唐潮
执业兽医师
您好家长,根据您以上描述,还不能做出进一步的判断。我还有几个问题需要向你核实一下。
1.宝贝是否存在呕吐,食欲不振,精神差的问题?
2.宝贝腹泻持续多久了?一开始就有血,还是今天刚发现?
3.宝贝疫苗是否齐全?是否有待去医院看过?
4.宝贝吃的粮是否是网购粮?是否换过粮?
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息,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。
它的精神很好一直在跑跳,没有呕吐的症状食欲也非常好,它拉的屎一直不是很干的那种是带点湿的,腹泻每天会有一次,带血是这两天才发现的疫苗两针,没去医院看过,检查过猫瘟还有一个忘记了,粮的话是一种吃的猫舍的粮,也买的牌子一直都是猫舍的粮,之前想换粮就买了一个试吃装,然后就开始混着给他吃,最近没有在混了,那个克莉啥的止泻的东西也吃过了,不是很管用,也一直有给她吃益生菌
唐潮
执业兽医师
您好家长,根据您的描述。精神食欲正常,没有呕吐,猫瘟确实可以暂时排除掉。
但是造成长期的腹泻原因也比较多
1.食物过敏,或是食物不耐受,长期的肠道损伤,会引起肠道对食物的极度敏感,这种情况需要给宝贝使用低敏处方粮去调理一段时间。
2.寄生虫,早期某些寄生虫会造成长时间软便,之后会出现肠粘膜损伤,排出粘膜便,比如球虫。这种寄生虫,常规驱虫药杀不掉。而宝贝的红色部分便是粘膜便。
3.细菌性肠炎,这种需要进行抗生素治疗。
4.炎性肠病或是肠系膜淋巴结等问题。
但是上述的问题排查,需要进行粪便显微镜检查和腹部b超检查。
不同问题,治疗方向不同,用药也不同,而且是长期的病症,所以建议再进行上述的两种检查。
所以我现在的处理办法是什么你这边有开的药或者啥低敏处方粮吗
唐潮
执业兽医师
您好家长,这边建议您给宝贝进行粪常规和腹部b超检查,确定原因后进行治疗。
当然,如果您暂不选择这个方案的话,我这边再给您提供一个风险相对较小的方案:
1.停掉益生菌,因为当益生菌解决不掉腹泻时,继续使用反而会导致菌群紊乱。
2.给宝贝喂猫低敏处方粮;
3.在吃低敏处方粮时,不要额外喂其他食物。避免喂种类复杂繁多的食物。饮食,就以低敏处方粮为主。
4.观察排便,精神食欲。如果慢慢恢复,持续喂处方粮直到恢复正常后1-2个月。如果吃7-10天,没有改善,建议就医检查。
低敏处方粮如下,您可以购买幼猫的低敏处方粮,这个您可以****购买。
唐潮
执业兽医师
您好家长,如果无法购买到幼猫低敏处方粮,可以退而求其次购买皇家幼猫肠道处方粮。也是可以替代的。饲喂方式,按照包装袋上的饲喂量喂,少食多餐,有助于消化吸收。
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
{"478654":{"id":478654,"case_id":53792,"user_id":1503263,"to_user_id":2291742,"type":3,"content":"您好家长,这边建议您给宝贝进行粪常规和腹部b超检查,确定原因后进行治疗。\n当然,如果您暂不选择这个方案的话,我这边再给您提供一个风险相对较小的方案:\n1.停掉益生菌,因为当益生菌解决不掉腹泻时,继续使用反而会导致菌群紊乱。\n2.给宝贝喂猫低敏处方粮;\n3.在吃低敏处方粮时,不要额外喂其他食物。避免喂种类复杂繁多的食物。饮食,就以低敏处方粮为主。\n4.观察排便,精神食欲。如果慢慢恢复,持续喂处方粮直到恢复正常后1-2个月。如果吃7-10天,没有改善,建议就医检查。\n低敏处方粮如下,您可以购买幼猫的低敏处方粮,这个您可以****购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":140515}},"is_doctor":1,"status":1,"created_at":"2023-04-03 00:35:06","show_rx":true,"rx_info":{"id":140515,"rx_no":2.0230403003232502e+24,"user_id":2291742,"doctor_user_id":1503263,"is_independent":0,"case_id":3062415,"pet_info":{"pet_id":369732,"pet_name":"其它","pet_nickname":"油条","pet_gender":2,"pet_birth":"1-0","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"食物不耐受?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-04-03 00:32:32","updated_at":"2023-04-03 00:35:06","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":87558,"prescription_id":140515,"doctor_user_id":1503263,"product_id":687,"product_sku_id":730,"dose":1,"dose_unit":1,"use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-04-03 00:32:32","updated_at":"2023-04-03 00:32:32","product_info":{"id":687,"hash_id":"L96zJ5gPj0pl8Ewe","class_ids":{"1":2},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":149,"sell_point":"皇家成猫低过敏性全价处方粮","title":"皇家成猫低过敏性全价处方粮 DR25","recommend_reason":{"0":"用于猫咪食物过敏、食物不耐受等情况"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏,食物过敏,不耐受","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1.5KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/046fa8e62bebfab8072b9b75113dffca.