猫三天前吞了根棉线,吃的少、没吃粮,咋办
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咨询描述:医生你好,猫三天前吞了一根打结的棉线,这两天几乎不猫粮,只吃一些猫条之类的流食和一点馍干,无呕吐腹泻,大便正常但无棉线排出,精神略不好但没有明显颓,昨天给它白醋催吐,只有黄色胃液吐出,这两天经常母鸡蹲,这里是小县城没有兽医,请问需要去立即医院拍片手术吗?还是可以尝试灌肠之类?
问题大致一样,细节不同?
周琪林
执业兽医师
您好,猫咪家长,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15分钟左右分析它的问题,并编辑文字回复您。(请勿回复此条消息,避免浪费追问机会。)
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。从您描述的症状进行诊断,当猫咪误食棉线时,主要担心异物引起的肠道梗阻、套叠等问题。这种情况如果有条件肯定是建议给它进行影像学检查后,根据检查结果选择适当的治疗方案。但考虑到它目前并没有呕吐、腹泻等症状,仅是食欲有些许下降,我个人建议:第一、因为误食棉线已经三天,按照正常情况,棉线已经不在胃里和十二指肠部位,所以催吐基本上不可能让它吐出异物了,这种情况不要再催吐了,反而会引起消化道功能紊乱。第二、因为它吞进去的是棉线,只要没有带有缝衣针,那拍X线片也是无法诊断出棉线在消化道中具体的位置的,如果要做检查,只有考虑进行腹部B超检查。第三、因为它没有呕吐、腹泻甚至便秘等症状,所以我们认为它目前的消化道并没有梗阻的问题,那如果进行保守治疗,可以考虑给它口服一些油脂类的食物,比如营养化毛膏,通过润滑消化道,像排毛球那样把棉线排出来就行。
另外,把您家爱宠的『年龄、体重』提供一下,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。)
周琪林
执业兽医师
结合医疗条件不便利以及它目前的表现来看,个人建议就自己给它进行保守治疗即可,也就是给予润肠通便的药物或者食物,同时注意给它口服益生菌,帮助调理消化道菌群即可。
好的谢谢,化毛膏和益生菌都有,还有谷胺舒,假如还是排不出来需要灌肠吗?例如开塞露或者蓖麻油?或者让它喝点牛奶腹泻?将来什么症状下就说明必须得去医院治疗了?
周琪林
执业兽医师
不用灌肠,就给口服的润肠药物即可,因为棉线不清楚在肠道哪个位置,所以即使灌肠,也并不一定会让它排出,反而可能因为更加严重的消化道疾病。除非它已经出现了便秘的症状,这种情况才建议使用灌肠的药物,比如乳果糖灌肠。
另外,如果它没有因为这个原因出现食欲废绝,反复呕吐、长时间不排便、精神状态萎靡等症状,那是不需要送往医院治疗的,因为只要它消化道畅通,没有引起梗阻,那么即使有棉线在消化道也不需要担心什么,猫咪的消化道中本身也会存在一些毛发、毛球等异物,定期给予化毛膏、猫草,帮助它排出就行。
周琪林
执业兽医师
食欲废绝是指什么食物都不愿意吃,而且通常是伴随着恶心想要呕吐的症状,像它这种愿意吃猫条的情况不算。不过如果它目前的情况确实跟正常时对比明显,担心是由于棉线引起的,可以考虑先做检查,有条件就带它去做腹部B超检查吧。
腹部B超要是拍不出来棉线的话,说明没有棉线还是说明得打开肚子找?
昨天喂了酸奶益生菌猫条香蕉,今天早上拉了软便,没有棉线,现在还是不吃猫粮,但是精神状态越来越好了。
猫一个月内搬了两次家,我妈之前一直和我一起照顾它,最近有别的事没来看过它,我平时在家学习比较忙,也没时间和它玩,这个猫精神压力大的时候的确容易吞异物,昨天晚上想到这个,我和我爸陪它玩了一晚上,精神状态明显变好。
是不是应该再看状态决定要不要去腹部B超?
周琪林
执业兽医师
如果B超检查无法扫描到异物,建议就不要手术了,盲目开腹对猫咪的伤害是很大的,无论是手术术后的疼痛还是应激性反应,甚至会加重它的病情。
考虑到它近期有两次更换环境,不排除是因为应激性反应引起的精神状态下降,与异物没有太大关系。建议继续观察,同时给予益生菌、化毛膏和食物,看能否逐渐帮助它恢复食欲。
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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