咨询描述:赵医生,你好。上次咨询你后,狗狗咳嗽缓解了很多,稳定了快大半年。但是这两周,特别是最近两天晚上咳嗽得特别厉害,嘴里呼出的热气很重,一咳就很久都止不住。心脏病的药也一直吃着,最近这样不知道是什么原因引起的。
问题大致一样,细节不同?
赵一强
执业兽医师
主人您好,我想和您确认一下,第一宝贝,这两天症状又加重,有没有做复查呢?
第二,上次问我的时候,我给您做了一些药物上的调整,宝贝是在这些药物调整以后症状得到缓解的吗?那么药物调整以后,您觉得比较有效果的情况下他当时一共都吃了哪些那么,药物调整以后,您觉得比较有效果的情况下,他一共都吃了哪些药物?把所有的药物明细都发上来,和具体的药物剂量跟我说一下。然后您方便的话给我拍一下宝贝呼吸的症状的视频,我看一下。另外,您看一下宝贝的舌色有没有发紫或发白?也可以给我拍下舌色照片。
1、狗狗之前状态一直很平稳,最近就没有复查。再加上天气变冷,打算暖和点再去的。 2、上次依据调整后的用药,狗狗症状明显缓解很多,一直持续到最近,就本月13号开始,咳嗽加重。 4、用药清单已上传,最近咳嗽,还给狗狗喂了小儿止咳感冒颗粒、念慈菴、***这些中成药,没有一起吃,分开吃的。 5、小狗子昨天晚上没睡好,现在还在睡觉,拍不了活动时候咳嗽的视频和舌色,只有稍晚一点他醒了再拍。 6、最近咳嗽也是晚上特别厉害,白天都还好。
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
主人您好给您调一下药。**苯丹每天两次,每次还是4分之一,***每天两次,每次半片,****一天两次,每次4分之一粒。你先看看情况,如果不行的话,下午等他睡醒了有喘的症状的时候给我拍视频,我先看一下。今天白天有条件的话,最好去做个心脏彩超,和胸腔的气管肺心脏的X光片的拍摄复查。复查结果可以发上来我看下
去做心超和胸腔的气管心脏的X光片需要注意什么,或者需要也别打得很仔细的地方吗?我们这边哪家医院做的仔细我也不知道,就只能去之前那家医院。这两项检查有没有专业名称呀
赵一强
执业兽医师
没什么特别需要注意的X光片子正常动物医院都能拍,拍的时候拍正点就好。心脏彩超得找专业的,能出具类似于我这样的心脏彩超报告单的。专业名称就叫心脏彩超和X光片
为保护用户隐私不显示图片/视频
好的,现在我们先按照新的剂量喂药,如果没好转,再去拍彩超,然后再来找医生您。中午回家的时候,狗狗没咳嗽,吃饭,上厕所都正常。中午玩了一会就又睡觉了。
赵一强
执业兽医师
好的。如果能拍到他的呼吸情况或者咳嗽舌涩之类的都好,再给我发下视频。我再给您看下。另外心脏的保健品,***,鱼油,*****,这些也可以给宝贝吃上。
好的,拍好后我再来。***、鱼油、辅酶有推荐的吗?这些要一起吃的吗?
赵一强
执业兽医师
可以的,这些可以一起吃的。我们平台只有这两个牌子。您也可以自己从网上买。基本上都差不多,。
这是刚才睡醒后咳,算比较缓和的,没咳几声。舌色也很正常
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
这个咳嗽还是比较典型的。宝贝咳嗽的问题您觉得有没有季节性的问题或者过敏的诱发因素呢?比如这次咳嗽严重之前有没有接触什么可能导致过敏的东西。之前有没有过敏病史。
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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