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":228,"max_price":228,"sale_count":5,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:13:50","updated_at":"2024-06-04 17:10:33","ins":{"id":149,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"皇家成猫低过敏性全价处方粮","trade_name":"DR25","en_name":"HYPOALLERGENIC","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2021\/03\/ea27d97726630eba6546ac653e3952c8.jpg","specification":1.5,"reference_price":258,"component":"原料组成:大米.大豆酶解蛋白.鸡油.牛油.纤维素.大豆油.宠物饲料复合调味料.甜菜粕.鱼油.矿物质。","indication":"过敏;食物不耐受","usage_dosage":"干喂,并保证清洁饮水,食用剂量参见产品包装。","contraindication":"","adverse_reaction":"","attention":"为提高猫食物过敏问题成功治愈的几率,并减少复发,请严格遵循兽医师建议\n1、不要饲喂处方粮以外的其它食物\n如果您的宠物有食物过敏问题:在咨询兽医前不要改变饮食,不要随意饲喂处方粮以外的其它食物甚至看似已经治愈的情况下也不要改变饮食。\n2、不要停止治疗\n在治疗完成前不要擅自停止兽医开具的处方药物,如果您的宠物有任何因药物引起的问题,请咨询兽医师,他会给您想要的建议并调整治疗方案,因为在过敏复发的初期宠物不会出现明显症状。\n3、少食多餐\n理想状况下,将您宠物的日饲喂养量分成几餐,这会减少肠道负担。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2021-03-10 11:10:11","updated_at":"2021-03-10 11:10:11"}},"product_sku_info":{"id":730,"product_id":687,"title":"皇家成猫低过敏性全价处方粮 DR25\/1.5KG","advword":null,"price":228,"market_price":248,"cost_price":0,"stock":95,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1.5KG"}},"cover":null,"thumb":"","sale_count":5,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:13:50","updated_at":"2024-06-04 17:10:33"}}},"drug_data_bak":{"0":{"id":87558,"prescription_id":140515,"doctor_user_id":1503263,"product_id":687,"product_sku_id":730,"dose":1,"dose_unit":1,"use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-04-03 00:32:32","updated_at":"2023-04-03 00:32:32","product_info":{"id":687,"hash_id":"L96zJ5gPj0pl8Ewe","class_ids":{"1":2},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":149,"sell_point":"皇家成猫低过敏性全价处方粮","title":"皇家成猫低过敏性全价处方粮 DR25","recommend_reason":{"0":"用于猫咪食物过敏、食物不耐受等情况"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏,食物过敏,不耐受","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1.5KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/046fa8e62bebfab8072b9b75113dffca.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":228,"max_price":228,"sale_count":5,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:13:50","updated_at":"2024-06-04 17:10:33","ins":{"id":149,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"皇家成猫低过敏性全价处方粮","trade_name":"DR25","en_name":"HYPOALLERGENIC","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2021\/03\/ea27d97726630eba6546ac653e3952c8.jpg","specification":1.5,"reference_price":258,"component":"原料组成:大米.大豆酶解蛋白.鸡油.牛油.纤维素.大豆油.宠物饲料复合调味料.甜菜粕.鱼油.矿物质。","indication":"过敏;食物不耐受","usage_dosage":"干喂,并保证清洁饮水,食用剂量参见产品包装。","contraindication":"","adverse_reaction":"","attention":"为提高猫食物过敏问题成功治愈的几率,并减少复发,请严格遵循兽医师建议\n1、不要饲喂处方粮以外的其它食物\n如果您的宠物有食物过敏问题:在咨询兽医前不要改变饮食,不要随意饲喂处方粮以外的其它食物甚至看似已经治愈的情况下也不要改变饮食。\n2、不要停止治疗\n在治疗完成前不要擅自停止兽医开具的处方药物,如果您的宠物有任何因药物引起的问题,请咨询兽医师,他会给您想要的建议并调整治疗方案,因为在过敏复发的初期宠物不会出现明显症状。\n3、少食多餐\n理想状况下,将您宠物的日饲喂养量分成几餐,这会减少肠道负担。