咨询描述:医生您好,因为我家猫咪昨天不吃不喝不拉一整天,精神尚可。然后我带去医院做了检查,因为是5岁半的公猫我很怕有尿闭的可能性,我特意让医生关注一下它的膀胱。也做了膀胱的B超,显示是没有问题的。之后我也给它做了全身体检。最后做体格检查的时候测肛温它挣扎了。体检报告及结果我放到了下面。回家后发现它拉臭臭一直叫去猫砂比较频繁,有一点点便血。它前天上厕所是正常的,就昨天和今天异常拉稀带血丝。请问有没有猫瘟可能?第四张是昨天臭臭,第五张是刚刚的粪便,今天吃了一点点猫条
问题大致一样,细节不同?
王强
执业兽医师
根据你讲到的,以及猫咪的检查结果和症状来看,我初步分析猫咪主要还是消化道方面的问题,有可能是胃肠炎导致腹泻。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:
1.你说担心猫咪是猫瘟(病毒性胃肠炎),猫咪上一次疫苗是什么时候接种的呢,之前有没有检测过猫咪的抗体浓度呢
2.最近猫咪有没有更换过食物,猫咪之前有没有翻垃圾桶的习惯
3.最近猫咪有没有收到一些刺激惊吓之类的
4.平时用的驱虫药是哪个品牌的呢
以上情况你回忆后详细的描述给我
王强
执业兽医师
**家长,你好,你描述说猫咪昨天没有吃东西,猫咪今晚精神状态和食欲怎么样呢,就只吃了一些猫条其他东西都没有吃吗?我看猫咪目前做了血常规,炎症以及生化检查,炎症saa和血常规都没有什么异常,生化结果淀粉酶肌酸激酶升高一些,其他也没有太大的异常,单从那些数据,没有明显指向某种特殊的疾病,只能从**粪便性状来看,是有出血性的胃肠炎,**昨天在医院检查后,他的临床医生有没有给**开药呢,如果有开药用药后**情况是否有好转。
王强
执业兽医师
**家长,是休息了吗,后面看到消息后,及时把**相关情况提供给我,以便我能对**情况做更准确判断,避免误诊,你回来后给我留言就行了,我看到后第一时间跟你联系
刚刚,在冲凉,不好意思。
第一,上一针疫苗是5月接种的,因为之前身体比较弱,一直不敢给它做绝育,它今年身体稍微好一点我们就把绝育加疫苗安排上了,测抗体的时候显示疱疹病毒的那个抗体不够,今年一月份有感染疱疹病毒,已痊愈。还未打加强针。
2.**比较挑剔,它不会乱吃东西,这半年来一直吃****猫粮成年猫红色包装,通过正规旗舰店购买
3.它最近和家里银渐层好像合不来,但是之前可以,现在偶尔看到它就哇哇叫……🥲
4.驱虫使用****加****
王强
执业兽医师
从**接种情况以及他目前这个年龄来说,猫瘟的可能性是很低了,常规驱虫也是挺全面,蛔虫,钩虫,绦虫等可能性也不高,但要考虑是否有球虫,滴虫等感染,然后就是昨天到现在检查过后**有做任何处理没有,包括打了什么针或者吃什么药没有,他的整体状态相比昨天是否有好转
**今晚我也不知道该怎么描述,你说特别好我也没觉得多好~一般般,就吃了一点点猫条。哦对了,前几天晚上它突然甩耳朵惨叫,我和我妈妈给它掏耳朵它反抗的很激烈,我们手上都有它抓痕。昨天我们也做了耳镜,显示细菌感染,现场也掏耳朵了。但是我是很担心它昨天做肛温它挣扎会不会划破它的直肠呢……,其实我们该做检查都做了……开的药我不知道是什么,医院是分装药说吃三天,还吃了****。深夜打扰,真的很抱歉
为保护用户隐私不显示图片/视频
王强
执业兽医师
没关系的哈,**情况的话,耳朵问题这个应该清洗上药就行了,这个应该是很快就能恢复的,目前主要还是他拉稀带血相对要严重些,从你描述以及崽崽两天排便对比,症状相对来说是有一定恢复,后面可以继续把医院开的药先继续喂了,然后同时观察情况有没有继续好转(包括**精神状态,食欲以及排便情况),有好转直至完全康复,后面就不用管了,但如果没有继续好转甚至还继续变严重的话,后面我建议再做粪便检查,腹部B超以及排查胰腺情况,目前可以先继续对症处理,还有就是你担心检测体温时候,**动的比较凶,担心划破肠道,这个可能应该还是比较低的
是的,耳朵这个问题我们自己在家说实话我真的搞不动它,它很抗拒挖耳朵,昨天在医院就很老实,但是挖久了它就会喘粗气(心超也做过了是正常的)您觉得它精神怎么样🥲🥲🥲,我为什么担心是猫瘟,是家里有四只猫咪,均疫苗齐全,其中一只患遗传性心肌肥厚,已经不接种疫苗。所以我会很担心猫瘟这一块,**它以前都没有接种疫苗,今年才开始的。
王强
执业兽医师
猫咪整体状态,目前我看起来倒还好,但准确地评估有无异常,最好是结合对比他平时的状态来看,另外你担心猫瘟这个情况,他这个年龄以及疫苗接种史来看,我觉得可能性不大,当然如果实在担心,直接做一个猫瘟排查就行啦,这样更放心一些
好的好的,谢谢医生,医院医生目前还让我给它吃这个,您觉得可以吃吗
为保护用户隐私不显示图片/视频
好的,谢谢医生,您辛苦了,最后祝您双节快乐!早点休息。
王强
执业兽医师
宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
****收敛肠道,止泻
益生菌,调节肠道菌群
随时关注猫咪情况,对症处理没有明显好转及时进一步排查病因
王强
执业兽医师
非常感谢你对蘑菇宠医的信任。如果我的回答能够帮到你,请你在咨询结束后留下5星评价,你的评价是我工作最大的支持,感谢。后续宠物有其他问题,你可以到“蘑菇宠医”官方微信公众号继续向我提问。
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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