咨询描述:曹医生您好,今天是我家狗狗吃***的第十四天了,它这十四天的状况就是前7天(除了第一天刚吃药)粪便都很正常,一天两次,早上和下午,性状颜色都是较硬的,墨绿色深色的,但是到了第8天开始,早上粪便和之前一模一样没有区别,但是下午又开始拉稀,虽然不是水状的,但是完全不成型,是土黄色的,感觉有不消化的臭味。直到昨天下午的粪便前面是成型的,后面是软的,但也还成型。它吃上激素以后,喝水特别多,尿的也特别多,刚开始几天还有一些喘,后面几天就不怎么喘了,但是依然多饮多尿。体重好像一直没有变化,我在第四天的时候把食物量从45g一顿加到50g,一天三顿,体重好像还是没有变,还是能直接摸到骨头。麻烦您看看后面的治疗该怎么进行,谢谢您!
问题大致一样,细节不同?
曹元钊
执业兽医师
您好,我想跟您确认一下,这个狗狗前面7天一切都好,第8天开始有部分粪便开始不成形。那么他前后有没有用药上的区别,或者有没有其他的饮食上的区别?****铋,***,抗生素,这些药物是有在使用吗?
目前的这个多饮多尿是激素导致的副作用。慢慢考虑往下减量就可以。但是您得把其他药物的具体的方案发给我看一下,包括你都给他们吃多少毫克。因为这些信息我得再次确认一下。
嗯嗯是的,前面七天早晚都正常,晚上可能会偏软一些些,但还是成型的,早上的粪便就是很硬,或者软硬适中的。药品方面全部是按您给开的药一直在吃,激素吃的醋酸***(总量10g)早5g,晚5g。抗生素用的**菌素,早2.5g,晚2.5g,****铋早晚各一次一次一片,***早晚各一次一次一片。都是按您之前说的来用药的,没有任何变化,但是狗狗现在精神状态都很好,食欲还是异常的旺盛。
曹元钊
执业兽医师
您好,您用的是***还是***龙?如果是***的话,我建议下面调整的方案是***一天一次 一次5mg。**菌素这个药物呢我个人不是特别推荐,但是可以考虑换成别的。比如说********钾或者是嗯诺**,如果是****的按照5毫克每公斤一天一次。
****铋一天一次,每次一片,然后***仍然是一天两次,每次一片,同时增加益生菌。
您家里有这些药物吗?
我用的是人吃的醋酸***。那我就按您的方案给它减量了。之前吃过****,但是效果好像一般,我目前这边没有****,要不您给我开一下吧。如果换了****,激素和****铋都减量之后,它后面如果还出现拉稀症状,应该怎么应对?
曹元钊
执业兽医师
如果是这样的话,就用这个****按照他12公斤的体重提供这样的方案,然后呢,要吃上14天。14天期间要观察它的***和****铋减量,然后同时换成****以后整体情况。另外益生菌你也得吃一段时间的。
如果换了药并且减了量以后,后面还出现拉稀的症状,我们就得先把***再吃回去。
如果还不行,那我们就只能再用一段时间的旧的剂量***了。
但是呢,原则上只要有机会,我们还是应该尝试着去将激素的量往下减一减的。
好的好的明白了,我现在一直给她吃着***酵母菌,您开的这个益生菌也同时给她吃上吗?那食物这方面用不用改变,加量或者加点别的食物?她现在也没有12公斤了,差不多11.1公斤左右…
曹元钊
执业兽医师
我建议的这个益生菌同时也吃上。食物的话,其实建议你考虑把它再拆分一下。目前吃的还是低敏处方粮对吧?按照一天4顿来给他,每顿稍微少一点。 Um初期呢,先给到他一顿40克,如果没什么意外,每顿每天往上加一克到两克慢慢往上加。 我举个例子,一开始每顿42克,等两天没什么意外,再往上加到44克。
没事儿,还是按照12公斤的体重喂药就可以稍微多一点没事儿,太少不行。体重都是存在幅度的
从之前的情况来看,这个狗狗应该就是有一个炎性肠病或者说肠道的慢性炎症反应,他这个后期治疗还得花很久才能真正的稳定下来。这么长时间的腹泻,说不定它肠道本身的结构都发生了一些变化。
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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