咨询描述:医生您好,之前向您问诊过猫咪的病情,今天带猫猫去做了检查,麻烦您看下检查结果
1、猫猫在9.12-9.17号服用了第二个疗程的****驱虫药,之后没有服用任何药物
2、猫猫之前吃**处方粮和普通的烘焙粮,9.17号后全部换为普通烘焙粮
3、猫猫这几天排便多、外型像软冰激淋,内部是糊状,且粪便外部像被塑料薄膜包住一样,持续一周左右
4、猫猫最近不吐,精神状态还可以,食欲也可以
5、九月份检查血常规正常,今天检查有几项不正常
请问医生这几项不正常的指标是什么意思?猫猫频繁软便的原因是什么?宠物医院的医生说粪便里白细胞偏少,猫猫免疫力低,且有水肿和脓,我没有理解是什么意思
问题大致一样,细节不同?
于博
执业兽医师
好的,看到了。这些事生化和血常规的检查报告生化没有异常。您这个是血常规里白细胞和粒细胞偏低,这个指标偏低有几个情况:
1.抗病力偏低。
2.应激。
3.体内有病毒性疾病。其他未见异常。
水肿和脓怎么看的呢?是做超声了吗?
那个粪便看着是寄生虫或者消化不好引起的情况
1、抗病力偏低应该怎么去处理
2、体内病毒性疾病您怀疑是什么原因呢?这边医生怀疑炎性肠病
3、水肿和脓医生做了粪便检查,拿注射器抽了一点粪便,说粪便中白细胞很低,还有水肿和脓,那个像塑料袋薄膜的就是胃肠黏膜
4、这边医生建议喂低敏处方粮,现在猫猫需要再换成处方粮吗?
5、现在喂的粮是单一鸡肉的烘焙粮,如果每天按推荐克数喂,猫猫就会软便,粪便糊状,如果喂少了,就是不拉,两三天才排便一次
于博
执业兽医师
好的,1,抗病力低可以是为一些****,免疫球蛋白这些,饲喂一段时间再复查一下。
2.像病毒性疾病您可以查一下猫艾滋和白血病(概率不大),白细胞低还有我说的采血时候害怕反应。
3.水肿便检也看不出的,脓倒是可以看出来,但应该不是脓而是白细胞,如果是脓(白细胞),那肠道就是溃烂了。正常肠道内不应该有白细胞出现的,有白细胞证明肠道是由炎症的。粘膜是肠粘膜
4.像我上一次说的,把所有引起腹泻的原因都排除了,药物治疗方法都用了,还是腹泻,就要考虑IBD(炎性肠病)了。需要长期吃处方粮和使用激素类药物治疗控制
5.如果饲喂量减少,排的粪便性状正常吗?
1、图片为今天粪便检查的图片
2、猫猫在今年五月份之前没有出现过这种情况,近几个月掉毛、毛色发黄、一下子瘦了很多,8月份呕吐,9月份球虫感染,现在又开始软便
3、软便情况之前也出现过,如果给猫猫正常喂食,就会软便,如果少喂一写,便便会成型,但两三天才会排便一次
1、是不是跟换粮有关?
2、如果炎性肠病,会有什么症状?需要吃多长时间的药?这个病可以根治吗
3、炎性肠病需要终身吃处方粮吗
为保护用户隐私不显示图片/视频
于博
执业兽医师
消瘦掉毛应该和长期肠病和球虫感染有关系。
如果喂的少就正常,那就少喂点只要营养和体重保持恒定就可以。额外补充免疫球蛋白
跟换粮关系不大,肠道吸收不好
炎性肠病就是长期腹泻或者呕吐。不能根除,长期吃处方粮
您从粪便检查中可以看到水肿和脓吗?有白细胞吗?这边的医生给开了抗炎消炎药,需要每天去打针,那现在就可以确定,是炎性肠病了对嘛?这个需要长期喂处方粮?您有推荐的处方粮吗?
于博
执业兽医师
我只看到了白细胞,红圈那个。照片里没看到其他。因为显微镜这种要多张照片,这张照片里就这一个白细胞。
开抗炎抗生素就可以了一般,打的什么针和开的什么药呢?我看一下。
我觉得您还可以饲喂一下**,治疗消化不良看一下。处方粮需要长期饲喂。我们一般是饲喂**的处方粮是可以达到治疗作用的。
为保护用户隐私不显示图片/视频
有白细胞就说明有炎症对吧?医生没有具体给我说开的药名字叫啥,只说了服用方法。**是药还是保健品哦?具体怎么吃呢?医生开的**低敏消化粮
为保护用户隐私不显示图片/视频
于博
执业兽医师
有白细胞是代表有炎症。
给您开的应该是激素类过敏的药物
**正常是身体胰腺分泌的消化酶,有些动物因为**分泌少,而导致消化吸收不好,不是药物。稍后我给您开个处方
于博
执业兽医师
1.** 一次一粒 一天2次
2.**** 一天两次 一次一袋 7天
一周后复查指标
谢谢医生,那这边医生开的药我先正常吃着和把针打完,您开的这个是需要长期当保健品吃,还是吃一段时间就可以?猫猫总是喜欢这样蹲着,是因为疼痛嘛?猫猫软便会不会跟胃也有关系?
为保护用户隐私不显示图片/视频
于博
执业兽医师
我开的那两个都可以长期使用,如果白细胞正常了,****也可以停掉。
这个姿势也不一定是因为不舒服,要看总体情况,精神,食欲这些。软便和胃没有关系。
医生您好,刚才我发现猫猫开始便血了,炎性肠病也是会便血的吗?我怀疑是猫粮里有致敏物质,可以直接停掉之前的粮,换成处方低敏粮吗?便血怎么处理?还需要吃什么药吗?
为保护用户隐私不显示图片/视频
于博
执业兽医师
肠道发炎会引起肠黏膜出血的。
可以直接换粮食。
正常用药就可以的。药物就是消炎的
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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