猫一直反复软便和拉稀近期有点便血猫瘟阳性
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咨询描述:猫一直反复软便和拉稀近期有点便血 不排便的时候偶尔漏便 拉的粪便上像有一层黏膜一样 食欲良好 给就吃 不呕吐 有时候轻微咳嗽 喘粗气 被诊断为是猫疱疹杯状猫瘟阳性 住院到转院住院陆续花了一个月的时间 现在已出院 用药太多了说不清楚 出院后一直在吃益生菌 近期服用的***和倍*** 吃了两天已经停药了两天 捡的流浪猫应该没打疫苗也没有绝育
问题大致一样,细节不同?
曹元钊
执业兽医师
请问这个猫的激素就是那个倍***用了多长时间?目前有没有条件再做个便检看一下,因为你这个有点时间太久了。我现在手上如果没有足够的化验结果的话,未必会被他线下主治医生看得更好。
我有诊断结果 就是出院期间和住院期间的 近期都是服用了两天
这是出院期间的 大概有七八页最多只能发五页 我先给你发这个 其他如果需要我再发给你 其他的是刚住院的还有住院期间的
为保护用户隐私不显示图片/视频
细菌感染是怎么引起的?检查报告上显示白细泡也是偏高的 是怎么回事呀 便检查也是25号当天做的 只说的没有虫子 医生你最好一次性说完还问题 我还有三次追问机会 我现在可以给你打粪便的图片然后你看一下 带血的和不带血的我都发给你 以及漏便的照片您帮我看看吧
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
第一,化验结果显示白细胞比较高,而且中性粒细胞比较高,所以我怀疑性感染,但是你问我为什么一定继续感染,我回答不了 我只能分析化验结果
第二,便检除了寄生虫还需要看菌群有没有紊乱
第三,从化验结果和图片来看 我倾向于是有肠炎,之前医生建议了*****(倍***)可能是因为怀疑炎性肠病,***是抗生素并且预防类似贾第鞭毛虫之类便检检出率很低的寄生虫
如果吃药没有好转,如果不方便,再做一次便检,在用户端申请用药,我给你提供个方案,先对症治疗看一下反应
意思是现在我需要再给他做次便检查然后才能继续用药吗?用药我不清楚有没有好转因为它一直反反复复的 我给你发下剩下的报告你也看看吧!
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
这些化验结果太久了 没什么意义,但是白细胞一直没下来,证明存在的感染没有被控制住。所以我建议您做血常规 便检 生化 然后再治疗
之前生化显示肝脏损伤 胰腺可能有炎症,但是时间太久了 都一个月了 没有指导意义
医生你能给我一个合理的方案吗比如那项需要重点检查 然后我有空带猫去做个线下检查 还有针对我说的这些情况 如果不检查的话 用药方面是什么样的?比如用药反应或者副作用?如果之前两个药没问题我就选择继续给他服用 如果你有什么好的建议或者用药方面的方法也可以发给我 拜托了
曹元钊
执业兽医师
这样吧 您目前用的药,继续用五到七天 如果无效甚至更加恶化 就去医院
去医院检查血常规 生化 便检
然后把结果发给我 我帮您提供一个方案
如果不做检查,我会建议换抗生素 加益生菌 加止泻药 对症治疗,但是最好能给我之前用药方案,我好规避
曹元钊
执业兽医师
也可以用这三种药作为初始治疗,一种抗生素(***),一种益生菌(***)加上一种止泻药(****铋)
抗生素和益生菌隔开两小时
针对建议您开的这些和我之前说的那两种药 哪种效果好副作用小呢? 之前住院用药记录太多了 我没办法一一发给你
曹元钊
执业兽医师
这两个是不同的方向。我会建议用我这个作为初始治疗方案
您那个有点走极端,除非有证据证明有炎性肠病(比如超声或者活检)
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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