咨询描述:您好,最近我家狗狗 脸部嘴唇位置肿了 不知道什么原因 它一直都有腹水 以前抽过腹水 也有在吃利尿药 之前吃过利尿药后 有好转 如果喝水多了 很更加严重
问题大致一样,细节不同?
于博
执业兽医师
根据您目前提供这些信息,我初步有个方向。为了进一步判断宝贝的情况我还有几个问题需要向你核实一下哈
1.宠物检查之前是有什么异常才去医院做的检查呢?
2.宠物还检查其他的项目了吗比如拍片子,做生化,电解质等?因为有腹水需要找到原因。
3.目前宠物精神状态和食欲有变化吗?
4.宠物除了利尿剂还用过其他药物吗?
5.脸部肿胀多长时间了?
6.肿胀之前有去过哪里或者饲喂过什么食物吗?
7.头部皮肤有变化吗?外面有伤口吗
图片上像是被毒虫蛰咬、食物过敏这类情况。但是也要考虑身体水肿。
1 之前因为腹水去做检查 但是心脏 和肝指数都没有问题 医生得出 低蛋白腹水
2有生化报告 做过心脏腹水b超 没有多大问题,
3 精神状态和胃口 都挺好的 就是脸部水肿
4医生开的药 我不太清楚 只知道有利尿药 消炎药 肺心康
5没有被咬过 也没有伤口 就单纯脸部水肿 下颚也肿 腹部现在也有小小 但不严重 以前它最严重一次腹水 压逼气管 喘气 呼吸困难
6 狗狗 因为特殊原因被带回乡下 无法去比较专业医院 她主人月子中 大概肿了1个月 之前没有这么严重 利尿也有好转,停了就这样了!一直吃狗粮 没有吃过什么特殊食物!
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,生化上面蛋白换辆是下降,有低蛋白血症。如果饮食的营养和食欲没有问题正常不会有单纯低蛋白血症的。除非那种长时间营养不良或者吃的特别少的。然后生化里发现尿素氮超出正常指标,肌酐也接近正常值最高值,这两项是肾脏的指标。不知道之前医生有没有告诉您进一步排查一下肾脏问题。因为如果有肾病会有蛋白质流失性肾病的情况的,肾小球滤过作用下降,蛋白通过尿液大量排除体外,造成蛋白低,水肿。建议您去检测一下SDMA早期肾衰,然后超声看一下肾脏,尿液化验一下蛋白尿情况。
如果说脸已经肿一个月了说明不是蚊虫叮咬或事物过敏引起的,还是和身体内有关系。如果吃利尿剂有好转,目前停药又发病了,那就继续使用不要停。但是要去检查一下肾脏
您好 以前医生并没有告知肾脏问题 只是要求狗狗改变饮食 提高高蛋白饮食!说它长期吃了不好狗粮 问题是狗狗已经12岁了 就今年才这样低蛋白?它主人目前不太方便带它去进一步检查 狗狗在乡下地方 麻烦医生根据目前情况 开一些药 改变一下它水肿情况
于博
执业兽医师
好的,因为它肾脏指标是有异常的,您这边特殊情况没有办法去进一步检查。我只能先对症开具处方了,但是建议有条件尽早送医院检查确诊,以免耽误时间。请告诉我一下宠物体重开处方用
好的 会转告 她主人也急 已经养了十几年了 实在没办法才求助蘑菇医生 可能她那边医生也不专业 就买了两包高蛋白狗粮 怪不得水水肿反反复复 狗狗体质 30~33kg
于博
执业兽医师
正常的话大型犬寿命也就是12-13岁左右了。身体本能的衰竭也是会这样的一般到了年龄的是不可逆的。
这些我们都明白 一直以来对它健康也比较清楚它状态其实挺好的 能吃精神好动 体力也不差 就是反复水肿!就你按照它这种情况 开药就行了
于博
执业兽医师
1.****一天两次 一次4片口服 利尿去水肿
2.**** 一天一次 一次3片口服 降肌酐、降尿素氮
3.只饲喂目前的狗粮,不要饲喂狗粮以外的任何食物和自己捡的吃的
于博
执业兽医师
都是根据临床症状和指标调整剂量使用的。****只要浮肿消失就可以停了,如果没有消失就一直吃,甚至增加每天的饲喂次数
于博
执业兽医师
****就是利尿剂,视浮肿情况,身体浮肿消失就可以停药,出现就使用就好
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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18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}}}}}}
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