咨询描述：今天联系过您，小猫刚去做了超声波，医院没有这个抗体检测，医生说没有腹水，肝肾形态 血流正常。就是比前几天明显胖了，我估计现在应该是2.7到3.0千克之间。您说现在的炎症是不是来自于口炎呢？医生之前说口炎很严重。已经两年了没治好。不过最近认真喂****四维他，不流口水，能吃猫粮。刚才回家还吃了猫粮，正常量。现在每天吃两次饭后乐宠克磷，一次台湾**，一次维霖宠物肝**复水，内含利尿的蒲公英 水飞蓟和c3姜黄素，两次avast**，一次以色列进口bcm95姜黄素200毫克。姜黄素目的是消炎。它就是前一段时间一到医院输液，就回家吃东西，不输液就感觉吃得比较少，不知道是不是因为在家没看到的时候自己吃的。另外它长期喝水困难，最近有所缓解，我现在每次看到它喝水困难就喂它15毫升水。喝水时有磨牙声，医生说是口炎导致的。附三张近期报告和一张14号的生化。
问题大致一样，细节不同？
曹元钊
执业兽医师
你好，抗核抗体这项测试如果医院自己做不了的话，是可以送到第三方实验室去做的，需要联系第三方实验室。
如果医生说超声没有腹水，那么有没有办法做抗核抗体的话，针对他目前的情况，我其实认为它是有一个炎症反应，可能是口炎，也可能是其他的器官。但是用的药里面就不能光是什么渗透安肾这些营养药了。
我建议你真正给他吃点药物进行一下，对症治疗看看，有一点冒险，但是我觉得可以考虑。如果你需要，我可以提供一个方案给你试试。
曹元钊
执业兽医师
建议方案如下。
**一天一次，每次一片，口服10天 ***龙一天两次，每次半片，口服14天，保肝药一天一次，每次一片，口服一个月10~14天之后要复诊一下，调整用药。
**有从医院开，也是这个用量，8月份有病时吃过，这次前几天是我主动问医生开的，但回家后又担心对肾脏有不良影响，所以最近几天没敢给它吃，希望能用姜黄素消炎，***龙医院的医生之前也建议用，但她当时是担心对刚输入的干细胞有不好的影响，也没给开，最后那个药没见过，我问问医院有没有，没有的话再上网买。
不知您是否了解姜黄素和干细胞，我现在就是希望她能维持住在家吃药正常生活，不要再去输液了，太贵。如果有必要可以再输一次干细胞。
曹元钊
执业兽医师
您好，您所说的这种姜红素和干细胞，其实只是属于辅助用药，干细胞疗法这种一对一些口炎之类的病变是有帮助的。但是如果指望这个输一次，然后彻底解决他的问题，这个是不可能的。
如果不能做进一步的化验，像是***这种我是不敢给你开的，也不敢建议你，所以我会建议你先用这两种试试。
曹元钊
执业兽医师
我觉得这个问题它就是有一个炎症，没有找到病因，真正的慢性肾衰竭是绝不可能这么容易的，输两天液就好的，这也太看不起肾衰这个病了。
现在我就怕这个肾衰，现在看它的肌酐指标正常，尿素氮高一些，您判断不太可能是慢性肾衰是吗？要是炎症可能还不至于严重威胁寿命，假定是口炎引起的，对症治疗是不是就应该有好转？但是口炎怎样才能根治呢？总吃抗生素和激素吗？您说肌酐指标降下来是因为输了很多液体吗？测之前输液一星期，每天都是230毫升，34毫升每小时。
曹元钊
执业兽医师
我判断这个不太可能是慢性肾衰。如果是口炎引发的，像这种对症治疗就应该有好转，如果我们发现了好转，接下来要彻底评估一下他剩余的肾脏功能，然后考虑能不能拔牙，如果不能我们再长期用别的药物来控制，但是可能不能痊愈。
他的肌酐降下来肯定跟之前的用药输液是有关系的，但是绝对不是真正的肾衰，肌酐的上升证明他当时的肾脏的代谢是有异常的，可是不能据此来去判断，他真的是肾衰。除非是年纪比较大，肾脏的形态异常，然后尿液的尿比重比较低，然后我们再根据对症治疗以后不见好转，这些整体加起来，我们才能判断是慢性肾衰竭。
好的，谢谢医生的专业解答，最后一次提问机会我想多问一些问题，**和***龙长期服用对肝脏和肾脏有什么不良影响吗？服用一星期对它目前这个状态应该没什么事吧，进一步的检测您是指的抗单核抗体检测吗？我这里比较落后，其它医院估计是也没有，这个检测能够判断什么呢？14日检测磷也很高，但最近一次没做大生化，不知道磷的状况。有医生说**会升尿素氮，所以我目前只敢一天一次，是这样吗？
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
你好，这两个药肯定是不能够长期使用的，但是像现在的这个阶段，口服上10天不会有任何问题，但是10天之后你得再做一个血检，起码做个血常规，你看一下白细胞。
进一步的检查指的就是抗核抗体检测，而且说实话像腹部超声，这个必须给报告，没报告我没法看的。而且超声这个非常个体化，有的医生放在面前也看不出来。抗核抗体的话呢，是看这个有没有一些自体免疫性疾病的可能
**应该不会导致尿素氮升高，它只是个普通的营养剂。
除非用的实际成分不是什么阿尔法酮***酸之类的，用的成分是一些****之类的才有可能。
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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