咨询描述:小狗没有精神,很能睡,平常一天三顿,昨天狗粮喂的比平常多,还吃了一片苹果,今天没怎么吃,拉屎拉出血了,是什么原因?狗狗两个月17天,针还有一针没打完
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,能不能让我看一下他的疫苗本?还有就是上一次做体内驱虫是什么时候?我需要看一下狗狗的视频,这种情况实际上还要核实一下,到家的时间,现在到家多长时间了?
也就是说,到现在为止没有用过什么药吗?还有就是有没有什么别的不同或者异常?
到家一周,狗狗没有疫苗本,卖家说这个月不用驱虫,等打完针以后再驱,这两天没有精神
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
如果没有没有疫苗本,那么,是否打了疫苗就是个疑问,而且他疫苗还接种不全,就算是打了,也不能产生强的抗体。
再有就是刚到家一周,还是出于细小和冠状病毒威胁期的,再加上状态下滑,对于这种情况来说,个人不建议直接用药逆向诊断,最好是能做一个细小和冠状测试,再有就是做个血常规,然后看一下白细胞数值,如果说能排除细小和冠状的话,后续主要考虑肠胃炎,一般使用一些抗生素和调节肠道菌群的药物,并且驱虫即可。
接回来之前商家用试纸测过都是阴性才接回来,便血是什么原因?应该怎么处理?等我明天问问商家疫苗打完有没有疫苗本
徐灿
执业兽医师
首先就是细小和冠状,都是有潜伏期,试纸不作为确诊依据,而且对于弱阳性的和潜伏携带的都测不出来,或者说很难测出来,除非是做过pcr测试。
便血的原因实际上挺多的,便血主要考虑肠道出血,因为你没有疫苗本,没有之前的信息,并不是特别规范,所以说目前考虑可能有细小,冠状,肠炎或者是寄生虫,但是需要做排除。
今天晚上不建议给他吃东西,正常的喝水,然后后续需要做上述三个测试,后续可以把化验结果发回,我再给出新的建议或者方案。
明天需要正常喂吗?还是什么都不给喂了?今天喂了也不怎么吃,我刚问商家了,没有疫苗本,只在日历上记得呢,12.20去打第三针
徐灿
执业兽医师
如果没有疫苗本,那么,是否注射就存疑,因为一般来说都有疫苗本,再有就是它的状态差,食欲下降,所以说最好不要让他吃东西了,因为如果是细小的话,后续肠道坏死,再吃东西会有问题。
所以说明天上午尽快的去做一个血常规,还有细小以及冠状测试即可。选择pcr测试,不要使用试纸。
徐灿
执业兽医师
如果说只有试纸的话,那么需要再做一次,而且血常规必须做,看一下白细胞数值,看一下是否有下降的趋势,有可能要间隔一天做两次。或者说明天如果白细胞数值正常,得吃一些抗生素和调节肠道的药物,然后逆向排除。逆向排除的常规方案帮你开了一个,就是治疗肠炎的,但是不建议直接逆向排除。
还有就是注意一定要保留好化验结果,后续可以追责。因为一般来说,这种狗狗会包7到14天。
明天有什么问题再咨询吧,看看还会不会便血,有没有可能是因为拉的多,然后屁股出血?它这两天有时候还会突然像掐住东西一样,然后咳一下,也不知道什么原因
徐灿
执业兽医师
这个可能性比较低,另外就是他有咳嗽的情况,顺带的最好做一个犬瘟和副流感的测试,他的情况不是很好,最好优先排查病毒性疾病。
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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23:55:42","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":558,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-18 15:02:48","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":852,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":589,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-05-18 12:22:25"}}}}}}
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