狗狗呕吐,小便失禁的情况是怎么回事
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咨询描述:您好,我家狗狗,先是走路不稳,东倒西歪的,眼神乱晃。之后出现呕吐,小便失禁的情况是怎么回事?
问题大致一样,细节不同?
徐灿
执业兽医师
你好,对于这种情况来说,能不能拍摄一段视频发过来看一下,根据你的描述来看,比较考虑的就是重症或者濒死,我需要问一下,是突然出现的吗?之前有没有什么别的症状?有没有可能吃进去有毒的东西?还有就是有没有肚子按压疼痛?最近几天食欲正常吗?
小狗岁数虽然有点大了,但是体质一直都挺好,就是爱嗜睡,饮食都挺好的,都是我给它做的吃的,(鸡肝拌米饭,鸡架,有时候混合着狗粮)食物中毒不可能。3个月前被大狗撕咬挺重,手术治疗的第二天也出现过这种情况,但是过了一会就好了。这三个月外伤早就恢复的挺好,也没发生什么特殊情况发生。就今天晚上8点左右突然间出现这种情况了。
徐灿
执业兽医师
如果是这种情况的话,能不能拍摄一段狗狗的视频?我需要看一下实际的情况,还有就是检查一下他有没有肚子的按压疼痛?因为根据你的描述来看,更像是重病或者濒临死亡,我需要了解一下具体的视频。
感觉现在走路比刚才好点,但还是不稳,具体它肚子疼不疼我也不确定,我按它的肚子它没有啥反应,但是感觉按胃部软软的,按下面有点硬,像是下面肚子特别紧张,不放松的感觉
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看上去状态不错,我需要问一个事情,他有没有癫痫的疾病?因为以现在这个视频来说,它很大的可能性是癫痫,或者说创伤后癫痫,它不像是重病,更像是由于脑部异常放电造成的症状。
因为局部癫痫或者是癫痫的话,就会抽搐,大小便失禁,瞳孔放大,狂叫等等。
没有癫痫的疾病,从来没有生过病,3个月前的那次受伤就是它长这么大第一次重伤,然后它一直都很安静,没抽搐,也没狂叫,就是先走路东倒西歪,然后呕吐小便失禁。上一次重伤术后第二天也是这样很安静,唯一不一样的是上一次持续的时间短,也就一个小时左右,这次有点长。医生,这考虑什么病呀?需要什么药物治疗吗?
徐灿
执业兽医师
对于这种情况来说,优先考虑的可能,他有癫痫问题,因为从现在这个新的视频来看,他的状态是不错的,所以说建议有两个方案,一个是做一个炎症反应测试,做个初步的排除,也叫C反。
主要是考虑到年龄问题,可能有内科性疾病。
不过更大的可能性是癫痫,如果说他没有什么炎症,那么也可以用口服抗癫痫药物的方式去逆向排除,然后看一下是否再次发病。
1.医生,您说的C反是不是就是抽血化验血常规+C反应蛋白。2.癫痫威不威胁狗狗的生命呀,我看抗癫痫的药很多种,具体什么药,人吃的减量服用可不可以。3.之前受伤去医院给它拍片子,那快的医生说它心脏大,岁数大的原因
徐灿
执业兽医师
对,是的,就是炎症测试加c反。主要是为了预防性检测,原因是年龄太大了,怕有别的波及或问题。
一般来说,可能会有危险,因为年龄比较大了,而且抽搐的特别厉害的话,有可能会抽过去。
我帮你开了个方案,你可以参考使用,或者是先用两个星期,然后看一下是否仍然发病。人用的一般来说,不建议使用。
心脏疾病,如果说是梗阻的话,或者是心肌梗塞,也确实有可能会有此类症状,但是只是一种可能,得看心脏彩超结果。不过根据你描述来看,更像是癫痫的可能性居多。
徐灿
执业兽医师
个人建议是你可以备用一盒,可以到附近的医院或者药店去买一盒,如果说后续再出现,或者是频次特别高,那么,就建议持续性用药,再观察一下,当然,看个人意愿了。目前来说,他的状态是稳定的。
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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