咨询描述:您好医生
一只刚满6个月的德文,上上周日刚刚接到家。到家后就出现了软便、偶尔稀便(有时睡觉时无意识漏出,感觉像是放屁时带出,因为频繁放臭屁),以及打喷嚏(最多时一天10次),轻微流涕(基本为打喷嚏喷出),领回家当天是做了体检的,血常规、便检都正常,所以问过体检大夫建议吃**、***、达利建***,用药后3、4天打喷嚏流涕情况明显缓解,但大便较软仍然较软,按照医嘱继续服药巩固,期间大便见好,但是经常是睡一晚早上便便较好,白天用餐后便便开始转软,放屁见少所以也没有漏屎情况了,所以用前两天停药了。但昨天开始大便又开始不成型了,偶尔也有轻微喷嚏,暂无鼻涕,昨半夜还应该上吐下泄一回,听到呕的声音了,但颜色基本一样无法分出哪些是拉的哪些是吐的,感觉里面有粘液。此外,在此期间睡觉呼吸声音一直较大,感觉一直略有鼻塞现象,吃东西时会流泪(但昨晚吃猫饭流泪现象很轻)。
喂食情况:整体食欲一直都还行,后面改成定时喂食,一天3、4次,每次大概30g猫粮,基本都能吃完。前天停药后为增加抵抗力,有开始给它吃jarrow****,昨天又给了now益生菌,并将晚餐改成了自制猫饭。不知道是否与改这些有关系。
精神状态:整体还好,昨天有点睡的多了些,但醒的时候也挺井绳,今早起来也是。
其他:昨天给它用了***片+生理盐水稀释后清理了下耳朵,用***洗时候擦了下身体。另外这两天还把衣服给它脱了,房间开窗通风过一小会儿,因为前几天给它保暖后毛都掉了。
影像参考:1、睡觉呼吸音 2、开始几天睡觉漏屎照片 3、开始几天喷嚏喷出的脓涕,这种情况只出现过差不多3次,鼻腔只出现过一两回睡觉时轻微溢出清水的情况,没有到留鼻涕的情况
问题大致一样,细节不同?
于博
执业兽医师
好的,根据您的描述,猫咪打喷嚏流鼻涕,睡觉打鼾有几个情况:1.慢性鼻炎;2.鼻腔内肿物;3.鼻腔异物;4.软腭过长
如果是两个鼻腔都有鼻涕,一般考虑是慢性鼻炎,形成的原因之前有过呼吸道感染,患病期间病原体侵害鼻甲骨和粘膜引起的慢性炎症。没有办法根除,一般是再天气变化或者温度降低时会症状明显一些,平时可做雾化和滴鼻液滴鼻子缓解,严重时可配合抗生素治疗。
如果是单侧鼻腔有分泌物需要再鼻炎的基础上也要考虑肿物或者异物,可以做CT确定一下。软腭过长概率很小
长期慢性腹泻常见的原因:1.食物过敏;2.寄生虫感染;3.IBD炎性肠病;4.消化酶分泌不足;5.细菌性肠炎。
如果之前做过便检,确定没有寄生虫和细菌感染,那就要考虑是食物过敏或者消化酶不足。首先可以改变一下食物,饲喂肠道处方粮看一下是不是食物过敏的原因。如果还是软便腹泻,再饲喂消化酶治疗。如果所有的腹泻原因和治疗药物都调整没有变化,可以考虑是IBD,需要长期使用激素类药物治疗
嗯 鼻炎如何确诊呢 是需要去做pcr五项么?另外想问下益生菌是否还可以继续喂呢? 另外今天目前还没有什么症状,是建议再观察下?还是去医院检查好呢?
另外猫咪上午体温大概在 38.1-38.5、下午体温大概38.5-39.1。均是在大腿内侧没毛的地方夹住测的,这样的情况还需要在加0.5度么?以及现在度数应该还是正常范围吧。
于博
执业兽医师
如果是慢性鼻炎,检测PCR显示都是阴性,因为打喷嚏并不是病原体引起而是鼻腔损伤引起。不过您可以去检测一下,看是否是发病期还是鼻炎。益生菌是增加肠道有益菌的,平时和患病期间都可以饲喂,但是没有治疗作用,只是辅助产品如果现在都很好,那就不用区间检查,等症状明显期阶段去检查
只要不是肛温都需要加0.5度,正常体温是37.8-39.5,一般精神状态和体温成正比。体温应该是正常的
嗯嗯好的 滴鼻液和雾化您有推荐么?如果用这个有缓解是否说明情况还好 暂时不用检查,因为最近天冷 它出去一趟怕应激反应更大
于博
执业兽医师
1.****** 每天3-4次 滴鼻子,一个鼻孔一滴
2.猫肠道处方粮可以饲喂一段时间
3.雾化液配制:**米松0.5毫升,**霉素1毫升。***1毫升兑10毫升 生理盐水,每天一次,一次20分钟
4.** 一天两次一次半片
可以减轻症状
1.****** ***可以么?4.**之前吃了10天停了3天了,现在直接继续吃?需要吃多久呢
于博
执业兽医师
好的。如果之前用过没有副作用,而而已尝试使用滴鼻子的。
**属于抗生素,抑制细菌,如果打喷嚏黄鼻涕症状明显期间可以使用1-2周。平时不明显只用滴鼻液和每周2-3次雾化就可以
今天回来发现它拉粘液了 果冻状似的 不知道是不是事黏膜,颜色也不对 偏绿,而且恶臭。这是啥情况呀。
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,精神状态怎么样?食欲怎么样?排便次数有增加吗?今天有饲喂什么食物?自己有翻垃圾桶的情况吗?
精神和食欲状态都还行,排便减少了,就拉了一次,还不算很多。今天就只给了干猫粮。他有时会翻垃圾桶,但是垃圾桶里我都包好的,应该不会误食什么
于博
执业兽医师
好的,那您今天晚上可以先给它禁食,水不用禁。然后明天再给与食物,看看还有没有腹泻,如果还是有腹泻,可以先饲喂止泻药物观察三天,如果三天没有好转,建议去化验一个便检看一下是否有寄生虫或者细菌性感染
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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