咨询描述:医生,你好,我的公猫两岁半,已绝育,因为尿闭犯了 29 号去一个宠物医院看,医生说输液,然后输到 12 月 1 号(第三天)早上它突然情绪激动,不输了,然后就给打了针回家了(这天早上吃了猫条泡水),然后 2 号早上吃了尿闭的药之后 1 点呕吐,5 点呕吐,一天两次,未进食,只在傍晚喝了点水,然后 3 号早晨喝了点水,吃了一根猫条,下午未进食,晚上 10 点呕吐。它应该是应激了,这几天也没有排便,精神不好,总是睡觉,也不玩,不知道怎么办了
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,我首先需要问一下,24小时之内排尿多少?还有就是他有没有插管?有没有找到他尿路闭塞的原因?应激反应的可能性是有的,但是也要考虑一下,他再次闭塞,或者是由于闭塞原因引起的可能性。
所以一定要确认一下他的排尿现在是否顺畅,再有就是有没有什么别的不同?
应该是尿路有结晶,今天早晨喝完水有排一次尿,再一直没拍尿也没喝水
没有插尿管,它输液体那几天尿了很多,但是这两天不吃不喝就没有尿太多尿
徐灿
执业兽医师
如果是这种情况的话,我需要问一下,上一次排尿尿液结团大小正常吗?能不能拍摄一段猫咪的视频发过来看一下,我想评估一下猫咪的精神状态。根据你的描述来看,有可能是肾脏损伤或者应激反应引起的。
我感觉像应激,医生你看看
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
它现在对于猫条的反应也不强了,对于这种情况来说,个人建议是最好能做个生化,看一下肾脏指标,然后再做处置,可能后续还确实是要输液,因为不管是受到剧烈刺激,还是说本身有排尿问题,一定要保证它的尿液能够正常的尿出来。
再有就是输液或者是用药的话,实在不行,你可以让医生扎一个滞留针,然后在家里面输液,减少刺激。
它今天的尿团大小也是正常的,去年冬天也有过一次尿闭,打了针就好了,医生做了个什么检查说没有炎症
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
确实是没有炎症,如果是这种情况的话,那么还可以再观察一下,可以适当的用一些缓解刺激的药物,比如说*****,只要是它能够正常排尿的话,还是可以再观察一下的,不过重点是它的食欲比较差,建议是给他一个稍微安静的环境。
如果说食欲总是无法恢复,可以稍微用一点***。能够在很大程度上缓解惊吓,刺激食欲。
好的,那呕吐的现象需要吃药吗?它从小就肠胃有点不好,吃的不合适就容易吐
徐灿
执业兽医师
如果说呕吐的话,可以少量的给它吃点抗生素,一般来说也问题不大,主要是看一下后续情况,不要强行的去抑制他的呕吐,因为如果强行压制症状的时候容易后续出问题。然后后续的话,你需要找一些其他途径,给他搞一点***,然后用药看一下是否恢复食欲。
徐灿
执业兽医师
不只是这一个,回头的话,你需要给他找一点***,然后进行用药看一下后续是否恢复,还有就是必须观察他的排尿情况,一定要保证他的泌尿畅通。超过24个小时不排尿,可能就要重新插管,
不要强行喂食,最多就是找一个注射器,然后把猫条等食物往口中少量推注,一定要避免呛到。
徐灿
执业兽医师
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
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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