小猫已经两天没拉便便了,而且后腿无力

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患宠信息:其它/妹妹/5个月

咨询描述:小猫已经两天没拉便便了,而且后腿无力

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徐灿

执业兽医师

你好家长,我需要问一下是什么猫咪呢?具体的年龄多大,能不能拍摄一段视频发过来看一下?上一次正常吃东西是在什么时候?检查一下有没有体温的降低? 来说食欲下降等原因都容易造成不排便,还有就是虚弱,有没有呕吐或者是体温升高等异常?

吃东西都挺能吃的,我不知道是什么品种,是在一个亲戚家逮来的这两天只给它吃了猫条,其他都没吃,前面是拉肚子呕吐,喂了一点****,昨天和今天就没啦便便了,昨天拉了一点,是褐色的

徐灿

执业兽医师

也就是说,没有打疫苗,对吗?能不能拍摄一段视频发过来看一下?检查一下猫咪的精神状态,是不是特别差?还有就是检查一下有没有体温的降低?看一下眼角有没有眼睑突出? 回顾一下它的排泄物里面有没有腥臭,我需要看一下他的视频,做个初步确认。

他就这样坐着,后腿无力,或者是在猫砂盆和其他地方趴着就不动了,一碰它就叫

为保护用户隐私不显示图片/视频

碰它肚子叫的特别厉害,可能是肚子不舒服

徐灿

执业兽医师

我需要问一下后腿有没有肌肉萎缩?还有就是完全没有食欲,对吗?他有没有排便的动作呢?从视频上看,没有得到太多有效信息,但是要核实一下,昨天的粪便,是干的还是稀的?

徐灿

执业兽医师

能不能把他托起来呢?我需要看一下他的大腿上的肌肉,他的肚子是那种特别鼓鼓的吗?还有就是有没有别的症状?确定不发热,对吗? 也就是说这两天不怎么吃东西,所以给他吃了猫条,而没有猫粮这些正常的食物摄入对吗?

昨天的粪便是干的,呈褐色,很少只有一点,今天有排便的动作,就是排不出来,食欲很好,但是我不敢给它吃。后腿肌肉没有萎缩

徐灿

执业兽医师

如果是这种情况的话,尝试着用一下开塞露,看一下能否帮助他把粪便排出来,如果他有食欲,不呕吐,不发烧,但是排不出粪便的话,这种情况更接近于便秘,当然,只是初步判断,去买一个针管,然后买一瓶开塞露,给他稍微挤进去一点点,然后看一下是否有干硬的粪便排出。

它能吃,我不敢喂,不发热,肚子鼓鼓的

为保护用户隐私不显示图片/视频

开塞露我今天给它用了,排不出来,只是流了一些黄色的水出来

徐灿

执业兽医师

不对劲,他这个样子像传染性腹膜炎,明天马上去做生化,看一下白球比,它有明显的肌肉萎缩,这种情况很大的可能性是湿性的传染性腹膜炎,他这个肚子非常异常,肿的也不一样,他是因为后腿没有肌肉,所以才站不住,而且肚子里面应该全是水。

徐灿

执业兽医师

跟开塞露没有关系,担心的还是发生了,他这个是因为肌肉萎缩造成了无法站立,马上去做一个生化检查,或者是拍一张侧位的X光片,肚子里面应该全是水,和便秘没有关系,他肚子越来越大,这个事情是不是持续好几天了?

可是都没怎么喂水啊,我都不敢喂它吃东西,水也很少喂的,它小便能排出来,只是两天没排大便了

没有,就两天,前面是拉肚子,刚好了就这样了,这是它精神好的时候,您看看呢

为保护用户隐私不显示图片/视频

徐灿

执业兽医师

是这样的,这个是腹腔积液,而且有肌肉萎缩,有明显的后腿的肌肉萎缩,就是说它的液体之中蛋白质的含量下降了,营养含量也下降了,然后就造成了腹水,不怎么吃东西,然后再加上营养下降,就会造成肌肉萎缩,要消耗肌肉,肌肉太少了,就会造成他走不了路。和喝水没有太大关系,明天看一下白球比,或者是看一下侧位X光片就知道了。 明天直接拍摄X光片,很典型了已经。他的肚子凸起,还有肌肉萎缩,还有肚子凸起的最高点的位置,都非常典型。

好的医生,谢谢

徐灿

执业兽医师

对这种情况,基本上直接用逆向诊断的方式都可以了,因为它非常非常典型,肚子还有肌肉的萎缩,非常明显。 肚子膨大,肚子两侧最高点上移,后腿肌肉萎缩,精神状态正常,食欲减少,有粪便干稀交替,基本上他所有的症状都符合。

就是明天去医院检查是吗

徐灿

执业兽医师

他这种程度基本上都已经可以到直接用药的程度了,明天的话,直接拍一张侧位X光片,如果说有腹水,其实也不用拍,也能看出来,然后直接注射441等药物,按照传染性腹膜炎去治疗,就可以了,也可以直接注射441等药物,然后看一下肚子是否缩小,肚子缩小就能确诊。

那是直接拍药就可以了吗?

徐灿

执业兽医师

这些药是你后续一定要用上的,但是平台上不允许出售441,也就是说,这些药物都需要使用,再加上441就是治疗方案了,441的话,你需要到其他途径去购买。如果你比较担心是否确认,你可以直接拍摄一张侧位的X光片,只要是肚子里面有水,就基本确诊了,当然,他现在这个状态也已经基本能确认是传染性腹膜炎。 至于用量的话,在最后的医嘱一栏,有备注。

好的医生,我明天带它去拍片,确诊的话我在购买药可以吗

徐灿

执业兽医师

可以的,没问题,然后后续你要注意,一定要最近给他多加一些营养,因为这个病本身就会影响代谢,会有肌肉萎缩,必须补充足够食物,一般来说,注射441之后,1到2天就会有一定食欲,但是他的治疗时间会特别长,而且要搭配着上述药物,上面的这些药物一般用1到2周左右就可以了,但是441必须注射55到70天左右。

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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