咨询描述:医生您好。狗狗是比熊7岁半母。由于喝完水爱吐。别食物也吐了。26号所以去医院做了生化必超检查。结果显示胆针淤积。膀胱炎。给开了利胆药吃了两天还是吐。30号又去医院。院长说胆针淤积严重需要输液。期间禁食禁水。三天。今天完事说可以吃些流食。喂了几次到晚上喝完水又吐了。之前输液时吐了一点黄水。我怀疑是否诊断准确。怎么输完液还吐。院长说再严重必须切胆。我们不想狗狗手术。恳请大夫帮我分析一下。别误诊了。光吃食没嘛事。就是喝完水爱吐。主人很着急。
症状描述:
问题大致一样,细节不同?
于博
执业兽医师
好的,胰腺炎有排查吗?
现在是是食物不呕吐,但是喝水就呕吐是吗?
精神状态和食欲怎么样呢?
26号检查之前有几天不吃东西了呢?
食欲怎么样呢?
食欲一直不错。就是喝完水爱吐。不知是想吐时先喝水还是怎么回事。院长说报告只是写着胰腺炎?是格式不是胰腺问题。精神也不错。正赶上生理期。开始以为生理期的原因了。
于博
执业兽医师
好的,如果是胆汁淤积问题应该是不定时呕吐。我建议您可以检查一下内窥镜看一下是不是慢性胃溃疡。
另外如果狗狗一次喝喝多水也会呕吐的,可以先尝试每次少给一点点观察之后还有没有呕吐,一次饲喂5毫升水。
这是胃溃疡的症状吗。内窥镜好做吗。大夫说不是胃炎她仔细照了比超没有问题。要是胃溃疡比超没有显示吗?30号又做了一个比超。这是用药。比超反映胆针淤积严重吗?我们也看不懂。其实我喂水是一次很少的。狗狗3岁时得了慢性胃炎。这几年一直没事。大夫说我喂肉太多了运动量少所以狗狗得了胆囊炎。是这样吗?那如果是胃溃疡怎么治疗。他比胆囊炎轻?
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,慢性胃病一般是胃黏膜有增厚,饲喂水会呕吐,饲喂流食软粮没有问题,需要爱慢慢调理。
内窥镜是胃镜,需要麻醉后检查,比超声准确更直观看胃内情况。
如果不是深层的胃溃疡超声是看不出来的,而且B超影响因素太多:超声机器分辨率、动物配合度、操作人员的技术。
用药里看有添加一下胰腺炎的药物
如果喂恶癖很多容易出现慢性胰腺炎。不爱运动容易胆囊炎。
胃溃疡使用***和西米**或者***唑每天饲喂修复胃黏膜,少吃多餐。如果喂水会呕吐救线不饲喂水,只饲喂湿粮软粮。
胃溃疡和胆囊炎没有可比性,严重的情况都是比较麻烦的
其实我想说的是。1。偶尔溜着时也吐一口。也不是完全喝完水吐。您所说的胆针淤积不定时的吐。狗狗也不是每天固定时间吐。早上吐的时候多。有时一天有时隔两天。2。我刚才发的比超日期不对应该是30日新照得。从比超上还有治疗上有问题吗?我担心医院过度治疗对狗狗没好处。院长说再不行胆要切除有这么严重吗?3。那我现在先按慢性胃炎去调理可以吗?观察观察。也可以喝您说的***之类的药行吗?4医院开的利胆药还吃吗?那这三天液是消炎止吐还有***唑是治什么?看来液没有问题吗?不想过度治疗。我要是不检查按胃溃疡治可以吗。看着狗狗没这么严重。
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,治疗上没有过度医疗,使用的抗生素和维生素。
切除如果胆囊没有很大,胆管也没有堵塞不用考虑切除。定期复查就可以。
您可以胃药和胆囊用药一起使用,没有影响。可以先尝试治疗1-2周看情况。
还有狗狗胆囊炎建议平时少吃多餐,缩短每次饲喂的时间,不要空腹时间长,包括夜间。建议每天饲喂4-5次。
可以先不检查胃镜先尝试治疗
好的。那喂啥?一直是米粉吗?还是可以吃狗粮。用水泡泡吗。是不是减少水的摄入。有时真搞不懂小狗为啥吐。有时早上还吐过黄水带点白沫。反正这几次吐的白色透明液体多。还有就是刚给您发的那种白色带着米粉状的东西。总之它一吐我就慌了。都不敢喂了。饿的它到处找吃的。真是揪心。药也不好喂。用针管打进去还有时往外吐。哎呀愁人啊。我看胃溃疡的症状吐血吗。那是不很严重了。如果是胃溃疡还有食欲吗?我的狗子食欲很好。以后必须控制了。
于博
执业兽医师
好的,稍后我给您开个处方用药。
就是主食罐头或者泡软的狗粮都可以饲喂,少吃多餐,减少每次喝水的量。
胃溃疡严重的或者呕吐频繁会有出血情况,正常胃病只是呕吐
慢性胃炎胃溃疡是有食欲是正常,只是偶尔会呕吐。
于博
执业兽医师
1.*** 一天两次 一次一片
2.西米** 一天三次
一次半片
先尝试治疗7天,没有好转建议做胃镜检查一下
***那组药之前买过。第一组可以。买一组可以吗?辣妹还吐过黄色的液体这是啥情况呀。有时白色的不一样。总之感谢您的帮助。今天有点晚有需要明天和您联系。还有一个我担心它喝完药会吐。那也继续喂对吗?和食分开喂相差多长时间。另外现在是绝对不可以吃肉对吗?啥时可以吃?一般胃炎恢复多久。再有您怀疑是胃的问题。那医院说的胆针淤积造成的一点不挨边吧。两个部位吧。咱也不懂大夫说啥是啥。
为保护用户隐私不显示图片/视频
于博
执业兽医师
好的,就是两种药配合着饲喂,如果家里有***就只买西米**就可以
呕吐的黄色和白色都是胃液。
正常都是直接药片饲喂,如果用水化开饲喂可能会吐沫子
饲喂食物前半小时饲喂
现在先不要喂其他食物,只饲喂粮食
胃炎慢性严重的需要1-2年,都是慢慢养病
能引起这种呕吐的原因,胃、胆囊、慢性肾病这三个会引起来,肾脏可以排除了,胃和胆囊的问题,因为超声需要现场亲自超声这种图片没有太大意义不好判断,看照片上胆囊是不大正常的,胃镜还没有做所以不能确诊,只是怀疑。需要进一步检查胃镜,也可以再找个医院超声看一下胆囊
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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17:58:14","updated_at":"2020-10-27 18:18:40"}},"product_sku_info":{"id":768,"product_id":726,"title":"保灵米丁宁 西咪替丁片 0.1g×64片\/盒","advword":null,"price":138,"market_price":240,"cost_price":0,"stock":158,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g盒装"}},"cover":null,"thumb":"","sale_count":270,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:28:36","updated_at":"2024-06-11 06:55:02"}}}}}}
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