咨询描述:症状描述比熊,两岁半,从周日开始吐了八次,去诊所打了两针,周一周二分别吐了一次,周三开始吐了三次,又打了两针,周四凌晨仍然吐黄水和白沫,一共八次,早晨去医院,验血正常,x光显示有异物,开始灌肠和输液,仍然没排泄。
患病时长:5天
医院检查:已经验血,拍x光显示异物
周日周三分别打了两针止吐和消炎针;周四灌肠喂乳果糖并且输液。
问题大致一样,细节不同?
宗振平
执业兽医师
您好***主人,***抽血化验肝肾没有问题,也没有胰腺炎,也没有炎症吗?您能发一下化验单吗?***片子能发一下吗?
如果***确定没有胃肠炎,胰腺炎这些情况,需要看看做个造影是不是有异物,位置在哪里?
如果位置在小肠,灌肠是没有用的,只能自己慢慢排,几天不怎么动就考虑手术。
狗狗目前不吃喝,输液肯定需要,现在需要看看位置,目前是什么情况?
医生您好,***的化验单我没有保存,我这边医生只告诉我肝功有些高,其余的没有问题。拍的x片只有侧位的,显示圆形异物,麻烦您看下。造影没有做,县城这边医疗水平有限,所以很着急。***今天晚上没回家,医生要求住院。但是这些天除了吐完的那一阵,精神很好,也会可会饿会吃饭。麻烦您看一下片子,他能不能自己排泄出来,吐的这几天粑粑都正常的。您看看会不会有生命危险,也是怕肠梗阻肠坏死之类。
为保护用户隐私不显示图片/视频
宗振平
执业兽医师
明天做个钡餐造影看看,片子没有明显的异物的表现,看不出来,只有疑似一个圆环的,中间是空的,这个不知道能不能摸到,但是也有可能是肠管都不好说,只有造影看看情况。正常如果有异物,可能不会有大便的。
做一个造影最方便,现在就输液,造影,看结果。没有异物可能还是胃肠道炎症,狗狗化验结果明天发给我看看,看一下肝脏问题。
狗狗现在食欲正常,吃进去少量多次喂看看吐不吐。
宗振平
执业兽医师
输液暂时没有生命危险,明天您看看在联系我发一下化验结果,明天我们在看看商量治疗方案,您早点休息。狗狗目前状态还可以,别担心。
医生您好,谢谢您。晚上怕浪费追问机会,没有跟您联系。现在我来看了***,精神很好,昨天下午晚上我们这边诊所给喂的粮和罐头,没有吐,早晨我溜了溜它,排了一块便,是正常的成型便,检查了没有异物排出。早晨吃饭也正常,我们这边诊所说没必要做钡餐造影,我需不需要转院呢,麻烦您给下建议。另外我拍了血常规检查报告,麻烦您给看一下。这边诊所只有侧面x片有那个圆形,昨天上午拍的正面x片和下午拍的x片没有发现明显异物。这边诊所说那个圆形阴影的东西算上外面光圈那部分只有1.5mm,麻烦您给看一下,谢谢。
为保护用户隐私不显示图片/视频
宗振平
执业兽医师
狗狗如果不呕吐了,吃喝正常了,可能就没问题,这种情况暂时治疗观察吧,狗狗不呕吐了,说明已经好转了,在观察看看,后面还是呕吐在考虑造影吧。
医生您好,麻烦您给看看他这个血常规有问题吗。如果今天也没继续吐的话,还有再输液的必要吗,还是需要吃点什么药呢。今天也在那给输了液,今天正常不吐的话还需要再输液吗。平时只是正常吃粮,吐了好几天,这样需要给吃点什么补充营养吗,谢谢您
宗振平
执业兽医师
狗狗肝脏指标还是高,是不是中毒啊,吃点护肝的药物,然后今天在输液巩固一下,完全稳定了再说。狗狗能吃喝就早点进食,有处方罐头可以喂,肝脏的还有肠道的。
肝脏指标您看看比前几天有变化吗?如果明显降低了说明肝脏是有问题的,指标降低了就别担心了。
医生您好,想问您一下是不是再输上两三天巩固一下呀。我看网上说护肝脏是个长期的事情,想麻烦您给开点药,推荐一下肝脏处方粮。吃完药输完液再给做个血常规检查,是这样嘛。谢谢您
宗振平
执业兽医师
在巩固两三天吧,肝脏药物我给您开上。肝脏处方粮就吃***的。单纯查个小的生化看看肝脏指标就可以,等着吃药十几天以后复查就行,最近吃喝正常暂时别查了。
好的好的医生,太感谢了。它是先输完液过两天再吃药吗,还是都进行着呢?这种肝脏损伤的程度不会影响生命吧,肝损伤除了吃狗粮还需要补充些什么吗,有哪些不能吃的,有哪些需要注意的,最后再麻烦您嘱咐一下,我以后注意着。谢谢您。
宗振平
执业兽医师
吃药输液一起,这样恢复的快。目前指标没有很严重,看症状也没有很严重,以后注意饮食,别乱喂零食,狗粮买个好点的,其他的也没有特别需要注意的。以后零食都自制水煮蛋,水鸡胸肉这些,其他的少喂。
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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