咨询描述:狗狗9岁了,未绝育,在去年2月份左右出现了中度肾衰竭。给予肾脏处方粮以及***(肾脏药物)并且在此期间家人给(宠物火腿肠)在今年2月初复查(因为狗狗开始不吃饭,精神不好,我们认为又再一次肾衰竭复发)顺便复查。生化十项和常规还有胰腺问题。肾脏指标肌酐正常肾脏指标都正常。但白细胞指标很高(体内有炎症)后续自己在家给予头孢进行治疗。几天后症状缓解。但昨日在家发现有黄色呕吐物。并且精神不好,不吃饭(导致不拉屎)有怀疑是感冒所引起。但无法确诊。我们以为依然是之前的白细胞高炎症等问题所以昨晚给予少量头孢。今天狗狗症状暂未缓解。狗狗体重在去年未患肾衰竭时8斤,现6斤(由于不给予其他食物可能导致消瘦)
患病时长:2天
回复总结:老年犬得了肾衰竭,并且狗狗已经出现呕吐且精神不好、食欲下降的情况,有理由怀疑疾病加重。目前这种情况,如果按照经验用头孢效果不佳,建议线下就诊。且建议做全套生化,血常规、ccrp以及SDMA,这个指标对肾脏的功能更敏感。如果呕吐不频繁,可以尝试吃止吐药,消炎药,观察是否好转。
问题大致一样,细节不同?
闻晓敏
执业兽医师
家长您好,信息已收到。您的资料显示狗狗9岁,去年2月出现肾衰,目前狗狗有呕吐且精神不好,食欲下降,有理由怀疑疾病加重。目前这种情况,如果按照经验用头孢效果不佳,建议线下就诊。且建议做全套生化,血常规、ccrp(炎症值)以及SDMA,这个指标对肾脏的功能更敏感。
如果呕吐不频繁,可以尝试吃止吐药,消炎药,观察是否好转
闻晓敏
执业兽医师
当然老年狗出现呕吐、精神差,食欲差的情况,还需要考虑最近饮食问题,最近饮食有什么变化吗?
刚刚打电话询问了一下家长现在正在溜她她肯出来的并且拉屎拉尿(屎的形态也基本正常)没有拉肚子那种胡胡状。狗子昨日晚吃了几粒狗粮。也喝水的。今日也无呕吐。我想问头孢狗子该吃那个版本的或者说头孢吃哪一款的可以说一下吗
闻晓敏
执业兽医师
狗狗常用的消炎药可以选择头孢氨苄或者青霉素类的阿莫西林克拉维酸钾,这两款都不错的。
头孢氨苄15mg/kg,一天两次,连用一周。阿莫西林克拉维酸钾可以12.5mg/kg,一天两次,连用一周。
闻晓敏
执业兽医师
我给他开个处方,处方里面主要是:
1,头孢羟氨苄,一天两次,一次0.6片,根据情况连用一周。
2,速诺,一天两次,一次一片,根据情况连用1-2周。
以上药物二选一即可。
您可以通过处方自主选择购买。
那她现在的情况您判断是个什么症状 是感冒还是身体内有炎症的问题呢
闻晓敏
执业兽医师
您好,因临床中很多疾病症状是相似的,而实际病因却不同,作为一名合作的执业兽医师是没办法在没经过当面诊断以及没有任何检查报告的情况下就给您下诊断的,这个是不负责任的表现。上面已经根据它的情况推测大概是哪些方面的问题,为了宝贝的健康,建议及时到线下医院诊断病因后对症开药治疗!
这个药是人用的吗?如果是人用的建议谨慎使用哦,不太好掌握剂量,可以使用狗狗专用的头孢类药物,头孢噻呋钠可以的2.2mg/kg,一天一次,连用5-7天。
您上方的回答没有说是那些问题的可能性啊。只是我说他可能白细胞高用头孢。你给我开了头孢。而且诊断说肾衰,肾衰也是我告诉你的也不需要你诊断呀。你全程只是回答我一些已知的问题根本没有回答到点上。
闻晓敏
执业兽医师
3天后我的助理会联系回访您宠物的康复情况,请添加这个微信,治疗过程中爱宠吃药有任何不良反、要及时和助理反馈,如果爱宠平时有什么养护小问题也可以咨询我们助理,这是助理的二维码
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
我再给您分析一遍吧,文字有点多,请耐心等待
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
1,狗狗9岁,去年2月检查出肾衰,这个年纪的狗狗肾衰一般都是慢性的了,慢性肾病是没有办法治愈的,临床上我们只能用药缓解疾病的发展。因此这一年过去了,肾衰最好的状态是维持一年前的样子(说不定会更差,需要结合狗狗临床症状及实验室检查结果综合判断),所以我后面开药的时候写的是肾衰,这是毫无疑问的(除非去年诊断错误)。
2,上一条的回复有提到,有理由怀疑疾病(肾衰)加重,因为目前的临床表现是支持这个结论的,具体诊断的话,是需要结合实验数据分析的,我也不能没看到任何实验室数据就下诊断哦。另外还提到了有可能是饮食问题,如果饮食变化也可能导致狗狗出现目前的情况。
3,从咨询信息来看您也是医生吧?如果主人不愿意检查根据经验用头孢,观察动物对药物的反应,如果反应良好则继续用药,如果动物对药物反应不好,该检查的还是需要检查的哦。
4,我诊断说是肾衰,上面第1点已经提到了原因。
5,您上面问的,“根据现在的情况判断是感冒?炎症?”,我只能说没有任何实验数据,作为目前线上咨询来说,给您提供了2的可能性,没办法下结论说是感冒或者炎症哦。
您还有什么疑惑可以继续留言哈,我看到会及时回复
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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