咨询描述:医生好,猫咪一岁4个月,上周六呕吐,吐的半消化猫粮,周日好了,今天又吐了半消化猫粮(这两次都只吐了一回)已打疫苗,已绝育,吐完精神状况也不错,因为膀胱炎在吃****处方粮,和医生开的****,想问下这是咋了呀,经常吐
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,首先我需首先我需要跟您说一下,关于呕吐的这个问题,其实不一定是消化系统疾病引起的,泌尿系统疾病同样可以引起呕吐。这是为什么呢?
因为虽然最常见引起呕吐的原因是消化道出现了炎症,梗阻一类的疾病,但是我们要知道控制呕吐的欲望,其实其实是靠神经系统调配的,那么我们要知道泌尿的一个重要作用就是排出体内的毒素,因为当体内的毒素过多,就有可能会影响到身体的各个器官,其中就包括神经系统,那么也就是说当一只猫如果出现了泌尿系统疾病,那么就有可能导致毒素排出不利,从而影响到神经系统,造成神经性呕吐。所以说了这么多,我想表达的意思是,当前猫咪的呕吐症状可能是消化系统又出现了一个其他的问题,造成的呕吐,但是也有可能是之前泌尿系统的问题还没有完全康复,从而引起的呕吐。那么对于这两个可能性来说,我们仅通过肉眼观察的话,确实是没有办法来具体判断的,所以说我们只要排除掉其中的一个可能性,就能够确定另外一种可能性了。这里我建议是排除一下肾脏这种泌尿系统的问题,因为这个更容易通过临床检查直观的表现出来,我们可以通过UPC和SDMA指标来综合判断一下肾脏有没有问题,如果它的结果显示有问题,那么现在的呕吐就是跟之前的泌尿系统疾病有关系。如果没有问题,那么我们更多需要考虑肠胃的疾病,比如说像肠胃炎,功能性梗阻,机械性梗阻等等。
那么如果在不排除病因的情况下,对于当前呕吐症状的治疗,那也只能是经验性的对症治疗。也就是选择对症止吐的药物进行治疗,但是我们要知道,这确定是在治标,所以我个人建议最好能够优先排查一下到底问题出在哪里?当然,如果由于各种原因,暂时没有办法带他去医院进行进一步检查来确诊。也可以跟我说一下,我可以对症开一点药,进行经验性的治疗。
看他最近也没有拉肚子,排尿正常,上上周检查过肾,医生说是健康的,就是膀胱里有点小结晶,打针后在看b 超,结晶排的不错,
孙嘉辰
执业兽医师
您好,那么既然您已经带他查过肾脏了,这里我可以看一下您所做的UPC和SDMA指标具体是多少呢?
孙嘉辰
执业兽医师
您好,这样吧,不如您问医院要一下这个检查单,因为为了能够做准确的判断,我还是要根据检查数据这种证据性的指标,再做回答,以降低误诊率。
医院下班了,我明天问下吧,医生,目前大概率啥问题呀
孙嘉辰
执业兽医师
您好,我觉得两个可能性各占一半,所以仅凭现在的线索不好判断,所以还是想先看了检查结果,再做确诊。
医生,要来的检查单好像没有您要求的那俩数据,看下呢
为保护用户隐私不显示图片/视频
孙嘉辰
执业兽医师
您好,确实没有做我昨天跟您说的检查,这样吧,如果能补做一下检查,那是最好,但是如果暂时还不想再折腾他,因为怕他应激,想先对症治疗的话,可以尝试一下下面我开的药。
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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