猫猫呕吐带血

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患宠信息:异国短毛猫/妹妹/7岁10个月

咨询描述:猫昨晚吃了鸭架,也就是鸭骨头,因为是偷吃的所以不知道吃了多少。今天吐了两次,第二次突出了鸭骨头,有尖尖的骨头,吐的时候还在着血。要怎么办?

问题大致一样,细节不同?

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王冲

执业兽医师

您好,猫咪吃了骨头,而且还吐出骨头,最重要的是带血,这种情况很可能是骨头划伤胃粘膜或者肠道粘膜,这种情况最先要做的是拍片子看看猫咪胃里边或者肠道里边有没有骨头堵塞,如果堵塞了排不出来,是需要手术取出的,如果胃里边和肠道里边没有骨头了,可以服用保护胃粘膜和消炎药修复。现在最先要拍片子确定有没有骨头堵塞胃和肠道。 (若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)

要去医院看是吧?因为猫特别敏感 上次拍片子是做了全麻拍的,去了医院之后不能让任何医生动,也不认识主人。能先观察一天,再吐的话带去医院可以吗?

有没有可能是吃了其他的食物以排便的方式排出去?

王冲

执业兽医师

如果现在没有呕吐,您可以观察一天,看看猫咪会不会主动进食和呕吐,如果呕吐或者还是不吃饭,建议去医院拍个片子。 如果能够正常进食排便,这说明没有堵塞,可以吃药修复胃粘膜和消炎,如果不吃个呕吐,大概率有堵塞的可能

现在有主动进食。如果主动进食后还是再吐的话要去医院看是吧?要吃什么药呢?

王冲

执业兽医师

是的,吃了食物再吐出来就需要去医院拍片子。您稍等,我给您开点修复胃粘膜和消炎药

王冲

执业兽医师

根据宝贝的情况,我给它开个处方。处方里面的 1. ***0.5g,保护胃粘膜,每天两次,每次150mg 2.**50mg,消炎,每天一次,每次一片 您可以根据需求自行选择购买

两个中选择一个就行了是吗?

王冲

执业兽医师

这两个需要一起吃,****是保护胃粘膜,****是消炎

医生建议及处方根据当前病情给出,仅适用于本次问诊

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症状描述:疑似肝损伤+肠胃炎,昨天吃一整天处方罐头,昨夜大便三次,从软便到拉稀带血,刚呕吐黄水内带血点;从8月开始经常性呕吐,有时一天吐四五次,有时吐一两次,猫粮吃多了吐未消化完的猫粮,罐头吃多了吐水、白沫;食欲饮水正常,只主动吃**肝脏处方粮,并经常感觉很饿,基本间隔两小时就急切要吃,吃完东西会打嗝,肚子经常发出很大的咕噜声;不呕吐时精神状态还可以,有主动活动晒太阳,经常母鸡蹲,大小便基本正常,大便可见包裹黏膜,偶尔有血丝; 患病时长:1月查出肝损伤至今,体重持续减轻,经常性呕吐不止,导致无法正常用药,无法正常饮食吸收营养; 医院检查:1月发现体重减轻,就诊检查:ALT526,确诊肝损伤,因无其他症状医生建议注意饮食调节未给治疗方案;8月开始持续呕吐,体重持续减轻,就诊诊断还是肝损伤:ALT324,SAA112.68,打消炎及止吐针3天输液5天,期间症状减轻,治疗后两天内无呕吐症状,两天后偶尔呕吐,后喂食LD肝脏处方罐头+**肝脏处方粮,服用***,有时可维持两三天正常,然后又突然开始呕吐;10月复查,建议吃****+***,回来有几天正常后又开始呕吐;10月12日再次复查,医生建议该用的止吐药都用过,可能是胃部息肉或毛球,也怀疑甲亢,因当地没有设备不便做检查,建议带去大医院查胃镜等,并再次化验指标:ALT613、AST94、SAA11.44,经与医生沟通还是先止吐保肝,但持续至今仍经常呕吐,治疗效果不佳; 用药情况:9月12日吃****+硫酸***片三天,9月16日吃***,因空腹用药困难,经常吃完后呕吐出来或大便排出,用药断断续续(有效服用时间:10月6-8日3天、10月12-20日9天,共计12天),目前已暂停;10月6-16日吃****+***11天,10月22-26日再吃****+***5天;用药期未吐时间:10月6-9日四天、10月15日-19日五天,共计9天;目前仍然持续呕吐。

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执业兽医师

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