陈奕达
执业兽医师
根据您讲到的信息,我暂时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. 宝贝打喷嚏频率如何?
2. 宝贝吃喝玩排便状态如何?
3. 宝贝生活环境温度能达到多少度?是否有昼夜温差?
4. 宝贝发病之后,是否有检查?是否有用药治疗?
5.宝贝体重是多少?
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.不持续打 (过个一两分钟会)打睡觉不打
2.一直睡觉 精神正常也动吃东西
3.在室外没有开空调估计有30度以上,没有昼夜温差
4.无
5.体重没有测过和手掌差不多大
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。根据您描述的症状以及提供的信息,以我多年的经验判断,宝贝这个是属于呼吸道感染问题,从而导致了一系列症状。发病位置大概在鼻腔部分。
其次需要考虑是否有卫生不整洁,灰尘过大,刺激鼻腔问题。
建议更换一下宝贝的垫料以及清理笼具。
如果暂时不方便就诊检查治疗,可以尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱消炎,呼吸道感染,的口服药来进行治疗,观察5-7天的时间。如果有效果,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,您可以告诉我宝贝体重,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)
陈奕达
执业兽医师
您好,如果宝贝肛门位置有湿润感觉,需要观察一下大便状态。如果大便不成形,还需要考虑是否有消化道疾病问题。
如果宝贝还有消化道问题,两种疾病混合性发病的情况下,就不太建议在家保守观察治疗了。
然后在观察排便期间,您可以采纳一下我上述方案,来帮助宝贝,观察一下效果如何。
你好 大便成型就是后面有一点点湿(因为我昨天才买回来今天就这样了)体重80g 两个月大 麻烦您配药
陈奕达
执业兽医师
好的,这边根据宝贝的情况,我给宝贝开个处方。供您采纳一下,以备您不时之需。
处方里面的
1. ***,宠物专用呼吸道抗生素,缓解呼吸道症状。
2.************,调整消化道菌群,促进消化
您可以根据需求自行选择购买。
药物具体用法用量已经帮您计算妥当,您可以点击查看详情按钮,进入处方页面查看。
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
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
{"498791":{"id":498791,"case_id":55884,"user_id":1249218,"to_user_id":1829590,"type":3,"content":"好的,这边根据宝贝的情况,我给宝贝开个处方。供您采纳一下,以备您不时之需。\n\n处方里面的\n1. ***,宠物专用呼吸道抗生素,缓解呼吸道症状。\n2.************,调整消化道菌群,促进消化\n\n\n您可以根据需求自行选择购买。\n\n药物具体用法用量已经帮您计算妥当,您可以点击查看详情按钮,进入处方页面查看。","media":{"images":{},"videos":{},"business_params":{"prescription_id":150250}},"is_doctor":1,"status":1,"created_at":"2023-08-15 13:28:13","show_rx":true,"rx_info":{"id":150250,"rx_no":2.0230815132756503e+24,"user_id":1829590,"doctor_user_id":1249218,"is_independent":0,"case_id":3147822,"pet_info":{"pet_id":396553,"pet_name":"金丝熊","pet_nickname":"团子","pet_gender":2,"pet_birth":"0-1","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1个月"},"diagnose":"拟呼吸道感染,肠炎问题","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-08-15 13:27:56","updated_at":"2023-08-15 13:28:13","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":109256,"prescription_id":150250,"doctor_user_id":1249218,"product_id":715,"product_sku_id":757,"dose":1,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-08-15 13:27:56","updated_at":"2023-08-15 13:27:56","product_info":{"id":715,"hash_id":"0JmBZRxq2lpnYK6j","class_ids":{"0":1,"1":2,"2":5},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":46,"sell_point":"咳喘宁(小)复方盐酸多西环素片 10mg","title":"保灵哆喜艾咳喘宁(小)复方盐酸多西环素片 10mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg×8片×3板\/盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/7e58085604c5ebc7e36127e0ae9d92d5.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":98,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:03:41","updated_at":"2024-11-06 13:37:12","ins":{"id":46,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(小)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/4bfd39dbdb2f095be81b953ec41f6f32.PNG","specification":"10mg×8片×3板\/盒","reference_price":220,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020162604","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":"2020-11-04 18:25:22","updated_at":"2020-11-04 18:25:22"}},"product_sku_info":{"id":757,"product_id":715,"title":"保灵哆喜艾咳喘宁(小)复方盐酸多西环素片 10mg×8片×3板\/盒","advword":null,"price":128,"market_price":220,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg×8片×3板\/盒装"}},"cover":null,"thumb":"","sale_count":108,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:03:41","updated_at":"2024-11-17 16:45:18"}},"1":{"id":109257,"prescription_id":150250,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":0.2,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-08-15 