邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,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.宝贝的年龄,品种,体重,男孩女孩。2.出现尿血多久了,血液量特别多吗,有没有尿频之类的问题。3.最近几天除了狗粮还有没有吃其余食物,尤其是一些人的含有葱姜蒜之类的,目前精神状态怎么样。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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。(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。)
13岁,20公斤,公狗,田园犬,尿血最近出现,近一个月出现尿频,尿不尽,尿不出的情况,左眼眼屎多,一直吃的米饭跟猪肉鸭肉,精神状态良好,
邓薄鸿
执业兽医师
你好,看到你描述的问题,如果说没有吃葱姜蒜之类的,而且这种已经持续一个月了,目前考虑膀胱结石的概率最大,其次的话可能说膀胱炎.前列腺病变之类的问题。这种如果说想要确定需要到医院拍片子,加上b超确诊。你如果说保守治疗就是消炎和针对尿血的药物,连续使用2周观察了。饭量增加还好,如果说饮水量特别多不排除一些肾脏损伤.内分泌疾病的可能的。根据宝贝的情况,我给它开个处方。处方里面的1.****,消炎,每天两次,每次1片。2.****,针对尿血等泌尿道疾病,每天两次,每次8片。您可以根据需求自行选择购买
邓薄鸿
执业兽医师
如果说结石的话,那么就是看它的大小了,如果说比较小的话,那么可以尝试吃这个药物一段时间看能不能融化,比较大块的话就是需要手术取出来了
我们发现他尿不出来以后怀疑是炎症,给他吃的人吃的阿莫西林,发现没啥效果,我看您开的也有阿莫西林
邓薄鸿
执业兽医师
因为这种有尿血尿频之类的问题的话,这种本身大概率就是考虑有炎症的,肯定是需要配合这种消炎药使用。正常是不建议使用人用药的,因为这个剂量还有效果什么都没办法控制。
他现在就是眼睛看着眼白很红,尿不出来,其他情况都挺好,能跑能跳的,确定是这两种药吧,眼睛眼白红血丝很多,喝水也不算太多,夏天比较热,就是饭量大了,还需要开其他药吗,因为他不吃狗粮的,跟其他狗体质可能不一样
邓薄鸿
执业兽医师
眼白这个的话可能说上火,自身不舒服,炎症刺激之类都会有可能。你如果说针对现有的症状保守治疗,那么就是使用这两种药物。其他的药物现在暂时不需要使用的。
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
{"489054":{"id":489054,"case_id":54937,"user_id":1401608,"to_user_id":2336625,"type":3,"content":"你好,看到你描述的问题,如果说没有吃葱姜蒜之类的,而且这种已经持续一个月了,目前考虑膀胱结石的概率最大,其次的话可能说膀胱炎.前列腺病变之类的问题。这种如果说想要确定需要到医院拍片子,加上b超确诊。你如果说保守治疗就是消炎和针对尿血的药物,连续使用2周观察了。饭量增加还好,如果说饮水量特别多不排除一些肾脏损伤.内分泌疾病的可能的。根据宝贝的情况,我给它开个处方。处方里面的1.****,消炎,每天两次,每次1片。2.****,针对尿血等泌尿道疾病,每天两次,每次8片。您可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":145316}},"is_doctor":1,"status":1,"created_at":"2023-06-12 18:58:43","show_rx":true,"rx_info":{"id":145316,"rx_no":2.0230612185836502e+24,"user_id":2336625,"doctor_user_id":1401608,"is_independent":0,"case_id":3101513,"pet_info":{"pet_id":0,"pet_name":"犬","pet_nickname":"犬","pet_gender":1,"pet_birth":"13-0","pet_weight":20,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"13岁"},"diagnose":"尿血","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-06-12 18:58:36","updated_at":"2023-06-12 19:18:39","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":98550,"prescription_id":145316,"doctor_user_id":1401608,"product_id":708,"product_sku_id":751,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-06-12 18:58:36","updated_at":"2023-06-12 18:58:36","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}},"1":{"id":98551,"prescription_id":145316,"doctor_user_id":1401608,"product_id":807,"product_sku_id":849,"dose":8,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2023-06-12 18:58:36","updated_at":"2023-06-12 18:58:36","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"0":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12片\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/c29d72739373485b5e2cde39677da6bb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36","ins":{"id":71,"hash_id":"","class_ids":"[1,2]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2024\/11\/4d1b2ad87f146be23b8a4e4c515fe935.jpg","specification":"0.4g×12片\/板×5板\/盒","reference_price":180,"component":"泽泻、茯苓、车前草、滑石粉、积雪草、蔓越莓、当归、黄芪、糊精。","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次1片;\n犬猫体重5-10kg,每次2片;\n犬猫体重10-15kg,每次3片;\n犬猫体重15-20kg,每次4片;\n犬猫体重20-25kg,每次5片;\n犬猫体重>25kg,每次6片。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2024-11-21 10:33:35"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":221,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12片\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":159,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36"}}},"drug_data_bak":{"0":{"id":98550,"prescription_id":145316,"doctor_user_id":1401608,"product_id":708,"product_sku_id":751,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-06-12 18:58:36","updated_at":"2023-06-12 18:58:36","product_info":{"id":708,"hash_id":"ekz3bB4v2X4dKJMv","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格3板装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":288,"max_price":288,"sale_count":55,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-18 09:09:54","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":751,"product_id":708,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片×3板","advword":null,"price":288,"market_price":349,"cost_price":0,"stock":9984,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格3板装"}},"cover":null,"thumb":"","sale_count":59,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:42:12","updated_at":"2024-11-17 16:15:09"}},"1":{"id":98551,"prescription_id":145316,"doctor_user_id":1401608,"product_id":807,"product_sku_id":849,"dose":8,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":2,"remark":"","created_at":"2023-06-12 18:58:36","updated_at":"2023-06-12 18:58:36","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"0":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12片\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/c29d72739373485b5e2cde39677da6bb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36","ins":{"id":71,"hash_id":"","class_ids":"[1,2]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2024\/11\/4d1b2ad87f146be23b8a4e4c515fe935.jpg","specification":"0.4g×12片\/板×5板\/盒","reference_price":180,"component":"泽泻、茯苓、车前草、滑石粉、积雪草、蔓越莓、当归、黄芪、糊精。","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次1片;\n犬猫体重5-10kg,每次2片;\n犬猫体重10-15kg,每次3片;\n犬猫体重15-20kg,每次4片;\n犬猫体重20-25kg,每次5片;\n犬猫体重>25kg,每次6片。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2024-11-21 10:33:35"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":221,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12片\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":159,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36"}}}}}}
微信扫一扫
立即问宠医