咨询描述:患病时长:一个月左右便便形状不正常。猫龄:4个月,公猫2.5kg。
症状描述:便便大部分时候是一块一圈圈的曲奇饼的样子,不知道是软便还是拉稀,便便上猫砂的颜色由白色变成了黄色(附图1)两天前吐了一次,是味消化的猫粮还有一点细线,之后吃东西和精神正常,没有再吐过。
医院检查:抽血和粪便检查无明显异常,但显示淋巴细胞偏高(附图2、3)
用药情况:医生开了一个药片吃了半粒,后面忘记吃了。吃了一个星期左右每天两顿的益生菌(附图4)没有明显改善
诉求:改善软便,之前喂食太多了,不知道是不是消化不良,想询问医生换成双歧杆菌给它吃可行吗,会不会和之前的益生菌有冲突。后续没有改善想喂下****活着****,不知道有没有什么要注意的地方。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
考虑炎性肠病可能性比较大
1.可以口服肠道处方粮调理一下
2.同时可以配合益生菌调理一下
3.如果还是不好转可以增加****龙
4.同时注意饮食少吃多餐原则
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。(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。)
好的,谢谢医生。有几个问题麻烦您解答下
1.已经给它喂过一周每周两次的益生菌但是没有效果,您的建议还是继续喂吗?不会扰乱猫猫本来的菌群吗?
2.猫猫目前的便便是软便还是拉稀呢?上面猫砂的颜色变成黄色的可能原因是什么?
3.您所说的处方粮是指?是需要完全替换现在的猫粮吗?
4.不知道您所说需要补充的信息是哪方面的?相关信息我几乎都提及了包括诉求,您还需要哪方面的信息麻烦指点下
孙厚福
执业兽医师
1.益生菌可以继续配合口服的,正常没有长期口服不会影响肠道菌群
2.看照片是排软便,猫砂变黄不排除排尿颜色变化可能肝损伤
3.目前吃的什么牌粮食?可以吃****肠道处方粮调理一下需要全部换
4.可以配合修复肠道膏调理一下肠道
感谢您的回复
1.您说的长期口服多久指长期呢
2.猫猫尿团正常颜色的,也怀疑肝损伤吗
3.应该不是粮食的问题呢,因为之前吃没问题,我怀疑是不是我没密封好
4.之前有几天猫猫拉出来还有一点点果冻状的粘液是什么原因呀
孙厚福
执业兽医师
1.比如每天都口服,连续口服一个月
2.如果排尿颜色正常不考虑肝损伤还是考虑消化不良
3.果冻状粘液考虑肠道黏膜
家长你好,考虑宝贝的情况,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肠道处方粮
2.肠道养护膏早晚各一次
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。
好的谢谢医生
1.目前我家里还有药,之前益生菌吃了一周了没有效果,现在是考虑换成双歧杆菌可以吗?还是您建议先吃之前的?
2.肠道黏膜拉出来,还是考虑您说的肠炎吗?还是其他原因呢?
孙厚福
执业兽医师
1.建议吃****益生菌或者****益生菌
2.另外不排除寄生虫感染可以做一下粪便pcr检查排除三毛滴虫,贾第鞭毛虫,冠状病毒
ok感谢医生
猫猫做过基础的粪便检查,您所说的粪便pcr是其他的进一步的检查吗
孙厚福
执业兽医师
记得好评支持一下🤝🤝🤝
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到你,请你在咨询结束后留下5星评论。
后续宠物有其它问题,你可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢你的支持和鼓励,祝你的爱宠早日康复!🙂🙂🙂
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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