狗狗剧烈运动后舌头发紫,喘气,嘴臭
1043次阅读
咨询描述:症状描述:贵宾可卡串,四岁,公犬已绝育,疫苗驱虫齐全,运动不耐受,短时间剧烈运动后舌头发紫,喘,嘴巴腐臭味重,精神状态良好,食欲饮欲正常,大小便正常
患病时长:近一年发现运动不耐受,嘴巴从小就臭
医院检查:心超,心电图
用药情况:未用药
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,首先,目前从您提供的检查结果来看,狗狗的心脏确实存在一些问题,但是不是太大的问题,主要的问题有两点,第一点,心律不齐,这个在很多小型犬上都会出现,多半是先天性的。第二个点就是左心房稍微有一点点扩张,但是总体来说情况还行,可以继续观察,这个可能是扩张性心肌病的前兆。所以结合这次心脏检查,综合判断,我个人建议可以继续观察一段时间,然后每半年复查一次心脏彩超,持续监测就行了,暂时也不需要采取什么治疗措施。
然后关于口臭的问题,我不知道您平时是怎么护理他的口腔的,有没有每天给他刷牙有没有按时给他进行洗牙,有没有使用专门的宠物口腔清洁液进行日常饮用,如果没有的话,那么我上面所说的这些点就是针对动物口臭,最有效的治疗办法,只要每天给他刷牙,每一到两年洗一次牙,然后给他的水里面兑专门用的口腔清洁液,口臭的问题应该能够得到很好的改善。
好的谢谢医生。
目前对于已出现的运动不耐受舌头发紫的情况是否需要吃一些保健品?****或鱼油等是否可以补充?
嘴巴问题之前有麻醉超声波洁牙过两次,但是洁牙后三天左右腐臭味又会散发出来,平时会使用漱口水加在饮用水里,刷牙一周一次,这边医生给出的建议是去考虑消化道问题,今年四月有过急性细菌性肠胃炎,食欲减退基本不进食只喂益生菌后,口臭完全消失,至痊愈正常进食后口臭又出现,如果我想进一步检查应该查哪些项目?如果是胃肠道问题引起的口臭是否有根治的办法?
孙嘉辰
执业兽医师
您好,这种情况可以吃一些保健心脏的产品,比如说像****,其实这个效果还不错,它主要就是防止心脏过快老化的,像欧米伽六之类的暂时就不用补充了,因为没到那个程度。
如果平时就是牙科口腔保健做的还不错,但仍然有口臭的话,那么确实有可能是上消化道反味,那么这种情况的话最有可能出现的问题是幽门螺旋杆菌,包括这个疾病在人上面也很常见,也是导致人出现消化道反腐臭味的一个疾病。当然,如果要做进一步检查的话可以采取做一下胃镜,但是做胃镜检查的话是需要麻醉的,我认为目前这种情况暂时没有必要,所以我个人认为我们可以尝试先治疗一下,就是配合益生菌使用一些抗生素,看看能不能解决一下这个幽门螺旋杆菌的问题,通常对于这种疾病,我们也不用太高级的抗生素,选择****就可以。
关于心脏方面我没有其他疑问了。
口臭这一块除了幽门螺旋杆菌还能考虑其他什么疾病呢?
孙嘉辰
执业兽医师
您好,其他问题就不太常见了,但是我说一下,比如说像慢性食道炎,食道癌,贲门炎,溃疡性胃炎等,这些疾病往往比较棘手,并且我们是需要通过内窥镜检查,甚至进行组织活检,才能够确诊的。
好的谢谢 请帮我开具治疗幽门螺旋杆菌的处方,我先尝试用药看看
孙嘉辰
执业兽医师
您好,平时建议不要过度运动,不要给吃的太多,尽量保证体重不要增长,基本上就这些。其他也没有需要注意的地方。
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
{"517545":{"id":517545,"case_id":57650,"user_id":1000287,"to_user_id":2412644,"type":3,"content":"您好,平时建议不要过度运动,不要给吃的太多,尽量保证体重不要增长,基本上就这些。其他也没有需要注意的地方。","media":{"images":{},"videos":{},"business_params":{"prescription_id":152916}},"is_doctor":1,"status":1,"created_at":"2023-09-16 20:56:58","show_rx":true,"rx_info":{"id":152916,"rx_no":2.0230916205655502e+24,"user_id":2412644,"doctor_user_id":1000287,"is_independent":0,"case_id":3166043,"pet_info":{"pet_id":403109,"pet_name":"其它","pet_nickname":"蛋黄","pet_gender":3,"pet_birth":"3-7","pet_weight":12,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3岁7个月"},"diagnose":"口臭待查","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-16 20:56:55","updated_at":"2023-09-16 20:56:58","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":115228,"prescription_id":152916,"doctor_user_id":1000287,"product_id":926,"product_sku_id":967,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":14,"number":3,"remark":"","created_at":"2023-09-16 20:56:55","updated_at":"2023-09-16 20:56:55","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡,增强胃消化功能","1":"缓解队伍应激反应,提高免疫力及存活率","2":"净化肠道内环境,提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-24 10:20:02","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g,水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用,也可混入食物中饲喂。每天食用1次,5天为1个周期。\n1.体重2kg以下的宠物每次1袋;\n2.体重2-10kq的宠物每次2袋;\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物;\n2.用水冲食时,请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-24 01:53:25"}},"1":{"id":115229,"prescription_id":152916,"doctor_user_id":1000287,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-16 20:56:55","updated_at":"2023-09-16 20:56:55","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 19:59:41"}}},"drug_data_bak":{"0":{"id":115228,"prescription_id":152916,"doctor_user_id":1000287,"product_id":926,"product_sku_id":967,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":14,"number":3,"remark":"","created_at":"2023-09-16 20:56:55","updated_at":"2023-09-16 20:56:55","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡,增强胃消化功能","1":"缓解队伍应激反应,提高免疫力及存活率","2":"净化肠道内环境,提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":293,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-24 10:20:02","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g,水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用,也可混入食物中饲喂。每天食用1次,5天为1个周期。\n1.体重2kg以下的宠物每次1袋;\n2.体重2-10kq的宠物每次2袋;\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物;\n2.用水冲食时,请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":94,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":307,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-30 15:59:27","updated_at":"2024-11-24 01:53:25"}},"1":{"id":115229,"prescription_id":152916,"doctor_user_id":1000287,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-09-16 20:56:55","updated_at":"2023-09-16 20:56:55","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 19:59:41"}}}}}}
微信扫一扫
立即问宠医