咨询描述:患病时长:一周
医院检查:B超检查肠胃,胰腺,胆囊外观无异常
症状描述:今日早晨便便3次,前2次正常第3次拉稀,上午吐黄水,精神状态正常,昨天后半夜听到狗狗肚子里咕咕噜噜声音,近一天未出现伸懒腰,伸脖子等肚子疼症状。
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,如果说它的超声检查结果显示胰腺胆囊没有问题,那它这个一定就是一个慢性的胃肠炎,急性发作。请把他的超声报告发给我看一下,我需要确定一下。
B超是在医院直接看的没有纸质报告,这里用的不是彩超机是普通B超,需要做彩超再看一下吗?B超是昨天中午做的,今天早晨出现的拉稀,上午呕吐症状。狗狗自从去年11月做过肠胃异物手术之后经常消化不良,这里医生提异做钡餐检查,需要做吗?
曹元钊
执业兽医师
我个人觉得没必要做钡餐,或者起码不是优先项。超声的话如果没有报告,可以考虑再做一个或者是直接当成急性胃肠炎对症治疗也行,这个宝宝之前做过肠胃异物手术,那么之后出现消化不良的后遗症,或者说是一些慢性胃肠炎是非常有可能的。
今天出现呕吐和拉稀是不是也属于肠胃炎,前两天您开的药今天到了可以吃吗?
曹元钊
执业兽医师
是的,从症状上来看是属于肠胃炎,可以吃我之前开的药我没有问题,加上你自己的********钾。
另外呢,如果后面一直有腹泻,那么也得给点益生菌和止泻药。
因为他一直有排便,所以异物梗阻的可能性我觉得很低,几乎不太考虑。而且之前拍片子也确定没有异物。
我之前在这个平台上有医生开了这种益生菌,我家狗狗吃了之后会拉肚子,怎样给他调理肠胃呢
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
这两个药你也作为考虑 ****铋一天两次,每次半片,口服7天是止泻的,益生菌一天两次,每次一袋,口服7天是用来调节肠道菌群。益生菌和**隔开两个小时
好的谢谢医生。狗狗没有生病之前喂食狗狗红薯和玉米,狗狗特别爱吃,因为之前一直会有软便,吃红薯就正常了,是不是因为喂食多了肠胃负担重了才有的炎症。这段时间特别爱吃东西,饥饿感比较强。
曹元钊
执业兽医师
这种情况是有可能的。因为喂食对肠道来说呢,尤其是短时间吃特别东西,对肠道的负担有可能会比较重,所以少吃多餐,配合药物是比较合适的
另外呢,用上药物一定要注意观察,如果2~3天不能见到好转,就得赶紧积极的超声或者其他的打针或者输液。
好的,我家里有大瓶的***益生菌,之前用了狗狗也是拉软便,后来就没有用了,我先用上次这个药观察两天看看
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
{"562453":{"id":562453,"case_id":62538,"user_id":1048813,"to_user_id":2194284,"type":3,"content":"这两个药你也作为考虑 ****铋一天两次,每次半片,口服7天是止泻的,益生菌一天两次,每次一袋,口服7天是用来调节肠道菌群。益生菌和**隔开两个小时","media":{"images":{},"videos":{},"business_params":{"prescription_id":156143}},"is_doctor":1,"status":1,"created_at":"2023-10-20 13:43:47","show_rx":true,"rx_info":{"id":156143,"rx_no":2.02310201343105e+24,"user_id":2194284,"doctor_user_id":1048813,"is_independent":0,"case_id":3183589,"pet_info":{"pet_id":343152,"pet_name":"泰迪","pet_nickname":"宝宝","pet_gender":3,"pet_birth":"6-1","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6岁1个月"},"diagnose":"拟胃肠炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2023-10-20 13:43:10","updated_at":"2023-10-28 02:35:36","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":122451,"prescription_id":156143,"doctor_user_id":1048813,"product_id":1064,"product_sku_id":1119,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-20 13:43:10","updated_at":"2023-10-20 13:43:10","product_info":{"id":1064,"hash_id":"R0LPkmpM2b43bVXD","class_ids":{"0":1,"1":2},"category_ids":{"0":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":270,"sell_point":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","recommend_reason":{"0":"1.收敛止泻,保护胃肠道黏膜;","1":"2.用于犬猫胃肠道感染造成的腹泻症状。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,软便.呕吐.吐黄水.水样便.便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5gx4片\/板x2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/697104b3482b1c3c893677f5d18d1ae6.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":29.9,"max_price":29.9,"sale_count":97,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:44:03","ins":{"id":270,"hash_id":"ZXn76zg9ZZx9boBN","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","common_name":"碱式碳酸铋片","trade_name":"新宠之康碱式碳酸铋片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"新宠之康","is_prescription":0,"cover":"\/drug\/2023\/06\/828e7013e471b9c9075f57c50e10658c.jpg","specification":"0.5gx4片\/板x2板\/盒","reference_price":29.9,"component":"碱式碳酸铋片","indication":"1.收敛止泻,保护胃肠道黏膜;\n2.用于犬猫胃肠道感染造成的腹泻症状。","usage_dosage":"犬、猫,每1kg体重用药0.2g,一日2次,连用3-7日。或遵医嘱\n每次最多不超过4片,症状缓解可减少喂药量。","contraindication":"","adverse_reaction":"","attention":"1.本品不经过血液循环,未出现不良反应,\n2.个别会出现便秘情况,停药即可恢复。