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2021-03-10 11:10:11","updated_at":"2021-03-10 11:10:11"}},"product_sku_info":{"id":730,"product_id":687,"title":"皇家成猫低过敏性全价处方粮 DR25\/1.5KG","advword":null,"price":228,"market_price":248,"cost_price":0,"stock":95,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1.5KG"}},"cover":null,"thumb":"","sale_count":5,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:13:50","updated_at":"2024-06-04 17:10:33"}}}}},"478655":{"id":478655,"case_id":53792,"user_id":1503263,"to_user_id":2291742,"type":3,"content":"您好家长,如果无法购买到幼猫低敏处方粮,可以退而求其次购买皇家幼猫肠道处方粮。也是可以替代的。饲喂方式,按照包装袋上的饲喂量喂,少食多餐,有助于消化吸收。","media":{"images":{},"videos":{},"business_params":{"prescription_id":140516}},"is_doctor":1,"status":1,"created_at":"2023-04-03 00:40:46","show_rx":true,"rx_info":{"id":140516,"rx_no":2.0230403003914503e+24,"user_id":2291742,"doctor_user_id":1503263,"is_independent":0,"case_id":3062415,"pet_info":{"pet_id":369732,"pet_name":"其它","pet_nickname":"油条","pet_gender":2,"pet_birth":"1-0","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"食物不耐受?","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-04-03 00:39:14","updated_at":"2023-04-03 00:40:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":87559,"prescription_id":140516,"doctor_user_id":1503263,"product_id":673,"product_sku_id":717,"dose":1,"dose_unit":"g","use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-04-03 00:39:14","updated_at":"2023-04-03 00:39:14","product_info":{"id":673,"hash_id":"7REJ0W4AjMgPBVAK","class_ids":{"1":2},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":128,"sell_point":"皇家幼猫肠道全价处方粮","title":"皇家幼猫肠道全价处方粮 GIK35\/1KG","recommend_reason":{"0":"用于细菌和病毒感染,或食物及药物过敏引起的肠胃炎","1":"用于寄生虫、感染或食物过敏引起的大肠炎","2":"用于寄生虫感染导致的便血和便便有黏液"},"baike_guide_text":"","baike_article_hash_id":"","advword":"便血,拉血,拉稀,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/fde2a71cc8654fdac1b0d9c8b44185bd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":16,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-15 14:43:12","updated_at":"2024-06-04 17:13:02","ins":{"id":128,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"幼猫肠道全价处方粮GIK35","common_name":"幼猫肠道全价处方粮","trade_name":"GIK35","en_name":"GASTROINTESTINAL KITTEN","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2020\/12\/302d6e25e4495e0066f00f3d555c4b09.jpg","specification":"1kg\/袋","reference_price":174,"component":"鸭肉粉、鸡肉粉、鸡油、大米、谷朊粉、小麦粉、宠物饲料复合调味料、啤酒酵母粉、蛋粉、甜菜粕、纤维素、鱼油、大豆油、矿物质、车前子、酿酒酵母细胞壁","indication":"1. 肠胃炎。可能由细菌和病毒感染,食用腐败的食物,或食物及药物过敏引起。\n2. 大肠炎。可能由寄生虫,感染或食物过敏引起。\n3. 寄生虫。肠道发炎时大便可能带有鲜血和黏液。","usage_dosage":"1. 作为主粮食用,食用剂量详见产品包装;\n2. 对于急性病,肠绒毛再生需至少3周的营养管理,为了促进消化,推荐每日摄入量应分多餐进食。","contraindication":"","adverse_reaction":"","attention":"为提高猫肠道问题的成功治愈的几率并减少复发,请严格遵循兽医师建议:\n1.不要饲喂处方粮以外的其它食物。如果您的宠物患有肠道问题,在咨询兽医前不要改变饮食,不要随意饲喂处方粮以外的其它食物甚至看似已经治愈的情况下也不要改变饮食。\n2.不要停止治疗。