咨询描述:症状描述:一直软便不好
患病时长:一个月
医院检查:配了肠道处方粮和***宠常咛
用药情况:自己在家用过益生菌,***5天
自己买试纸测试fcov阴性
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,这个猫咪精神食欲怎么样?有没有出现呕吐或者食欲下降?一天排便几次?最近一次体内驱虫什么时候做的?有没有去医院做过便检查一查?一些少见寄生虫,比如说滴虫类。
1.猫咪精神食欲正常,一个月中未出现呕吐,未出现食欲下降,水也正常喝。
2.由于之前觉得是喂的多引起的软便,减少喂食量一天1-2次大便。
3.最近一次体内驱虫为10.3,***的体内外同驱。
4.9月上旬去医院做过粪便检查未发现寄生虫。10月份没有做过粪便检查。
曹元钊
执业兽医师
像是一些少见寄生虫单次的便检不一定能够查出来,不过呢,像猫咪这种情况,如果不太方便去医院再次做检查的话呢,我倒是可以提供个对症治疗的方案,因为我们之前用的药还不是很全面,我们还有机会在家里面再试试,对症治疗。
大概2.9kg的样子,抱着他用家里的体重秤称的。偏差在0.2kg左右。
曹元钊
执业兽医师
建议先用这两种药是对症治疗一下,**一天两次,每次一片,口服7天到10天。****铋一天两次,每次150毫克,口服7天。
1.还购买了****可溶性粉和含***的药还可以吃吗?
2.肠胃炎和肠道冠状病毒不一样吧?
3.还需要带猫咪去医院检查一下粪便检查吗?
4.配的药是治细菌性肠道感染还是病毒性肠道感染,细菌性和病毒性肠道感染这两个的区别是什么?
5.药要饭前吃吗?
曹元钊
执业兽医师
那两个药我觉得就别吃了。
肠胃炎和冠状病毒不一样,现在提供的方案呢是按照细菌性胃肠炎进行对症治疗的。病毒病的话一般是自限性的问题,不会拖延这么久,所以我认为可能性偏低。
如果有条件,肯定是建议去医院再做一个便检,而且最好做个PCR。
药物的话饭前饭后没什么区别,饭后吃会更好一点,但是区别不大。
医生
1.用自己买的****坦必欣猫****铋片可以吗?
2.猫粮的量还是要控制少吃一点吗?
3.还有***的腹泻混悬乳,之前在医院开的又买了,还可以继续吃吗。
曹元钊
执业兽医师
可以的,这个是可以自己买药吃的,然后呢,猫粮的话我建议少吃多餐,不建议一味的说,让这个粮食的量减少,我觉得重点不在这个。那个混悬乳也可以用,如果7天不见好转,那他这个病因一定是比较深入的和复杂的,我们就得更换方案了。
他的软便好像是从有一天吃了太多后来就一直没有好,这样会引发细菌性肠胃炎的吗?还想问一下吃了药有没有什么不良反应?我可以立刻给他停药,谢谢医生的检查!
曹元钊
执业兽医师
会的,因为如果肠道里面的菌群不稳定,然后有一些异常的细菌增生,紧接着就会出现细菌性肠炎。这些药物应该没有什么不良反应,唯一点就是有可能会引发一些呕吐饮食之类的临床症状,那种情况停药就好了。
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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