咨询描述:医生您好。我家猫咪快2岁,已经绝育。昨天中午开始我看他频繁跑厕所,但是一直没有尿,中途可能就滴了几滴。排便一直正常。因为他大概几周前就发生过类似的症状,但是那次是尿频,还有点乱尿。我带他去看医生,说大概率是膀胱炎,开了止痛,多喂水,过了两天就好了。
所以昨天下午我发现他这个情况,我就给他喂了一次水一次牛奶,晚上也吃的湿粮(加了一点水)。但是到现在还是没有尿,中途就滴了一点。(从昨天中午开始也有12小时了)
但是我按照网上科普的方法摸了他的肚子,就是两腿中间的地方,靠近大腿根。我家猫不胖,没有摸到像乒乓球大小的膀胱,我不是专业的我不能确定,但是我认真摸了很多次,只摸到一个软软的小袋子一样的,我猜是膀胱,然后没有很鼓。我摸的时候他也比较配合。同时他频繁跑厕所,但是没有尿。我觉得很奇怪,因为他也喝了一些水了,尿不出来的话膀胱应该是有尿的,不知道是不是我摸错。
他的精神状态非常好,能吃能跑,我刚刚还陪他玩了好一会。今天我喂了他之前医生开的止痛药,其他就是一切正常,除了多点水。
我想请问一下,到底是什么情况,我需不需要明天一大早带他立刻就医?还是可以再观察一下?他会自愈就像上次一样?我很担心,如果哪里没有说清楚的您尽管问,谢谢医生。
问题大致一样,细节不同?
闻晓敏
执业兽医师
首先,他这次已经表现出了异常的临床症状,就是频道跑厕所,并且只滴几滴尿,那这个症状就应该要引起你的重视了。因为公猫确实很容易出现泌尿道问题,尤其是在季节变换或者天气寒冷的时候。他以前有过这方面的问题,那就更要注意。
目前猫咪吃喝精神好,还能到处跑,暂时问题不大,你可以先再继续观察,你那边不是晚上1点嘛,到天亮还有七八个小时,再看看他的排尿情况。
嗯嗯,现在冬天确实室外很冷,但是我家室内温度一直不低,我在家短袖短裤都只有一点点冷那种。对于猫来说还是太冷吗?那我需要开暖气吗?
好的谢谢医生!那我再观察一下。那如果明天早上或者中午前后,他还是没有尿我是不是必须带他去看医生了?
我还想请问一下,他这种情况我以后是不是应该只喂湿粮?我看到有些人说要喂什么**粮/处方粮,有必要吗?还是说湿粮就可以?我是打算湿粮(加少量水)➕偶尔牛奶这样,这样可以嘛?
以及我家猫这种情况,可以麻烦推荐点常备药吗?非处方的。我打算在国内网上买点寄到我这,真的很怕他生病,看着太心疼了...
闻晓敏
执业兽医师
猫咪适合在22到28度的环境里面,如果室温在这个范围之内,那就不需要开暖气,如果室温比这个温度低,那就可以把暖气开起来保证室温在这个温度范围。
如果到了中午还没有尿,那就有24小时没有排尿了,那就是需要去医院的。
他有泌尿道方面的问题,肯定是喂湿粮比较好,因为湿粮的含水成分比较高,最少都有75%。当然搭配着干粮喂也是可以的,正常,吃喝的情况下,每天需要额外喝水,40-45ml/kg,保证他每天能够喝到这么多,多喝水多排尿。
是否吃泌尿道处方粮要根据情况来看的,一般来说,有结晶或者结石,结晶结石的主要成分又是磷酸铵镁可以吃泌尿道处方粮,如果没有结晶或者结石,或者结晶结石的成分不是这个,那吃泌尿道处方粮没有效果。
如果你之前没有做尿液分析的话,可以先让他多喝水吃湿粮,除非后面做了尿液沉渣分析有磷酸铵镁结晶结石那再考虑吃泌尿道处方粮。
一会儿我给你开个处方,可以购买之后让国内的朋友转运给你。
闻晓敏
执业兽医师
根据沟通,猫咪有泌尿道方面的问题,我给他开个处方,处方里面主要是:
1,***促进膀胱黏膜修复促进饮水
2,***
3,***,泌尿道消炎
可以按照处方说明的用法用量使用。你可通过处方自主选择购买。咱们药品从成都发货,快递时效,一般三天到,具体看你所在地区,可以让国内亲朋好友转运。
其他的泌尿道方便的药你还可以去买***,或者沙斯多芬(如果可以买到的话)。
你看还需不需要我这边给你推荐一些日常家里需要备着的药,以便需要的时候可以及时使用,如果需要的话我再给你开个处方。
如果你还有什么疑问可以继续提问,我看到会及时回复。
好的谢谢医生!
我看了一下处方里的,有两个是保健品是吗,就是平时就可以吃。中间那个**的是只有发病的时候才能吃是吗?
需要的,麻烦给我开一下常备药吧,因为他已经第二次了。我看科普都说这个很容易复发的...需要一些应急的药,或者日常保养都可以,我酌情买。因为我想着一般如果可以自愈我就不带他去医院,他胆子特别小,每次出门一路上都叫,叫的我心都碎了,我很怕他生病的状态下出门应激了以后加重病情。
这个购买链接是7天有效是吗?因为我需要和我朋友联系,还得和转运的确认一下能不能寄。宠物药品的保质期大概多久呢?一年?我是不是不应该屯太多...
