咨询描述:症状描述:平时或进食后经常发生呕吐,并伴随类似咳嗽或打喷嚏症状,呕吐一般伴随喷嚏或咳嗽症状较严重时发生,每次呕吐一般伴随部分食物,而非全部吐完,呕吐平均每天发生数次,并已持续半年左右。
本人对其病因怀疑:1.是否因异物卡喉?但观其一直还能进食,能否排除这一可能? 2.此狗在几个月大的时候被人打过,当时的状态受伤很严重,然并不知晓是否受内伤或留下后遗症,观其一个多星期后便能较正常行走便没再过问,本人不清楚,不确定,但是否觉得印象当中从此以后,这只狗便陆续出现呕吐的现象,同时本人印象当中,这只狗刚捡回来很小的时候相比普通狗类进食就显得不是那么生猛,吃东西的时候显得过于的细齿慢咽,但其它状态也较正常,以上只是本人的一些疑虑,请老师帮逐一排除
患病时长:半年左右
医院检查:未
用药情况:未
问题大致一样,细节不同?
赵一强
执业兽医师
1,主人您好首先按照您提供的症状表现,被最近半年一直有这个持续的胃肠道方面的症状,并不考虑有异物的可能性,因为这么长时间的话,异物这种物理性质的问题通常会导致死亡。并且症状一般都会比较严重。
2,与您说的这个殴打是否对他的胃肠道造成一定的损伤,或者说行走造成一定的损伤?考虑他现在一岁大,我觉得这种外伤性质的一般,并不引起这两方面的严重问题,因为半年的时间,如果是行走骨骼方面的,基本上已经能够自愈。如果是内伤,胃肠道方面,基本上很少会引发。并且这么长时间也都即使有一些问题,他也会自愈。
那么我现在需要看一下宝贝呕吐的视频或者干呕的症状,看一下那种类似咳嗽和打喷嚏的表现。如果有视频的话,最好发一下。除此之外,宝贝一天能呕吐数次。每次呕吐的都是食物吗?有没有透明粘液或黄色粘液?
请您详细的描述一下宝贝的日常饮食,主要吃什么狗粮是什么牌子的,下来多少钱一斤,除了狗粮之外还会给他吃别的什么乱七八糟的吗?
这个狗,它的呕吐物是带有透明液体的,并且里面都伴随有刚刚吃进去的食物,喂养一般就是农村里面吃剩下的饭菜,肉骨头之类的,猪心肺煮熟以后喂得较多,就是按照一般农村里面喂土狗这种方式喂的。
赵一强
执业兽医师
主人你好,宝贝这个视频当中表现的主要是一个咳嗽的症状。并不是恶心反胃想吐的症状。所以综合考虑下来。宝贝这种情况主要还是考虑有一些呼吸道方面的问题。
那么这种情况如果您条件容许的话,肯定是建议您去做一个胸腔的X光片的拍摄,看一下宝贝的心脏,肺脏,气管和咽喉的影像,也可以看一下食管的影像。当下主要考虑就是有可能是咳嗽比较明显引起的咳吐。也不排除有可能有巨食道引起的一些呕吐和咳嗽表现。但是具体得通过X光片的拍摄来准确诊断。
那么我想和您确认一下,宝贝这半年来,一方面,进食不是特别规范,如果他不吃骨头,这些光吃普通的一些饭菜和馒头,这一类的流食的话,他还会经常呕吐吗?
另外一方面,我想和您确认一下,宝贝发病以来有没有对症的,给他用过一些什么药物治疗呀?如果有的话,详细描述一下药物成分。和用药以后得效果。
老师,我没有给他用过药,因为农村里面条件有限,没有相关的治疗机构,还有就是无论他吃什么东西都会伴随呕吐和咳嗽的症状至于到底是咳嗽引起呕吐还是呕吐引起的咳嗽,我并不太清楚,然后他呕吐出来的东西就是视频上展示的,都伴随有透明的液体,而且基本上都是刚刚吃进去,马上吐出来
赵一强
执业兽医师
主人你好,那宝贝这种情况,我这边的建议是针对他的症状给予对症的消炎,止吐,调理肠胃的药物。因为如果宝贝的咳嗽症状,也是可以通过吃消炎药缓解。所以用上上面三个药物,先调理上1到2个礼拜,您看看效果。在这个过程当中,建议您给宝贝吃一些人吃的饭菜的时候,把骨头和鱼刺之类的去掉。菜尽量不要有菜汤,可以白水煮一些西兰花,胡萝卜,圆白菜,鸡胸肉,泡点馒头,米饭。这样子去喂。
最后和您确认一下,宝贝的体重有18公斤吗?视频看着也就是个九公斤左右。
可能就九公斤左右吧!!!我跟他尽量喂一些健康的食物吧,如水煮猪心肺,他挺喜欢吃的!至于蔬菜和米饭,一般他都不怎么爱吃!另外我也尽量跟他喂热食吧。还有老师啊,你尽量按照你的经验判断给我帮他开开药吧!
另外你说的拍X光啊,这些你觉得现在有必要吗?因为我要在县城才有相关的机构有点麻烦!可否先就你开的药服用观察两个星期再说?
还有你开的药,服用方法,以及购买渠道,及其它注意事项请帮我注明一下
非常感谢,希望你能帮到这可怜的狗!
赵一强
执业兽医师
好的主人,那您就先对症治疗,吃上十天左右的药看看效果。两周以后找我复诊。
好的,老师,我待会儿按你去购买
哦,刚才我出门的时候又注意到一个问题,其实这只狗它咳嗽是平时也在咳嗽的,并非呕吐的时候才咳嗽的,这个有没有新的看法?如果没有你也不用回复我了,我就按你的把药先减了再说
赵一强
执业兽医师
主人你好,您先给他按这些药吃着。咳嗽里面消炎药也能管用。先吃上十来天的药,观察一下。
老师,昨晚你开的药很好!但也好贵!!请问一下有没有效果类似但价格更实惠的同类型替代药物?麻烦你了!谢谢!!
赵一强
执业兽医师
主人你好,我个人不建议用人药,但考虑您这边的费用要求,您可以去购买处方当中他们这种成分的同类型药品,去当地的药店去咨询购买就行。但是需要和你强调一下,人用药用药以后的效果和风险不能保证。出现任何后果,我个人和平台不负任何责任,请你考虑好后再采纳。
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":1197,"product_id":1138,"title":"保灵米丁宁 西咪替丁片 0.1g×32片\/拆零","advword":null,"price":78,"market_price":108,"cost_price":0,"stock":890,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.1g×32片\/拆零"}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/4a970be94fb113f1c8dd0f985ecd3dae.jpg","thumb":"","sale_count":110,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2024-01-17 15:50:32","updated_at":"2024-11-19 09:20:24"}}}}}}
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