咨询描述:症状描述:两个半月的布偶猫,驱虫后便血,睡得时间也多了,但醒时能吃能喝
医院检查:一周前做过体检,偶尔打喷嚏,其他没有问题。昨天去驱虫之前给它喂了一些羊奶粉和奶糕。去驱虫完回来后,马上跑猫砂盆拉屎就带血,喂了点***的益生菌,后两趟拉屎好像正常了,今早拉屎又又带血,而且老睡觉。奶糕和羊奶从它昨天便血后就停了,但今早还是便血。
患病时长:昨天开始到今天
用药情况:***益生菌
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,从这个图片来看,它是末端肠道黏膜破损,我认为这个猫咪可能是跟驱虫药有关,驱虫药吃了以后会胃肠道造成一些刺激,引发一些局部的末端的轻度炎症反应,精神食欲如果正常,整体情况应该良好,另外他如果一天排便超过两次到三次,那么就应该是有一些炎性反应,就应该用一点药物来修复肠道黏膜,可能会考虑给一点少量的抗生素。
它驱虫完回来后一天拉屎4-5次。那现在要怎么办呢?给它的***益生菌可以继续吃吗?另外要给它消炎药的话,要吃什么消炎药呢?需要给一点***散止泻和****止血吗?
曹元钊
执业兽医师
您自己的益生菌可以继续吃,同时给这个猫少食多餐,把猫粮碾碎加水,调成糊糊,另外口服这两种药物 **一天两次,每次半片,口服五天 ****铋一天两次,每次50毫克,口服五天,****铋可以修复末端肠道黏膜可以止泻
它体重0.7kg也是用您说的这个药的用量吗?那在吃这些药期间,它还可以打第二针***吗?还是说需要推迟几天呢?(第二针原计划定在8.18号)另外,羊奶粉还可以继续给它吃吗?
曹元钊
执业兽医师
如果是0.7公斤的话,****铋的剂量就先不要变 **的话就一天两次,每次1/3片。
目前来说第2针***要先推迟几天,羊奶粉可以继续给一点点,但是不能太多,主要还是以猫粮粉为主。
另外,医生,我家里有这样的虫子,不知道是什么,会是这个虫子对猫有影响吗?
曹元钊
执业兽医师
这个看不太出来是什么虫子,但是这种虫子一般来说呢,最多也就是寄生在体外,对身体内部应该没什么影响。给这个猫定期做一做体外驱虫就行了。
医生……我刚刚发现它拉屎完可能也有一些滴血,滴在了被单上……这个也是您说的肠炎导致的轻度黏膜损伤吗?另外就是,如果吃了这个药如果几天后不见好转的话,可能会是其他什么毛病吗?
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
是的,这个就提示,存在着肠道黏膜损伤有肠炎,所以要按照我建议的药物来使用对症治疗,如果不见好转,那还有可能就是一些非常少见的寄生虫,比如说贾第鞭毛虫 比如说三毛滴虫等等。
医生,我先按你前面的开方给它喂食一些药物,一般是不是三天左右之后就会慢慢好转了呢?如果后续查出贾第鞭毛虫或者三毛滴虫,可以使用***吗?
曹元钊
执业兽医师
是的,一般情况下三天左右就应该有慢慢好转,甲第鞭毛虫可以用***,但是三毛滴虫只能用***。
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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":108849,"prescription_id":150065,"doctor_user_id":1048813,"product_id":1064,"product_sku_id":1119,"dose":50,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":5,"number":1,"remark":"","created_at":"2023-08-13 09:53:00","updated_at":"2023-08-13 09:53:00","product_info":{"id":1064,"hash_id":"R0LPkmpM2b43bVXD","class_ids":{"0":1,"1":2},"category_ids":{"0":190},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":270,"sell_point":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","recommend_reason":{"0":"1.收敛止泻,保护胃肠道黏膜;","1":"2.用于犬猫胃肠道感染造成的腹泻症状。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"腹泻,软便.呕吐.吐黄水.水样便.便血","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5gx4片\/板x2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/697104b3482b1c3c893677f5d18d1ae6.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":29.9,"max_price":29.9,"sale_count":97,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:44:03","ins":{"id":270,"hash_id":"ZXn76zg9ZZx9boBN","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","common_name":"碱式碳酸铋片","trade_name":"新宠之康碱式碳酸铋片","en_name":"Bismuth Subcarbonate Tablets","brand_name":"新宠之康","is_prescription":0,"cover":"\/drug\/2023\/06\/828e7013e471b9c9075f57c50e10658c.jpg","specification":"0.5gx4片\/板x2板\/盒","reference_price":29.9,"component":"碱式碳酸铋片","indication":"1.收敛止泻,保护胃肠道黏膜;\n2.用于犬猫胃肠道感染造成的腹泻症状。","usage_dosage":"犬、猫,每1kg体重用药0.2g,一日2次,连用3-7日。或遵医嘱\n每次最多不超过4片,症状缓解可减少喂药量。","contraindication":"","adverse_reaction":"","attention":"1.本品不经过血液循环,未出现不良反应,\n2.个别会出现便秘情况,停药即可恢复。根据病情轻重,体重大小选择剂量,建议一次量不超过4片。","interaction":"","approval_no":"兽药字221451563","storage_method":"遮光、密封,在凉暗处保存","validity":"2年","manufacturer":"四川德成动物保健品有限公司","status":1,"created_at":"2023-06-12 14:50:18","updated_at":"2023-06-12 14:50:18"}},"product_sku_info":{"id":1119,"product_id":1064,"title":"新宠之康碱式碳酸铋片0.5gx4片\/板x2板\/盒","advword":null,"price":29.9,"market_price":39.9,"cost_price":15,"stock":76,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5gx4片\/板x2板\/盒"}},"cover":null,"thumb":"","sale_count":103,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-06-12 14:51:53","updated_at":"2024-11-19 17:42:26"}}}}}}
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