咨询描述:两只橘猫,公,现在五个月
症状描述:口炎
患病时长:两个月的时候得过一次,通过雾化治疗治好了,但是上个月因为尿床把他关笼子里,导致应激,现在又复发了,通过雾化治疗,病情并没有好转,目前状况如下图
医院检查:两个月的时候检查过,检测出杯状病毒,是被猫妈妈感染的,嘴巴有一点微红,后面治好了,当时的用药是(两只猫的量一起4斤):猫干扰素0.5毫升,**0.5毫升,**霉素0.3毫升,按照这个用量大概一个月不到治好了。现在五个月了,没有去医院检查,是在家自己用药
用药情况:刚开始用以前的剂量用了一周左右,后来发现这次他们已经八斤,一起16斤,所以又把剂量加大了,干扰素1.9毫升,**0.76毫升,**霉素0.38毫升,但是连续大概四天没有效果,也就是说一起治疗了二十天,没有效果,甚至感觉越来越严重。
想问一下后续治疗应该怎么办?这个情况是对药物免疫了吗?
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的情况 他这个可能是疱疹杯壮病毒 或者是免疫系统紊乱造成的口炎 为了进一步判断宝贝的情况我还有几个问题需要向你核实一下:
1. 他有没有流口水 吃猫粮叫吗?
2. 现在有没有打喷嚏流鼻涕情况 这二十天每天都打干扰素吗?这个治疗方案是医院跟您说的吗?
3. 有没有用过口腔喷剂
4. 现在食欲和精神状态怎么样
以上情况你回忆后详细的描述给我,感谢你的配合。
你好,1.他不流口水,但是口腔内有拉丝的口水,只是没有多到流出来 2.没有打喷嚏,但是感觉鼻子呼气有声音,好像鼻子有点堵,这二十天每天都有用,我是看他第一次治疗持续用干扰素给治好了,所以复发后还是再用,第一个方案是医生说的,后面剂量加是根据医生第一次说的比例加的,只不过复发后没有继续去医院,就没有再问,想着家里还有药,就继续以前的方法 3.第一次用过口腔喷剂,**口喷,效果不大,后来才用雾化治疗,有好转。所以这次我就没有用口喷了。不过我自己加了一个******漱液。4.食欲和精神状态还可以,也吃东西,然后玩也是正常玩
王鑫
执业兽医师
你好,感谢你的回复,因为他年龄5个月,所以说他现在也处于是换牙期。出现眨眼睛有红肿的情况也是属于正常的,只要他敢吃猫粮,没有流口水。是不需要给他用药的,而且像这种口腔问题,用药的话也不是用雾化干扰素,一般就是一个月之内连续注射7天就行,注射太多的话也是可能会产生免疫系统的副作用的。所以说现在我给您的建议就是给他吃口服的抗生素,例如****,配合口腔喷剂和提升免疫力的口服药,然后再配合一个滴鼻液就可以了。像您用的**霉素和**霉素这些临床都很少使用的,因为他们的副作用都比较大,可能会造成耳毒性或者是肾毒性,如果要是长期用药的话,所以说建议现在你可以给他喂口服药。您可以看一下我下面给您推荐的处方,点击查看详情就有用法用量的介绍。配合手里的口喷
好的,谢谢您,不过他眼睛没有泛红,然后他现在都是吃我做的猫饭,或者主食罐头,这些都是慕斯状,或者稀状的,所以我感觉吃起来就不会哇哇叫不会那么疼。然后还有一个细节,图片可能拍不出来,他除了后排牙龈根部红肿,前面的犬齿根部也有溃烂,今天还有星星点点的血渗出,这个情况也是先口服药看情况吗
王鑫
执业兽医师
你好 实在不好意思我前面说的眨眼睛是说他牙龈红肿 不是眨眼睛 抱歉啦 有错别字 是的,因为牙周病的话,它都是牙龈出现红肿破溃,这种情况属于正常的,所以说您别再给他用您前面用的那些药物了,干扰素现在对于它是没有作用的。而且也不能长期注射,您就用我上面给您推荐的处方药物 配合口喷来治疗 用药周期一般是7~10天。
欧欧好的,那我用药完一周后,可以直接再找您吗,不知道这个怎么再找到您,我想给您汇报一下情况
王鑫
执业兽医师
你好,可以的,先用药7天左右,然后一会儿我会给您发送复诊券,到时候您就直接来咨询问诊就可以了。到时候微信应该都会有提醒的。如果咱们实在不会操作的话就添加图片上的这个客服微信到时候客服就告诉您怎么咨询我了
还有一个,就是我给他们买了鱼油还有jarrow的铁乳蛋白,还有****2,这些我从昨天才开始喂,这些还有必要喂吗
王鑫
执业兽医师
你好,鱼油的话建议6个月以上再给他使用,是可以给他吃的,能营养心肌和营养毛发。然后****也是可以给他使用的 但是****2是完全没什么必要的。这个您不需要给他喂,吃上他也不一定有什么效果。
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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