咨询描述:医生怀疑因为食物不耐受或者过敏导致长期腹泻和肠炎,这种情况消炎药可以吃时间久一些吗?
问题大致一样,细节不同?
赵一强
执业兽医师
主人你好,像您说的这两种情况一般正常的话就是改善饮食或者说叫更换饮食。然后肠炎的话就是对症的吃消炎药和止泻药。
如果说确实各种处理情况都已经尝试过了。吃消炎药也不好使。那么这种情况建议您排查一下胰外分泌不足和炎性肠病(ibd)。看看有没有这方面的因素。
所以我想和您确认一下宝贝的日常饮食主要吃什么猫粮什么牌子的?下来是多少钱一斤?
宝贝的大便形态是什么样的?有没有照片呢?
消炎药能吃时间久一点吗?因为之前太早停药感觉没好全。不吃消炎药的话大便软便或者很稀,偶尔成型但次数不多。
ibd的话医生说因为没有肠道增厚的情况所以暂时先不考虑这个,还是觉得因为过敏不耐受导致拉稀。
猫粮暂时换成了****低敏,但是感觉不太爱吃而且会吐整粒猫粮出来,目前还没找到比较适合的低敏粮。
赵一强
执业兽医师
普通肠炎一般就吃一周。没有吃很长时间的。
那么宝贝有没有做过便常规呢?我想看一下便常规的结果。
肠道过敏,您可以考虑一下他对什么东西可能过敏,然后从饮食上给他改善一下,不一定非得吃低敏粮,比如说很多猫是因为吃的高蛋白的猫粮就容易拉稀,那么可以尝试给他吃一些含谷物的猫粮,效果会更好一些。
做了血常规生化便检和pcr都没有问题,b超的话是肠系淋巴结轻微肿大
赵一强
执业兽医师
你好,麻烦您把化验结果报告单发上来,尤其是便常规的报告单,腹部B超的报告单。我需要看一下。
赵一强
执业兽医师
主人你好,便常规是这样的,与他的检查结果没有什么特别明显的寄生虫或者肠道炎症的一些体现,但是他如果有很多未消化完全的脂滴,淀粉颗粒,植物纤维,肌肉纤维等。一方面提示有可能有消化不良的问题,另外一方面也提示有可能是因为这些东西他可能存在对这些肠道敏感的问题。
查了便常规结果都在范围内,只是有个会产生气体的菌指数稍微高一点,医生说问题不大
赵一强
执业兽医师
那您这个考虑就是结肠炎的可能性比较大。因为别的都正常的话。别的指标我也没看到的情况下。宝贝的B超结肠肠管相对回声增高。结肠炎容易导致拉稀。你给他吃的消炎药是什么消炎药啊,成分和我说一下,我给你调一下。
赵一强
执业兽医师
主人你好,那您如果只吃给宝贝吃消炎药****的话。我这边给您把止泻药也开出来。您可以参考给宝贝用药看看效果。如果说正常用药一周以上,还是反复腹泻的。要么就是按我说的再去做一个便常规。它主要是针对哪种物质消化不良?然后去选择合适的猫粮。进行一个尝试,就是说可以多尝试一些品牌猫粮,高蛋白的或者带谷物的。如果说确实更换各种猫粮都不行。可以考虑排除一下我说的那两种病。
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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