咨询描述:患病时长:估计应该是今天早上吐的 我醒来才看到。
症状描述:吐了两滩在地上,跟这两滩有点像的。一摊黄水,一摊白水,都是带泡沫的。
用药情况:暂时还没用药。
昨天下午和上午吃的都是鸡胸肉汤拌猫粮,前几天也是。但是昨天晚上有一点点软便。
然后昨天用敌特的稀释拖了个地,昨天晚上跟人睡的可能存在空调比较凉的情况。
然后驱虫它来了之后做过一次内外驱,上个月驱的,内驱肯定是吃下去了的,但是外驱可能会存在量不够的情况,因为滴毛上了很多,也不敢滴多。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析猫咪出现了胃肠炎问题,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向您了解一下:
1. 猫咪是否还有其它症状?
2. 空调开到多少度?
3. 猫咪呕吐物中是否有毛发?
4. 猫咪吃的鸡汤,是否新鲜?是否现吃现做的?
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方案有非常大的帮助。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。)
1.暂时没有其他症状,好像比之前爱睡一点儿,他平时7点就叫我起床了,今天没吵我,食欲应该也还是有的,我今天早上没发现的时候给他煮鸡胸肉,他又在厨房守着我,目前鸡胸肉暂时还没给他吃。
2.空调开到26度,但是我房间是有一点冷的,人不盖被子是绝对不行的那种,平时他不怎么进房间,但是它昨天晚上还待了蛮久的。
3.呕吐物里面没有毛发,但是那个黄水没有这个图片里面的这么黄,比这个黄要淡很多。
4.算新鲜吧,买的鸡胸肉。是速冻的,但是每次都是给他蒸好了吃的。
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。综合现在所有信息分析,以我多年的经验判断宝贝是有急性胃肠炎问题,从而导致了一系列症状。跟空调着凉,消化不良有一定的关系。
同时如果猫咪没有进一步检查的情况下,需要考虑是否有病毒(猫瘟病毒,冠状病毒),以及消化道寄生虫(蛔虫,绦虫,滴虫,球虫)感染的问题。
如果暂时不方便就诊检查治疗的情况下,可以先尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱胃肠炎(消炎,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,吸附性止泻)的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。(保守治疗需要时间观察,效果不一定能够达到预期,慎重考虑)
好的,就暂时保守治疗吧,不好意思哈,陈医生,我还有几个问题想问一下。
1.他的精神状态还是蛮良好的目前,刚刚尿完尿之后到处跑。然后尿尿目前也是正常的。然后我回想了一下昨天的便便,就是开始是正常的,但是有一大坨是软便的。
他前几次粑粑好像也是这样,但是没有一大坨软便的情况存在,一般都是正常的便便,最后有一点点地方是软的,这是有问题的不?
2.然后刚来家的时候,他两只耳朵都有脏东西,耳朵后背被抓破皮了。后来给他用耳漂清理了之后,干净了一只耳朵,还有一只耳朵,就是那个畸形一点的耳朵它还是喜欢抓,就是耳朵内部会有一些暗红色的小点点可以擦掉,然后会有内部还有点像人的耳屎一样的那种东西存在,请问这种情况是耳螨吗,如果是耳螨专业用药应该是用什么呀?
还有像他这种耳朵的情况,是畸形里面正常的吗,前主人说他天生就是这样子的,像这种情况的话,会不会有遗传病呀?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.便便是有问题的。2.是否有耳螨,症状无法判断。需要进行耳道分泌物显微镜检查才能判断。3.畸形有可能跟发育有关系,也有可能是后天,被猫咪妈妈踩踏导致的。4.是否有遗传疾病基因,这个可以通过检查判断。5.然后这边根据宝贝的情况,我给宝贝开个处方。供您采纳参考一下,以备您不时之需。
药物具体用法用量已经帮您计算妥当,您的点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消炎,控制消化道炎症
2. ****,供消化道营养,促进消化道粘膜恢复,减轻消化道炎症
3. *****,宠物专用吸附性止泻,大便成型之后立刻停药,吃多了容易便秘。
4.***,保护胃肠道粘膜,治疗消化道溃疡。
您可以根据需求自行选择购买。
好的,谢谢医生,请问猫咪今天是否需要禁食呢?然后这些药有没有标注只能空腹吃?还有,有没有能和饭一起喂的药呀?
陈奕达
执业兽医师
您好,1.药物可以跟食物一同服用,也可以单独吃。2.然后给您再总结一些照顾宝贝一定需要注意的几点,
①需要改善宝贝生活环境,需要环境温度达到28-29度恒温(不能着凉,因为着凉可能会加重宝贝的病情)。
②需要改善饮食,需要吃宝贝专用猫粮,用温水泡发,搅拌成糊糊(好消化,易吸收,对消化道刺激性小),以少吃多餐为原则喂食。
③其它的食物可以暂时先停掉,因为吃的食物越杂乱,消化道负担越重。
④可以在喝水不吐的情况下,给宝贝口服一些温热的糖水,补充体液的同时,还可以补充能量。
⑤如果宝贝出现再次呕吐,建议先禁食禁水6-8小时,之后没有持续呕吐的情况下,再考虑吃喝以及口服药。如果持续性呕吐,那么就需要考虑静脉输液治疗。
陈奕达
执业兽医师
(然后鉴于您爱宠的情况属于试探性用药治疗观察阶段, 您可以用药5-7天左右,再来复诊一下。跟我描述宝贝当时的状态,我可以根据当时情况,帮您制定下一步合适的方案。同时可以购买专用服务包,更加优惠)。
陈奕达
执业兽医师
非常感谢您对蘑菇宠医的信任,如果您对我的解答满意,请您给我点亮五星哦!祝您的爱宠早日康复!
后续宝贝有其它问题,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
希望我的建议可以帮到您,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~“
为保护用户隐私不显示图片/视频
然后医生那个少食多餐是大概什么个意思呀?每次用温水喂10克粮,然后隔一个小时喂一次,直到他吃饱了为止可以吗?
陈奕达
执业兽医师
您好,举个例子,猫咪每天吃一碗粮食。少吃多餐指的是把这一碗粮食分6-10次喂食即可。
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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