狗狗四天前晚上开始呕吐,之后就精神很差
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咨询描述:狗狗四天前晚上开始呕吐,之后就精神很差,不吃东西,大量饮水,喝饱了又吐水,没有排便,有些便秘,去医院验了血,各项指标都不好,现在还在医院挂水住院
问题大致一样,细节不同?
于博
执业兽医师
您好,指标我看到了,主要疾病是胰腺炎。应该4天前有四位大量肉类或者高油性高脂肪的食物引起。肝脏ALP属于胆汁淤积酶,是长时间不吃东西,胆汁淤积引起的。
目前按照胰腺炎治疗就可以的。
狗狗绝育了吗?有检查子宫吗?
目前状态怎么样?还有呕吐吗?有食欲吗?
狗狗目前还是没食欲,宠物店说的很夸张,说什么多种器官衰竭,可能挺不过去,狗狗没绝育,检查了子宫没有蓄脓,今天第五天吧 ,听说早上还有点发烧 ,说是现在降下来了 ,用注射器喂了点流质狗罐头,泡了些羊奶粉给它喝,用了***,通了一下肛门外侧的便便
于博
执业兽医师
胰腺炎治疗是需要1-2周的时间,目前它主要的疾病是胰腺炎,然后ALP,胆红素需要使用护肝药物和***进行调理,等慢慢恢复饮食就排出去了。血糖有点高,可能是疾病引起,也可能是有糖尿病,建议后续可以进一步检测一下果糖胺排除一下糖尿病。肝脏其他指标和肾脏肌酐 ,总蛋白都没有变化。所以不是肝肾疾病,也没有衰竭。如果疾病恶化也是胰腺问题引起的。比如胰腺坏死,胰腺癌。
根据片子看狗狗应该不至于便秘,自己应该可以排出粪便,粪便不算是很多。还不至于使用灌肠通便。
医生按胰腺炎用药就可以了,然后再使用保肝药物就好
于博
执业兽医师
因为疾病治疗要检查指标和临床症状结合去观察,我目前看检查报告是胰腺问题。但胰腺炎也是比较严重的疾病,狗狗年级也大,所以可能身体状态不是很好,算是有一定生命危险。如果恢复之后,这个年纪也容易复发或者转为慢性胰腺炎,建议长期饲喂低脂易消化处方粮。
治疗胰腺使用什么药物好呢?持续治疗一到两周可以进食吗?狗狗现在食欲很差,之前没去医院就是爱吃的都不吃了,然后就是大量饮水,喝到吐,是要一直让宠物住院吗?
于博
执业兽医师
胰腺炎药物一般会使用:****,***,甲磺酸***这些主要药物,配合抗生素,止痛药,止吐药,营养液。
只要不呕吐就可以适当少吃多餐饲喂。
喝水呕吐一般就是胰腺炎和子宫蓄脓的症状之一,所以前面也有问您,有没有检查子宫,没有子宫问题还好。
食欲需要慢慢恢复
那是需要一直住院到可以进食才能出院还是怎么?现在就是每天精神很差,下来溜一下,排个尿走两步就不愿意动了,一直趴着,如果后续带回去,需要喂些什么药物吗?
于博
执业兽医师
目前状态是要住院治疗的,不知道前面有没有使用胰腺炎药物,如果没有使用需要使用。等不呕吐了,精神好了,能够吃东西才能出院。或者就是每天带去输液,晚上接回家这样子不住院
昨天开始去医院输液的,今天是第二天了,饮食方面羊奶可以喝吗?那个流质恢复肠道的罐头好像是肉质的,可以吃吗?是不是只要先不呕吐了,就有好转迹象?这种指标的狗狗存活几率大吗?
于博
执业兽医师
嗯,您这才治疗第二天,没有那么快恢复的,最少也要一周的时间。羊奶可以喝,只要不是高脂肪的食物就可以。那个罐头不是肉,是属于粮食做工给固话的,所以看着像火腿肠,其实是粮食。不呕吐肯定是比之前有好转的。胰腺炎是由死亡机率的,但是大多数很是能存活的,目前才治疗两天,也看不出来什么情况,所以后需要结合指标和临床状态评估哈,安心治疗就好
昨天开始就用了那个***,好像还用了些护肝的药,一直在打吊针,说是他报告上葡萄糖高,用的生理盐水做的辅助给它输液,后续输液的话主要用哪些方面的药物呢?止痛针每天都要打吗?
于博
执业兽医师
1.低脂易消化处方粮建议长期饲喂
2.** 出院后按每天喂食次数饲喂,一顿饭2粒。
他之前一段时间对玉米水果这些东西很着迷,反而不太想吃肉等油腻的东西,如果是肠道恢复期,可以喝些蔬菜粥之类的东西吗,后续等精神好了再用狗粮饲养行吗,因为他经常吃肉,买的狗粮都很少碰,怕买回来不吃
于博
执业兽医师
最好是低脂易消化或者肠道罐头。恁自己饲喂蔬菜水果到可以。但是蛋白也要摄入,如果掌握不好可能回复发。
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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