根据病情轻重,体重大小选择剂量,建议一次量不超过4片。","interaction":"","approval_no":"兽药字221451563","storage_method":"遮光、密封,在凉暗处保存","validity":"2年","manufacturer":"四川德成动物保健品有限公司","status":1,"created_at":"2023-06-12 14:50:18","updated_at":"2023-06-12 14:50:18"}},"product_sku_info":{"id":1119,"product_id":1064,"title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","advword":null,"price":29.9,"market_price":39.9,"cost_price":15,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5gx4片\/板x2板\/盒"}},"cover":null,"thumb":"","sale_count":103,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:42:26"}},"1":{"id":122452,"prescription_id":156143,"doctor_user_id":1048813,"product_id":928,"product_sku_id":969,"dose":1,"dose_unit":"袋","use_method":"口服","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2023-10-20 13:43:10","updated_at":"2023-10-20 13:43:10","product_info":{"id":928,"hash_id":"VNA3DJxLZa4MGaOw","class_ids":{"0":1},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":232,"sell_point":"麦德氏犬用双专利益生菌","title":"麦德氏 in-plus犬用益生菌 30g\/盒","recommend_reason":{"0":"调理肠胃,建立肠道菌群平衡","1":"解决腹泻问题,增强食欲"},"baike_guide_text":"","baike_article_hash_id":"","advword":"","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"6小袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/f344e319690b873962e97ee6d24109ec.png","images":{},"attr_data":{"0":{"title":null,"intro":null}},"content":"","supplier_id":1,"transport_id":1,"min_price":45,"max_price":45,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-07-01 14:45:33","updated_at":"2024-11-08 09:22:05","ins":{"id":232,"hash_id":"OM86mE42MopZbrz2","class_ids":"[\u00221\u0022]","title":"麦德氏IN-Kat系列 犬用双专利益生菌 24g\/盒","common_name":"宠物营养补充剂","trade_name":"犬双专利益生菌","en_name":"DIGESTIVE SUPPORT","brand_name":"麦德氏","is_prescription":0,"cover":"\/drug\/2022\/07\/ca8e1e1614aa8837b7cf86f2c4667366.jpeg","specification":"5g×6袋\/盒","reference_price":45,"component":"酿酒酵母、乳酸片球菌、植物乳杆菌、枯草芽孢杆菌、嗜酸乳杆菌、动物双歧杆菌、蛋白酶、淀粉酶、甘露寡糖(2%)、果寡糖(1%)、dl-a-生育酚乙酸酯(维生素)、维生素B1、维生素B2、烟酰胺、D-泛酸钙、维生素B6、维生素B12、D-生物素、叶酸、维生素D3、维生素A乙酸酯、脂肪酶、谷氨酰胺","indication":"调理肠胃,建立肠道菌群平衡。解决长期肠胃不适,较严重的肠胃问题,增强食欲。","usage_dosage":"1.可混合于饲粮或罐头中给予,并请适当搅拌,使粉体均匀黏附在食物表面,以确保爱犬完全摄取,为保证产品效果,请尽早食用完毕。\n2.亦可溶解于37°C以下饮水中给予。","contraindication":"","adverse_reaction":"","attention":"若使用后症状继续,需要及时联系宠物医师。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"24个月","manufacturer":"美国 ALC INovators, lnc.","status":1,"created_at":"2022-07-01 14:41:13","updated_at":"2022-07-01 14:41:13"}},"product_sku_info":{"id":969,"product_id":928,"title":"麦德氏 in-plus犬用益生菌 30g\/盒","advword":null,"price":45,"market_price":55,"cost_price":0,"stock":944,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"6小袋盒装"}},"cover":null,"thumb":"","sale_count":106,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-07-01 14:45:33","updated_at":"2024-11-08 07:33:36"}}},"drug_data_bak":{"0":{"id":122451,"prescription_id":156143,"doctor_user_id":1048813,"product_id":1064,"product_sku_id":1119,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-10-20 13:43:10","updated_at":"2023-10-20 13:43:10","product_info":{"id":1064,"hash_id":"R0LPkmpM2b43bVXD","class_ids":{"0":1,"1":2},"category_ids":{"0":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":270,"sell_point":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","recommend_reason":{"0":"1.收敛止泻,保护胃肠道黏膜;","1":"2.用于犬猫胃肠道感染造成的腹泻症状。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,软便.呕吐.吐黄水.水样便.便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5gx4片\/板x2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/697104b3482b1c3c893677f5d18d1ae6.