咨询描述:猫咪现在一岁大,是只美短弟弟已经绝育,驱虫上个月做完了是内外驱。
症状描述:最近一段时间有呕吐没有消化完的猫粮症状,之前也有过但是没这么频繁,今天早上吃完猫粮之后就有呕吐情况,吐的是没有消化的猫粮,还有一摊褐色的水混合着猫粮(图一),今天晚上喂食之后又有呕吐症状,和吃完猫粮时间间隔不超过一分钟,呕吐物也是未消化的猫粮(图二),猫粮(图三)没有变质情况。
问题大致一样,细节不同?
闻晓敏
执业兽医师
猫咪现在表现出来的主要是呕吐的症状,临床上引起呕吐常见的病因主要有几个:饮食问题、寄生虫感染、病毒性肠炎、吞食异物,或者有毛球,毛球症。
他做了内外驱虫,寄生虫感染的可能性比较小,那么我有几个问题需要了解:他最近饮食有什么变化吗?现在精神状态怎么样?平常是否喜欢翻垃圾桶?有看到过他吐毛球或者拉出来毛发吗?
最近饮食没有变化一直吃的这个猫粮从换粮到现在已经有两个月了,这次是第三个月,精神状态很好能吃能喝也经常跑着玩,他一般不翻垃圾桶,没有吐毛球,吐的食物里面也没有毛球,而且有在一直喂化毛膏。
闻晓敏
执业兽医师
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。
闻晓敏
执业兽医师
那他这种情况,今天晚上先禁食禁水不给吃喝,观察是否还呕吐,如果猫咪一个月呕吐个三四次,但是不影响吃喝,精神大小便都正常,我们可以理解为生理性呕吐,生理性呕吐暂时可以不用管。
最近有观察到的呕吐就是在喂完猫粮之后不到一分钟就吐了,我家猫猫吃猫粮属于生吞那种,咀嚼很少,这种需要如何人为干预,还是需要用点什么药物,比如益生菌这些?
闻晓敏
执业兽医师
如果是因为吃太快导致的呕吐,可以给猫咪准备一个慢食盆,并且每次盆里面放比较少的食物,等他吃完了之后再加一点,少量多餐。
益生菌是调节胃肠道菌群的,如果是因为胃肠道菌群失衡导致呕吐吃益生菌有效果,如果是其他因素的话,不一定有效果。
平常可以给一些胃肠黏膜保护剂,比如胃溃宁
就是减少每次喂食的量嘛,年糕一岁应该有5kg了吧十个月的时候去医院称重是4kg
闻晓敏
执业兽医师
对,就是说每次放少一点的食物在慢食盆里,等他把盆里的粮食吃完了之后再增加,整体的喂食量是不变的。
同时,我这边给您开一些胃肠黏膜保护剂,而且平时可以给他服用一些增强抵抗力的营养保健品,加强机体的抵抗力。
这样调整之后观察是否有改善,如果有改善的话,以后喂食的时候就多注意,少量多餐,如果没有改善的话,那要进一步排查原因。
闻晓敏
执业兽医师
宝贝家长你好,经过沟通,我初步考虑宝贝是胃肠炎的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1、******保护胃黏膜,2、*********提高机体免疫力。你可以点击查看详情按钮,进入处方页面查看药物使用说明。
在饮食上后续可以选择少食多餐,以少量多次的进食为主。
好的谢谢了,明天再观察一下如果还是有这种情况我就开始用药吧
闻晓敏
执业兽医师
如果您对我的解答满意,请您给我点亮五星好评哦,以后有疑问可以随时来平台找我,再次感谢您对蘑菇宠医的信任。
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
{"503537":{"id":503537,"case_id":56262,"user_id":2218472,"to_user_id":2403529,"type":3,"content":"宝贝家长你好,经过沟通,我初步考虑宝贝是胃肠炎的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。\n1、******保护胃黏膜,2、*********提高机体免疫力。你可以点击查看详情按钮,进入处方页面查看药物使用说明。\n在饮食上后续可以选择少食多餐,以少量多次的进食为主。","media":{"images":{},"videos":{},"business_params":{"prescription_id":151619}},"is_doctor":1,"status":1,"created_at":"2023-09-01 00:27:13","show_rx":true,"rx_info":{"id":151619,"rx_no":2.02309010025385e+24,"user_id":2403529,"doctor_user_id":2218472,"is_independent":0,"case_id":3157915,"pet_info":{"pet_id":400067,"pet_name":"美国短毛猫","pet_nickname":"年糕","pet_gender":3,"pet_birth":"1-0","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁"},"diagnose":"拟胃炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-01 00:25:38","updated_at":"2023-09-01 00:27:13","deleted_at":null,"from_source":"online","template_id":247,"drug_data":{"0":{"id":112333,"prescription_id":151619,"doctor_user_id":2218472,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-01 00:25:38","updated_at":"2023-09-01 00:25:38","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":260,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-09-18 11:42:20","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","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":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":578,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":272,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-09-18 10:51:44"}},"1":{"id":112334,"prescription_id":151619,"doctor_user_id":2218472,"product_id":717,"product_sku_id":759,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":11,"number":1,"remark":"","created_at":"2023-09-01 00:25:38","updated_at":"2023-09-01 00:25:38","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":559,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-09-18 11:24:19","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏,加强红细胞的发育和成熟,使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞,减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分,铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg,喂服1ml\/次或遵医嘱。