咨询描述:前天吐了一次绿色的呕吐物,食欲开始逐渐下降,昨天喂了一次益生菌后吃了一点,今天一天没有吃
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,能不能让我看一下猫咪的状态?有没有什么别的不同或者异常的?检查一下有没有发热?上一次做体内驱虫是什么时候?24小时之内有没有正常的排尿呢?
一般来说,主要考虑的就是肠炎,感染,尿闭或者是病毒性疾病,当然呕吐的原因很多,要知道更多的情况,这样的话才能做初步分析。
精神正常,比平常差一点点,没有发热,驱虫正常,昨天有排尿,今天因为没吃喝无排尿
徐灿
执业兽医师
需要问一下他有没有舔生殖器的行为?还有就是能不能拍摄一段视频发过来看一下?最近一段时间有没有吃过什么特殊的食物?检查一下肚子有没有压痛?还有就是膀胱的位置有没有鼓起来的圆球?眼睛有没有流泪呢?
徐灿
执业兽医师
检查一下猫砂盆里面,有没有他的尿液结团?一般来说,超过24小时不排尿就要严重注意,还有就是他的呼吸有频次加快,检查一下呼吸有杂音吗?家里面有没有体温计?如果有体温计的话,最好是测一个体温,这样的话最为准确,因为从视频上来看,他的状态还是不错的。
今天没有。昨天有尿液,今天猫砂很干净,精神正常就是不吃了
徐灿
执业兽医师
对于这种情况来说,要揉捏一下他的膀胱,看一下他的膀胱里面有没有一个球状物?因为一般来说,超过24小时不排尿,就有可能会发生危险,绝育后的猫咪非常容易尿路闭塞,这个在临床上非常常见,而且没有其他症状,回顾一下,上一次看到他的尿液结团,大小是正常的吗?确定不发热,对吗?
徐灿
执业兽医师
如果是这种情况的话,那么就建议观察一下它的排尿,你可以适当的给予一定量的抗生素,排查一下感染或者是肠炎的可能性,进行一下逆向诊断,询问一下,家里面有什么抗生素类药物吗?
总体来说就是建议先排除一下肠炎等问题,因为从上一个视频来说,他的状态不是特别糟糕,有观察和逆向诊断的空间。然后后续建议保留提问次数。
徐灿
执业兽医师
这种情况建议少量的给予一定量的常规抗生素,我帮你开了个常规的方案,你可以参考使用,除了上述药物,****菌素类也比较常用,然后给予药物2到3次,看一下后续是否恢复,还有就是要回顾一下上一次呕吐物里面有没有毛发?现在是秋天,所以很多猫咪开始脱毛了,毛球症也应当被考虑。
徐灿
执业兽医师
如果有毛球或者毛发,那么,除了上面的药物之外,建议增加一点****,用于配合尝试处置,建议先用药2到3次,然后看一下后续的情况,因为从总体来说,他的状态是不错的。
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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