咨询描述:您好,闻医生。我昨天找了一下曹航医生,就是想再详细点,相关症状客服说他们会发您。 我这边给猫做超声波,这边医生说给2个选择,一个是做手术,一个是冲洗掉晶石,沙,但是后面X光是看不到任何东西。我想问问有没有其他办法? 麻烦您看看我猫的病状。猫猫现在会乱找地方上厕所,有一点点尿,但是都有血。
问题大致一样,细节不同?
闻晓敏
执业兽医师
两岁多5公斤的猫咪频繁出现这种情况,临床上最常见的就是特发性膀胱炎,其他病因还有:膀胱结晶或者结石,尿路感染。
有一些膀胱结石在X光线下不显影,比如胱氨酸结石,因此需要结合超声一起诊断。其次,泥沙状的结晶在X光下也是不显影的,但是在超声下却很明显。
你这边做了X光检查,也做了超声,现在确定是有膀胱结晶的,那他现在这个情况考虑是膀胱结晶导致的症状可能性最大。
临床上对于这种病例一般要从几个方面来管控。1,药物。医生给你开的那些药都是可以用的,另外,因为没有做尿液检查不知道他的结晶的主要成分是什么,但我们可以尝试性的给他用一些化结石的药和吃泌尿道处方粮来改善这个情况。除了医生给你开的药,等会儿我再给你推荐一些。2,多模式管理,包括情绪,环境,运动,饮水,饮食等方面。
猫咪有这种情况,那么他在感受到应激,压力的情况下会更容易发病,出现症状,因此平常要给猫咪营造安静舒适的环境,并且让他多运动,如果家里是多猫家庭,建议可以把其他猫咪和他隔离一下。再就是一定要保证猫咪喝足够多的水,正常吃喝的情况下,以它5公斤的体重来计算,每公斤按照40到45毫升喝水,那每天需要额外饮水量是200到220毫升。
可以给他吃湿粮,用注射器喂水,家里多个盘子装水放在不同的地方,给流动水等等方式增加饮水量。
再就是可以给他吃泌尿道处方粮,处方粮可以溶解结石,尤其是对于鸟粪石组成的结石,结晶会有作用。可以调节尿液pH值,促进饮水。
闻晓敏
执业兽医师
另外还有一个药你可以让朋友去买,叫****,按照10毫克每公斤给药,一天两次,可以连续给五到七天。但是这个药吃了之后呢,他可能会变得更爱睡觉,比较安静,因为他有镇静的作用。
这里根据他的情况,我也开了一些药搭配着一起吃,可以直接下单购买让你朋友邮过去。
闻晓敏
执业兽医师
只要他能够尿出来说明没有尿闭,那临床上就不是那么紧急,可以先用药按照上面提到的方式多模式管理。
但是如果一旦尿闭了的话,那他反复出现尿闭的情况还是建议做手术的。
闻晓敏
执业兽医师
我的解答完毕,如果你还有什么疑问的话,可以继续留言,我看到会及时回复的。
非常详细,感谢您。 用药1.****2.优泌3.处方粮(我现在用的是**的,猫粮不给带进我这边,所以买不了**)4.***蔓越莓***,请问还有吗? **需要吗? 我这边买不到这些除非看医生,但是海军很贵,所以请问我保险一点买多少用量好呢?
闻晓敏
执业兽医师
**的泌尿道处方粮也是可以的,你可以先给他吃一个月,然后去复查超声看看结晶是否有改善。目前用医生给你开的药,以及搭配我给你开的药就可以了,当然,他有泌尿道方面的问题,这些药可以多准备一点,你在国外买药不方便可以加倍储存。年轻的猫咪出现突发性膀胱炎被细菌感染的可能性非常小,可以先不用。
当然**作为家中常备药物,你可以准备储存一些,平常的肠胃炎,呕吐,腹泻,外伤什么的都可以用。猫咪5公斤,可以购买250毫克的10到20片。使用的时候一天两次一次半片。
目前膀胱炎我的建议是可以不用。
闻晓敏
执业兽医师
供参考。可以按照处方说明的用法用量使用,你可通过处方自主选择购买,快递给朋友让朋友转运
感谢您,我们现在每次用针管灌完水,他就一直去厕所,几分钟去一次,我找到的人12月10号才到这边,还有差不多20天,请问持续如果还是这样的话我需不需要再带他看医生?
闻晓敏
执业兽医师
能尿出来就可以在家吃药,灌水,尿不出来就必须送医院看诊,连续一天不排尿属于尿不出来,有生命危险属于急诊
药只开了6天,6天之后如果他还是这样我再去诊所那边开药。我们这边医生太贵了,单单打针吃药看了3次就花了快1万,如果做手术还要收1万。我之前医生开的药快没了,请问您觉得我还需要买我这边医生开的药吗?如果需要的话,国内是否有,我们猫砂是黑色的,很多次铲都是一小粒,小部分时候铲是一大粒,所以应该他有尿吧?请问商城没有购物车吗? 我想合并一起买单
1. *** 2.***蔓越莓*** 3.** 4.****
请问可以追加一次提问机会吗?我找到商城了,可是没找到加吧喷丁🙏,谢谢
闻晓敏
执业兽医师
商城里面没有****呢,我也没有给你开在处方里面,这个需要你朋友自己去购买哦,有宠物专用的,实在找不到去药店购买临时用人用的,用几次也可以。
虽然建议了人用药的使用,但是我本人和平台是不支持给宠物使用人用药物,该用药的治疗效果及意外风险我本人及平台是无法承担的,还请您考虑清除后采纳。
闻晓敏
执业兽医师
赠送了一次追问,如果你还有什么疑问的话,可以继续留言,我看到会及时回复的。
闻晓敏
执业兽医师
希望我的建议可以帮到你哦,非常感谢你对蘑菇宠医的信任。如果我的回答能帮助到你,请在咨询结束后留下5星好评哦,后续宠物有其他问题,可以到“蘑菇宠医”官方微信公众号继续向我提问
谢谢您,闻医生。请问****有分牌子吗? 要买多少毫升,您说1公斤需要10毫升,我的猫一次是不是要喂50毫升? 一天两次就是100毫升
闻晓敏
执业兽医师
不分牌子,药物名字就加****,不是10毫升,是10mg,每公斤体重按照10mg药物给。咱们家猫咪是5公斤,因此你可以一次给50mg,一天两次,就是100mg。国内的****有100mg包装的,也有300mg包装的,买其中任何一种都可以。需要你自己分药。
闻晓敏
执业兽医师
希望我的建议可以帮到你哦,非常感谢你对蘑菇宠医的信任。如果我的回答能帮助到你,请在咨询结束后留下5星好评哦,后续宠物有其他问题,可以到“蘑菇宠医”官方微信公众号继续向我提问
感谢您,十分好评。我之后再留意下猫猫,再联系您。感谢🙏
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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