咨询描述:您好,我在国外,然后家里猫咪反复出现尿闭症状,多次去医院导尿和检测均未查出有结晶结石或者是炎症什么的,我会把之前检测的东西都一起发上来。猫咪三岁,今年五月份开始尿尿困难,弄过三次导尿,之后都是能滴尿但是没法尿出来很多,膀胱也很大。
用药情况:****,****,***
患病时长:半年左右
医院检查:最近一次检查是今天,未找出原因,无结晶,无结石,无炎症,无尿血。
问题大致一样,细节不同?
于博
执业兽医师
您好,尿闭的情况一般有尿结晶,栓子,分泌物,血凝块,神经肌肉,粘膜发炎肿胀,膀胱经肿瘤这些会引起来。
如果没有检查出实质性的,一般就是神经肌肉应激性引起的。应激性膀胱炎。如果猫咪反复尿闭多次,唯一的办法考虑尿道造口,扩宽尿道,就会解决反复尿闭的情况,没有其他方法
首先我比较担心尿道改造带来的负面影响,然后我上传的那些截图您这边能看出什么信息来么,万一不行哪怕用药能改善现状也可以。然后我还有两个截图也发给您。方便的话稍微讲下所有的可能性和方案吧。麻烦您啦
为保护用户隐私不显示图片/视频
于博
执业兽医师
尿道造口一般针对的是反复尿闭,主人因为精力和经济影响,唯一的解决方案。一般是没有副作用的。虽然猫咪可能因为病症还是会有尿频尿痛尿血情况,但是不会再出现尿闭。
检查报告我看了指标都是没有什么异常,尿检中没有结晶,只是有红细胞和上皮细胞。还是有点血液的。
没有药物可以治疗尿闭。如果说不是尿结晶结石,一般是因为环境应激引起,只能平时一定要生活中一点变化不要改变,比如:家庭人员增加、来人、宠物数量、温度、气味、声音、猫砂、物品、洗澡、外出、寄养等等。使用情绪舒缓剂。会减缓发病时间。但还是有尿闭的可能,如果在经济上可以适应也可以不做造口的
最早第一次是在五月份有这个症状并且去导尿,当时医生说是有结晶的,然后维持到了九月份也就是拍片检查还有尿检的,第二次之后就算医院导完尿出来也没有尿很多,每次还是小小的,然后直到今天又去了一次医院,去的时候还在滴尿因为还在吃药,没有完全不能滴出来。然后第一次是吃的处方粮感觉还是有点效果,第二次医生说正常吃饭就行所以我们也不确定,这次是第三次医生又说建议吃处方粮。
于博
执业兽医师
是这样的,频繁去猫砂盆做排尿动作,每次没有很多尿排出来,不一定是尿闭情况,可能是尿频。只要膀胱不充盈是不需要导尿的。
所以您要让医生教您怎么去触诊膀胱判断尿闭。
如果吃处方粮感觉挺好的,可以一直吃着,一般有情绪舒缓的作用还有膀胱黏膜保护剂
我也想问一下国内是否有些什么可以有情绪舒缓作用的药物和膀胱保护类型的药物么,因为在国外买药比较不方便且许多这边给宠物的药物就是用的时候效果还行,一停就不行了,而且要处方。所以想问一下您那边有建议什么温和一点的药物我可以买了寄这边的么?
于博
执业兽医师
1.处方粮长期饲喂
2.*** 一天一次 一次一片 膀胱黏膜保护剂
3.*** 情绪舒缓剂插在生活区域
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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