三岁国伟突然看到它后腿不能动,像是抽筋
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咨询描述:症状描述:博美,三岁,最初发病是两三周前突然看到它后腿不能动,像是抽筋一样伸不直,大概十几秒之后恢复正常,中间隔了一个多星期都没事了,最近一周开始频繁出现活动时后腿突然痉挛(左后腿居多),同时伴随呕吐(呕吐物多为未消化的食物),呼吸急促,眼神惊恐,大概半分钟到一分钟结束,精神状态正常,走路有点腿没力气,有时频繁舔舌头,一般在发作半个小时后大致恢复正常,最近一周一天发作一次或两次,并且胃口不佳,开始不愿意主动进食,喝水也变少了,精神状态开始有点差,昨天晚上的发作时间到了半小时左右,发作的时候一直舔那条不能行动的腿。大概三天前去宠物医院查血,没有发现炎症指标,大便成形正常也规律,有时候只呕吐不抽搐,有时候又呕吐又抽搐。
最近用后腿挠耳朵的现象有点频繁,还有舔自己的爪子
上传视频大概是发作呕吐后两分钟的行走状态
患病时长:大概两到三周
医院检查:查血没有炎症指标
用药情况:初步怀疑癫痫症状,吃了三四天开普兰左乙拉西坦片,按照20mg/kg/12h,维生素b1,b12,现已停药
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
考虑癫痫不排除脑部疾病,如果持续加重需要做核磁共振检查确诊
1.目前建议口服修复修复神经药物和镇静药物
2.同时需要避免应激反应
3.同时是否检查过心脏?生化是否检查过?
4.视频上传看一下
除此之外,宝贝目前的症状来讲,您提供
给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。(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。)
您说的那些检查还没有去做,经济能力有限,但是有喂营养神经的和镇定的药(开普兰左乙拉西坦片),喂药之后感觉食欲越来越差,几乎不吃了,而且发作次数也没有明显下降,不知道该怎么办了
孙厚福
执业兽医师
目前考虑癫痫不排除脑部问题,如果无法检查可以口服***和镇静药***物******,另外可以配合类固醇******,同时注意避免刺激也可以配合修复神经药物。
医生,癫痫症可以由什么情况引起的呀,它小时候都会一两个月吐一次,我还以为是吐毛,从小很容易呼吸急促,前几天发作之余的时间吃喝精神都没有问题,这几天才开始影响食欲,像这种有没有可能是先天缺陷引起的,还是可能是器官疾病引起的
孙厚福
执业兽医师
癫痫以抽搐反复发作为特征的疾病。对于猫癫痫是一种最常见的神经系统疾病猫咪患有癫痫。结构性癫痫多于特发性癫痫。颅内的肿瘤、炎症(传腹、弓形虫等)、感染、创伤、脑血管疾病或退行性疾病都可能引起结构性癫痫口服苯******药1-1.5h即达到最高血药浓度,并且对猫的毒副作用少,可以长期服用。同时配合修复神经维生素B口服液。
孙厚福
执业兽医师
癫痫以抽搐反复发作为特征的疾病。对于犬猫癫痫是一种最常见的神经系统疾病犬和猫咪患有癫痫。结构性癫痫多于特发性癫痫。颅内的肿瘤、炎症(弓形虫等)、感染、创伤、脑血管疾病或退行性疾病都可能引起结构性癫痫口服苯******1-1.5h即达到最高血药浓度,并且对犬猫的毒副作用少,可以长期服用。同时配合修复神经维生素B口服液。
请问医生,当狗狗不吃不喝,或者不主动进食进水时(有时候吃了还会吐),比较虚弱,该怎么解决
孙厚福
执业兽医师
可以口服营养膏和葡萄糖另外可以购买康复罐头(宠物医院正常都可以买到),需要增加营养,目前情况还是非常危险的,另外也可以配合输液治疗。
好的,麻烦问一下医生癫痫病例里面呕吐严重的病例占比大吗,为什么会出现严重呕吐呢,是典型症状吗
孙厚福
执业兽医师
癫痫可能会有并发症脑压增高引起呕吐,另外不排除引起胃肠炎,呕吐严重会引起脱水离子紊乱
孙厚福
执业兽医师
我给它开个处方。处方里面的
1. ******每公斤体重2mg早晚各一次
2.*********早晚各2ml
3.**每公斤体重1mg一天一次
4.***早晚各一次
孙厚福
执业兽医师
记得好评支持一下🤝🤝🤝
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!🙂🙂🙂
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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