咨询描述:症状描述:我们狗子,比格犬,一岁三个月了,上个月21号晚上突发腹部疼痛,行走僵硬
医院检查:确诊胰腺炎,cpl数值800多,输液5天,输液第四天的时候查了cpl数值200多,,隔后几天感觉他又不舒服,带去查了cpl又是500多,医生又说没事,给了一瓶药说分三次喝完
用药情况:给了药物,每天一瓶,
生完病后每天喂食早晚各一次,狗粮减半,便便偏硬,有明显裂纹,食欲很好,就是没精神,不知道是他不舒服还是没吃饱,请教医生
他没精神是什么原因呢,下面图片是化验数据和药物
问题大致一样,细节不同?
于博
执业兽医师
好的,它胰腺炎质变又升了说明是复发或者转为慢性胰腺的情况了,需要继续打消炎针一段时间。同时饲喂低脂易消化的处方粮。这个药物一个是益生菌另一个应该也是保健类的。狗狗不舒服因为还是发炎状态中
1.数据没问题是吧?确实是胰腺炎对吗?2.狗子状态不佳,说明还是不舒服对吧,狗狗鼻子湿的,便便偏硬有明显皱纹,食欲很好,因为狗粮减半,他饿的不行,弓背和下犬式也基本没出现过,3.怎样能确定他胰腺炎好了呢?只有检测吗?
于博
执业兽医师
化验指标确诊是胰腺炎
它的状态您要看一下它的眼神是那种萎靡不振还是有精神只是身体较虚弱那种。要给狗狗吃段时间处方粮,因为减半的粮食,摄入蛋白和脂肪还是少 了,同时营养也是不够的,饱腹感也不强。
要没有呕吐,腹泻,精神状态良好,食欲正常就可以了。指标恢复时会有点偏高是正常的,但不会高很多。
停止输液打针后还要口服1-2周抗生素巩固一下。如果状态恢复以前一样,那就不用复查指标。如果状态不是很正常,还是需要复查指标的
1.狗子眼神也有点萎靡不振,看到吃的就来精神了,出去玩状态正常,现在不知道是他饿的缘故还是不舒服的缘故,现在就是除了精神状态,其他都好,自胰腺炎以来没吐过,没拉过肚子,唯一一次软便就是病发当天拉了一次,,怎样确定他是胰腺炎不舒服还是饿的呢?
于博
执业兽医师
好的,他如果精神沉郁没五乱是食欲或者外出都是没有活力的,如果吃饭和外出没有异常,那应该是没有不舒服。
但是体内还是有炎症的,需要口服一周抗生巩固一下
于博
执业兽医师
1.** 一天两次 一次半片
2.*** 一天一次 一次一片
3.** 一次2粒 每顿饭一次
4.低脂易消化处方粮
饲喂一周后可再次检测指标,或根据临床状态决定是否复查
你好医生,这是今早去做的检查,说是有心脏肥大,肝脏损伤,1麻烦再给看看,害怕误诊,2.拍的这个片子看出心脏肥大,能确诊吗?确诊后影响正常生活吗?平时该怎样注意,3看这生化结果,具体还有其他病症吗?
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,第一张侧位片看心脏确实形态偏圆,增大。可以进一步做个心脏超声,看看内部结构有没有异常,需不需要用心脏病药物。
因为心脏形态增大原因有:心冠脂肪、心包积液、心肌肥大、心脏二尖瓣、三尖瓣返流、肿瘤这些情况。片子只能看出来影像增大。
胆红素升高,胆固醇升高说明胆汁有淤积。和长时间吃的少或者不吃饭有关系。
血钙高,如果之前有补充高钙食物需要停止饲喂,输液中也不要使用含钙液体,再复查一下。高血钙还有肿瘤的风险
于博
执业兽医师
如果心脏是有病理性的需要使用心脏病药、控制体重、平时不要激动,剧烈运动
1.生化检测基本上是比较基本的体检了是吗?2.麻烦推荐一套体检目录吧,我想每年都给他做一次体检3.胆红素升高,确实是给他喂的之前三分之一的狗粮,每次吃饭都着急的叫,需要给他加饭吗?我看**分泌过少,所以也不知道该不该加狗粮了,这很矛盾,该怎么办呢?
于博
执业兽医师
1.按正常医生角度说是基础的和血常规一样必须要做的,但是大部分宠主观念是生化就算是比叫高阶的检查了,因为费用要几百块钱。
2.一般每年体检:血常股,生化全项,X光,超声(前面生化和片子有问题再做)。心超争吵也是一年一次,但是如果考虑经济可以每2-3年一次。
3.如果处方粮到 了,正常量饲喂就可以了。**分泌少是胰腺炎恢复期的正常症状。我给您开的处方里的“**”就是补充**的。吃一段时间。
急性胰腺炎治愈后,饲喂处方粮和**3-6个月。如果是转为慢性胰腺炎需要长期吃处方粮
1.现在狗子在恢复期,总感觉他还是身体不舒服,现在看生化报告或者血常规这些数据,会使他不舒服吗?2.自胰腺炎以来,便便偏硬,并且明显看出是一块一块粘连成条的拉出来的,这说明是没消化完全吗?之前看不出来一块一块,是顺滑的一根,3.狗子精神不振,乏力跟心脏肥大有关系吗?4.谢谢医生,送您我们狗子照片一张。
为保护用户隐私不显示图片/视频
于博
执业兽医师
1.看报告如果胆囊内胆汁过多胆囊大会有不舒服。其他指标还可以,还有高钙血症,一定不要补钙和吃高钙食物,之后需要复查一下,看看还有没雨持续升高。
2.和吃的过少有关系,结肠把粪便水分完全吸收。
3.您要给它检测一下血压
4.好的,谢谢您
如果后续有需要咨询可再次联系蘑菇宠医
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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