吴瑞珽
执业兽医师
根据您以上描述，还不能做出进一步的判断小家伙的病情。我还有几个问题需要向你核实一下。
1. 前天和昨天都给他吃了什么食物？；
2.最近有没有洗澡狗？有没有乱捡东西吃的习惯？ ；
3. 疫苗和驱虫给他做过没？；
4. 目前有没有食欲？精神状态怎么样？；
以上这些情况建议您仔细回忆后并尽量详细的描述给我，对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助，感谢您的配合。
吴瑞珽
执业兽医师
好的，您的描述我已经看到了。正常狗狗正常吃喝的话是不会出现特别严重的胃肠的反应。那么现在狗狗已经出现了特别严重的拉血，吐血。精神状态也不是特别好。我们就需要去鉴别诊断。急性出血性胃肠炎，胰腺炎，胃肠道异物，以及食物中毒。目前最重要的是先给他断食，断水。也就是什么也别给他吃，别给他喝。带他去医院做一下血常规。看一下炎症的高低。鉴别诊断一下胰腺炎。做一下生化检查，看一下实质性脏器的指标。然后对症的胃肠道消炎，修复胃肠道粘膜。最重要的还需要止血。而且他目前这种情况比较严重。必须要通过输液来调整。除了把对症的药物输进去，还需要给他给予能量供给。调节它的电解质紊乱和脱水。
我们家马犬都喂得狗粮还有牛奶馍馍火腿肠鸡蛋，其他啥都没有喂，平时都按时喂，精神状态可以，鼻子也湿润的
吴瑞珽
执业兽医师
目前吃的这些东西只要都是在保质期里的，肯定是没有问题的。如果他经常这样吃，食材又没有问题。是不会出现明显的拉血吐血。如果目前精神状态还算可以，又没有持续性的呕吐。可以先给他断食，断水24个小时，这期间可以给他给予益生菌和消炎药。只要他没有持续性的呕吐，就可以给他口服用药先看看。如果给他吃几天效果不好。我得抓紧时间带到医院做详细检查。但是您家狗狗岁数并不是太大，而且平时也没乱喂。可能就是一过性的。
我经常这样喂的，就昨天下午四点半左右栓在了楼底下草坪里，我就开着车出去办事了，一两个小时回来就发现不对劲了，就呕吐了两次，我也没有在意，平时在家里他也偶尔吐黄疸水，结果我过了一会就频繁的的呕吐，甚至从浅红色吐到深红色，还拉干便掺杂着稀稀的黏黏的便，到后面就拉血……
吴瑞珽
执业兽医师
如果不确定是什么原因造成的，就害怕是不是有人投毒呢？造成了胃肠道的损伤。如果您这边有条件去就近的医院。最好是做一下全面的检查。因为按照您的这种思维是没有问题的，不会造成他这么严重的。拉血吐血。肯定是乱吃什么东西。如果是一过性的，没有什么大问题。如果是有人肆意投毒就很麻烦了。
然后昨天我九点多就送到了兽医那里，兽医说是急性肠胃炎，然后打了四针，止血的止吐的，消炎的，还有一针忘了，就回来了，兽医说回来给吃点馍馍鸡蛋那些，水里面放点葡萄糖粉喝，回去观察一下，今天早上我起来看它拉的便便是稀水水不红了，是那种黑褐色的，吐的不红了，吐的是白的还有点泡沫，还给它吃馍馍拌的鸡蛋都吃了
吴瑞珽
执业兽医师
如果他没有持续性的呕吐，可以给他少吃一点儿东西。但要是吐的频繁，不要给他喂吃的。这个针必须要打三到五天。打一天容易反反复复。这两天多观察。如果狗状态不好，最好是做一下化验。
好的，医生我给它多打几天，这样它好的彻底，还有一点，是不是我前天骑着电动车它在后面跟着跑了来回10公里，连着跑了三天，是不是也有影响？还有一点它好了的话，我以后喂它有没有那些谨记的事项，还有正确的喂养方式方法,麻烦医生给个建议？
吴瑞珽
执业兽医师
这个和他跑来跑去是没有没有太大关系的。跑步过度可能会造成他心肺功能的受损，或者是造成肌溶解。但是不会影响到消化的。和他运动没有关系。后面的话尽量还是给他吃狗粮。人吃的食物尽量少给。而且肉蛋奶这些食物尽量不要去给他。平时最好是能定时，定点，定量的给他喂吃的。再也没有啥要注意的。
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
{"575078":{"id":575078,"case_id":63811,"user_id":1511408,"to_user_id":2440482,"type":3,"content":"目前吃的这些东西只要都是在保质期里的，肯定是没有问题的。如果他经常这样吃，食材又没有问题。是不会出现明显的拉血吐血。如果目前精神状态还算可以，又没有持续性的呕吐。可以先给他断食，断水24个小时，这期间可以给他给予益生菌和消炎药。只要他没有持续性的呕吐，就可以给他口服用药先看看。如果给他吃几天效果不好。我得抓紧时间带到医院做详细检查。但是您家狗狗岁数并不是太大，而且平时也没乱喂。可能就是一过性的。","media":{"images":{},"videos":{},"business_params":{"prescription_id":157470}},"is_doctor":1,"status":1,"created_at":"2023-11-01 12:57:32","show_rx":true,"rx_info":{"id":157470,"rx_no":2.02311011257035e+24,"user_id":2440482,"doctor_user_id":1511408,"is_independent":0,"case_id":3189388,"pet_info":{"pet_id":413653,"pet_name":"马犬","pet_nickname":"小虎","pet_gender":1,"pet_birth":"2-8","pet_weight":26,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁8个月"},"diagnose":"拉肚子","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-01 12:57:03","updated_at":"2023-11-01 12:57:32","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":125446,"prescription_id":157470,"doctor_user_id":1511408,"product_id":1117,"product_sku_id":1176,"dose":10,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2023-11-01 12:57:03","updated_at":"2023-11-01 12:57:03","product_info":{"id":1117,"hash_id":"8jZlKwgZ3ExaOQ9y","class_ids":{"0":1,"1":2},"category_ids":{"29":188,"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":286,"sell_point":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","title":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,拉肚子,消化不良,呕吐,软便","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/d7cf8a378b6fe5a8d25157dde8c6c132.JPG","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/5e65d5006dc4cb12a48441d4420c29ca.