咨询描述:你好医生,我家狗狗6岁半了,去年被查出来有膀胱结石,目前已经做了三次手术了。最近一次手术是三月中旬,石头也送检了成分是草酸钙结石和磷酸铵镁结石。做完手术之后到目前一直在吃皇家的处方粮。昨天去复查的时候又长结石了,我想保守治疗试一试,不想狗狗太遭罪。但是我家狗狗是公的比熊,5.7公斤,我去复检的时候医生说有点膀胱壁增厚,我在想如果吃化石药,被熔掉的小石头会不会反而堵住了尿道口反而又要手术呢
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。
可以保守治疗
1.可以溶结石药物另外配合修复膀胱黏膜药物
2.另外堵塞尿路也没有问题可以导尿管冲一下尿道就可以
3.可以换一个品牌泌尿道处方粮看看是否可以控制更好一些
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。)
昨天去复检的时候看起来石头不大,就是比较密集的一小片,医生也没有告知我具体多大的石头。然后狗狗的精神目前还算良好,每天也正常的吃处方粮,没有在喂其他东西,小便也还是正常的,就是感觉最近稍微有点尿频了。所以想咨询一下医生,就这种情况适合吃些什么药比较好呢?
孙厚福
执业兽医师
可以口服益石丹另外可以配合宠石益需要多喝水多运动。
我给它开个处方。处方里面的
1. ****早晚各一次
2. ****早晚各一次
您可以根据需求自行选择购买。
请问是需要两瓶一起吃吗医生?是化石的药吧?那如果到时候堵住尿道口的话反复插尿管通尿会不会对它的身体有什么影响呢?
孙厚福
执业兽医师
1.建议两个药物配合口服,中药➕西药配合口服帮助更好排结石
2.正常导尿影响不是很大的,如果不吃药结石会越来越多,之后再次手术可能身体更受不了
你好医生,因为我之前了解了一下我家狗狗的草酸钙结石和磷酸铵镁结石一种是酸性一种是碱性,吃这个药是适合的吗?抱歉太心急了所以只能再确定一下,我们这医疗条件有限所以想多麻烦医生仔细多帮分析一下
孙厚福
执业兽医师
两个药物酸性和碱性结石都可以的吃的,处方粮建议两个处方粮都需要配合口服
为保护用户隐私不显示图片/视频
再请问一下医生这两种药会有什么副作用吗?会不会对狗狗的身体有什么其他影响?还有需要吃几个疗程呢?一盒一瓶吃完就是一个疗程吗?
孙厚福
执业兽医师
正常没有太大副作用的都是比较安全的,需要多喝水可以促进结石排出,先吃一个月后复查,也不会那么快有效果的
吃完以后如果石头变小了是不是可以继续吃,反之只能进行手术呢?医生这个药是目前最适合我家狗狗或者药效果最好的了吗?之前买过澳洲的****我看了是酸化尿液的,是不是不适合再吃了?对了还有一个,就是我家狗狗做完手术一直喝的是矿泉水,但是我最近看到有网友说喝矿泉水不行,请问医生是不是需要喝纯净水呢?
孙厚福
执业兽医师
1.如果变小或者没有变化都可以继续配合口服的
2.目前药物比较适合的,下次复查需要做一下尿液检查尿沉重,同时彩超需要做一下需要报告
3.****不太适合之后可以做一下尿检看一下
4.矿泉水和纯净水关系不大的,多喝水就可以
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!🙂🙂🙂
你好医生,我昨天在这里买了您给我开的处方里的药,但是快递邮寄还得两天才能到。所以我想请问一下现在家里还有两瓶之前开的药,麻烦您帮我看看这两瓶药现在能先吃着吗?或者有没有必要吃呢?****当时医生说是保护膀胱的,之后可以和您给我开的两瓶药一起吃吗?前天去复检的时候当地的医生跟我说狗狗的膀胱壁有增厚给我开了十天的消炎药,吃完了还需要再开吗?能不能也和上述的药一起服用?
还有一个问题我想请教一下,就是上一次手术取的石头送检出来的结石成分会不会随着时间和吃的药产生变化变成其他成分的结石呢?
