咨询描述:您好!我的狗狗是一只骑士比熊,身体一直很好。大前天晚上吃了牛喉管(我感觉是太油了,上面有很多淋巴),第二天中午除了狗粮以外吃了一些Topper(鸡胸肉,豆子),晚上吃了羊奶拌狗粮,之后啃了半截生菜。下午她拉屎的时候最后一小节就有一点点软便。晚上拉屎的时候直接就是软便了,黄色,但是能看得到形状。睡觉之后当天凌晨五点开始反复呕吐(黄色,后来有白沫),拉稀(黄色)。下午观察了之后呕吐和拉稀间隔时间大概是三个小时一次,晚上精神就恢复了一些。第二天早上7点呕吐了一次黄水,一直到现在就没有呕吐了。拉稀的次数也减少,只拉了两次。因此昨天就喂食了少量的鸡胸肉拌米饭。但就在刚才狗狗突然不舒服,拉了草莓酱一样的黑色的稀,然后精神突然就不怎么好了,还叫了两声。但是这期间没有呕吐。我应该送去急诊吗?还是再接着观察一下?
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
考虑出血胃肠炎,不排除有胰腺炎
1.如果状态不好建议去看急诊
2.如果状态还可以可以明天早上去医院检查一下
3.目前建议禁食禁水4-6小时可以口服少量葡萄糖
4.之前是否有胰腺炎病史?
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
没有胰腺炎病史。这是刚才5分钟内吐的和拉的照片。最后一张是她这两天的情况。
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
黑色粪便考虑肠道前段出血可能性比较大,如果状态不好最好去看急诊同时输液治疗,目前考虑胰腺炎可能性比较大,胰腺炎疼痛明显。需要注射止痛针,同时呕吐排稀便会导致脱水离子紊乱
今天医院都不开门怎么办?可以喂一点益生菌给她吗?如果状态好一点之后可以吃东西吗?
孙厚福
执业兽医师
如果没有开门可以先口服益生菌和****调理一下,目前不建议吃东西,之后可以口服葡萄糖和***预防低血糖和脱水,明天早上建议去医院检查一下
孙厚福
执业兽医师
之后好转后可以吃药调理一下
家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1**早晚各一次
2.****早晚各一次
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
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
{"558773":{"id":558773,"case_id":62096,"user_id":1321141,"to_user_id":2434718,"type":3,"content":"之后好转后可以吃药调理一下\n家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。\n1**早晚各一次\n2.****早晚各一次\n你可以点击查看详情按钮,进入处方页面查看药物使用说明。","media":{"images":{},"videos":{},"business_params":{"prescription_id":156321}},"is_doctor":1,"status":1,"created_at":"2023-10-22 02:53:22","show_rx":true,"rx_info":{"id":156321,"rx_no":2.0231022025224501e+24,"user_id":2434718,"doctor_user_id":1321141,"is_independent":0,"case_id":3184555,"pet_info":{"pet_id":411239,"pet_name":"比熊","pet_nickname":"Suzie","pet_gender":2,"pet_birth":"1-4","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁4个月"},"diagnose":"出血胃肠炎不排除胰腺炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-22 02:52:24","updated_at":"2023-10-22 02:53:22","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":122870,"prescription_id":156321,"doctor_user_id":1321141,"product_id":944,"product_sku_id":997,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-22 02:52:24","updated_at":"2023-10-22 02:52:24","product_info":{"id":944,"hash_id":"V9we7N4JqwpPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":233,"sell_point":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","recommend_reason":{"0":"独特添加胃蛋白酶;","1":"改善因胰腺外分泌不足引起的食欲不振,消化不良的宠物;","2":"帮助胰腺炎恢复期消化酶分泌不足的宠物;"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺炎,食欲不振,消化不良,呕吐,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.17g*100粒\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/08\/178371dd981550db6ec3476b0ad8778f.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":29,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-22 08:55:27","ins":{"id":233,"hash_id":"Ldvaqr4ea846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","common_name":"宠物营养补充剂","trade_name":"胰宝SIDE","en_name":"STOMACH INTESTINE DELIVERY ENZYME","brand_name":"宠儿香","is_prescription":1,"cover":"\/drug\/2022\/07\/095b778081bc3ee01005766f8f5473cc.png","specification":"0.17g*100粒\/瓶","reference_price":468,"component":"糊精、胰蛋白酶、胃蛋白酶、脂肪酶、淀粉酶、硫酸锰、维生素B6","indication":"1.因患胰腺外分泌不足而引起的食欲不振,消化不良的宠物;\n2.处于胰腺炎恢复期消化酶分泌不足的宠物;\n3.消化酶缺乏的老年犬宠物。","usage_dosage":"用法:同食物一起吞食;\n用量:体重小于5kg,每餐1粒;体重5-15kg,每餐2粒;体重大于15kg,每餐3粒。","contraindication":"本产品不得饲喂反刍动物。","adverse_reaction":"","attention":"本产品不得饲喂反刍动物。","interaction":"","approval_no":"京饲预(2018)08101","storage_method":"阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-07-20 18:26:08","updated_at":"2022-08-11 14:47:34"}},"product_sku_info":{"id":997,"product_id":944,"title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","advword":null,"price":298,"market_price":359,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.17g*100粒\/瓶"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-21 18:41:02"}},"1":{"id":122871,"prescription_id":156321,"doctor_user_id":1321141,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-22 02:52:24","updated_at":"2023-10-22 02:52:24","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}},"drug_data_bak":{"0":{"id":122870,"prescription_id":156321,"doctor_user_id":1321141,"product_id":944,"product_sku_id":997,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-10-22 