您好,医生,我家狗狗今年已经13岁了。于今年7月19号在当地宠物医院进行了乳腺肿瘤和子宫蓄脓的手术,手术刚过后的几天饮食还是可以的,但是最近饮食特别差,还出现了腹泻,后腿抖动严重,牙关抖动的情况,刚才还咳了点粉红色的痰
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,那有没有咨询医院呢?乳腺肿瘤有没有送检呢?它精神状态怎么样呢,二便是否正常?
抖动的原因一般有身体发热、疼痛、害怕引起。建议您先测量一下体温。体温计肛门测量或者大腿根部皮下测量,正常体温37.5-39.2。咳血情况需要注意之前是否有,或者手术后出现的。粪便成型但是略软,饮食和发抖是从什么时候开始出现的症状呢。平时饲喂什么食物呢?发病前一周内有饲喂过什么食物呢
今早去了之前做了手术的医院,但是医生说是神经系统的问题,除了让做这样那样的检查,任何合理性的建议都没有,态度也不好,我就领狗狗回来了。乳腺肿瘤的事情她们只是说做了,其他的任何情况都没有说。前面没发现有咳血的情况,就是刚才才出现的。饮食应该是两周之前就不是很好了,腿抖得情况从术前就有,但是很轻微,不仔细看的话看不出来。但是两周之前就稍微有点严重了,从前天开始牙关也开始抖动了。狗狗不张嘴还好,一张嘴的话就会很严重。我们家狗狗平时吃的是狗粮、牛肉肠、新鲜的牛肉和鱿鱼条。一直喂得是这些,但是从两周以前除了新鲜的牛肉,其他的任何东西就都不吃了。
于博
执业兽医师
好的,基本了解了。医院给出检查的建议是没有问题的,毕竟年纪大了还有肿瘤,是有必要确定病因的。那建议您需要做的检查首先血常规炎症要看一下是否升高异常,从粪便上看胰腺炎需要排查一下。不知道之前有没有拍过片子看一下双后肢关节脊椎是否有异常骨质增生或者退行性关节炎。至于咳嗽带血,首先宠物牙齿是不是不好呢,如果牙齿不太好嗑时会有血,那如果就咳嗽一次可以观察一下。还有没有后续咳喘情况。另外宠物有肿瘤问题也没有做病理,所以肿瘤转移之类的也要注意起来。需要定期体检胸内肺脏。术前检查肝肾是查过理吧有问题吗?
查过的,除了血常规炎症指标有点高以外,其他的都是正常的
于博
执业兽医师
那这边建议呢去医院确诊一下情况是首选
如果吃牛肉食欲还可以呢,这边根据它的状态可以先开一些止痛抗炎促进食欲药物尝试治疗一下。如果2天没有好转还是建议检查确定病因。至于排便这块可以先吃些益生菌调理。是今天检查的吗,胰腺炎也查过了吗?
不是今天检查的,是手术前检查的,术后三天也复查过
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于博
执业兽医师
血液指标每天都会有变化的。所以身体出现问题是要重新做的。然后它的血常规最后指标炎症指标是升高的术后几天升高是正常的,但是您正常是回家口服药物几天后复查血常规看是否炎症消失。然后肝指标两项也是降低不正常,也是要复查一下看是否有变化的。有拍过片子吗?
术前是有过的,术后没有
为保护用户隐私不显示图片/视频
于博
执业兽医师
您家宠物脊椎骨刺挺严重的,虽然身体后段没有片子但应该也不会太好,这么严重的骨刺会引起疼痛,如果有疼痛食欲会较差的。另外胸内是有个小肿物,之前医生也标记了也要重视起来。咳血可能也和它有关系。
我这边先给您开个处方尝试治疗一下看是否有缓解
为保护用户隐私不显示图片/视频
于博
执业兽医师
1、****:一天一次,一次2片(止痛药)口服
2、**:一天2次,一次2片(抗生素)口服
3、****:一天两次,早晚各一包(益生菌调节肠道粪便,冰箱冷藏保存)兑水拌粮均可
4、****:一天两2片,口服。养护关节减缓关节病变发展
5****:一天两次,一次2毫升。补血保肝,促进食欲
还有****的药物平台上暂时没有,您可以自己在其他渠道购买。
目前止痛药,抗生素、补血药、益生菌是先可以尝试性治疗看一下有没有改善。抗肿瘤的,关节软骨素是属于日常长期维护吃的不是紧急的。
狗狗不吃饭是不行的,您要多费心辛苦一下多尝试食物看看它喜欢吃哪个,每天要保证营养物摄入。也可以买处方罐头主食罐头适口性好一些的。那如果不见好转还是要尽早去医院检查病因,线上就医有局限性。
于博
执业兽医师
您可以尝试3天看一下,那如果在用药期间状态恶化要及时就医。保证饮食。益生菌需要和抗生素药物间隔3个钟头饲喂
好的,医生,谢谢您,我马上买药,要是有什么再来找您咨询,谢谢
于博
执业兽医师
这照片非常感谢您对蘑菇宠医的信任。如果我的回答能够帮到您,请您在咨询结束后留下5星评价,您的评价是我工作最大的支持,感谢。后续宠物有其他问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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