本品口服,直接喂服或者兑在水中饮用,一日2次(早晚各1次),用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":241,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":576,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-09-17 18:38:06"}}},"drug_data_bak":{"0":{"id":112333,"prescription_id":151619,"doctor_user_id":2218472,"product_id":728,"product_sku_id":770,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-01 00:25:38","updated_at":"2023-09-01 00:25:38","product_info":{"id":728,"hash_id":"VNA3DJxL32gMGaOw","class_ids":{"0":1,"1":2},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":23,"sell_point":"胃溃宁(大)硫糖铝片0.5g","title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于急慢性胃肠炎、吞食异物等因素引起的犬猫消化道溃疡"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ab50ae2f2fe7a4a83bb36bcedea26a83.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":260,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:32:23","updated_at":"2024-09-18 11:42:20","ins":{"id":23,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"硫糖铝片","trade_name":"胃溃宁(大)","en_name":"Sucralfate Tablet","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2021\/01\/b332dc5038eb003f5cb0e64867ffb0f3.jpg","specification":"0.5g×8片×3板\/盒","reference_price":170,"component":"硫糖铝、阿莫西林克拉维酸钾、VB2","indication":"用于急慢性胃肠炎、吞食异物或长期应用非甾体抗炎药等因素引起的犬猫消化道溃疡(胃、十二指肠为主)。","usage_dosage":"以硫糖铝计。内服:50mg\/kg体重,2次\/日,5-7天为一个疗程,或在兽医师指导下使用。","contraindication":"","adverse_reaction":"推荐剂量下使用本品,未见明显不良反应。","attention":"1.仅用于宠物。\n2.药片使用后剩余部分请勿留用。\n3.请勿让儿童接触本品。","interaction":"","approval_no":"","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":"2020-10-27 16:24:50","updated_at":"2020-10-27 16:24:50"}},"product_sku_info":{"id":770,"product_id":728,"title":"保灵胃溃宁(大)硫糖铝片 0.5g×8片×3板\/盒","advword":null,"price":98,"market_price":160,"cost_price":0,"stock":578,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g盒装"}},"cover":null,"thumb":"","sale_count":272,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:32:23","updated_at":"2024-09-18 10:51:44"}},"1":{"id":112334,"prescription_id":151619,"doctor_user_id":2218472,"product_id":717,"product_sku_id":759,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":11,"number":1,"remark":"","created_at":"2023-09-01 00:25:38","updated_at":"2023-09-01 00:25:38","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":559,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-09-18 11:24:19","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏,加强红细胞的发育和成熟,使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞,减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分,铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg,喂服1ml\/次或遵医嘱。本品口服,直接喂服或者兑在水中饮用,一日2次(早晚各1次),用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":241,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":576,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-09-17 18:38:06"}}}}}}
微信扫一扫
立即问宠医