02:52:24","updated_at":"2023-10-22 02:52:24","product_info":{"id":944,"hash_id":"V9we7N4JqwpPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"28":187},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":233,"sell_point":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","recommend_reason":{"0":"独特添加胃蛋白酶;","1":"改善因胰腺外分泌不足引起的食欲不振,消化不良的宠物;","2":"帮助胰腺炎恢复期消化酶分泌不足的宠物;"},"baike_guide_text":"","baike_article_hash_id":"","advword":"胰腺炎,食欲不振,消化不良,呕吐,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.17g*100粒\/瓶"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/08\/178371dd981550db6ec3476b0ad8778f.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":29,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-22 08:55:27","ins":{"id":233,"hash_id":"Ldvaqr4ea846De9l","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","common_name":"宠物营养补充剂","trade_name":"胰宝SIDE","en_name":"STOMACH INTESTINE DELIVERY ENZYME","brand_name":"宠儿香","is_prescription":1,"cover":"\/drug\/2022\/07\/095b778081bc3ee01005766f8f5473cc.png","specification":"0.17g*100粒\/瓶","reference_price":468,"component":"糊精、胰蛋白酶、胃蛋白酶、脂肪酶、淀粉酶、硫酸锰、维生素B6","indication":"1.因患胰腺外分泌不足而引起的食欲不振,消化不良的宠物;\n2.处于胰腺炎恢复期消化酶分泌不足的宠物;\n3.消化酶缺乏的老年犬宠物。","usage_dosage":"用法:同食物一起吞食;\n用量:体重小于5kg,每餐1粒;体重5-15kg,每餐2粒;体重大于15kg,每餐3粒。","contraindication":"本产品不得饲喂反刍动物。","adverse_reaction":"","attention":"本产品不得饲喂反刍动物。","interaction":"","approval_no":"京饲预(2018)08101","storage_method":"阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-07-20 18:26:08","updated_at":"2022-08-11 14:47:34"}},"product_sku_info":{"id":997,"product_id":944,"title":"宠儿香胰宝SIDE 0.17g*100粒\/瓶","advword":null,"price":298,"market_price":359,"cost_price":0,"stock":70,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.17g*100粒\/瓶"}},"cover":null,"thumb":"","sale_count":30,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-08-11 15:13:19","updated_at":"2024-10-21 18:41:02"}},"1":{"id":122871,"prescription_id":156321,"doctor_user_id":1321141,"product_id":726,"product_sku_id":768,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-22 02:52:24","updated_at":"2023-10-22 02:52:24","product_info":{"id":726,"hash_id":"ZXn76zg92bx9boBN","class_ids":{"0":1,"1":2,"2":3,"5":6},"category_ids":{"30":189},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":25,"sell_point":"米丁宁 西咪替丁片 0.1g","title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","recommend_reason":{"0":"用于治疗和预防胃、十二指肠溃疡及反流性食管炎","1":"用于化学刺激引起的糜烂性胃炎、应激性溃疡和上消化道出血","2":"降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"慢性胃炎,溃疡,便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.1g盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/f16a8ae34e3870e56b0d54252f62ee1a.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":256,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 09:54:57","ins":{"id":25,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022,\u00226\u0022]","title":"","common_name":"西咪替丁片","trade_name":"西替康","en_name":"Cimetidine Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/10\/b7a07a9ce5a0dd3d0787924c3a5744d6.PNG","specification":"0.1g×24片\/盒","reference_price":110,"component":"西咪替丁","indication":"1.用于治疗和预防胃、十二指肠溃疡及反流性食管炎。\n2.用于化学刺激引起的糜烂性胃炎。\n3.应激性溃疡和上消化道出血。\n4.降低IBD引起的肠道溃疡,有效防止IBD引起的肠道缩短。","usage_dosage":"内服:6~10kg的犬猫使用1\/2片,体重10~20kg的犬使用1片,一日3次。连用28日。","contraindication":"对该药过敏者禁用。","adverse_reaction":"1.可能引起性犬的乳房暂时性轻微肿胀或雄性犬乳房发育症。\n2.雄犬可能出现前列腺减重,该现象可逆并对生殖功能无影响。","attention":"1.本品仅用于对症治疗,建议出现持续性呕吐症状的犬猫在治疗前进行适当的检查以诊断病因。\n2.对于肾功能不全的犬,需适当调整给药剂量。\n3.本品未进行妊娠期和乳期靶动物的相关研究,应在执业兽医指导下进行妊娠期和哺乳期用药。\n4.本品可能与β受体拮抗剂、钙通道拮抗剂、苯二氮卓类、巴比妥类、苯妥英、茶碱、氨茶碱、华法林和利多卡因等药物产生临床相互作用,当含并用药时,应减低这些药物的使用剂量。\n5.本品可能引起胃酸升高导致药物吸收降低,需要借助酸性介质促进吸收。与氢氧化铝或氢氧化镁、甲氧氯普胺、地高辛和酮康唑的用药间隔至少为2小时。\n6.本品开封后.剩余药片应放在泡罩包装中避光保存。\n7.置儿至无法触及处。","interaction":"1.本品若与氢氧化铝、氧化镁等抗酸剂合用时,本品的吸收可能减少,故一般不提倡同用。\n2.本品与硝西泮(硝基安定)、地西泮(安定)、茶碱、普蔡洛尔(心得安)、苯妥英钠、阿司匹林等同用时。均可使这些药物的血药浓度升高,作用增强,出现不良反应,甚至是毒性反应,故本品不宜与这些药物共同使用。\n3.本品与氨基糖苷类抗生素如庆大霉素等同用时可能导致呼吸抑制或呼吸停止。","approval_no":"兽药字020167014","storage_method":"密封保存。","validity":"2年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-10-27 17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
微信扫一扫
立即问宠医