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":59,"max_price":59,"sale_count":25,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-18 11:41:44","updated_at":"2024-05-09 13:56:22","ins":{"id":286,"hash_id":"Q6qZ9OporkxdEeMP","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"慈卫药业 安痢肽 宠物添加剂预混合饲料 25ml","common_name":"安痢肽","trade_name":"安痢肽","en_name":"Lysozyme and glutamine soiution","brand_name":"慈卫药业","is_prescription":0,"cover":"\/drug\/2023\/08\/a38e3c7dd3ec169646417f5bd34208e5.jpg","specification":"25ml","reference_price":98,"component":"饲料添加剂:：谷氨酷胺 、溶菌酶、甜菊糖苷\n饲料原料：山药提取物等。","indication":"犬猫。营养补充，改善犬猫消化不良状态。呕吐、软便、粪便不成型等状态下应用。","usage_dosage":"口服或混饲，每2.5kg 体重次 1mI( 每滴管约 1ml )，一日 2次\n按体重计算用量 勿加量应用。","contraindication":"","adverse_reaction":"","attention":"1犬猫腹泻原因复杂本品对病毒感染(例如冠状、细小)肿瘤、过敏，中毒等导致的腹泻无效饲喂前请仔细鉴别。\n2，开启后应低温密闭贮藏，并在 1周内使用。\n3，哺乳期幼仔、腹泻脱水严重、精神不佳犬猫 不建议饲喂。\n4，过量饲喂会有胃肠道刺激，导致加工腹泻或便秘 建议按推荐用量使用。\n5本品为透明液体，略有浑浊不影响使用，味香甜。\n6，请将本品放置于儿童不能触及之处","interaction":"","approval_no":"鲁饲预(2019)07763","storage_method":"密闭、干燥存放，避免污染","validity":"24个月","manufacturer":"山东慈卫药业有限公司","status":1,"created_at":"2023-08-18 11:39:22","updated_at":"2023-08-18 11:39:52"}},"product_sku_info":{"id":1176,"product_id":1117,"title":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","advword":null,"price":59,"market_price":98,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25ml"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"created_at":"2023-08-18 11:41:44","updated_at":"2024-05-09 13:38:31"}},"1":{"id":125447,"prescription_id":157470,"doctor_user_id":1511408,"product_id":926,"product_sku_id":967,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-01 12:57:03","updated_at":"2023-11-01 12:57:03","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡，增强胃消化功能","1":"缓解队伍应激反应，提高免疫力及存活率","2":"净化肠道内环境，提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":230,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-05-10 09:25:43","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g，水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用，也可混入食物中饲喂。每天食用1次，5天为1个周期。\n1.体重2kg以下的宠物每次1袋；\n2.体重2-10kq的宠物每次2袋；\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物；\n2.用水冲食时，请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":904,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":243,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-05-10 07:41:04"}}},"drug_data_bak":{"0":{"id":125446,"prescription_id":157470,"doctor_user_id":1511408,"product_id":1117,"product_sku_id":1176,"dose":10,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2023-11-01 12:57:03","updated_at":"2023-11-01 12:57:03","product_info":{"id":1117,"hash_id":"8jZlKwgZ3ExaOQ9y","class_ids":{"0":1,"1":2},"category_ids":{"29":188,"31":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":286,"sell_point":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","title":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,拉肚子,消化不良,呕吐,软便","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/d7cf8a378b6fe5a8d25157dde8c6c132.JPG","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/5e65d5006dc4cb12a48441d4420c29ca.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":59,"max_price":59,"sale_count":25,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-18 11:41:44","updated_at":"2024-05-09 13:56:22","ins":{"id":286,"hash_id":"Q6qZ9OporkxdEeMP","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"慈卫药业 安痢肽 宠物添加剂预混合饲料 25ml","common_name":"安痢肽","trade_name":"安痢肽","en_name":"Lysozyme and glutamine soiution","brand_name":"慈卫药业","is_prescription":0,"cover":"\/drug\/2023\/08\/a38e3c7dd3ec169646417f5bd34208e5.jpg","specification":"25ml","reference_price":98,"component":"饲料添加剂:：谷氨酷胺 、溶菌酶、甜菊糖苷\n饲料原料：山药提取物等。","indication":"犬猫。