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":29.9,"max_price":29.9,"sale_count":97,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:44:03","ins":{"id":270,"hash_id":"ZXn76zg9ZZx9boBN","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","common_name":"碱式碳酸铋片","trade_name":"新宠之康碱式碳酸铋片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"新宠之康","is_prescription":0,"cover":"\/drug\/2023\/06\/828e7013e471b9c9075f57c50e10658c.jpg","specification":"0.5gx4片\/板x2板\/盒","reference_price":29.9,"component":"碱式碳酸铋片","indication":"1.收敛止泻,保护胃肠道黏膜;\n2.用于犬猫胃肠道感染造成的腹泻症状。","usage_dosage":"犬、猫,每1kg体重用药0.2g,一日2次,连用3-7日。或遵医嘱\n每次最多不超过4片,症状缓解可减少喂药量。","contraindication":"","adverse_reaction":"","attention":"1.本品不经过血液循环,未出现不良反应,\n2.个别会出现便秘情况,停药即可恢复。根据病情轻重,体重大小选择剂量,建议一次量不超过4片。","interaction":"","approval_no":"兽药字221451563","storage_method":"遮光、密封,在凉暗处保存","validity":"2年","manufacturer":"四川德成动物保健品有限公司","status":1,"created_at":"2023-06-12 14:50:18","updated_at":"2023-06-12 14:50:18"}},"product_sku_info":{"id":1119,"product_id":1064,"title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","advword":null,"price":29.9,"market_price":39.9,"cost_price":15,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5gx4片\/板x2板\/盒"}},"cover":null,"thumb":"","sale_count":103,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:42:26"}},"1":{"id":122452,"prescription_id":156143,"doctor_user_id":1048813,"product_id":928,"product_sku_id":969,"dose":1,"dose_unit":"袋","use_method":"口服","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2023-10-20 13:43:10","updated_at":"2023-10-20 13:43:10","product_info":{"id":928,"hash_id":"VNA3DJxLZa4MGaOw","class_ids":{"0":1},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":232,"sell_point":"麦德氏犬用双专利益生菌","title":"麦德氏 in-plus犬用益生菌 30g\/盒","recommend_reason":{"0":"调理肠胃,建立肠道菌群平衡","1":"解决腹泻问题,增强食欲"},"baike_guide_text":"","baike_article_hash_id":"","advword":"","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"6小袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/f344e319690b873962e97ee6d24109ec.png","images":{},"attr_data":{"0":{"title":null,"intro":null}},"content":"","supplier_id":1,"transport_id":1,"min_price":45,"max_price":45,"sale_count":103,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-07-01 14:45:33","updated_at":"2024-11-08 09:22:05","ins":{"id":232,"hash_id":"OM86mE42MopZbrz2","class_ids":"[\u00221\u0022]","title":"麦德氏IN-Kat系列 犬用双专利益生菌 24g\/盒","common_name":"宠物营养补充剂","trade_name":"犬双专利益生菌","en_name":"DIGESTIVE SUPPORT","brand_name":"麦德氏","is_prescription":0,"cover":"\/drug\/2022\/07\/ca8e1e1614aa8837b7cf86f2c4667366.jpeg","specification":"5g×6袋\/盒","reference_price":45,"component":"酿酒酵母、乳酸片球菌、植物乳杆菌、枯草芽孢杆菌、嗜酸乳杆菌、动物双歧杆菌、蛋白酶、淀粉酶、甘露寡糖(2%)、果寡糖(1%)、dl-a-生育酚乙酸酯(维生素)、维生素B1、维生素B2、烟酰胺、D-泛酸钙、维生素B6、维生素B12、D-生物素、叶酸、维生素D3、维生素A乙酸酯、脂肪酶、谷氨酰胺","indication":"调理肠胃,建立肠道菌群平衡。解决长期肠胃不适,较严重的肠胃问题,增强食欲。","usage_dosage":"1.可混合于饲粮或罐头中给予,并请适当搅拌,使粉体均匀黏附在食物表面,以确保爱犬完全摄取,为保证产品效果,请尽早食用完毕。\n2.亦可溶解于37°C以下饮水中给予。","contraindication":"","adverse_reaction":"","attention":"若使用后症状继续,需要及时联系宠物医师。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"24个月","manufacturer":"美国 ALC INovators, lnc.","status":1,"created_at":"2022-07-01 14:41:13","updated_at":"2022-07-01 14:41:13"}},"product_sku_info":{"id":969,"product_id":928,"title":"麦德氏 in-plus犬用益生菌 30g\/盒","advword":null,"price":45,"market_price":55,"cost_price":0,"stock":944,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"6小袋盒装"}},"cover":null,"thumb":"","sale_count":106,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-07-01 14:45:33","updated_at":"2024-11-08 07:33:36"}}}}}}
微信扫一扫
立即问宠医