换粮后拉稀吐水还便血怎么缓解?

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患宠信息:西伯利亚森林猫/弟弟/3个月

咨询描述:症状描述:换了新猫粮第二天开始吐水,拉稀,吃了益生菌后第二天没有吐了,第三天吐,第四天没吐,第五天吐得更厉害了,开始有泡泡,持续拉稀,益生菌一直在喂,后面这款猫粮我停了。换了另一种新猫粮,没有吐了,还是拉稀,然后大便化验是正常的,吃了这3种药,吃了三天,第二天开始有便血,每天早上有一次便血,又去化验也没问题 患病时长:快两周时间 医院检查:大便化验 用药情况:见图片,吃了三天

问题大致一样,细节不同?

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闻晓敏

执业兽医师

您好,家长,感谢您对我以及蘑菇宠医平台的信任!问题我已经看到,我需要5-10分钟左右分析咱们宝贝的问题,并编辑文字回复您,请您耐心等待(请勿回复此条消息,避免浪费追问机会)。

闻晓敏

执业兽医师

家长您好,感谢您的信任,信息已收到,现在回复如下。 猫咪最开始拉稀可能和换粮有关系,不知道您是采取过渡换粮法,还是直接全部更换的呢? 后续腹泻可能是胃肠炎了,导致猫咪腹泻常见的原因临床上主要是饮食问题,寄生虫性肠炎,病毒性肠炎。为了更好诊治,我需要进一步了解宝贝情况: 1,宝贝疫苗、驱虫情况? 2,宝贝腹泻期间,吃喝、精神状态怎样? 3,做粪便化验是直接肛门采样,还是带猫咪粪便去医院做的检查呢? 4,是否做了滴虫pcr?血常规?排查猫瘟? 除此之外,从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治疗建议,所以,另外我需要和您再了解一下宝贝的情况,希望您能提供给我,方便我更好分析宝贝情况,并给出更准确的诊断和保守治疗建议。感谢您的配合。

只打了一针疫苗,8月初内外驱虫过一次,开始有新旧粮混着喂,还是一直拉稀,吃喝玩都正常,吃得还算可以吧,后面去看的那个医生叫我直接喂新粮。因为新粮胃口很好,吃得嘎嘎香,但是吃得多拉得多。那么长时间,吃喝玩状态都很好。带猫咪粪便去化验的,拉了马上带去。第四点没有做,他说看起来精神状态都很好,不像有这些问题

闻晓敏

执业兽医师

吃喝玩状态很好,说明吃喝精神没有问题。 还是出现腹泻以及便血的问题,建议排查一下原虫类寄生虫。主要是滴虫以及球虫。 您做了体内外驱虫,一般来说都是做常规预防驱虫对球虫、滴虫等原虫类寄生虫没有效果。 建议做滴虫pcr,检出率更好。 另外的方案是:考虑到目前吃喝精神都好,可先对症治疗,开药吃,止泻消炎。目前猫咪吃的三种是保健品

闻晓敏

执业兽医师

请问有血便的照片吗?有可以发给我看看。另外,粪便是否有果冻状或者水样?稠样?不成型?

水状,不成型的

为保护用户隐私不显示图片/视频

闻晓敏

执业兽医师

目前吃喝精神好,可以先对症治疗,需要使用有药效作用的药物进行治疗。我给他开个处方,处方里面主要是:***,止泻药***,消炎药,可以按照处方说明的用法用量使用。您可通过处方自主选择购买。咱们药品从成都发货,快递时效,一般三天到,具体看您所在地区。 用药1周后可以来复诊(购买咨询服务包咨询更优惠),届时根据宝贝恢复情况来调整治疗方案,有问题可随时在线联系。 如果您那边就诊方便,可以带猫咪30分钟内的新鲜粪便去医院,让医生除了做显微镜检查之外,再做一个滴虫pcr

闻晓敏

执业兽医师

如果有检查出来原虫,是需要使用专用驱虫药的

我刚刚问了,也有做这个滴虫,也是没问题的

闻晓敏

执业兽医师

粪便检查的滴虫以及pcr的滴虫是不一样的,检出率也不一样。如果确定pcr的滴虫做了,也没有问题,考虑是饮食问题导致的。那么这种情况除了对对症治疗使用止泻消炎的药物之外,还建议同时吃肠道处方粮,对猫咪胃肠更友好。您可以换肠道处方粮试试,处方粮可以直接更换,不需要过度哈

吃处方粮好了后也是可以直接换新粮吃吗?这样会不会又拉肚子?如果吃了这些药好了还没吃完,还用继续吃吗?

闻晓敏

执业兽医师

处方粮更换成普通日粮是需要有过度时间的,一般以7-10天完全过度完为宜。也就是说更换成普通日粮时,第一天可以增加20-25%的新粮,吃2-3天,没有软便腹泻再考虑增加量到40-50%,一次类推用7-10天过度完,到全部的日粮。 如果过度期间出现软便腹泻那说明猫咪不适合这款新粮,尝试更换为其它猫粮。 如果吃了这些药好了,还没有吃完处方粮,建议吃一段时间巩固,临床症状恢复不说明猫咪咪完全恢复哈,可以继续巩固1-2周时间。

处方粮有推荐的吗?

闻晓敏

执业兽医师

可以试试皇家的幼猫肠道处方粮,不错

医生建议及处方根据当前病情给出,仅适用于本次问诊

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郭秋萍

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猫咪换粮后出现拉稀的症状,跟新换的猫粮有密切关系,建议先停掉新换的猫粮,再更换到猫咪以前吃的猫粮,然后以前吃的猫粮吃差不多半个月之后,再考虑逐渐的少量的加入新的猫粮,让猫咪逐渐适应,避免突然换粮引发胃肠道刺激。另外,建议最近可以每天给猫咪口服益生菌调理胃肠道,一天两次,一次一包,连用五天。如果有条件,建议最好带猫咪去宠物医院做粪便镜检,检查是否存在并发疾病。

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刘文飞

执业兽医师

猫咪换粮拉稀吐黄水,有可能是消化不良导致的呕吐、腹泻。猫咪换猫粮需要过渡性的换,每次以四分之一的量逐渐换,换七到十天没有出现呕吐、腹泻的症状在完全换的,建议给猫咪禁食禁水一顿,然后给它吃宠物专用的消炎药和益生菌,观察猫咪的症状。如果有好转就继续巩固用药,猫粮换回之前的,如果没有好转,需要给猫咪做进一步的临床检查。

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您好家长,您的问题我已经看到,我需要15分钟左右的时间进行分析,并编辑文字回复您的问题。 非常理解您焦急的心情。但是由于只能打字回复,回复可能会慢一些,请您见谅。如有疑问(或者有其它的有关疾病信息,以及您有什么样的要求)可以统一发过来,我会仔细阅读,然后一一回复,这样不会浪费您的问诊次数。 (您只有6次问诊机会,所以请勿回复此条消息,以免浪费您的追问机会)请您注意一下问诊规则,感谢您的配合,谢谢。

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