咨询描述:8月1-9月9胰腺炎复发两次。9月28-10-18没吐过。期间一直支气管炎和呼吸道感染。一直在打针。19.22.号又吐了。后期打针了就没在吐了。结果10月3.4号.又吐了,以为胰腺炎复发,但是复查结果没事,胰腺炎好的。结果6号又吐了两次,都是早上5:30-6:30吐.凌晨1点开始吧唧嘴吧唧嘴的不舒服。今天去看了一下彩超。胆囊扩大然后肠胃胀气。 医生说胆没药的。建立改肠胃粮看一下,但是我觉得胰腺炎刚好一个月,我觉得这样风险太大了。我想问的事如果还一直这样呕吐,最好的方法是什么,会不会引起胰腺炎复发。前几天咨询过你的。正常的胆嚷尺寸多大
问题大致一样,细节不同?
于博
执业兽医师
好的,正常胆囊是没有办法具体评估的,一般我们是现场超声根据经验来判断,比如刚吃完饭胆囊会很小。禁食胆囊就会增大。
如果定时早上呕吐,那不是胰腺炎,一般是和空腹时间长,胆汁较多刺激胃引起的。您上次不是说加一次餐吗?后来有加吗?可以尝试饲喂熊取胆酸片试试
没加餐。延迟23:30给他吃的饭。早上6:40**,缩短了它空腹的时间的。早上吐了两次,我就没给他吃饭了。10点去做的B超.有什么好的建议呢。这样下去也不是办法。打太多针了,早上吐的,这几天都是吐这种
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于博
执业兽医师
*** 一天一次 一次一片 治疗胆汁淤积,胆囊炎可以尝试治疗一下
医院给我开了这个。它这个情况如果一直呕吐的话,会造成什么后果呢。胆囊具体多大需要进行手术切除。切除后会对胰腺有影响否。
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于博
执业兽医师
具体要看超声是不是有胆管狭窄、胆汁分泌旺盛。如果是胆汁分泌旺盛就是平时多饲喂次数。只是胆囊大点每天早上呕吐一次两次其他也不算问题,不会影响身体和并发疾病。
手术切除除非非常大,已经影响其他脏器工作的情况下考虑切除
好的,所以还是打针肠胃看一下吗?是否消下去。一直早上呕吐的话,平时时间段不呕吐的话就没多大问题吧!毕竟也担心有其他问题,一样接一样的。狗一直打针也扛不住呀。这是晚上要打的针,肠有点胀气
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于博
执业兽医师
这种我觉得没有必要打止吐针或者止吐药物。问题不大,主要是胆囊定期检测。肠道胀气可以饲喂“****”去胀气的每公斤体重0.5毫升,一天一次。
可以先饲喂我给您开的胆囊药物
空腹检查的,任何都没吃。因为这几天一直呕吐,所以给他做了B超。
于博
执业兽医师
那胆汁会增多一些,先用药看一下。没有大问题。每天早上吐一下也不会影响身体健康的
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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