13:27:56","updated_at":"2023-08-15 13:27:56","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}},"drug_data_bak":{"0":{"id":109256,"prescription_id":150250,"doctor_user_id":1249218,"product_id":715,"product_sku_id":757,"dose":1,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-08-15 13:27:56","updated_at":"2023-08-15 13:27:56","product_info":{"id":715,"hash_id":"0JmBZRxq2lpnYK6j","class_ids":{"0":1,"1":2,"2":5},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":46,"sell_point":"咳喘宁(小)复方盐酸多西环素片 10mg","title":"保灵哆喜艾咳喘宁(小)复方盐酸多西环素片 10mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg×8片×3板\/盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/7e58085604c5ebc7e36127e0ae9d92d5.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":98,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:03:41","updated_at":"2024-11-06 13:37:12","ins":{"id":46,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(小)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/4bfd39dbdb2f095be81b953ec41f6f32.PNG","specification":"10mg×8片×3板\/盒","reference_price":220,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020162604","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":"2020-11-04 18:25:22","updated_at":"2020-11-04 18:25:22"}},"product_sku_info":{"id":757,"product_id":715,"title":"保灵哆喜艾咳喘宁(小)复方盐酸多西环素片 10mg×8片×3板\/盒","advword":null,"price":128,"market_price":220,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg×8片×3板\/盒装"}},"cover":null,"thumb":"","sale_count":108,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:03:41","updated_at":"2024-11-17 16:45:18"}},"1":{"id":109257,"prescription_id":150250,"doctor_user_id":1249218,"product_id":816,"product_sku_id":858,"dose":0.2,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-08-15 13:27:56","updated_at":"2023-08-15 13:27:56","product_info":{"id":816,"hash_id":"O2PrEVxdQmp1e6Wk","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":30,"sell_point":"泰淘气 复合活菌制剂10袋装","title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒(本药品不接受退换)","recommend_reason":{"0":"适用于治疗犬猫肠道菌群平衡失调","1":"用于犬猫免疫系统紊乱导致的食欲不振、腹泻或便秘"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,便秘,益生菌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/7f4f45296316c654b0e66bc8f73712e3.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":146,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25","ins":{"id":30,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌复合活菌制剂","trade_name":"泰淘气","en_name":"Live Bifidobacterium ,Lactobacillus acidophilus,Streptococcus faecalis and Yeast Preparation","brand_name":"恒丰强","is_prescription":0,"cover":"\/drug\/2020\/10\/2613cc199991f566862bdb79cbff5c76.JPG","specification":"1g×10袋\/盒","reference_price":130,"component":"双歧杆菌、乳酸杆菌、粪链球菌、酵母菌","indication":"适用于治疗肠道菌群平衡失调及免疫系统紊乱导致的食欲不振、腹泻或便秘。","usage_dosage":"将每次用量,拌入少量饲料、奶中(不超过40℃)饲喂或直接经口喂服,治疗量7天为一疗程。\n1.体重2kg以下,前2天早晚各1\/2袋,以后每天1\/2袋。\n2.体重10kg以下,前3天早晚各1袋,以后每天1袋。\n3.体重10kg以上,前3天早晚各2袋,以后每天2袋。\n4.保健量 每两周用一个疗程,每个疗程按治疗量用。","contraindication":"","adverse_reaction":"","attention":"1.用药时,应现配现用。\n2.服用本制剂时,应停止使用各类抗菌药物。\n3.饮用时,用煮沸后的凉开水稀释,水温不得超过30℃,不得用含氯自来水稀释,稀释后限当日用完。\n4.幼禽幼畜出生后立即服用,效果更佳。","interaction":"","approval_no":"兽药生字101357037","storage_method":"2~8℃保存。","validity":"12个月","manufacturer":"江苏恒丰强生物技术有限公司","status":1,"created_at":"2020-10-28 20:26:37","updated_at":"2020-10-29 14:58:54"}},"product_sku_info":{"id":858,"product_id":816,"title":"恒丰强泰淘气 复合活菌制剂1g×10袋\/盒","advword":null,"price":108,"market_price":130,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10袋盒装"}},"cover":null,"thumb":"","sale_count":154,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:28:50","updated_at":"2023-08-25 16:54:25"}}}}}}
微信扫一扫
立即问宠医