咨询描述:你好,最近我家猫咪就有少量便血,但是一直以为是吃猫粮导致,换了个猫粮,今天突然发现这个情况,而且状态很蔫,不精神,很老实
问题大致一样,细节不同?
王鑫
执业兽医师
根据你讲到的情况他这个情况可能是肠炎或者尿血为了进一步判断宝贝的情况我还有几个问题需要向你核实一下:
1. 他有没有呕吐情况 体温正常吗?
2. 会不会总去猫砂盆做排尿动作
3.确定是肛门就出来的血液对吗?有没有腹泻
4. 症状持续多久了 摸一下膀胱看看有没有变大
以上情况你回忆后详细的描述给我,感谢你的配合。
呕吐情况最近没有,就是以前有几次呕吐,好久了都,体温正常,好长时间了他总乱尿,没做排尿动作但确实去真的排尿了,便血得有半个月了,我这上班忙一直没带去检查,有几天便便正常了我就以为没事了,最近两天又开始了,膀胱我不确定啊这不太会摸,而且我家这猫一直挺胖
王鑫
执业兽医师
你好,感谢你的回复,现在咱们主要需要确定的就是它到底是便血还是尿血。然后尿血是有特征的,它会总出入猫砂盆去做排尿的动作,但是尿量猫砂的尿团会比较小。如果要是这种情况下的话,那需要考虑是不是有尿闭。如果要是拉血的话没有呕吐,那这种情况还是比较理想的,可以给他吃口服的药物来进行治疗,一般怀疑可能是肠炎或者是有寄生虫,例如滴虫或者球虫感染,也有可能是炎性肠病。我从图片当中看,感觉是肛门出现的血液。所以说咱们去给他铲一下猫砂,看看尿团一共有几团,然后尿团的大小最好是拍个图片我看一下。
确定是便血,尿团有的时候大有的时候小,我家这铲的及时尿完就铲了,目前没有尿团照片拍给你,家里最近停水卫生间有接的水,但不是很干净,他喝了很多次,跟这喝不干净的水有关系吗?而且目前看问题大吗?明天需不需要带他去医院拍片子
王鑫
执业兽医师
你好,他现在只要精神状态比较差 这个问题就比较严重的 像他这种情况,我如果给您推荐口服药,它起效特别慢,因为口服药它是有首过效应的,所以说对于他现在这种情况可能没什么作用,我建议您明天还是带他去医院,首先需要做的就是抽血测一下血常规和Sa a看一下炎症指标。然后再做一个粪便显微镜检查,看看有没有滴虫或者是球虫感染。如果炎症指标要是升高的话,您还需要给他测一下血液生化,看一下肝肾指标和白球比的情况,再配合一下腹部超声,看一下胃肠道的表现 因为如果他要是喝地漏或者是卫生间里面的水,还是有可能感染到寄生虫的 今天晚上家里有没有益生菌,可以给他吃点益生菌和***,促进一下肠胃蠕动,看看明天情况怎么样 如果明天精神状态比较好,然后也能吃东西,您可以给他吃点口服的抗生素,配合保护黏膜药物 如果有腹泻,还需要吃点止泻的药物。您看一下我下面给您推荐的处方,点击查看详情就有用法用量的介绍。
王鑫
执业兽医师
客气了,然后明天如果有什么问题及时沟通咨询,到时候想问报告解析的话就直接给我发送就可以了。
王医生,今天领猫咪去宠物医院了,测体温30度多一点,做了个猫瘟检测,说是阴性,但是有隐形病毒,然后打了一个猫瘟血清,用了一个口服药,回来说再观察一下看呕不呕吐,精神状态怎么样不行的话就让去输液
王鑫
执业兽医师
你好 有没有检测报告给我发一下我看一下 然后有没有做血常规和粪便显微镜检查 有没有寄生虫 如果都没有问题 食欲和精神状态也比较好的话 那就用我前面推荐药物治疗就可以啦 如果用药5到7天没好转 给它猫粮更换成肠道处方粮看看情况
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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