咨询描述:男仔,7岁,今天6点多开始呕吐大概4次,吃什么没多久就吐什么,但是精神还好,食欲也好,现在7点45左右开始断水断粮观察,8点半左右呕吐过一次,到现在都没出现呕吐迹象,后面应该怎么做
问题大致一样,细节不同?
徐灿
执业兽医师
对于这种情况来说,首先能不能拍摄一段猫咪的视频过来?首先要检查一下看他有没有发热呢?摸一下两腿之间,有没有比较烫?他的耳朵是热的吗?第二点就是要检查一下他的排尿,他24小时之内尿了多少次?有正常的排尿吗?
还有就是回顾一下最近有没有给他做过体内驱虫?有没有别的方面的异常呢?有没有给他吃过新的零食或者是食物?
排便排尿都是正常,耳朵有点暖,两腿间温度还好,排尿的话呕吐开始到现在都没排一次,排便就排过一次,体外驱虫就带了个猫蚤圈,不过戴了一段时间了零食什么的都没有猫粮也没换
徐灿
执业兽医师
如果是这种情况的话,能不能拍摄一段猫咪的视频过来呢?还有就是呕吐物里面有没有毛球?按压肚子有没有疼痛感?我需要先看一下猫咪的视频,另外就是家里面有没有抗生素类的药物呢?也就是没有做过体内驱虫,对吗?
第一次呕吐是透明液体,第二三次是食物,第三次是黄色液体,里面没看到毛发按他肚子也没什么感觉,家里没有抗生素药物没做过体外驱虫
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
首先我需要问的是体内驱虫,不是体外的。也就是说他没做过体内驱虫,对吗?
这种情况一定要核实一下,24小时之内,他一共排尿多少?这个需要一个准确次数。
另外就是从视频上来看,他的状态说不上很好,一定要优先排除尿路闭塞。
徐灿
执业兽医师
只要是能够排出尿的话,短时间之内大概率没有生命危险,对于这种情况来说,有两个处置方式,首先就是如果有医疗条件的话,最好可以做一个炎症反应测试和血常规,初步的判定一下是否有感染问题,如果没有好的医疗条件的话,在精神状态稳定的前提之下,可以口服一些抗生素,并且做一次体内驱虫,这个就是属于逆向诊断方案。
他视频的这种状态是要完吃我没给他然后他就躺在那里睡觉,但是我怕他一吃东西就吐出来,还有那种抗生素有没有推荐的,如果要喂抗生素的话是不是要在断水断粮8小时左右再喂还是现在就喂
徐灿
执业兽医师
对于这种情况来说,最好是有抗生素的话,直接给他吃一些,然后观察一下后续情况,并且可以做一次体内驱虫,因为他之前从来就没有做过,然后后续观察一下。
至于方案的话,我已经帮你开了一个,后续的话,你可以参考使用,但是如果他完全不吃东西,或者是特别特别打蔫,你一定要尽快的做血常规和炎症测试。
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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