不吐了，但是特别没精神，也不喝水，一直睡觉。我们给喂了益生菌但还是没效果，请问这是怎么回事啊？我们能给吃点药啥的吗？
回复总结：狗狗频繁呕吐白色泡沫，能引发狗狗出现呕吐的原因比较常见的有胰腺炎，病毒性感染，寄生虫感染，以及消化道梗阻。如果狗狗除了x光片以外，没有进行其它检查的情况下，那么疾病的诊断是不全面的，很容易漏诊误诊。建议找个靠谱的宠物医院进行一下检查，进一步的确诊病因，然后针对性的治疗，更为安全稳妥一些。很有可能是由于饮食不当，消化不良引发的急性胃肠炎问题，导致了一系列症状。如果实在不方便再次就诊，那么您可以先尝试给予狗狗口服一些宠物专用广谱消炎药。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的狗狗有呕吐症状，我初步分析狗狗是有急性胃肠炎问题，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. 狗狗除了x光片，是否还有其它检查化验？结果如何？；
2. 是否狗狗喝完造影剂之后，4-6小时左右的x光片？
3. 狗狗喝完造影剂之后，是否有拉出来？
4. 狗狗发病之前都喂了什么食物？
5.狗狗没有注射疫苗，是否定期检测抗体？
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.没有做其他检查化验，宠物医院的大夫当时说不是那些的问题
2.我们是昨天上午十二点左右喝的显影剂，宠物医院的大夫说当时拍一次，今天早上去拍一次，结果回家从四点多开始吐了三次黄色液体，如图。今天早上又吐了一次。今晚拍的片子我传给您。
3.喝完造影剂后不让喝水进食，所以没有没有排便，只是小便了几次
4.发病前几天除了狗粮还吃过荤香馅饺子/肉馅饺子/榛子仁/膨化食品/鸡肉
5.疫苗齐全，当时打疫苗的时候做过检查，是没问题的，我们有按时做体内外驱虫
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，感谢您的回复，谢谢。根据您的描述，1.能引发狗狗出现呕吐的原因比较常见的有胰腺炎，病毒性感染，寄生虫感染，以及消化道梗阻。2.如果狗狗除了x光片以外，没有进行其它检查的情况下，那么疾病的诊断是不全面的，很容易漏诊误诊。3.而且喝完造影剂之后，需要在第3，第6，第12小时左右进行x光片的检查，才能彻底排除是否有消化道梗阻的问题，如果没有按照这个程序进行，钡餐的作用就会大打折扣。4.说实话，如果条件允许，个人建议找个靠谱的宠物医院进行一下检查，进一步的确诊病因，然后针对性的治疗，更为安全稳妥一些。5.根据您的描述，狗狗在吃饺子以及上述食物以后在出现症状，那么很有可能是由于饮食不当，消化不良引发的急性胃肠炎问题，导致了一系列症状。如果实在不方便再次就诊，那么您可以先尝试给予狗狗口服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，保护胃肠道粘膜，治疗消化道溃疡）方面的用药，观察2-3天的时间，如果效果不错，可以持续用药1-2周左右。
您好，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. ***，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。
陈大夫感谢您的回答，我还有一些问题想要咨询您:
1.还需要做哪些相应的化验？
2.造影液会对狗狗产生危害吗？
3.医生要求禁水禁食，狗狗21 h未进水进食，会不会因为这个导致狗狗脱水，导致精神萎靡等其他问题？比如现在不吃不喝，总是趴在那里睡觉。
4.那个医生说，根据片子展示胃胀，造影液没有了看不到消化道是否正常，而且看不到胃里是否有异物，说要开刀做手术。我们没同意，医生就建议喂食用油顺顺，我们因此喂了10ml香油，又喂了益生菌和三粒儿童用健胃消食片，这样可以吗？另外还想麻烦您看一下是否有真的有异物需要开刀呢？
5.从医院回来后，狗狗把在医院喝的水都吐了，至今未吃未喝，我们应该怎么办呀？给注射点葡萄糖嘛？
6.造影液服进去21h后才安排拍片子，是不是完全没有意义了？感觉我们家狗狗白受罪了
陈奕达
执业兽医师
您好，1.需要进行血液，大便，以及消化道超声检查。2.造影一般使用钡餐，单纯消化道造影对狗狗没有什么伤害性。3.禁食禁水会脱水，一般在长时间禁食禁水的时候，都是建议静脉输液治疗。4.狗狗之所以精神萎靡，食欲不振，跟生病之后，身体难受有关系。5.之所以看不见造影剂，是因为时间太久了。6.手术不能草率，还是能尽快的确诊，针对性治疗，才是最靠谱，最稳妥的。7.现在的检查结果，无法判断是否有异物问题。说实话，检查结果不行。（如果真的有异物，排不出来的情况下，确实需要进行手术）。8.消化道造影是需要定时拍摄x光片的，间隔时间过久说实话，就像狗狗这样，啥也没有了，意义性就不大了。
那我岂不是被宠物医院坑了，我刚和他对峙他还说造影液时间越长走的越远效果越好？
我还想麻烦您问一下:
1.我家狗狗现在是脱水了吗？如果脱水需要采取什么样的措施呢？因为他现在不会自己主动去喝水，我怕他越来越严重，我们给他注射点葡萄糖可以吗？需要去输营养液嘛？
2.我母亲今天买了两种药，您看可以给狗狗服用吗？
3.宠物医院还在跟我死咬说不吃不喝是因为有异物的原因…那有没有异物到底怎么能判断呢？片子已经拍了很多张了，也看不出什么啊，我们还需要什么来作证这个呢
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.造影剂消失了就没有意义了。2.长时间不喝水，呕吐会导致狗狗脱水，但是狗狗现在脱水到什么程度，这个没有办法判断，需要进一步化验来进行分析。2.静脉输液是现在最适合狗狗方式。3.图片上的药物可以尝试，但是效果如何，需要时间观察。4.异物的判断，需要再次进行造影确诊。
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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