猫咪三天前开始拉稀呕吐,不吃猫粮和罐头

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患宠信息:英短蓝猫/弟弟/1岁10个月

咨询描述:猫咪,雄性,1岁0月,英短蓝白。三天前开始拉稀呕吐,不吃猫粮和罐头,只有喂猫条的时候正常吃。连续三天只吃猫条,带到宠物医院检查,这是采血化验和超声片子结果。麻烦诊断判断一下,谢谢您!

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曹元钊

执业兽医师

你好,这个心脏超声没有报告是没有办法看的,请问有没有做生化和腹部的x光,因为这个x光拍的主要是胸部这个猫有没有喘息咳嗽,呼吸困难之类的临床症状? 猫咪养了多长时间?有没有打过疫苗?我其实更倾向于是胃肠道方面的问题。另外最近排尿情况怎么样?

猫咪养了一年,疫苗都按时打了的,也定时驱虫。排尿正常,喝水挺多的,猫1分钟呼吸四十多次。就身体拍了个片子,做了个心脏超声,暂时没有报告单。没有呼吸困难的症状,猫精神状态不太好。

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曹元钊

执业兽医师

你好,我觉得这个猫的x光显示出支气管应该是有一些渗出的。但是超声没有报告没法看,最简单的说,我甚至不知道它量出来的到底是多长?多厚? 侧位片肠道全部都聚集在一起。这个不太对劲,但是他最近有拉稀,那么它有腺性异物的可能性就不高,所以整体来说我会认为它有一个支气管炎,同时有一个严重的胃肠炎,没有生化和胰腺炎测试的话,其他不好分析。

医院说是肺水肿,然后心超说是肥厚性心肌病。宠物医院让住院,但是我们考虑害怕应激,就没选择住院。医生开了利尿的药,让多喝水排尿,看能不能消除肺水肿。

曹元钊

执业兽医师

如果如果要想诊断肺后性心肌病,最起码心室壁的厚度得超过0.6 但是我没有看到数据 我不敢说 我觉得猫咪有腹泻呕吐,不吃饭这个时候单单针对心脏然后给利尿剂,我觉得不是很建议,反正我不太建议这样做,我建议针对呕吐腹泻也得对症治疗一下。 本身这个猫就不吃饭,然后给利尿剂,水流的特别多,然后他还腹泻,这种情况下会出现脱水的。

我打电话问了一下刚才宠物医院的医生,他说心室的厚度还没发展到严重的程度。现在要把肺水肿消除掉?1、您有什么好的方法去除肺水肿吗?2、猫咪三天前呕吐腹泻,但是这几天几乎没怎么吃东西,就每天一两根猫条,所以肚子没东西,这两天没有腹泻呕吐现象。3、针对现在的情况,您有什么好的治疗建议吗?

曹元钊

执业兽医师

第一我建议会给一点抗炎的药物,第二我建议会给一些抗生素,第三呢,除了***就是除了利尿剂以外,我建议低剂量的输一些液 然后在这个基础之上强行喂食,一旦能恢复到正常食欲的50%,接下来就是回家口服药的事儿,前期一定要尽快纠正食欲。 雾化我觉得没必要。

抗炎和抗生素您能推荐一款药物吗?还有您说的回家口服药是哪一种?

曹元钊

执业兽医师

我建议的方案是这样的,配合这个***,用***,一天一次,每次半片口服,10天。 ***龙一天两次,每次一片口服10天抗感染抗炎,并且用***龙来鼓励食欲,因为不能输液的情况下,他在用利尿剂务必要强行的加速的让他吃东西,然后使用****,一天两次,每次半片,口服14天保护胃黏膜。

谢谢您的方案。想咨询一下,您怎么判断他是肺部炎症?是通过片子还是化验指标,还是症状分析判断的?

曹元钊

执业兽医师

我是通过片子来进行诊断的。因为他们超声没有给报告,不能肯定是真正的肥厚性心肌病的话,我不太认为一种前期的心脏问题会导致肺部的液体量这么多,所以我会认为肺部炎症。

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陈奕达

执业兽医师

您好家长,您的问题我已经看到,我需要15分钟左右的时间进行分析,并编辑文字回复您的问题。 非常理解您焦急的心情。但是由于只能打字回复,回复可能会慢一些,请您见谅。如有疑问(或者有其它的有关疾病信息,以及您有什么样的要求)可以统一发过来,我会仔细阅读,然后一一回复,这样不会浪费您的问诊次数。 (您只有6次问诊机会,所以请勿回复此条消息,以免浪费您的追问机会)请您注意一下问诊规则,感谢您的配合,谢谢。

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于博

执业兽医师

医生您好,我家小猫27号发生呕吐未消化猫粮一次,吐食后食欲不振,29号去医院拿了点益生菌,但是回来后小猫还是基本不吃,猫粮也换了它以前的型号,但是他很排斥,换了罐头也不吃,闻一下就转头不看不闻了,水也喝的少,前天晚上回来后精神还挺好,前天大小便正常,这两天没怎么吃东西,大便没有,小便一天一次,因为没吃东西,精神没以前活泼,但逗它还是有相应动作。我今天买了点猫条喂它,反复试了几次,只舔食了不到一条就不吃了。我们自己也在排查原因,一周前家里买过鲜花,里面有雏菊,后来这个情况后,就把鲜花扔掉了。这种情况您分析下可能啥原因?

猫咪吐毛球后不吃猫粮和罐头

丁贵强

执业兽医师

很高兴它把毛球能吐出来,现在我们要做的就是少量多餐的去给它吃东西,吃东西的时候给吃东西的时候给他添加一点益生菌,这样可以帮助他菌群回复,能够让她更快的好起来,如果他还是要去给他再吃,如果她吃到拉肚子了,就可以停了,停止用乳果糖之后,加强益生菌每天都吃。差不多一周左右就可以了。

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于博

执业兽医师

你好,家中猫咪26个月大。三天前突然开始厌食症状,具体如下:第一天吃不下猫粮,但是可以吃少许猫条和冻干,更换猫粮后吃了几颗猫粮;第二天吃不下新旧猫粮,也吃不下冻干,只食入少许猫条;第三天吃不下猫粮冻干,之前最爱吃的零食猫饼干也不吃了,食物递给他吃后,会咬碎放在地上而不食入。 排泄状况:两天没有排大便,但是小便正常 精神状况:和平时没有差异,尤其前两天还是非常粘人,今天因为不吃东西被我爸骂了才表现的有点安静。每天呆在家不见外人,环境没有重大变动,应该不会是外界应激。 已经绝育近一年半,也不太会是发情引起。 咬碎食物而不摄入,担心是消化呼吸系统问题。请医生看看之前有没有类似案例,明天打算线下就医。

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文茂桂

执业兽医师

您好,感谢您对蘑菇宠医的信任!问题我已经看到,正在进行分析,并编辑文字回复您的问题,分析及编辑文字需要占用一些时间,请您耐心等待。请勿回复此条消息,以免浪费您的追问机会。

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