咨询描述:你好,我家拉布拉多有有膀胱结石,结石不大,前今天闭尿了。在医院做了导尿住院住了三四天后,昨晚接回来。今天早上又尿不出来了,每次都只能尿几滴。昨晚喝了挺多水的。请问这样怎么治?又要送医院做导尿吗?总不能一直这样。膀胱里有结石,请看图片,这是做导尿之前拍的,我在网上买了利尿的药,这药有用吗?请帮我看下怎样才能治好它。谢谢!
问题大致一样,细节不同?
闻晓敏
执业兽医师
家长您好
狗狗膀胱里结石小且多,再加上公狗的尿道想对于母狗来说细很多,因此非常容易出现尿路感染,尿血,尿频,尿闭等情况。目前最好的解决方案是手术,取出膀胱结石送检结石分析,然后再通过药物,饮食调整,改善,解决这个情况。
您买的这些药,只能缓解临床症状,解决不了结石这个根本问题,因此吃药时可能好转,不吃药又复发。
不手术保守治疗不行吗?可以吃排结石的药保守治疗吗?可以买网上的石林通给狗狗吃排结石吗?网上问了说结石不大,吃了可以排出来
闻晓敏
执业兽医师
有些结石通过饮食,食物可以溶解化掉比如磷酸铵镁结晶,有些结石化不掉比如草酸钙结晶。
可以去医院做尿液分析看看有哪些成分。如果磷酸铵镁可以吃泌尿道处方粮,石淋通,泌尿道药物尝试保守治疗,治疗1-2个月去复查看看恢复情况,有没有变少变小,如果有,临床症状也有改善可以继续保守治疗,但是没变小,没少,临床上有还有症状,建议还是要手术才能解决这个问题。
好的,谢谢,医院手术大概要多少?主要经济比较紧张,狗狗年龄也大了不想太折腾。我去宠物医院,医生说结石没有堵住。你看了是结石堵住的原因吗?麻烦你帮我看下这2种排结石的那种效果好。或者根据狗狗情况帮我开些药,谢谢。
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
这么大的狗,手术当天术前检查,手术费,手术当天护理估计要3-4k,后续护理费用估计2k,再加上买药买处方粮,估计得6k左右,具体看您所在城市。
您可以先尝试保守治疗方法试试,我给他开个处方,处方里面主要是:
1,***,一天一次,一次6粒,连用10天。
2,******,根据狗狗体重按比例给。包装袋上有用量说明。
3,***,一天两次,一次8片。
看开的药没有排结石的啊,都是保健品,狗狗排尿现在是一滴一滴,是买利尿的药好还是排结石的一起吃效果好?
闻晓敏
执业兽医师
*****可以溶解磷酸铵镁结晶形成的结石,因此是有溶石化石的作用的。其它药物修复膀胱粘膜泌尿道炎症。买利尿的作用不大,因为利尿只是让狗狗排尿多,但是没有解决根本问题的。而且利尿的药不能长期吃,容易引起体内离子紊乱。其它排石的药您刚才发的那个***可以
狗狗现在是这种情况,我在网上按你的处方买了药,明天应该能收到,应该还来得及吗?我还买了***和***,哪个效果好见效快?还买了***和***。***是消炎药,有必要搭配消炎药吗?处方粮也买了。江浙沪明天就能收到。希望能来得及。谢谢!
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
视频里能尿出来,说明目前尿路是没有被完全堵塞的,能尿出来就来得及。
两个药都不是神仙药,一天两天也缓解不了紧急情况,两个都可以吃。消炎药可以吃一周,后面就停了。
好的,按你的处方吃完了之后,狗狗还要继续用药吗?***和***要吃多久?按疗程的话要几个疗程,多少天算一个疗程?谢谢。
闻晓敏
执业兽医师
如果单纯从临床症状改善方面来说的话,临床症状改善之后再继续巩固用药一周就可以停药了。
可以先把开的这两个药吃完,临床没有异常症状了之后吃泌尿道处方粮两个月,然后去复查超声拍片看看结石有什么样的变化。
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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