问题有些多,麻烦医生了,谢谢您
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
1.****可以配合口服的,****猫用不建议使用
2.****可以修复膀胱黏膜
3.消炎药之后观察看看排尿情况可以再巩固4-5天
4.消炎药可以和上面药物配合口服的
5.之后结石可能也会有变化但是大部分不会变化的
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
{"501466":{"id":501466,"case_id":56090,"user_id":1321141,"to_user_id":2261499,"type":3,"content":"可以口服益石丹另外可以配合宠石益需要多喝水多运动。\n我给它开个处方。处方里面的\n1. ****早晚各一次\n2. ****早晚各一次\n您可以根据需求自行选择购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":151373}},"is_doctor":1,"status":1,"created_at":"2023-08-29 10:57:10","show_rx":true,"rx_info":{"id":151373,"rx_no":2.0230829105505502e+24,"user_id":2261499,"doctor_user_id":1321141,"is_independent":0,"case_id":3156265,"pet_info":{"pet_id":361644,"pet_name":"比熊","pet_nickname":"团子","pet_gender":1,"pet_birth":"6-6","pet_weight":6,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"6岁6个月"},"diagnose":"膀胱结石","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-08-29 10:55:05","updated_at":"2023-08-29 13:03:48","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":111770,"prescription_id":151373,"doctor_user_id":1321141,"product_id":807,"product_sku_id":849,"dose":4,"dose_unit":"粒","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-08-29 10:55:05","updated_at":"2023-08-29 10:55:05","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"0":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12片\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/c29d72739373485b5e2cde39677da6bb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36","ins":{"id":71,"hash_id":"","class_ids":"[1,2]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2024\/11\/4d1b2ad87f146be23b8a4e4c515fe935.jpg","specification":"0.4g×12片\/板×5板\/盒","reference_price":180,"component":"泽泻、茯苓、车前草、滑石粉、积雪草、蔓越莓、当归、黄芪、糊精。","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次1片;\n犬猫体重5-10kg,每次2片;\n犬猫体重10-15kg,每次3片;\n犬猫体重15-20kg,每次4片;\n犬猫体重20-25kg,每次5片;\n犬猫体重>25kg,每次6片。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2024-11-21 10:33:35"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":221,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12片\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":159,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36"}},"1":{"id":111771,"prescription_id":151373,"doctor_user_id":1321141,"product_id":756,"product_sku_id":798,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-08-29 10:55:05","updated_at":"2023-08-29 10:55:05","product_info":{"id":756,"hash_id":"VjX39W4zeBpQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":169,"sell_point":"宠石益 宠物添加剂预混合饲料(UD-130)","title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫尿路结石","1":"用于犬猫膀胱炎","2":"用于犬猫泌尿道炎症、泌尿道综合症等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"泌尿道,结石,感染,膀胱炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/895d6f0d9fa345292dc5a725a1f5b086.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-11 09:35:45","ins":{"id":169,"hash_id":"","class_ids":"[1,2]","title":"宠石益宠物添加剂预混合饲料(UD-100)","common_name":"宠物添加剂预混合饲料(UD-100)","trade_name":"宠石益","en_name":"Pet additive premixed feed(UD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/94a2e7dfcd38a1c5614573330ff221f3.jpg","specification":"60ml\/瓶","reference_price":118,"component":"柠檬酸钾,葡萄糖胺,乙酰氧肟酸,维生素A,维生素C,维生素E,精氨酸,牛磺酸,蔓越莓等","indication":"1.宠物尿路结石\n2.膀胱炎\n3.泌尿道炎症\n4.泌尿道综合症等","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"宠物若伴有泌尿道炎症,需配合消炎药使用效果更佳,泌尿道疾病没有办法根治,长期预防可配合处方粮服用,对结晶及小结石也有一定预防效果,详情可咨询在线医生。","interaction":"","approval_no":"苏饲预字(2018)768343","storage_method":"应贮存在干燥、避光、遮风、清洁的环境,不得与有毒有害等污染物混贮。","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-18 11:01:39","updated_at":"2024-06-01 18:21:53"}},"product_sku_info":{"id":798,"product_id":756,"title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c512d1875c2ba0f29337406b27220568.jpg","thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-20 21:30:02"}}},"drug_data_bak":{"0":{"id":111770,"prescription_id":151373,"doctor_user_id":1321141,"product_id":807,"product_sku_id":849,"dose":4,"dose_unit":"粒","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-08-29 