咨询描述:泰迪,母(绝育),9岁4个月。腹泻一周,加重2天。
现病史:
一周前长途旅行回家后出现棕黄色成型软便,逐渐加重至不成型软便,精神、食欲正常。一天前出现不成型软便伴暗红色血性粘液?,自行************片未有好转,今日出现水样便伴血性粘液?,伴肠鸣音亢进、腹痛(拉伸动作),纳差、精神稍差,排便后精神、食欲恢复。便频、量较正常时无明显变化。
既往史:
高级别肥大细胞瘤3余年,2023年1月穿刺确诊后行切除术,病理:高级别肥大细胞瘤,切缘干净。1月胸片、腹部B超未见转移,凝血功能差。4月起发现多发皮肤转移灶,近6月来肿物变化不明显,未予药物治疗。
半年前起间断出现血便、柏油样便,约0.5-1次/月,************片后均停止便血。
慢性胆囊炎致呕吐多年,1月起调整饮食后再无呕吐。
希望能判断腹泻、便血原因,并予对应药物治疗。
问题大致一样,细节不同?
吴继强
执业兽医师
你好,看您描述信息,狗狗胃肠血便问题,常见原因1.胃肠异物或者硬的食物导致粘膜损伤,
2.胃肠感染发炎,比如细菌寄生虫感染等,
3饮食不当食欲消化不良等,
肥大细胞瘤一般是皮肤病灶转移多,一般不会影响胃肠问题,
胆囊炎一般是腹痛呕吐也一般不会引起血便
倒是凝血功能差会导致容易出血,肠道腹泻时容易粘膜出血
食欲正常,狗狗腹泻比较频繁可以考虑吃肠道处方粮调理,对于治疗腹泻粘膜出血,益生菌调理胃肠,****保护胃肠粘膜,止泻药可以止泻修复粘膜。
具体益生菌和止泻药物用什么呢?整肠生可以吗?另外请问****和益生菌/止泻药物用法用量,我想尽量用人用药物替代,谢谢!
吴继强
执业兽医师
您客气,狗狗年龄比较大了,而且之前有肿瘤和胆囊问题,体质会比较差,腹泻血便可以吃药调理看看效果,两三天不见效,建议线下就医检查有无胃肠道发炎感染等,确诊原因针对性治疗避免耽误病情加重,
根据狗狗体重,1.益生菌,一天一次,一次两袋
2.****,一天三次,一次四分之一片
3.止泻片,一天两次,一次半片。
好的。另外想请教,狗狗近半年来常出现咳嗽和“倒吸气”,咳嗽大约2-3次/天,“倒吸气”1-2次/周,目前没有发现什么诱因,这正常吗?
吴继强
执业兽医师
你好,咳嗽一天两次也算比较频繁了,如果没有外部刺激影响,
临床上一般是呼吸道鼻腔气管问题或者心肺功能不好,可以检查排查原因及时治疗控制,
查体目前没发现明显异常,1月胸片也没有明显异常。猜想存不存在肥大细胞瘤的组胺异常分泌导致气道高反应以及消化性溃疡这类的可能?
吴继强
执业兽医师
检查没有明显异常,组胺异常分泌倒是有可能咳嗽,
消化道问题导致的咳嗽一般是胃反流时刺激引起。
多注意观察,避免外部环境温差变化刺激,频繁出现或者加重还得需要复查检查。
吴继强
执业兽医师
您客气,希望我的建议能够帮助到您,非常感谢您的信任!请您在咨询结束后留下 5 星评价,您的评价是我工作最大的支持,感谢。需要复诊时可以加关注或者在您的咨询列表找到我,在我的主页选择合适的问诊服务包。祝您家狗狗快乐生活。
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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