徐灿
执业兽医师
据您讲到的狗狗呕吐,常见的原因是异物,寄生虫,高热,疼痛,内科病,肠胃炎,细小冠状等病毒性疾病等。但仅仅根据目前的信息,并不能准确的判断发病原因,还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 狗狗的疫苗接种完全嘛;
2. 有没有可能吞吃异物或者有毒物质呢?
3. 上次做体内驱虫是什么时候;
4. 有没有高热呢?
5.是否存在排尿困难或者腹腔压痛呢?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外,把您家爱宠的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
是个萨摩耶,有四年了,最近食欲有降低
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这种情况我想问一下,它的排尿有异常吗?有没有更换过食物?有没有可能吞吃杂物?上一次做体内驱虫是什么时候?到现在为止,有没有使用过抗生素类药物?
排尿没有异常,没有更换过食物,吞吃杂物因为我前天晚上带她出去溜,晚上太黑,看到她舔舐过一些东西,但是不确定有没有吃下去,上一次驱虫隔很久了,具体是我妈在弄,不太清楚,没有使用过抗生素
徐灿
执业兽医师
请问一下,食欲比较低这个情况已经多长时间了?能不能拍摄一段狗狗的视频?发过来看一下,我需要确认一下精神状态,另外,家里面有没有体温计呢?如果有体温计的话需要测量一下体温,最近一段时间狗狗有没有眼睛分泌物增多的情况?
大概是持续半个月,就是吃的没有以前多了,眼睛分泌物没有增多,家里有体温计,怎么测量呢
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
如果说食欲有降低的话,需要核实一下,最近一段时间有没有发情?一般来说,还是需要有体温计才能测量体温,用手触摸的话,只能大体感受,可能不是很准确。上一次做体内驱虫是什么时候呢?这个也是个非常重要的情况。从视频里面看,她的状态还算可以的。
没有发情,家里是有体温计的,但是我不知道怎么测量,驱虫的话因为家里人忙,应该很久没做驱虫了
徐灿
执业兽医师
因为就目前的情况而言,状态还是不错的,个人建议是先用一次体内驱虫,然后适当的口服一段时间抗生素排查一下寄生虫或者肠胃炎的可能性,然后后续外出的时候一定要注意,不要让她吃乱七八糟的东西。
确定最近一段时间尿液味道没有加重吗?尽量带他出去转一下,然后采集一些尿液,闻一下味道。
尿液味道没有加重,她的鼻子也是冰凉凉湿润的,需要这边开药吗,吃些益生菌类的可以吗
徐灿
执业兽医师
益生菌是可以吃的,但是大多数都是作为辅助,重要的还是吃一些抗生素和用一次体内驱虫,如果你需要使用某些药物的话,我也可以帮你开出,但是实际上需要提出处方申请。
综合来看,实际上吃错东西或者肠胃炎以及寄生虫的概率更高一些。
这是刚才拍的褐色液体里面的,感觉像小血块的东西,软软的一坨,是红色的,那麻烦医生开药了,开完药我是去线下找宠物医院购买吗,还是怎么操作
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
红色的实际上看上去更像是什么东西的碎屑,处方的话,你可以在平台上购买药品,也可以到线下的医院去购买,两种选择都是可以的,如果说医疗条件不足,或者是并没有买到的话,也可以选择平台上直接购买,一般2天左右就能到。
她之前也会偶尔吐黄色带泡的液体,有时候是饿着了,有时候就不知道原因了,也会跟此次挂钩吗,因为我可能是照片拍摄问题,就感觉这个很像小血块,都是那种暗红色的,拍出来可能就是黑色的了
为保护用户隐私不显示图片/视频
如果自己网上购买这个驱虫药后,是不是线下就不用去店里做驱虫了,还是也需要去店里做驱虫的
徐灿
执业兽医师
实际上,他不太像是胃黏膜之类的东西,因为不太符合,更考虑是吃进去了什么东西,平台上线上购买药品后续做完驱虫之后,就可以不用去宠物店做了,因为都是一样的东西,主要就是为了预防是由于寄生虫感染造成的。而且之前的呕吐也可能与寄生虫等因素有关的,但是目前来说状态良好,可以用一些药物,然后观察一下。
好的好的,谢谢,这些药物没什么禁忌啥的吧,需要有什么注意的吗
徐灿
执业兽医师
驱虫药物需要注意一下,因为驱虫药物容易中毒,所以需要严格按照剂量,最好是饭后吃,因为有极小的概率会造成肠胃症状。每公斤0.1片,吃一次即可,后续的话,定期按时驱虫就行。
抗生素的话没有那么多的禁忌,后续按照指导剂量使用就可以,问题一般都不大。
徐灿
执业兽医师
没事的,不用谢,后续的话,按照指导剂量使用就可以,时间不早了,早点休息吧,晚安。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":32915,"prescription_id":114777,"doctor_user_id":1296147,"product_id":870,"product_sku_id":911,"dose":0.1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"每公斤0.1片","created_at":"2022-06-16 03:10:06","updated_at":"2022-06-16 03:10:06","product_info":{"id":870,"hash_id":"ZXn76zg9o6p9boBN","class_ids":{"0":1},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":1,"sell_point":"拜宠清复方非班太尔片","title":"拜耳拜宠清复方非班太尔片 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17:35:40","updated_at":"2022-01-11 15:29:08"}},"product_sku_info":{"id":911,"product_id":870,"title":"拜耳拜宠清复方非班太尔片 2片\/拆零","advword":null,"price":58,"market_price":88,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零装"}},"cover":null,"thumb":"","sale_count":54,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:48:29"}}}}}}
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