咨询描述:猫咪大便成型带鲜血,这周严重已经一个星期三次血,食欲正常,行为正常,一天两次母鸡蹲。之前认为换粮问题,吃了益生菌7天,南瓜后,有几天不拉血。根据昨天报告单情况,您认为什么原因导致拉血。给个什么方向?
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,有点怪,根据这个化验结果,这个猫除了有冠状病毒以外还有猫瘟病毒。这种情况会优先建议按照猫瘟病毒对症治疗。
猫没有任何猫瘟的症状,可能是有病毒,但是没发病,已经打这个针第二天,一个疗程五天,但是它拉鲜血这个事情你考虑是肠炎还是寄生虫引起?
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
我认为这个还是由于细菌感染导致的便血,或者说他由于病毒和细菌感染导致肠道黏膜破损,进而导致拉血这是我推测的一个疾病过程。
单纯依靠这种***的药物并不是很足够,我建议同时对抗细菌的抗生素,给益生菌再给一些止泻和修复肠道黏膜的。
***是针对情况的用药吗?我看医生开了***和葡萄糖以及益生菌。这样情况抗生素应该吃什么会抑制住拉血的细菌?
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
***算是针对细菌的抗生素吧,不过我个人认为***抗菌谱太窄,我不是很优先,推荐,不过国外的医生学习的时候,往往会把***作为初步的抗生素优先使用。
我个人比较推荐优先使用********钾就是这种。
一天两次,一次一片口服,7天,结合****铋一天两次,每次半片 口服七天 结合自己的益生菌
修复受损的肠道粘膜是不是困难?猫拉血会带有粘膜状,我认为您的推断非常有道理,对于猫的肠道粘膜有没有特别好的药和办法来进行修复。
我们之前24小时吃两次***水状药剂,可以直接更改成****吗?再吃7天。
曹元钊
执业兽医师
要想修复破损的肠道粘膜,其实是有一定的困难的,这种情况下呢,初始治疗方案是按照我提供的**加上显示***的方案,如果还不行,等到他这一次的猫瘟病毒完全抵抗好了以后,我有必要我会再用一些低剂量的激素直接抗炎。
可以直接更改****再用7天。
另外呢,****铋这个药物本身就是可以有一定的修复作用,它可以粘附在破损的肠道黏膜上面,然后等待时间恢复。
医生然后我要找你的话,我每次都要进来这里咨询吗?是否有你的微信电话。方便随时付费问诊
曹元钊
执业兽医师
刚才有病例 没有看平台消息。是的,平台是不允许宠物主人和医生绕过平台私下联系的,所以只能在平台上问诊
好的 了解了 谢谢您的回复 还有一个问题亚临床的猫瘟和猫冠状,如果检测血常规一切正常的情况下,可以打猫三联吗?因为7月他就应该进行疫苗了,但是它6月患病了,现在10月 他体内依然存在这两个病毒。
曹元钊
执业兽医师
你好理论上来讲,冠状病毒是不影响打疫苗的,就是说冠状病毒理论上是有的时候会终身携带。因为之前在新冠肺炎的时候,有一些国家要求猫进入他们国家需要检测,冠状病毒检测,但是经过实验大量长期治疗,都没有办法消灭冠状病毒,所以有些情况下猫的冠状病毒会终身携带,这是一种比较高概率的推测
但是猫瘟病毒一般不会这样的。我不太认为猫瘟病毒会持续几个月。所以如果猫瘟病毒消失而冠状病毒存在,我认为可以打疫苗。
也就是说之前的时候如果他有问题,但是猫瘟病毒不一定存在。
曹元钊
执业兽医师
如果说猫瘟病毒仍然存在,但是那个时候比如说过几天他的便血的情况已经彻底得到控制,那我觉得打疫苗可以接受。
网上都说猫瘟病毒判断必须三个方向来确定的,1临床症状2白血球3测试盒,但是我们验血6月和10月白血球从来都是正常值,我们会不会从来没有猫瘟?而是猫冠状病毒复发呢,像您说的这样猫瘟不会坚持几个月在体内,6月的呕吐拉稀和10月的便血比较更像冠状病毒呢?
曹元钊
执业兽医师
目前来说呢,我认为这个猫实际上现在来说是存在冠状病毒和猫瘟病毒之前肯定不存在猫瘟病毒,并且现在虽然存在猫瘟病毒,但是猫瘟病毒可能并不发病。
另外冠状病毒我认为也占其中的一小部分原因,但主要还是细菌的可能性会更高一些,我并不认为冠状病毒是主要的一个因素。
之前的呕吐腹泻和这次的便血,我认为归根结底是它一个肠道炎症。原因的话不会是单一的冠状病毒,可能在里面起了作用,但是单凭冠状病毒不会导致这样严重。
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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