咨询描述:症状描述:猫已确诊膀胱结石 尿频尿血尿不尽 排尿困难
患病时长:这几天才发现的
医院检查:当时看医生的时候还没有尿血 医生只根据临床让吃药保守治疗
用药情况:现在正在吃尿石净 大量喝水
问题:1请问现在出现尿血的情况之后还能保守治疗吗 2猫五颗结石能自己排出吗
问题大致一样,细节不同?
于博
执业兽医师
好的,尿血也是膀胱结石正常的临床症状,结石会刺激膀胱黏膜毛细血管破损出血。
这种结石较多的情况,首选手术取出是最好的,主要保守治疗都时间可能会长一点。其他方面倒是没有影响。
保守治疗您需要使用化结石的药物,膀胱黏膜保护剂,前几天使用止痛抗炎药物及泌尿道处方粮,尽量引导多摄入水分,不建议人工强制喂水。然后2个月复查一次超声。之前我线下有个病例和您家猫咪差不多情况,2个半月的时间结石化开了。
1她这五块结石保守治疗还是能化掉的 只是时间问题 对吧2需要做尿检看看是什么成分的结石吗3猫现在喝了很多水但是尿的比较少需要去医院通尿道吗
于博
执业兽医师
正常是可以化掉的,但我个人是建议手术的,因为大多数主人治疗到一段时间都是看着猫咪总有尿频,尿血包括每天喂药等情况而中间放弃保守选择手术。
一般10岁之前的猫咪百分之95是属于鸟粪石结石,正常是要做下尿检的。但是其它结石对于青年猫咪很罕见。
母猫基本不会导致尿闭,一般是因为膀胱刺激引起尿频,但是膀胱内并没有多少尿,所以排出的也不多,您可以学着怎么去触诊膀胱判断尿闭。但是母猫基本不会尿闭
谢谢 1不想手术害怕对猫咪身体造成创伤 她现在才三岁不爱运动如果术后复发我也很担心 2我现在刚买了治的药先喂一个星期看看 目前喂了两天猫咪就开始尿血了 不是因为药物的问题吧 3多块结石会危害到猫生命吗 以猫现在的状况不会突然死亡吧
于博
执业兽医师
手术不会有很大伤害的,不用担心。可以把手术考虑为首选,保守毕竟时间较长。
不管手术还是保守康复后也还是会有复发的可能的,所以之后也要定期超声监测膀胱,平时多喝水,少吃比较咸的食物,控制好体重。
尿血和药物没有关系,是临床症状。没有生命危险也不会触死。
另外您还要饲喂处方粮和膀胱保护剂。我这边给您开个处方参考
好的 我目前买了结石处方粮 还有几个问题 1猫现在排尿看起来有点痛苦 这个吃药能缓解吗 2猫喝大量水对结石排掉有好处吗
于博
执业兽医师
这个药物只是化结石的,让结石重新变成结晶,通过多排尿排出去,所以要多喝水才能多排尿把结晶带出体外。
对猫排便没有影响
于博
执业兽医师
1.处方粮饲喂
2.****一天两次 一次半片 抑制细菌感染使用7天
3.****一天一次 一次一片 修复膀胱黏膜 改善尿频 尿痛
4.配合您那个化结石药物
5.监测膀胱定期做超声。可半个月后去一次
她现在持续尿血不要紧吧 是正常结石症状等吃药就可以了吗
于博
执业兽医师
是的,正常就是排尿后猫砂呈粉色,或者排尿中混合红色血丝血液。或者排尿最后带几滴鲜血。极个别会出现排尿都是鲜血,那种如果连续3天要去医院注射止血针就好。但是吃药和粮食后应该整整都会慢慢缓解,如果一直没有缓解说明不起作用。前10天出现这些表现都是正常的。
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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