咨询描述:赵医生,你好,我想咨询一个关于狗狗频繁呕吐的病因。
长毛腊肠,10个月大
症状描述
【3.11~3.15】 差不多3月11日开始到15日,每天会呕吐一次,吐出来的以黄色带泡沫的液体为主,偶尔有食物残渣,观察了几天,狗狗吐完之后,精神状态正常,没有出现萎靡不振的样子,大小便正常。期间有问过宠物店的人,他们说给狗狗停水停食6小时,再观察,我们后期有照做,但是第二天还是会呕吐。
【3.16~3.20】16日,询问过一个兽医,给出的病因是①饮食问题,需要我们调整饮食结构;②需要我们喂一些消化酶(***)。我们有在做,呕吐频率有减少,之前是一天一次,16-21号,变为两天一次呕吐,期间精神状态和大小便情况也都是正常的。
【3.21】21日(今天)2:00AM 这个时间点左右,狗狗腹泻了,排便非常臭,便便开始是成形的,后面的有些稀薄;4:30AM这个时间点,又是腹泻状的便便,看起来有血,但是当我们处理的时候纸巾上并没有红色血迹。
患病时长:11天
🌸 医院检查:未去医院。(去年狗狗疫苗都接种完毕,今年的一针还未接种。狗狗的驱虫没有定期做)
🌸 用药情况:期间用过儿童吃的“***”和“***”
不知道上面的表述是否清晰,有不全的信息,还麻烦赵医生提醒。🙏
以下文件,是狗狗呕吐的抓拍视频、回忆版图文以及服用过的药,方便赵医生判断。
问题大致一样,细节不同?
赵一强
执业兽医师
主人您好,首先要照您的描述,宝贝呕吐的内容物是一个典型的胃酸胃液,里面混合的胆汁。证明宝贝的症状主要是在胃和12指肠这块儿。并且主要表现的是一个轻微的炎症和胃肠蠕动梗阻的问题。并不代表宝贝的消化功能出现问题,所以宝贝的之前的大便都是正常的。那么您吃的那个***本身是个助消化的,并不解决宝贝的问题,反而容易因为使用这种助消化的药,导致宝贝的大便不成形,更容易拉稀。所以我的建议是您把那个***停掉,想吃的话,可以把益生菌吃上,然后后面如果还拉稀的话,可以把止泻药吃上。看看宝贝后续还有没有明显的拉稀和带血的稀便。
那么,针对宝贝的这个症状,我这边的建议是您可以给宝贝用点儿保护胃肠,消炎止吐的药物调理看一下。
图片当中,宝贝的饮食最早发病,之前有吃过一些乱七八糟的东西。所以我想和您再确认一下宝贝日常的饮食狗粮是什么牌子的?下来多少钱一斤?除了狗粮以外,宝贝,平时现在还会给他吃乱七八糟别的食物吗?尤其是人吃的饭菜和骨头?
赵医生 不好意思,之前狗粮是宠物店寄的 忘记了什么牌子,反正还挺好的,大概是26公斤 450左右
早上发现有2次便血的情况。这段期间没有喂其他东西。(11号开始没有给它吃什么别的,就是和白开水和狗粮) 有朋友说狗狗得球虫了,会不会很严重啊?赵医生可以帮忙判断一下吗?
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人你好,所有的寄生虫感染都有可能会引起出血性肠炎,腹泻的问题。那么宝贝今天腹泻的症状越发严重。考虑更多的还是一个胃肠炎加重的一个表现。那么球虫也好,滴虫也好,或者其它类型的寄生虫也好,通常需要在显微镜底下检查确诊,我也是肉眼凡胎,无法通过肉眼给您看出大便里面有没有虫子?我只能告诉您这种情况,不排除有可能有寄生虫的可能性。通常从经验上来讲,球虫引起的出血多见于一些黑煤焦油状的稀便。
那么宝贝如果精神状态挺好的话,我又看了下资料,宝贝毕竟是10个月大。我还是需要和您再确认一下宝贝的所有疫苗是您亲自带着去打的吧?不是你买回来之前商家给您说打过的吧?
其次,你说的那个狗粮的价格不是太好。26公斤这种大包装的狗粮,算下来,合下来单价十块钱已经扣完,店家的利润和厂家的利润,成本可能有个一两块钱面粉钱就不错了,。
所以宝贝这种情况我可以给您全面的说一下,一般引起宝贝这种胃肠道症状,带有出血性腹泻的话。主要就是三个病,一个是病毒性胃肠炎细小病毒。那么,如果打过疫苗的话,这个病毒性胃肠炎一般是不得的。
一个是吃了异物,比如说骨头或者金属之类的划伤肠胃,引起这种出血性胃肠炎。
一个是寄生虫感染引起的,这种出血性的表现的胃肠炎。所以您如果方便的话,这三个疾病都需要去做一个对症的检查确诊的。然后再去对症治疗。
赵一强
执业兽医师
那么,至于严重程度的话,这当中细小病毒,这个病毒性胃肠炎是由死亡率的高达50%左右,属于比较严重的一个疾病。
异物性胃肠炎其次,因为这个病一般积极治疗都能治好,但是有可能需要手术治疗。
寄生虫性胃肠炎一般积极药物治疗都能好,没有什么死亡风险,。
赵医生,你好。回答一下赵医生的疑惑。
1)去年的疫苗,也就是狗狗生下来第一年的疫苗,都是我们亲自带去正规宠物医院打的,都有记录,只有第一针是商家那边打的(因为我们买来的时候狗狗已经2个月了)
今年的疫苗还未接种,打算5月份去。(之前宠物医院的医生说过了第一年,之后每年接种一次)
2)关于狗粮,模糊记得是这个数据,具体照片找不到了,亲戚说这是国外的牌子,专门给那些参加选美大赛的狗狗吃的,加之卖给我们的是进货价。这款狗粮从去年9月份开始吃起,一直都挺好的,没什么异常反应。这次呕吐问题,个人比较片面地判断,应该和狗粮没多大关系吧。
3)球虫这个结论,也只是朋友依据症状的推测,很感谢赵医生把所以情况都告知我们。我们初步判断下来应该是寄生虫,准备下午带狗狗去宠物医院看看。
因为没有在宠物医院治疗过,不是很了解,想询问一下赵医生,如果是寄生虫感染的话,一般,费用预算是多少?
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人您好,一般球虫或者其他类的寄生虫的治疗费用大概在100块钱左右吧。做一个便常规的检查的话,检查费用在50到100。但是这只是指体内寄生虫的驱虫的药物的价格。宝贝本身的胃肠道的症状,消炎止痛,保护胃肠的这些药物的话,治疗的费用口服药算下来差不多得在300块钱左右。
那么如果说您说的狗粮是进口的,而且是按进货价给的,那倒是差不多,。而且宝贝吃这么长时间,狗粮的原因可以往后面放一放。但是需要和您说的是,这个东西不是特别绝对,有的时候因为狗粮长期吃不太适合肠胃的,慢慢的会表现出这种肠胃的问题,因为宝贝的呕吐症状也不是说特别的严重,他也是一个缓慢加重的一个过程。但是最终表现出来的都是呕吐黄水的表现。
疫苗没有问题就行。那么算下来的话,像宝贝这种情况,后面如果没有别的异常,其实也可以完全的对症治疗,调理一段时间看看。如果您这边需要我给您开具一个对症的药物处方的话(不包含驱虫药)。我这边也可以给您把宠物这种情况对症的消炎止吐调理肠胃止泻的药物开出来,您可以参考看一下,如果觉得价格合适,有需要的话可以购买备用。
赵一强
执业兽医师
不客气哒。感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
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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