咨询描述:小博美1岁。昨天早晨开始呕吐白色粘液+泡沫,偶尔吐一次,对食物不感兴趣,期间吃了一点白水煮的猪肝。昨天晚上排便一次,便便比较正常,深黑色,但又呕吐一次,全部吐出了不消化的食物,依旧对食物不感兴趣。我喂食了一点葡萄糖+阿莫西林。今天上午无呕吐,精神状态一般,不如没生病前活泼,期间全程无腹泻,还是对食物不感兴趣,不吃。医生请问狗狗怎么啦,怎么办
问题大致一样,细节不同?
周亭宇
执业兽医师
您好家长,它除了呕吐,您按压它腹部,还有背部按压看看有没有疼痛反应。
若您离开本诊室,稍后可以到官方微信号“蘑菇宠医”内找到问诊订单继续和我沟通。
周亭宇
执业兽医师
如果腹部怎么按压都没有异常反应,排便也是正常的,只有呕吐这种症状,主要还是考虑胃炎,它平时您喂的是什么食物?有没有经常喂内脏和肉类?
平时狗粮为主,会掺杂一点煮鸡胸肉、动物肝脏、鸡蛋黄
周亭宇
执业兽医师
有可能和经常喂蛋黄肝脏这些有关系,建议及时纠正饮食结构,这些肉类一定不能当主食,只能作为偶尔的营养补充,因为犬粮本来也是各种肉类制作而成,没有必要单独再补充肉类,应该以犬粮为主,每周喂三次肉类,蛋黄就可以。治疗胃炎推荐用药如下:
***每天两次,每次三分之一片,连续五天。
******每天三次,每次三分之一片,连续五天。
医生,目前我在的边远乡镇无法购买宠物用药,请问能开具其他人药处方吗。还有用药期间小狗饮食上要注意什么呢
周亭宇
执业兽医师
饮食上要以犬粮为主,这半个月禁止喂肉类和蛋黄,防止消化不良,另外这个药是处方,您直接下单即可,平台会安排给您发货。
周亭宇
执业兽医师
如果确实没办法网上购药,您可以就近去药房购买西咪替丁片,按照儿童剂量喂,连续四天。
医生本人和平台是不支持给宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳
好的医生。我这里虽然没有宠物医院,但有兽药店,我先去兽药店看看。
周亭宇
执业兽医师
最好是能用兽药,如果确实没有合适的,就按照我刚刚说的喂******吧。
周亭宇
执业兽医师
不客气,祝好运!非常感谢您对蘑菇宠医的信任,希望我的建议可以帮到您,也请您为我的服务做出相应评价,谢谢!如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~
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
{"489792":{"id":489792,"case_id":55012,"user_id":1624728,"to_user_id":2346655,"type":3,"content":"有可能和经常喂蛋黄肝脏这些有关系,建议及时纠正饮食结构,这些肉类一定不能当主食,只能作为偶尔的营养补充,因为犬粮本来也是各种肉类制作而成,没有必要单独再补充肉类,应该以犬粮为主,每周喂三次肉类,蛋黄就可以。治疗胃炎推荐用药如下:\n***每天两次,每次三分之一片,连续五天。\n******每天三次,每次三分之一片,连续五天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":146301}},"is_doctor":1,"status":1,"created_at":"2023-06-27 11:34:55","show_rx":true,"rx_info":{"id":146301,"rx_no":2.02306271134025e+24,"user_id":2346655,"doctor_user_id":1624728,"is_independent":0,"case_id":3109299,"pet_info":{"pet_id":384271,"pet_name":"博美","pet_nickname":"憨仔","pet_gender":1,"pet_birth":"1-1","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁1个月"},"diagnose":"胃炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-06-27 11:34:02","updated_at":"2023-06-27 11:34:55","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":100771,"prescription_id":146301,"doctor_user_id":1624728,"product_id":728,"product_sku_id":770,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2023-06-27 11:34:02","updated_at":"2023-06-27 11:34:02","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-20 13:34:38","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":543,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-21 22:49:09"}},"1":{"id":100772,"prescription_id":146301,"doctor_user_id":1624728,"product_id":726,"product_sku_id":768,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":5,"number":1,"remark":"","created_at":"2023-06-27 11:34:02","updated_at":"2023-06-27 11:34:02","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}},"drug_data_bak":{"0":{"id":100771,"prescription_id":146301,"doctor_user_id":1624728,"product_id":728,"product_sku_id":770,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2023-06-27 11:34:02","updated_at":"2023-06-27 11:34:02","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-20 13:34:38","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":543,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-11-21 22:49:09"}},"1":{"id":100772,"prescription_id":146301,"doctor_user_id":1624728,"product_id":726,"product_sku_id":768,"dose":0.3,"dose_unit":"片","use_method":"口服","frequency":"每天3次","days":5,"number":1,"remark":"","created_at":"2023-06-27 11:34:02","updated_at":"2023-06-27 11:34:02","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
微信扫一扫
立即问宠医