猫咪前期拉稀吐猫粮然后屎也变硬了也不吐了
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咨询描述:前期拉稀吐猫粮,喂了益生菌和***挫镁肠溶片,然后屎也变硬了也不吐了,今天突然又吐了吐呕吐物如下图,没有精神。
患病时长:5天
用药情况:两天一次益生菌和***挫镁肠溶片
问题大致一样,细节不同?
徐灿
执业兽医师
据您讲到的猫咪呕吐,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. 猫咪的疫苗接种完全嘛,今年加强了吗?
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?
当然还有非常重要的一点,能不能拍摄一段猫咪的视频过来,我需要评估一下猫咪的精神状态。
上次体驱是三个月前
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看上去精神状态还好,但是发现他有挠耳朵的行为,这种情况要检查一下,耳朵里面有没有化脓,另外就是要确认一下是否发烧,如果说感染或者发烧的话,确实有可能会造成呕吐。
再有就是要检查一下,最近24小时,他的排尿正常吗?最近他的排尿大小都是一致的嘛?有没有排尿困难?
徐灿
执业兽医师
请详细的阅读后告知一下上面的情况,另外,单纯的只做体外驱虫,有可能会有体内寄生虫的,这一点也需要考虑,如果没有上述的问题,而且肚子按压不痛,那么,结合用药的历史来看,他是感染引起的呕吐或肠胃炎,或者寄生虫波及引起的可能性较高。
徐灿
执业兽医师
体温的话,一般是检查一下耳朵以及大腿内侧是否发热,另外就是有没有其他的异常症状?请详细阅读上述问题并告知。
徐灿
执业兽医师
如果是这种情况的话,那么主要考虑可能有体内寄生虫或者肠炎,因为之前使用的胃酸抑制剂和益生菌,并不能直接治疗感染。
另外就是要检查一下耳朵里面是不是有脏脏的或者流水呢?这个需要确认,目前建议是结合状态更改药物方案,另外,耳朵的情况要核实要判断时否有内耳炎。
徐灿
执业兽医师
如果是这种情况,我个人建议是更改一下方案,除了胃酸抑制剂,还有益生菌的使用,建议增加抗生素和体内驱虫,然后再观察一下即可,是目前来说比较推荐的。外边的耳朵没有问题,那么后续可以再观察。帮你看那个方案,建议你可以参考使用,当然也不是唯一方案。后续建议是增加抗生素等药物之后,看一下后续食欲以及是否呕吐停止。
总结就是,更改药物方案,排除是由于肠炎或者是寄生虫引起的问题,然后持续性观察。
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":128401,"prescription_id":158772,"doctor_user_id":1296147,"product_id":872,"product_sku_id":913,"dose":0.25,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":1,"number":1,"remark":"每公斤0.25片","created_at":"2023-11-13 22:04:23","updated_at":"2023-11-13 22:04:23","product_info":{"id":872,"hash_id":"VNA3DJxL9BpMGaOw","class_ids":{"0":2},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":133,"sell_point":"猫用拜宠清双羟萘酸噻嘧啶吡喹酮片","title":"拜耳猫用拜宠清双羟萘酸噻嘧啶吡喹酮片 2片\/拆零","recommend_reason":{"0":"用于治疗猫的线虫和绦虫混合感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫内驱虫药,线虫,绦虫,弓首蛔虫,管形钩口线虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2片拆零"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/da5345c78db090321ca9c9abdd035943.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":43,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 15:34:54","updated_at":"2024-11-19 09:08:40","ins":{"id":133,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"双羟萘酸噻嘧啶吡喹酮片","trade_name":"拜宠清(猫用)","en_name":"Pyrantel Pamoate and Praziquantel 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15:34:54","updated_at":"2024-11-18 21:25:11"}}}}}}
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