王冲
执业兽医师
您好,狗狗吐血拉血,初步判断是严重的急性肠胃炎,如果狗狗是幼犬,怀疑是细小病毒的可能性大,如果是成年犬,疫苗打全了,有吃骨头类坚硬食物,怀疑是骨头划伤胃粘膜和肠道粘膜,平时吃人吃的食物比较多的话有可能是胰腺炎,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. 狗狗多大了?发病几天了?发病之前都喂了什么食物?
2. 狗狗平时都吃什么食物?只吃狗粮还是肉类,内脏类馒头菜汤都吃?狗粮吃的什么牌子?合多少钱一斤?
3. 狗狗平时有没有前腿趴着撅屁股的姿势?
4.狗狗的疫苗打了几针?以及驱虫情况如何?
5.您捏或者按压狗狗上腹部,位置是在最后一根肋骨下边,两只手从两侧往里同时按压或者捏,用力按压深一点,肚子有没有绷紧,正常情况下狗狗腹部是非常柔软的。
6.您给宝贝测一下体温,用水银温度计,水银头上抹点香油,起到润滑作用,以免插入时对宝贝造成疼痛,然后插到宝贝肛门里2厘米就可以,等2-3分钟后麻烦告诉我温度。
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。另外,把您家爱宠的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
狗六年了发病一天排骨狗平常吃的米饭和肉类狗疫苗打了两针狗的腹部软
王冲
执业兽医师
您好,狗狗已经六年了,传染病的情况可以排除,因为平时吃骨头和肉类,淀粉含量高的食物也吃,目前怀疑胰腺炎的可能性最大,其次是吃了骨头划伤胃粘膜和肠道粘膜,而且有可能骨头卡在胃里或者肠道里,排除骨头卡住的办法是拍片子,如果确定卡住了需要手术取出,但是风险可能会高一点,因为狗狗精神比较差,需要先输液补水补能量后再考虑手术,另外胰腺炎主要就是引起呕吐、拉稀、精神食欲差,严重的引起吐血拉血,发病原因和吃的食物脂肪和淀粉含量过高有关,确诊方法是抽血用检测胰腺炎试纸板检测,配合血常规和c反应蛋白,这两个主要是看炎症和感染程度的。如果确诊胰腺炎,必须要输液治疗,您家狗狗现在症状非常严重了,不适合在家自己治疗,现在必须要去医院输液,先检查后输液
王冲
执业兽医师
由于狗狗没有确诊,只能推测狗狗更倾向于哪种情况,如果您需要开药,我只能给您开些保守的药物作为参考,但是不能保证用药后效果一定会明显,但是止血只能通过皮下注射止血针,口服药止血效果很差。
1.***,调理肠胃,每天一次,每次4袋
2.***0.5g,保护胃粘膜,每天两次,每次1.5片,如果狗狗体重是30kg,每次2片
3.***,辅助治疗胰腺,每天两次,每次三粒
4.***250mg,消炎抗感染,每天两次,每次一片
5.***60mg,止吐,每天一次,每次半片,如果体重是30kg,每次一片
处方开具后您可自主选择购买
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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