10:55:05","updated_at":"2023-08-29 10:55:05","product_info":{"id":807,"hash_id":"3a0E6Qpj6yp2b9Rk","class_ids":{"0":1,"1":2},"category_ids":{"0":197},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":71,"sell_point":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","recommend_reason":{"0":"促进猫泌尿综合症(FC、尿结石、尿闭等)的康复","1":"用于犬猫尿结石症的改善和调理","2":"改善和调理犬猫各种水肿"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫泌尿综合症,FC,尿结石,尿闭,尿淋漓,尿结晶,尿浑浊,尿痛,血尿,尿闭,水肿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4g×12片\/板×5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/11\/c29d72739373485b5e2cde39677da6bb.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":149,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36","ins":{"id":71,"hash_id":"","class_ids":"[1,2]","title":"贝里奥益宠堂三金益石丹宠物营养补充剂犬猫通用","common_name":"宠物营养补充剂","trade_name":"贝里奥益宠堂三金益石丹","en_name":"……","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2024\/11\/4d1b2ad87f146be23b8a4e4c515fe935.jpg","specification":"0.4g×12片\/板×5板\/盒","reference_price":180,"component":"泽泻、茯苓、车前草、滑石粉、积雪草、蔓越莓、当归、黄芪、糊精。","indication":"1.促进猫泌尿综合症(FC、尿结石、尿闭等)的康复,主要表现为尿淋漓,尿结石,尿结晶,尿浑浊,尿痛,血尿,尿闭等。\n2.大描尿结石症的改善和调理。\n3.改善和调理犬猫各种水肿。","usage_dosage":"直接饲喂或混入食物中,特殊情况下请在宠物医师指导下使用。每日两次\n犬猫体重<2.5kg,每次1片;\n犬猫体重5-10kg,每次2片;\n犬猫体重10-15kg,每次3片;\n犬猫体重15-20kg,每次4片;\n犬猫体重20-25kg,每次5片;\n犬猫体重>25kg,每次6片。","contraindication":"妊娠期动物慎用。\n禁止饲喂反刍动物。","adverse_reaction":"暂未见不良反应。","attention":"","interaction":"","approval_no":"豫饲预(2021)11465","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"2年","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2020-11-06 16:12:07","updated_at":"2024-11-21 10:33:35"}},"product_sku_info":{"id":849,"product_id":807,"title":"贝里奥益宠堂三金益石丹 宠物营养补充剂犬猫通用 0.4g×12片\/板×5板\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":221,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4g×12片\/板×5板\/盒"}},"cover":null,"thumb":"","sale_count":159,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:25:06","updated_at":"2024-11-21 10:38:36"}},"1":{"id":111771,"prescription_id":151373,"doctor_user_id":1321141,"product_id":756,"product_sku_id":798,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-08-29 10:55:05","updated_at":"2023-08-29 10:55:05","product_info":{"id":756,"hash_id":"VjX39W4zeBpQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":169,"sell_point":"宠石益 宠物添加剂预混合饲料(UD-130)","title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫尿路结石","1":"用于犬猫膀胱炎","2":"用于犬猫泌尿道炎症、泌尿道综合症等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"泌尿道,结石,感染,膀胱炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/895d6f0d9fa345292dc5a725a1f5b086.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-11 09:35:45","ins":{"id":169,"hash_id":"","class_ids":"[1,2]","title":"宠石益宠物添加剂预混合饲料(UD-100)","common_name":"宠物添加剂预混合饲料(UD-100)","trade_name":"宠石益","en_name":"Pet additive premixed feed(UD-100)","brand_name":"蓝特斯","is_prescription":0,"cover":"\/drug\/2021\/03\/94a2e7dfcd38a1c5614573330ff221f3.jpg","specification":"60ml\/瓶","reference_price":118,"component":"柠檬酸钾,葡萄糖胺,乙酰氧肟酸,维生素A,维生素C,维生素E,精氨酸,牛磺酸,蔓越莓等","indication":"1.宠物尿路结石\n2.膀胱炎\n3.泌尿道炎症\n4.泌尿道综合症等","usage_dosage":"犬猫每4kg体重1ml,混饲或直接饲喂。一天2次。用前请摇匀。(新老版本随机发货)","contraindication":"","adverse_reaction":"","attention":"宠物若伴有泌尿道炎症,需配合消炎药使用效果更佳,泌尿道疾病没有办法根治,长期预防可配合处方粮服用,对结晶及小结石也有一定预防效果,详情可咨询在线医生。","interaction":"","approval_no":"苏饲预字(2018)768343","storage_method":"应贮存在干燥、避光、遮风、清洁的环境,不得与有毒有害等污染物混贮。","validity":"24个月","manufacturer":"江苏益品实业有限公司","status":1,"created_at":"2021-03-18 11:01:39","updated_at":"2024-06-01 18:21:53"}},"product_sku_info":{"id":798,"product_id":756,"title":"蓝特斯宠石益 宠物添加剂预混合饲料(UD-130)60ml\/瓶\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":78,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/c512d1875c2ba0f29337406b27220568.jpg","thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:54:06","updated_at":"2024-11-20 21:30:02"}}}}}}
微信扫一扫
立即问宠医