三个月猫咪软便腹泻 但精神状态良好

{"561461":{"id":561461,"case_id":62384,"user_id":1000287,"to_user_id":2435447,"type":3,"content":"您好，首先根据您的描述来看，我怀疑猫咪出现的症状有两个可能性，第一个可能性是结肠炎，这是很多肉食动物都会出现的疾病，主要表现症状就是软便或者腹泻，第二个可能性是肠道寄生虫感染，比如说像滴虫，球虫的感染也会造成这种症状。至于他究竟是哪一种情况引起的，我建议最好去医院做个便检查一下，然后再去讨论后续的治疗。\n如果由于各种原因没有办法及时带他去医院，通过进一步临床检查来确诊病因，那么我认为即便是尝试治疗，我们也应该按照结肠炎的治疗措施进行。\n那么如果按照结肠炎的治疗措施，我个人的建议如下","media":{"images":{},"videos":{},"business_params":{"prescription_id":156443}},"is_doctor":1,"status":1,"created_at":"2023-10-23 11:04:10","show_rx":true,"rx_info":{"id":156443,"rx_no":2.02310231104075e+24,"user_id":2435447,"doctor_user_id":1000287,"is_independent":0,"case_id":3185199,"pet_info":{"pet_id":411518,"pet_name":"英国短毛猫","pet_nickname":"芋头","pet_gender":1,"pet_birth":"0-3","pet_weight":1,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3个月"},"diagnose":"拟结肠炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-23 11:04:07","updated_at":"2023-10-23 11:04:10","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":123125,"prescription_id":156443,"doctor_user_id":1000287,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-23 11:04:07","updated_at":"2023-10-23 11:04:07","product_info":{"id":729,"hash_id":"7REJ0W4AonxPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":48,"sell_point":"强力止泻片复方碱式碳酸铋片","title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于病毒、细菌、寄生虫感染或消化不良引起的腹泻","1":"用于过食或长期滥用抗生素引发的肠炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,肠粘膜损伤,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"24片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/bf9f6c5b7d104441aa5a64b578d4e39f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":82,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-15 09:32:02","ins":{"id":48,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方碱式碳酸铋片","trade_name":"强力止泻片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/40f91a1c7789d0bf9804554cf7822bc4.JPG","specification":"0.5g×8片×3板\/盒","reference_price":220,"component":"碱式碳酸铋、高岭土、活性炭、果胶、碳酸钙","indication":"用于病毒、细菌、寄生虫感染或消化不良、食物变质等原因引起的腹泻及肠粘膜损伤的修复，以及过食或长期滥用抗生素引发的肠炎。","usage_dosage":"10kg\/片，每日1-2次，3-5天为一个疗程。","contraindication":"","adverse_reaction":"用药后会短暂出现粪便变黑（碱式碳酸铋和硫化氢结合物是硫化铋，黑色，并非消化道出血），使用过久可能有便秘等情况。","attention":"","interaction":"","approval_no":"兽药字（2016）020161563","storage_method":"常温，避光，密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:34:53","updated_at":"2020-11-04 18:34:53"}},"product_sku_info":{"id":771,"product_id":729,"title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":87,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-19 23:47:34"}},"1":{"id":123126,"prescription_id":156443,"doctor_user_id":1000287,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-23 11:04:07","updated_at":"2023-10-23 11:04:07","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}},"drug_data_bak":{"0":{"id":123125,"prescription_id":156443,"doctor_user_id":1000287,"product_id":729,"product_sku_id":771,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2023-10-23 11:04:07","updated_at":"2023-10-23 11:04:07","product_info":{"id":729,"hash_id":"7REJ0W4AonxPBVAK","class_ids":{"0":1,"1":2},"category_ids":{"31":190},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":48,"sell_point":"强力止泻片复方碱式碳酸铋片","title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","recommend_reason":{"0":"用于病毒、细菌、寄生虫感染或消化不良引起的腹泻","1":"用于过食或长期滥用抗生素引发的肠炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,肠粘膜损伤,肠炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"24片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/bf9f6c5b7d104441aa5a64b578d4e39f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":82,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-15 09:32:02","ins":{"id":48,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方碱式碳酸铋片","trade_name":"强力止泻片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/40f91a1c7789d0bf9804554cf7822bc4.JPG","specification":"0.5g×8片×3板\/盒","reference_price":220,"component":"碱式碳酸铋、高岭土、活性炭、果胶、碳酸钙","indication":"用于病毒、细菌、寄生虫感染或消化不良、食物变质等原因引起的腹泻及肠粘膜损伤的修复，以及过食或长期滥用抗生素引发的肠炎。","usage_dosage":"10kg\/片，每日1-2次，3-5天为一个疗程。","contraindication":"","adverse_reaction":"用药后会短暂出现粪便变黑（碱式碳酸铋和硫化氢结合物是硫化铋，黑色，并非消化道出血），使用过久可能有便秘等情况。","attention":"","interaction":"","approval_no":"兽药字（2016）020161563","storage_method":"常温，避光，密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:34:53","updated_at":"2020-11-04 18:34:53"}},"product_sku_info":{"id":771,"product_id":729,"title":"保灵强力止泻片 复方碱式碳酸铋片 0.5g×8片×3板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"24片盒装"}},"cover":null,"thumb":"","sale_count":87,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:35:11","updated_at":"2024-11-19 23:47:34"}},"1":{"id":123126,"prescription_id":156443,"doctor_user_id":1000287,"product_id":712,"product_sku_id":755,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-23 11:04:07","updated_at":"2023-10-23 11:04:07","product_info":{"id":712,"hash_id":"VjX39W4z2B4Q0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":3,"sell_point":"速诺（阿莫西林克拉维酸钾片）50mg","title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26f5438f35ed21efc2894dffea9f399f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":1718,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 13:36:29","ins":{"id":3,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/46c3ccae52804b92b0e341800e809e95.JPG","specification":"50mg×10片×10板\/盒","reference_price":800,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬猫由敏感细菌引起的各种感染，及治疗犬猫革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染，如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染，如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染，如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次，连用5-7天。每次用量如下：\n体重1-2kg，吃半粒； \n体重3-5kg，吃1粒； \n体重6-9kg，吃2粒；\n体重10-13kg，吃3粒;\n体重14-18kg，吃4粒；\n体重≥19kg，请购买同品250mg规格的产品。\n\n注：一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}}}}}}