营养补充，改善犬猫消化不良状态。呕吐、软便、粪便不成型等状态下应用。","usage_dosage":"口服或混饲，每2.5kg 体重次 1mI( 每滴管约 1ml )，一日 2次\n按体重计算用量 勿加量应用。","contraindication":"","adverse_reaction":"","attention":"1犬猫腹泻原因复杂本品对病毒感染(例如冠状、细小)肿瘤、过敏，中毒等导致的腹泻无效饲喂前请仔细鉴别。\n2，开启后应低温密闭贮藏，并在 1周内使用。\n3，哺乳期幼仔、腹泻脱水严重、精神不佳犬猫 不建议饲喂。\n4，过量饲喂会有胃肠道刺激，导致加工腹泻或便秘 建议按推荐用量使用。\n5本品为透明液体，略有浑浊不影响使用，味香甜。\n6，请将本品放置于儿童不能触及之处","interaction":"","approval_no":"鲁饲预(2019)07763","storage_method":"密闭、干燥存放，避免污染","validity":"24个月","manufacturer":"山东慈卫药业有限公司","status":1,"created_at":"2023-08-18 11:39:22","updated_at":"2023-08-18 11:39:52"}},"product_sku_info":{"id":1176,"product_id":1117,"title":"慈卫药业 益肠疏可 宠物营养补充剂 25ml","advword":null,"price":59,"market_price":98,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25ml"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"created_at":"2023-08-18 11:41:44","updated_at":"2024-05-09 13:38:31"}},"1":{"id":125447,"prescription_id":157470,"doctor_user_id":1511408,"product_id":926,"product_sku_id":967,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-01 12:57:03","updated_at":"2023-11-01 12:57:03","product_info":{"id":926,"hash_id":"ZXn76zg9VDx9boBN","class_ids":{"0":1,"1":2},"category_ids":{"26":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":230,"sell_point":"宠儿香犬猫定植益生菌","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","recommend_reason":{"0":"迅速调整肠道菌平衡，增强胃消化功能","1":"缓解队伍应激反应，提高免疫力及存活率","2":"净化肠道内环境，提高营养吸收率"},"baike_guide_text":"","baike_article_hash_id":"","advword":"促进胃消化,纠正肠功能,提高营养吸收,增强免疫力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2.5gx10袋\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/081572e7abb899c62209ee2784f2fe8c.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":230,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-05-10 09:25:43","ins":{"id":230,"hash_id":"7GDJdPpkMXgWkR6K","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","common_name":"宠物营养补充剂","trade_name":"犬猫定植益生菌","en_name":"FUNCTIONAL NUTRITION","brand_name":"宠儿香","is_prescription":0,"cover":"\/drug\/2022\/05\/20f0d08c27b1878bc27edafc7777fbe3.png","specification":"2.5gx10袋\/盒","reference_price":55,"component":"嗜酸乳杆菌、粪肠球菌、长双歧杆菌、胃蛋白酶、含乳酸菌总数≥1.75×10℃CFU\/g，水分≤5.0%。","indication":"1.迅速调整肠道菌平衡\n2.增强胃消化功能\n3.缓解队伍应激反应\n4.提高免疫力及存活率\n5.提高营养吸收率\n6.净化肠道内环境","usage_dosage":"宠物自行舔食或溶于约50-100ml40℃以下水中饮用，也可混入食物中饲喂。每天食用1次，5天为1个周期。\n1.体重2kg以下的宠物每次1袋；\n2.体重2-10kq的宠物每次2袋；\n3.体重10kg以上的宠物每次4袋。","contraindication":"","adverse_reaction":"","attention":"1.本产品不得饲喂反刍动物；\n2.用水冲食时，请将本品缓慢倒入水中搅拌至充分溶解。","interaction":"","approval_no":"","storage_method":"放置阴凉、干燥处保存。","validity":"18个月","manufacturer":"北京百林康源生物技术有限责任公司","status":1,"created_at":"2022-05-30 15:51:40","updated_at":"2022-05-30 15:53:49"}},"product_sku_info":{"id":967,"product_id":926,"title":"宠儿香犬猫定植益生菌2.5gx10袋\/盒","advword":null,"price":48,"market_price":58.8,"cost_price":0,"stock":904,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2.5gx10袋\/盒"}},"cover":null,"thumb":"","sale_count":243,"status":1,"delete_status":0,"created_at":"2022-05-30 15:59:27","updated_at":"2024-05-10 07:41:04"}}}}}}
微信扫一扫
立即问宠医
