咨询描述:你好,两周前我咨询过猫咪软便的事情,我家猫猫一直没完全恢复好
症状描述:两周前开始软便,随后停掉了罐头十天,每天只吃干粮和一顿沥干的水煮鸡胸,但是没有好转。考虑到软便第三天有坐过一次长途火车换到新环境,而且猫猫精神状态食欲都一直非常好,所以都是观望状态。换到新环境之后两天朋友家小猫放到我家来养,这只猫一直便便非常健康,加上我家小猫10.14驱过虫,感觉不像是寄生虫的原因(如果有可能,麻烦纠正我)
用药情况:三天前开始给他一天喂一包猫用益生菌(成分表截图放下面),以及助消化的营养膏(成分表截图也放下面),但猫猫的便便还是如下图。之前吃鸡胸肉的时候拉稀,现在是成型但是非常软。他上厕所的频率也非常正常,24小时之内通常就两次,也没有血便。
补充背景:因为之前没有养猫的经验,怕他吃厌口味,每天干粮为主,一顿湿粮,湿粮基本一周每天都吃不一样的,并且干粮虽然一直遵循了7日换粮,但每给他吃完500g就会换另外一种口味,两个月内他大概是吃了3-4种不同的干粮。所以考虑是不是因为我之前的错误喂养方式导致他肠胃脆弱?
问题: 1. 现在这种情况我还需要坚持喂益生菌+营养膏继续观望吗? 什么时候可以停?
2. 猫猫精神状态食欲一直比较好,甚至体重涨了0.2kg,这种情况建议我送医吗?(我担心就医可能折腾小猫让他压力更大反而不好)送医的话国外这边是粪检+血检。之前咨询过一个朋友,他家小猫在这边软便就医没有检查出虫子+炎症通常是考虑吃处方粮,但也没有什么用,小猫成年后肠胃自己好的。
3. 小猫的这种情况会影响他的生命健康吗?
4. 我家小猫喝水非常多,这会不会也影响他软便?
5. 医生有什么补充建议?
问题大致一样,细节不同?
闻晓敏
执业兽医师
写在回答问题之前的说明:
1,之前罐头和猫粮都更换得太频繁了。猫咪适应一种罐头和猫粮之后胃肠菌群刚刚调整好,你就又给它换罐头,换猫粮,因此这个可能是导致它软便的原因之一。那么现在咱们就需要固定一种罐头,猫粮吃一段时间,现在我的建议是先给目前吃的猫粮,不要频繁更换。罐头也暂时只吃这一种,不要频繁更换。
益生菌可以调理接着吃。
2,猫咪这种情况有可能是寄生虫感染,主要是球虫,三毛滴虫,贾第鞭毛虫这类原虫类的寄生虫。虽然做了常规驱虫,但是这些常规驱虫药对刚才提到的三种原虫类寄生虫都没有效果。因此即便做了常规驱虫,长期软便也需要考虑是否是上面的寄生虫感染。
回答问题:
1,建议可以吃益生菌+单一的狗粮+罐头,不要频繁更换。鸡胸肉可以吃。
2,目前可以先调理饮食,暂时不紧急可以先自行调理一下。如果能够用上我上次推荐的止泻药更好。
肠道处方粮是可以的,如果有条件买到,可以吃肠道处方粮。
3,目前来说对它生命没有威胁,但它目前处于亚健康状态,长期软便也是不正常的。
4,正常来说,喝水不会直接导致软便,因此它软便和喝水多关系不大。
5,建议就是上面提到的,如果能先对症治疗,用上一些止泻药,效果可能才会更好一些。另外,建议吃肠道处方粮,固定罐头(或者不吃罐头),吃鸡胸肉,益生菌调理肠胃。不要再像之前一样频繁更换了。
谢谢医生,针对回答我还有一些问题。1. 推荐药是爱迪森***和新宠之吗?这两个是否都需要同时服用以及剂量是?与此同时益生菌也是一起使用吗?(有朋友可以帮我从国内带药过来大概也需要十天后才能拿到)2.我听说益生菌吃多了也不好,在给他使用七天后是否需要停止? 3. 如果考虑还有寄生虫的原因是否还是建议尽快去找兽医做一个便检? 4. 处方粮可以买到,更换的话也要遵循七日换粮吗?
闻晓敏
执业兽医师
1,上次推荐的药两个都是止泻药,二选一就行了,处方里面有用法用量说明你可以翻上去看看。益生菌可以使用,但是与止泻药分开服用,前后间隔两个小时。
2,益生菌是调理肠胃的日常可以服用。
3,他吃喝精神都好,可以先给他用止泻药试试。
4,处方粮不用过度,可以直接更换。
谢谢医生,那我目前的处理方式是每日益生菌+单一猫粮(处方粮到了之后换成处方粮),然后十天后吃推荐的止泻药。期间猫猫精神状态问题就还是观察为主。医生你看可以吗? 还有个问题是,我很担心是不是是虫子的原因,如果是的话我这样处理会不会耽误治疗?
闻晓敏
执业兽医师
吃喝精神好倒是不怎么耽误治疗。如果你要从国内买药转运过去,我可以额外再推荐一些,家里常备一些猫咪需要使用的药物以便以后有需要时可以及时使用。请稍等我给你开个处方
谢谢医生,我查了一下,这几个药里面****是主要对软便的是吗?因为我是要朋友带过来所以只想先带关键的。如果这个没好的话我就直接带去看这边的宠物医生了可以吗?另外想问一下医生,处方粮打算买**幼猫肠胃处方粮,推荐吗?以及处方粮需要吃多久? 最后是买药是是可以直接在这个平台买吗?
闻晓敏
执业兽医师
1,是的,止泻的就开了这一个,这个是针对腹泻的。
2,没好再带去医院是可以的。
3,**肠道处方粮是可以的,它有幼猫款,猫咪可以吃的。处方粮聊不需要七天,可以直接喂。可以先吃一个月。对的,两可以直接下单
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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