咨询描述:11个月多,母猫,年前突然开始频繁上厕所,每次只尿一点点,慢慢开始尿少量血,去线下宠物医院检查说应激导致自发性膀胱炎,连续打针四天恢复正常,又过了七八天再次开始上面症状,线下宠物医院检查说再次应激膀胱炎复发,又打针三天恢复正常,又过五六天有发情症状(叫,爱让人拍屁股),然后又开始频繁上厕所有少量尿血,频繁上厕所指十分钟能跑好几次,总症状间断持续半个月,好好坏坏
问题大致一样,细节不同?
王灿
执业兽医师
你好,猫咪家长。
您目前描述的这些情况,高度怀疑是自发性膀胱炎引起的。咱们当时就医是否有进行过腹部超声检查,如果有的话,请您仔细回忆一下,线下医生是否有说膀胱里面没有发现大量结晶或结石。如果没有这种情况的话,那我们暂时就不用太担心
对于目前出现的临床症状,我们主要考虑以下几个常见原因
第1个就是紧张,害怕应激引起的,特别是在节假日期间放鞭炮或者人员变动客人的到访等等,有一些比较敏感的小猫咪会因为温差变化比较大,膀胱也会出现类似表现
第2个就是结晶结石问题引起的,结晶结石会刺激膀胱壁,引起膀胱壁受损出血,这个可以通过b超确诊
第3个是对于雌性动物,因为它本身的尿道是比较宽的,所以我们会考虑它是否有细菌感染的可能性,这个需要进行膀胱尿液的抽取,然后做检查才能判断
对于目前的情况,如果检查的时候没有发现结晶结石,我们针对这个情况可以做以下保健
1适当增加饮水,平时可以罐头猫条冻干掺水
2适当增加运动,适当的运动有助于动物对于食物和水的摄入,也有助于提高抵抗力,维持体型,因为肥胖也容易导致整个问题
3如果是多猫家庭,要尽量避免冲突
4注意保暖,尽可能的减少一些应激的情况
这款营养保健品您可以参考一下,对于频繁出现的这种问题,我一般会建议连续使用1~2个月,它有促进黏膜修复以及促进饮水的作用
第二次出现症状的时候去抽血做了生化检测,是健康的,做b超的话医生说膀胱没有尿液做不了(因为它老去厕所虽然尿的少但每次都尿,膀胱没尿),现在在吃一个药叫“嘘嘘爽”,但好像没啥用
王灿
执业兽医师
我们还是要考虑做个b超看看的,膀胱里的尿液不管多不多,我们都是可以看有没有结石的,只是看膀胱壁和膀胱结晶有一点点困难。但大多数猫咪在小便的时候,并不是完全排干净,多多少少都会留一点。我觉得这个留一点基本上也是足够观察有没有结晶的。
如果是这种反反复复的情况,安全起见,我建议您再同时配合一款口服的消炎药
这个消炎药早晚各吃一颗,连续7~10天
如果我准备让再打两天针先控制一下,同时吃这两种药冲突吗
王灿
执业兽医师
第2个口服药是消炎药,打针如果有消炎药是冲突的。猫咪可能外出是比较紧张害怕的。如果症状不严重,并且小家伙精神食欲良好,或许咱们是可以考虑吃口服药的
他的精神状况还挺好,然后吃喝都没啥太大的问题。就是一直在跑厕所,然后有时候会一点点的血。加上他在发情,可能也有点不舒服。我想问一下这种应激然后引发自发性膀胱炎的话,平时多用用那个***会不会好一点?
王灿
执业兽医师
其实我想强调的是,如果考虑应激引起的这种问题。每天带他出门,这个情况可能会更容易应激。我们可以在出门前15分钟给他使用***喷剂。家里可以用那种扩散器,可能效果会更好一些。当然坚持用药是我们接下来要做的
好的好的谢谢医生,我们打针不带她去医院了,是去医院接医生回家里来打,尽量减少她可能应激的情况,她现在这种情况坚持用药一般多久能彻底康复
王灿
执业兽医师
一般用药3~5天症状会改善。5~7天基本上就明显改善了。但是这种泌尿系统问题它可能会反反复复持续很久,所以会建议您后期长期用药巩固。***,这款药是我线下一直在用的。感觉效果是不错的,您可以考虑一下
王灿
执业兽医师
**的主要成分是********钾,您可能要确认一下另一针是什么了
她打完针这样,之前也是,但过一段时间就没事了,这是过敏了还是咋了
为保护用户隐私不显示图片/视频
王灿
执业兽医师
这个单纯从视频上确实不太好判断,不过猫咪的表现肯定是不舒服的,我们可能会考虑口腔异物或者口腔疼痛等原因。如果是打针之后出现的这些情况,确实需要考虑过敏的可能性,接下来注意观察这种情况的持续周期
我看了一早上发现,她有时候进去尿一点点,有时候进去根本没尿就是蹲一下然后埋了,刚刚打完针不知道是吓到还是咋了,去得更频繁了,但基本上都是蹲一下
王灿
执业兽医师
这个单纯从视频上确实不太好判断,不过猫咪的表现肯定是不舒服的,我们可能会考虑口腔异物或者口腔疼痛等原因。如果是打针之后出现的这些情况,确实需要考虑过敏的可能性,接下来注意观察这种情况的持续周期。
不过我还是不太推荐您如此频繁的带他外出打针,我们目前有可以替代的口服消炎药,您可以考虑一下
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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