咨询描述:猫咪是灰色狸公猫,两岁,前段时间变胖,最近突然变瘦,然后不爱吃猫粮,一碰它肚子它就疼,叫声有点痛苦,它现在睡觉都把身体弓起来,不能碰它肚子和尾椎,然后它弓起身体有点像网上说的尿闭,不确定是不是
问题大致一样,细节不同?
王冲
执业兽医师
你好,猫咪家长,根据以上描述,我初步分析猫咪是闭尿的问题,但仅仅根据描述还不能做出进一步的判断。我还有几个问题需要向您了解一下,
1. 猫咪有没有绝育?这几天排尿顺畅吗?近几天有没有频繁蹲猫砂但是尿不出来?
2. 猫咪发病之前,都喂了什么食物?从什么时候开始不吃饭和不愿意被碰肚子?
3. 猫咪几天没有吃东西了?
4.你用双手从猫咪下腹部往里按压或者捏一下,能不能摸到一个球状物?
5.给宝贝测一下体温,用水银温度计,水银头上抹点香油,起到润滑作用,以免插入时对宝贝造成疼痛,然后插到宝贝肛门里2厘米就可以,等2-3分钟后麻烦告诉我温度。
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。
1.猫咪没有绝育,因为猫咪是农村散养,没见到它排尿,之前倒是见过它便便,现在看不到它上厕所。2.发病之前猫咪过年偷吃了家里的腊肉,腊肉虽然是熟的但是放久了已经凉了,平常吃的是网上买的猫粮,一直吃那个猫粮都没什么问题,而且它挺喜欢的,大概已经两天不爱吃东西也不爱被碰肚子了。3.差不多两天没吃东西了。4.我轻轻碰它肚子它就朝我哈气,之前确实不注意摸到它肚子有一个地方鼓鼓的,鼓包不太对称,鼓包在肚子侧面好像。5猫咪很凶,难以碰它肚子,更难测体温,并且家里没有体温计。
王冲
执业兽医师
你好,根据你的描述,我怀疑猫咪闭尿了,是排不出尿来,需要带猫咪去医院检查是不是闭尿,如果是的话需要导尿,猫咪已经两天多没有排尿,如果是闭尿现在估计应该已经因为闭尿引起急性肾衰竭了,如果是闭尿,必须要先导尿,时间长了可能会出现膀胱破裂,猫咪会有生命危险,可以让医生触诊或者做b超来确定,如果没有闭尿可能就是膀胱炎或者尿路感染,这两个问题容易解决,口服药物就可以治愈,主要是闭尿这个问题,引起闭尿的原因是长期发情没有配猫导致尿道水肿或者是吃的猫粮质量存在问题从而出现尿结晶引起闭尿,所以务必先确定是否是闭尿了
闭尿这个问题只能去医院导尿,没有其他办法。
1.医院导尿大概多少钱?2.猫咪是散养的,从来没有带去人多的地方,害怕应激,如果选择药物治疗的话哪些药是效果好并且不容易对猫咪有副作用的?3.给猫咪吃药的话有什么方法吗?要专门把药物混在食物里面吗?
