咨询描述:1. 小猫长期软便,但是精神很好,之前看过兽医体检说身体没大碍。
2. 之前家里另一只(不怎么软便)的小猫确诊了三猫滴虫,这只(一直软便的)没确诊,但是兽医说大概也有滴虫于是开了**处方粮和一周的***。两只猫都疫苗驱虫齐全
3. 另一只滴虫阳性的猫吃了几天药就好了,可是这只吃药稍微好了一点点然后继续软便,停药当天又开始拉稀。
4. 处方干湿粮都试过,就是拉稀,食欲和精神都非常好,体重也在涨。
5. 我们还能做什么让他不拉稀啊,会不会是食物过敏?
6. 我还附了两张水壶里面看着像是虫卵的照片,我想请教一下那个会不会是寄生虫卵?还是说大概只是其他昆虫卵或脏东西。猫猫会乱跑,所以可能舔过水壶。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据你讲到的信息,我初步分析猫咪是有肠炎问题,但仅仅根据目前信息还不能做出进一步的判断。我还有几个问题需要向你了解一下:
1. 猫咪生活环境温度能达到多少度?是否有昼夜温差?
2. 猫咪是否还有其它症状?
3. 猫咪是否有做过粪便常规检查?是否定期复查?
4. 猫咪除了***,是否还有使用其它药物治疗过?
以上这些情况你仔细回忆后详细的描述给我,感谢你的配合。
寄生虫卵肉眼是看不到的。所以图片上的应该不是猫咪的消化道寄生虫卵。
1. 都在 26 度以上,不会有大幅度温差,房子有空调和暖气
2. 猫咪偶尔呕吐未消化猫粮(不过大多是因为不小心吃了异物),偶尔会便血
3. 做过两次便检(有一次是 PCR)寄生虫都是阴性,因为另一只猫滴虫阳性所以就按着滴虫治疗了。兽医让我们停药后两周再去复查便检。
4. 曾经吃过****(Tylosin),但是效果甚微,当天稍微成型了一点,第二天就又变成拉稀了
陈奕达
执业兽医师
好的,非常感谢你的回复,谢谢。综合现在所有信息分析,以我多年的经验判断宝贝是有肠炎问题(发病位置大概在大肠阶段),从而导致了一系列症状。跟消化道抵抗力低下,消化不良等有一定的关系。
其次需要考虑猫咪是否有消化道过敏方面的可能。
如果暂时不方便就诊检查治疗的情况下,可以先尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱胃肠炎(消炎,提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复,吸附性止泻)的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。稍后会根据猫咪的症状开具一套用药,供你采纳参考一下。
猫咪之前是否有什么用药过敏史?
1. 没有已知药物过敏史,但是由于人在国外所以没法通过平台订药,麻烦您把推荐的药物名称给我。平时每天都喂益生菌。
2. 如果国外订不到这个药,我会考虑继续就医,请问到时候和兽医沟通时该怎么说,让他们查大肠炎症嘛?
3. 食物过敏史不清楚,但是之前换过多种粮,除非他对鸡肉过敏否则我想不到其他过敏原了。食物过敏也会造成腹泻吗?
4. 如果就医您建议先查大肠炎症还是过敏原呢?
谢谢!
陈奕达
执业兽医师
好的,这边根据宝贝的情况,我给宝贝开个处方。供你采纳参考一下,以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消炎,可以起到控制消化道炎症效果。
2. ***,提供消化道营养,能够起到促进消化道粘膜恢复,减轻消化道炎症的功效。
3. ***,宠物专用吸附性止泻用药。能够起到止泻缓解大便稀软症状。(大便成型之后立刻停药,吃多了容易便秘。)
4.***,保护胃肠道粘膜用药,有治疗消化道溃疡效果。
可以根据需求自行选择购买。
疾病期间,需要注意宝贝不能着凉,饮食不能过于杂乱,最好以猫粮糊糊为主,以少吃多餐为原则喂食。
益生菌可以继续喂服,不过需要跟其它药物间隔半小时以上。
检查的情况下,建议针对整个消化道进行,并且检测是否有过敏问题,以免出现漏诊的情况。
食源性过敏,也有可能会引发腹泻症状。
非常感谢,最后再问几个小问题
1. 如果小猫很活跃,食欲好,体重再稳步上升的话是不是不会是大问题?
2. 肠炎还有没有其他症状?我看有没有什么对的上的症状(他不发烧)
陈奕达
执业兽医师
你好,1.是的,问题暂时并不太严重。2.常规的肠炎主要就是腹泻,严重可能会便血。如果是病毒方面感染,还有可能会引发呕吐,发烧等症状。3.疾病期间,症状越少,越好。说明疾病问题越轻微。
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9247,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1810,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-22 21:33:14"}},"3":{"id":119597,"prescription_id":154881,"doctor_user_id":1249218,"product_id":750,"product_sku_id":792,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"提供消化道营养,减轻消化道炎症,促进消化道粘膜恢复","created_at":"2023-10-08 08:56:01","updated_at":"2023-10-08 08:56:01","product_info":{"id":750,"hash_id":"ay8LblpORVx9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":183,"sell_point":"威常康宠物添加剂预混合饲料 (SP-130)","title":"蓝特斯威常康 宠物添加剂预混合饲料 (SP-130) 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