咨询描述:你好医生,狗狗今年八岁,最近有点精神不振,体重越来越消瘦,能清晰看见肋骨,叫它有反应但是也特别没精神,上个月来了姨妈还好好的,这个星期我从学校回来就没精神,排便也是稀的,我们喂了点药拌在它的狗粮里它也会吃的,喝水也会喝一点,就是没有之前那样有精气神,现在更喜欢趴着,呼吸均匀,但是呼吸的时候会有点像呼噜声,牙龈是粉红色的,这个夏天还反反复复得皮肤病,这几天给它喷了药,皮肤上长了好一些个褐色的点,平常很喜欢去草地草丛上跑钻草丛,姨妈期的时候洗了一次澡,有吹干,有口臭,特别喜欢舔下体,不知道是不是体内有虫🙏🏻🙏🏻
问题大致一样,细节不同?
于博
执业兽医师
根据您目前提供这些信息,我初步有个方向。为了进一步判断宝贝的情况我还有几个问题需要向你核实一下哈
1.狗狗从发病到现在多长时间了?体重13公斤是现在的体重吗?瘦了多少斤?
2.现在饮食比之前有减少吗?少了多少?
3.饮水量有变化吗?排尿有变化吗?(次数。量。颜色)
4.排便稀便是什么颜色的?次数有增加吗
5.平时饲喂什么为主要食物呢?
6.它发情期两次间隔了多久呢?
7.身体有还有其他什么异常吗?
88近期半年有做过体检吗?
它皮肤上那个黑褐色的看着是色素沉积,就是原来有皮肤病治愈后形成的,不用担心。口臭原来有吗?口腔内有牙结石或者溃疡吗?
下体有分泌物吗
1.狗狗的皮肤病这个夏天一直都有,精神不好+消瘦大概是上一个周末开始的,13公斤是八月份的体重,现在应该只有11公斤左右,抱起来也感觉很轻。
2.喂它吃肉罐头能吃得下,但每次只吃了几口就剩着不吃了,那种硬狗粮不怎么吃了,水是会喝的
3.饮水量无变化,还是正常饮水。散步时排尿量很少但是分很多次排,颜色是黄色
4.大便是棕色的,散步的时候就拉一次到两次左右,而且排便量少
5.平时喂的是硬狗粮和狗狗的肉罐头,有时候会喂它吃人做的食物,但现在食欲减少,只吃肉罐头
6.狗狗上一次发情是去年,隔了差不多一年左右,去年狗狗的发情期只持续了十几天,今年狗狗的发情期一个月
7.没有其他异常,有时候爱啃掉自己的毛,然后会舔舐自己的下体,大腿和前脚会有黑色沉着之类的
8.没有做过体检
口臭之前不明显,上个星期开始会特别明显,异常臭,口腔没有牙结石或者溃疡,它前面有一颗牙齿掉了一半,不知道是不是牙结石,下体没有分泌物,但是狗狗从生理期开始就特别爱舔
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,宠物渐进性消瘦的情况一般有营养不良、寄生虫、肝肾病、糖尿病、内分泌、肿瘤。
根据您的描述症状和宠物的年龄应该考虑宠物肝肾脏疾病和肿瘤方面多一些、内分泌其次。建议先检查一下刚肾功能和血常规,X光这些评估一下。
精神不振也是症状之一吗?我打算先给它吃几天的药看看情况,然后明天给它洗澡洗药浴,下周再带它去医院看看可以吗
于博
执业兽医师
是的,精神状态和食欲是成正比的。内科疾病达到一定阶段会不舒服,引起精神沉郁,食欲不振。目前宠物的状态已经有一段时间不好并且体重减轻严重, 不建议再在家观察或者尝试性治疗了。洗澡这些日常养护的事情也不要去操作,以免引起更加不舒服。建议是尽快去线下医院检查一下基本指标。然后您可以回来继续联系我们,给您评估一下疾病情况及治疗方案。
狗狗下体这样是不是正常的?而且它自从来了姨妈就经常舔,现在来完了就很少,不知道有没有关系,有时候鼻子很干。我现在就带她去医院看看
于博
执业兽医师
外观看形态没有异常,黑色的是油脂分泌堵塞毛囊,但不会引起精神沉郁。子宫蓄脓属于内分泌方面,它如果有问题会引起精神沉郁,呕吐,不吃只喝水,体温升,外阴如果是开放型的蓄脓会有分泌物外流。发情期舔是正常的。但是您说它有口臭,也没有牙结石和溃疡,所以先排查肝肾问题。同时拍片子如果子宫有明显增大也是可以看出来的,都在基础检查内
医生,刚刚量了体温39.1,照了b超,那边的医生说子宫壁很大,是子宫蓄脓和腹膜炎,然后呢又说里边有少量的腹水,轻微贫血,血糖低,血小板很少,医生说这是炎症很严重,建议动手术,怕后面会有败血症,让我考虑几天,先开了五天的药
为保护用户隐私不显示图片/视频
于博
执业兽医师
嗯,指标最严重的是贫血严重。如果外阴没有分泌物应该是闭合型的。目前指标手术风险是比较大的,但是不手术肯定不行了。主要耽误的时间有点久,风险大一些。建议您事在医院消炎补血补液调整2-3天手术。马上手术怕是身体吃不消。
在医院检查了是外阴有分泌物,医生说不是闭合型的,让我们先吃几天药看看情况,因为动手术风险还是有点大,贫血的话说是让狗狗多喝水,问题不大,体内没有细菌,主要是炎症的问题,如果不手术的情况下要吃点什么药好一点?现在狗狗中午吃了顿饭喂了药精神又好多了,主要是狗狗从小到大身体一直不好🙏🏻🙏🏻需要和家里人讨论几天
于博
执业兽医师
好的,您可以把医生开的药物给我看一下,我看看是否还增加什么药物。喝水不能不能改善贫血,如果脱水多喝水是可以的,要让宠物吃东西,保证日常营养需要才能有新的红细胞蛋白产生。我额外送一次追问次数给您,您看看还有什么需要咨询的可以一起发给我我统一回复您
是的,狗狗也有一点脱水的现象,医生说是开放式子宫蓄脓,外加有一点点腹水,和腹膜炎,子宫壁较粗,医生的建议是让我不用管分泌物,让它流出来。如果非要给狗狗洗澡的话是不是得立着狗狗洗?我比较担心狗狗洗澡会不会感染的问题,目前我还是希望给狗狗保守治疗,先吃几天药,让它多吃点东西,看看情况,实在不行我们会进行手术,狗狗的年龄和身体情况在术后我怕是吃不消的,您看一下还有没有更好的药物可以试着让它好一点?这个血常规的炎症指标指的是子宫内的吗?关不关子宫蓄脓的事?因为医生说这个炎症很严重
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的了解了。就照片上这一种药物吗?这个只是益生菌没有治疗作用还有其他药物吗?
现在不能洗澡以免加重疾病。还有能排出来脏东西是最好的了。
窝按开放型给您家狗狗开药您参考一下
于博
执业兽医师
1.****一天两次 一次半片口服 抗生素
2.****一天一次 一次2片口服抗生素联合用药
3.****维一天两次 一次3毫升 补血保肝 促进食欲
4.宫浓清一天两次 一次两袋促进脓液排出
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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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":"2024-11-25 19:05:02"}}}}}}
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