咨询描述:我想问下喔
猫咪前段时间肠胃炎,不知道是不是吃消炎药导致的肠胃功能混乱(是9月20号出头得了急性肾衰,治疗好了,去复查急性肾衰,肾好了,但是体内有炎症。然后吃了一礼拜** ** 中间还吃了一次**环素因为吐没吃了。去复查炎症,200降到了50)
然后因为肠胃炎(一吃东西就吐+软便)去打了4天点滴,调理肠胃+消炎+其中一天打了止吐针,然后肠胃炎好了。做b超发现淋巴结肿大(胃旁边,脾脏旁边,和回盲瓣附近)打了3天激素1.5降到了1.2 ,现在查又有一点贫血,以您的专业~能帮忙分析分析这其中有啥关联吗?激素还要打下去吗?(医生建议打一礼拜+口服药看状况才知道吃多久)现在正在吃肠道处方粮适合吗?贫血需要补血吗?
猫咪现在正常吃喝 拉屎尿尿也正常 精神也很好
问题大致一样,细节不同?
徐灿
执业兽医师
你好,之前你提到了他有肾衰竭的情况,那能不能给我看一下他的生化结果?因为有些时候当不吃不喝或者饮食量比较少的时候,肾脏的指标就有可能会提高,这个并不一定是肾衰竭,我需要看一下他之前所有的化验结果,并知道历史时间。
根据你的描述来看,实际上综合考虑更接近它是由于感染引起的问题,而肾脏等指标异常,更多考虑的还是波及性的,这种情况我需要看一下他现在的状态,以及之前的化验结果做综合考虑。
激素的使用,确实会造成血常规之中一些数值的改变,但是我需要看一下更多的情况。还有就是能不能拍一段现在猫咪的视频?
至于处方粮的话,个人认为它的原发性原因不是肠胃炎,更多考虑的是感染,而肠胃症状比如呕吐,腹泻更多的还是继发性的。
贫血方面,结合长时间用药以及食欲降低等情况,更多考虑营养性贫血,就是长时间没有正常的食物摄入,从而造成的贫血。
我目前有9.21做生化结果确诊肾衰的,然后在医院打了一礼拜点滴,大约是9.27康复了。然后10.7去复查肾是好的,但是生化报告我没拍。10.18去复查肾也是好的,这次是只针对肾做了检测。我发您
徐灿
执业兽医师
可以的,没问题,仅仅现有信息来说,他之前并没有尿路闭塞,也没有其他异常,那么,结核比较高的炎性反应,更多考虑可能是由于感染问题造成的状态下滑,饮水量比较少,代谢紊乱,从而导致肾脏指标提高,但是这些都是可以通过输液和大量补液进行处置的。
我现在需要看一下猫咪的视频,确认一下状态,还有临床症状。当然最好还是有之前的测试结果。
猫瘟 四大病毒 白血病 艾滋病 都检测了 并且这期间猫瘟检测了好几次
徐灿
执业兽医师
可以的,没问题,看上去状态还是不错的,综合你所有的描述和历史来看,还有化验结果。
那么大概梳理一下,考虑是由于炎症的问题,造成了不吃不喝,或者是饮水量比较少,引起了肾脏的指标比较高。因为炎性数值很高,有感染问题,那么确实会出现肠胃症状,比如呕吐或腹泻,有食欲减少。但是后续使用了抗生素,比如**之类的,再有就是提供了输液补液,缓解了他体内水分较少和脱水的问题。所以最终得到了解决,并且使用激素压制了高炎症,以及淋巴增生过度的问题。
因为高炎症期间也就是患病期间,他吃东西特别少,或者基本上不吃,那么就会造成营养性贫血,就是没有营养来源,造成了红细胞减少,一般的正常采食之后就可以恢复。
至于吃东西和用药,食物方面,他并不是由于肠胃原因引起的,所以肠胃处方良意义不大,肠胃症状只是继发性原因。
而对于贫血,如果经济能力允许的话,可以使用一些药物进行口服处置,顺带使用一些提高其免疫能力的药物,我帮你开了个方案,后续的话你也可以坚持用药。重点是看一下后续的持续性状态,如果说未来5到7天都是正常的,一般就没什么事了。
好的呀。那现在淋巴结肿大1.2,继续打激素或后面吃激素的药吗。打了3天激素昨天去复查,淋巴结肿大1.5降到1.2,炎症没有了。如果继续打激素或吃相关的药,有没有副作用呀
徐灿
执业兽医师
一般来说,只要是没有炎症了,基本上没有太大问题了,我给你解释一下,为什么淋巴会变大。就是当身体发生感染的时候,淋巴细胞和淋巴器官作为预警和处置器官,它肯定会膨胀的,就比如说咱们平时嗓子疼的时候,下颌淋巴结就会增生,就是嗓子发炎了,所以它附近的淋巴就会增生。但是炎症消除了,淋巴不是当时就变小了。变小需要时间。
所以一般来说,只要吃喝正常,状态良好,没有炎症的话,后续就可以暂停用药了。
好的好的。太感谢啦!您讲完我安心多了。结合61的情况,有没有推荐的猫粮呀。做功课做的头秃,它确实之前拉屎都是一颗一颗的,这个是不是就是喝水少的原因导致的便秘呀
徐灿
执业兽医师
猫粮方面,我没有推荐,但是一般来说,含肉量比较高的就可以,他排便比较干,可能和肠胃迟缓或者是肥胖有关,因为他是个绝育的母猫,所以说肯定会肥胖,而且是英短系的猫,所以说他有一定的粪便干结是正常的,如果觉得特别干的话,可以给他口服一些***,按照每公斤0.3毫升,一天喝两次。
好的好的。感谢感谢!那淋巴结肿大这个问题,后面还需要去医院复查吗?或者喂益生菌能改善大便干结的问题嘛
徐灿
执业兽医师
一般来说不太需要,他现在已经没有炎症了,淋巴器官后续慢慢就会缩小,就会恢复正常,就是说他的淋巴器官缩小的没有那么快。但是最终只要没有炎症就可以慢慢恢复。
大便干结的问题可以尝试着多给他吃一些含水量比较大的食物,比如说水煮鸡胸肉或者是多喝一些水,多吃一些含有肉汤的食物,如果说干结的厉害,你就可以给他喝一点***。益生菌对于改善这方面的效果不是很明显,因为结合该案例干结的原因更多考虑的是肠胃迟缓。
徐灿
执业兽医师
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励。
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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