王冲
执业兽医师
1.导尿费用大概在150-300元之间
2.如果是闭尿,吃药没有任何作用,只能选择导尿这一个办法,而且必须要去医院,如果猫咪导尿过程非常不配合,还需要全身麻醉来导尿。
3.所以现在必须要确定是不是闭尿,闭尿超过三四天,猫咪会有生命危险,而且到这个时候治疗费用非常贵,可能会超过两千元
1.我的猫从来没在人多待过,且凶,你告诉我一些能在宠物店买到的利于排尿的药物名称吧,我先去买药试试也有没有效果,我怕它到时候应激了。
王冲
执业兽医师
你好,给推荐利尿药,***片,每天最多吃两次,每公斤体重2mg药量。
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
{"641591":{"id":641591,"case_id":70767,"user_id":1869081,"to_user_id":2103656,"type":3,"content":"你好,给推荐利尿药,***片,每天最多吃两次,每公斤体重2mg药量。","media":{"images":{},"videos":{},"business_params":{"prescription_id":167996}},"is_doctor":1,"status":1,"created_at":"2024-02-15 18:14:57","show_rx":true,"rx_info":{"id":167996,"rx_no":2.0240215181421502e+24,"user_id":2103656,"doctor_user_id":1869081,"is_independent":0,"case_id":3239133,"pet_info":{"pet_id":438037,"pet_name":"中华田园猫","pet_nickname":"妙妙","pet_gender":1,"pet_birth":"1-8","pet_weight":0,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁8个月"},"diagnose":"利尿药","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2024-02-15 18:14:21","updated_at":"2024-02-15 18:14:57","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":148326,"prescription_id":167996,"doctor_user_id":1869081,"product_id":720,"product_sku_id":762,"dose":2,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-02-15 18:14:21","updated_at":"2024-02-15 18:14:21","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭,非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂,联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性),非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂,因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服:犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点,所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果,但可增强琥珀胆碱的作用。","approval_no":"兽药字(2016)090241179","storage_method":"遮光,密封,在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}}},"drug_data_bak":{"0":{"id":148326,"prescription_id":167996,"doctor_user_id":1869081,"product_id":720,"product_sku_id":762,"dose":2,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-02-15 18:14:21","updated_at":"2024-02-15 18:14:21","product_info":{"id":720,"hash_id":"R0LPkmpM33g3bVXD","class_ids":{"0":1,"1":2},"category_ids":{"27":186},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":193,"sell_point":"维艾宁呋塞米片","title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","recommend_reason":{"0":"治疗心力衰竭,非心源性水肿、急性肾衰和高血压等","1":"心力衰竭治疗不推荐单独长期应用利尿剂,联合匹莫苯丹等临床反应更好"},"baike_guide_text":"","baike_article_hash_id":"","advword":"利尿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/11\/507bbb75537f6cdec5d5649cc1ded5ee.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":76,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:56:55","ins":{"id":193,"hash_id":"650KvV4Qn0gWXBEd","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"汉维宠仕维艾宁呋塞米片","common_name":"维艾宁","trade_name":"呋塞米片","en_name":"Furosemide Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2021\/12\/a393976e258b3a2e0a37d7af8e9e820b.jpeg","specification":"20mg×7片×5板\/盒","reference_price":350,"component":"呋塞米","indication":"利尿药。治疗心力衰竭(急性和慢性),非心源性水肿、高钙尿性肾病、急性肾衰竭、高钾血症和高血压。心力衰竭治疗中不推荐单独长期应用利尿剂,因为联合治疗患病动物(例如ACE抑制剂、匹莫苯丹)可得到较好的临床反应。","usage_dosage":"以呋塞米计。内服:犬、猫2.5-5mg\/kg\/次。或遵医嘱。","contraindication":"1.脱水和无尿禁用。\n2.禁用于脱水或高尿酸血症的鸟类。\n3.对于电解质严重损耗、肝衰竭和糖尿病的动物应谨慎使用。","adverse_reaction":"容易发生低血钾症、低氯血症、低钙血症、低镁血症和低钠血症、脱水、多尿\/多饮和肾前性氮血症。严重肺部疾病、低输出量性心力衰竭、肥厚型心肌病、心包或心肌异常、心脏压塞和严重高血压的动物可出现心输出量显著降低。其他不良反应包括耳毒性(尤其在猫)、胃肠道紊乱、白细胞减少症、贫血、虚弱和坐立不安。","attention":"","interaction":"氨基糖苷类药物相关的肾毒性\/耳毒性在同时使用呋塞米时可加强。呋塞米可介导低钾血症,因此增加了地高辛毒性的风险。如果呋塞米和乙酰唑胺、皮质类固醇、噻嗪类药物以及茶碱同时给药可增加低钾血症的风险。因为阿司匹林和呋塞米竞争肾脏的排泄位点,所以二者同时使用会降低排泄,可能需要减少剂量。呋塞米可抑制筒箭毒碱的肌肉松弛效果,但可增强琥珀胆碱的作用。","approval_no":"兽药字(2016)090241179","storage_method":"遮光,密封,在干燥处保存。","validity":"2年","manufacturer":"上海汉维生物医药有限公司","status":1,"created_at":"2021-12-22 18:16:29","updated_at":"2021-12-22 18:16:29"}},"product_sku_info":{"id":762,"product_id":720,"title":"汉维宠仕维艾宁呋塞米片20mg×8片×5板\/盒","advword":null,"price":148,"market_price":198,"cost_price":0,"stock":53,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20mg盒装"}},"cover":null,"thumb":"","sale_count":80,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:46:46","updated_at":"2024-11-18 14:53:40"}}}}}}
微信扫一扫
立即问宠医