在治疗完成前不要擅自停止兽医开具的处方药物,如果您的宠物有任何因药物引起的问题,请咨询兽医师,他会给你相应的建议并调整治疗方案,因为在肠道复发的初期宠物不会表现出明显症状。\n3.少食多餐。理想状况下,将您宠物的日饲喂养量分成几餐,这会减少肠道负担。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2020-12-02 17:27:58","updated_at":"2022-02-15 15:06:51"}},"product_sku_info":{"id":717,"product_id":673,"title":"皇家幼猫肠道全价处方粮GIK35 \/1KG","advword":null,"price":168,"market_price":174,"cost_price":0,"stock":83,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1KG"}},"cover":null,"thumb":"","sale_count":17,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-15 14:43:12","updated_at":"2024-06-04 17:13:02"}}},"drug_data_bak":{"0":{"id":87559,"prescription_id":140516,"doctor_user_id":1503263,"product_id":673,"product_sku_id":717,"dose":1,"dose_unit":"g","use_method":"口服","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2023-04-03 00:39:14","updated_at":"2023-04-03 00:39:14","product_info":{"id":673,"hash_id":"7REJ0W4AjMgPBVAK","class_ids":{"1":2},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":128,"sell_point":"皇家幼猫肠道全价处方粮","title":"皇家幼猫肠道全价处方粮 GIK35\/1KG","recommend_reason":{"0":"用于细菌和病毒感染,或食物及药物过敏引起的肠胃炎","1":"用于寄生虫、感染或食物过敏引起的大肠炎","2":"用于寄生虫感染导致的便血和便便有黏液"},"baike_guide_text":"","baike_article_hash_id":"","advword":"便血,拉血,拉稀,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/fde2a71cc8654fdac1b0d9c8b44185bd.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":168,"max_price":168,"sale_count":16,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-15 14:43:12","updated_at":"2024-06-04 17:13:02","ins":{"id":128,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"幼猫肠道全价处方粮GIK35","common_name":"幼猫肠道全价处方粮","trade_name":"GIK35","en_name":"GASTROINTESTINAL KITTEN","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2020\/12\/302d6e25e4495e0066f00f3d555c4b09.jpg","specification":"1kg\/袋","reference_price":174,"component":"鸭肉粉、鸡肉粉、鸡油、大米、谷朊粉、小麦粉、宠物饲料复合调味料、啤酒酵母粉、蛋粉、甜菜粕、纤维素、鱼油、大豆油、矿物质、车前子、酿酒酵母细胞壁","indication":"1. 肠胃炎。可能由细菌和病毒感染,食用腐败的食物,或食物及药物过敏引起。\n2. 大肠炎。可能由寄生虫,感染或食物过敏引起。\n3. 寄生虫。肠道发炎时大便可能带有鲜血和黏液。","usage_dosage":"1. 作为主粮食用,食用剂量详见产品包装;\n2. 对于急性病,肠绒毛再生需至少3周的营养管理,为了促进消化,推荐每日摄入量应分多餐进食。","contraindication":"","adverse_reaction":"","attention":"为提高猫肠道问题的成功治愈的几率并减少复发,请严格遵循兽医师建议:\n1.不要饲喂处方粮以外的其它食物。如果您的宠物患有肠道问题,在咨询兽医前不要改变饮食,不要随意饲喂处方粮以外的其它食物甚至看似已经治愈的情况下也不要改变饮食。\n2.不要停止治疗。在治疗完成前不要擅自停止兽医开具的处方药物,如果您的宠物有任何因药物引起的问题,请咨询兽医师,他会给你相应的建议并调整治疗方案,因为在肠道复发的初期宠物不会表现出明显症状。\n3.少食多餐。理想状况下,将您宠物的日饲喂养量分成几餐,这会减少肠道负担。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2020-12-02 17:27:58","updated_at":"2022-02-15 15:06:51"}},"product_sku_info":{"id":717,"product_id":673,"title":"皇家幼猫肠道全价处方粮GIK35 \/1KG","advword":null,"price":168,"market_price":174,"cost_price":0,"stock":83,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1KG"}},"cover":null,"thumb":"","sale_count":17,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-15 14:43:12","updated_at":"2024-06-04 17:13:02"}}}}}}
微信扫一扫
立即问宠医