咨询描述:两岁半,成年母猫,已绝育,绝育前两个月出现尿血,去过几次医院身体没事不是膀胱炎等症状,医生说是情绪影响,后边每隔一段时间就会突然乱尿尿血,持续一周左右时间正常,这个症状自开始以来大概有一年半了,绝育之后频率变少,但是也会突然发作,然后一周或者三五天就正常了,发作期间饮食正常,行为精神正常和平时无差别,就是乱尿尿血
问题大致一样,细节不同?
曹航
执业兽医师
那这种情况应该把粮食给他换成泌尿道处方粮,然后给他吃一些情绪舒缓的药物,尽量让他减少应激,然后每隔半年拍一次片子,主要排查有没有结石或者结晶
对,猫是长毛蓝白,它父母都是正常蓝白短毛的,它兄弟姐妹都是短毛蓝白,只有它自己是长毛蓝白。它第一次出现这个情况去医院医生开了泌尿处方粮,但是猫不好好吃,吃的很少,就没在给它吃了,情绪的药物当是也按时吃,但是它不吃,只能强制塞嘴里,它老是吐出来,喂药太难了,后边就自己好了,但是隔段时间就还是这样,后边也有拍片子但是却正常,因为据我观察它喝水也不少
曹航
执业兽医师
但是他出现的这种情况67%都是因为特发性的膀胱炎导致的,一般都是应激 只能就是先尝试继续按照原来的方案或者是重新给他换一些泌尿道的药物,然后来观察
这种情况的话,因为他本身没有结石,那就是多半都是膀胱炎导致的了,然后抗生素可能也要给他配上一点
什么是特发性膀胱炎,难道应激就会尿血这种症状吗?据我观察它好像心情不好会有尿血的症状或者乱尿的症状,但是有时候我觉得也没发生什么事情也会出现,但是次数很少,一般我看是心情不好的时候出现的,这个是您说的应激吗?它一般情况都是正常去猫砂盆里面,那您说的这个特发性膀胱炎,是猫身体问题吗?抗生素是药物还是打针啊,是什么抗生素
曹航
执业兽医师
特发性的膀胱炎就是应激导致的,一般公猫爱有这个问题,然后母猫有这个症状的话,它是不会导致尿闭的,就是会表现出尿血,还有就是频繁的排尿
这个病基本上都是应激导致的,比如说换环境,换猫砂,改变饮食,洗澡,家里来生人,周围又放鞭炮的惊吓都可能让它复发,对的,这些就是应急导致的,就是不良的刺激 抗生素可以口服的,还要给他吃一些情绪舒缓的药物,情绪舒缓的还要继续
第一个是情绪舒缓口服的,第三个是情绪舒缓插电的
第四个是抗生素,****成分的
第二个是第二个是处方粮
那这个可以治愈吗?还是一直就这样了,然后以后应激就会出现此症状,还是说会越来越严重呢?
曹航
执业兽医师
你这种情况让他情绪舒缓了,减少应激应激源去掉了就会好了 但是很容易复发 就是之后比如说出现上述情况,有的可能细腻到就是主人调整夜班了,可能都会出现这个复发
能治愈,但是容易复发
对,它第一次出现就是我去上班了,因为接过来的时候它两个月大正好是我暑假的时候,天天和我在一块。两个月后我去工作了,就早出晚归,只有它自己在家,开始还好,然后大概两个月之后吧,它估计六七个月大的时候第一次开始尿血乱尿,好吧,我大概知道这个情况了,那请问一直反复复发的话,会影响它的寿命吗?
曹航
执业兽医师
只要是每次都能排的出尿来,一般是不会影响生命的 这种情况的话,就是平时减少应急,多喝的互动,多培养感情,然后尽量的让他去,情绪好一些,基本上就问题不大
好的,谢谢,您和我之前看的医生说的差不多,开的方子也差不多,它这种不会是抑郁症吧,怎么很容易应激?那除了猫粮和药物有没有别的方法能够让它接受这些小的变化或者一些变故,有没有什么对这些的抗敏治疗,总不能一直吃药或者泌尿猫粮,主要是它不好好吃,很难胃嘴里,这就导致它心情不好然后就这样症状好几天都不好
曹航
执业兽医师
他这个其实不是抑郁,就是胆子比较小,容易应激,受到惊吓,没有就是太对症的药物,都是这样综合的用药,比如说像是***这个24小时给他插着电,会让他情绪舒缓一些,有的时候强行的喂药可能对他也是一个不良刺激,那这种的话就是用这种外喷的或者是香薰这类的就可以,就是我刚才说的那个24小时插电的
然后综合的管理一下,只能是这样
或者是换一个品牌的处方粮试试看看
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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