闻晓敏
执业兽医师
对,有两个是保健用的平常就可以吃,另外一个***是泌尿道感染,或者有尿血之类的症状再考虑吃。
其它的常用药比如广谱消炎,益生菌,止吐,保护胃肠粘膜,止泻的药,我给你个处方,你酌情购买。
公猫有泌尿道问题,比如特发性膀胱炎是比较容易复发的,和天气,情绪,压力,应激等等有关。因此平常养护时这些方面要注意,有一点非常重要就是一定要多喝水,多喝水,多喝水。
嗯你先和朋友确认,多方确认好了没问题再下单,后续能下单就直接下单,不能下单你可以添加助理和她联系*******下单。
宠物药品保质期1-5年不等,你不需要屯太多。而且有些药也是备用的,有备无患,因为我也时常接诊到国外客户的问诊,如果家里有药可以直接用,国外买药,尤其是处方药很不方便
闻晓敏
执业兽医师
我给你开的备用药物如下:
1,**抗菌消炎,是广谱药,呕吐腹泻有感染的情况可以用。
2,***,保护胃肠粘膜,适用于急性肠胃炎,呕吐腹泻情况。
3,**环素,止咳,咳嗽打喷嚏时可用。5-10mg/kg,一天1-2次。如果按照5mg/kg,则一天两次。喂完后需要喂水5-6ml谨防药物灼烧食道。
4,益生菌,日常或软便腹泻大便异常时可用,调理胃肠道菌群。
5,****,抑制胃酸止吐止呕。
根据药物说明酌情购买
闻晓敏
执业兽医师
刚确认了一下,药物链接一直有效。你确认好了随时可下单,后续有问题可添加助理微信和她联系。还有其它疑问可以继续问哈
好的非常感谢!我等确认好了再买。
我刚刚起来喂了我家猫,我发现在猫砂盆里有一小团尿,结果我刚开心一点,他吃完饭就吐了...以前偶尔也有过吃完饭就吐的症状因为他很贪吃,有时候他吃的很快,但是这次也太巧了吧,尿闭是不是也会吐?他精神还是很好,我看人家尿闭都萎靡不振,他怎么这么奇怪,我真是不知道怎么办才好...
闻晓敏
执业兽医师
尿闭可能会引起呕吐,当尿闭引起急性肾衰时会导致呕吐。这种情况猫咪的症状可能是精神比较差,食欲差,不吃,呕吐,尿频,尿团小,尿的颜色发生变化等等。当然也有可能没有到很严重的情况猫咪不表现比较明显的异常临床症状。
尿团铲掉了没有?没有的话拍照片我看看尿团大小。
猫咪吃了之后呕吐也有可能是吃太多,一次性吃太多。你可以再次尝试摸一下猫咪膀胱,在下腹部,双后腿中间,尝试摸一下看能不能摸到球状物,类似于装了水的气球那种
是呀,那他应该精神不好不是吗,就是正常情况下...我真的被他弄晕了。
好的尿团我发给你!我顺便拍了一张他就刚刚还在玩逗猫棒...他精神真的很好
嗯嗯我又试了试摸膀胱,摸到一个滑滑的小袋子,我感觉不是很大也不是说完全瘪的,感觉大概乒乓球那么大。
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
乒乓球那么大的膀胱是正常的,它有尿团说明没有尿闭,出现这些症状是表现出来泌尿道的问题,你先保守观察,让它多喝水,多喝水,多喝水。
它以前的尿团也是这样的话就不用担心,看起来和我们常见的尿团不太一样,不知道是不是猫砂的原因
好😭真的操碎了心了。那我再观察看看,他吃湿粮就不爱喝水,我刚刚给他喂了点牛奶,等会我看能不能骗他再喝点水。
不过今天起来我发现他没有频繁跑厕所了,就一直干自己的事,刚刚还在企图偷吃的...这是不是这个好兆头?是不是如果尿闭了会行动反常,我看网上人家的猫尿闭了会躲起来或者就蹲厕所里。
对的,以前尿团也是这样的。应该是猫砂的原因,这个猫砂不会黏在一起那种。但是是他从小就用的,他出生的那家和我说用的这个我就一直用的这个。
谢谢医生一直耐心回我而且说的特别详细,真的专业又贴心,非常感谢💖我再看看情况,如果有啥问题我再来追问,或者我看实在不行我就直接带医院去...
闻晓敏
执业兽医师
湿粮本身含水量是很高的,可以达到75%以上,因此吃了湿粮之后不爱喝水也能理解,只要每天的尿团可以就行。正常情况下猫咪每天排尿1-2ml/kg/h,你可以根据这个数据大概算一下它每天的排尿量。按照你们家猫咪4kg来计算,一天排尿是96-192ml,你可以用水杯分别接96ml,192ml水倒在猫砂里做实验,看看有多少尿团,就知道它每天应该排多少尿了。
这样一对比你心里就会有数。
然后后续出现尿频,尿少,尿疼痛(嚎叫,喵喵叫)就需要重点注意。
不频繁跑猫砂盆是个好兆头,其实不是尿闭才有症状,在尿闭之前就有症状的(前面说的那些)。
闻晓敏
执业兽医师
不用客气,希望我的建议可以帮到你哦,非常感谢你对蘑菇宠医的信任。如果我的回答能帮助到你,请在咨询结束后留下5星好评哦,后续宠物有其他问题,可以到“蘑菇宠医”官方微信公众号继续向我提问
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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