咨询描述:经常咳嗽打喷嚏,打喷嚏较为多 夜间也有打喷嚏的现象 这段时间体重有减轻,但是精神还是比较活跃,食欲也挺好,经常在地上翻滚,用前爪弄自己的头部
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,我需要问一下,是猫咪吗?能不能拍摄一段视频发过来看一下?我想了解一下具体的情况,还有就是呼吸的时候有没有杂音?有没有什么别的不同或者异常的?因为目前来说,所知的信息太少了,我需要知道更多的情况,以便于后续的分析和确认。
徐灿
执业兽医师
如果说没有咳嗽的话,那么,能否附带一段常规的视频呢?我想看一下他的精神状态,一般来说,如果说状态不错的话,这种情况可以用一些对症治疗药物,打喷嚏的话,一般考虑流感,或者支原体衣原体感染问题造成的症状,晚上的时候呼吸有困难吗?
他现在比较安静,在睡觉,晚上也没有怎么呼吸困难吧 主要是狗狗晚上都睡笼子里,在客厅 就是经常晚上听见她在打喷嚏 主要是他不仅仅是咳嗽打喷嚏,他体重也有下降,体重下降大概有两三个月了吧,最开始我爸他们也没太在意,最近我都在喂狗狗狗粮的时候 同时喂一些梨子苹果之类的
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
实际上,以他的情况来说,状态还是不错的,这个视频是白天拍的吗?对于这种情况来说,为了稳妥起见,主要是建议做两个检查,一个是拍摄一张胸片,然后看一下肺部感染程度,如果说,感染程度不高,可以按照我帮你开的方案去用药,另外就是建议做一个B超,然后看一下是否有子宫蓄脓,并且看一下血糖是否异常,因为体重下降,一般主要的还是看血糖,以及是否有慢性的子宫蓄脓等问题,尤其是闭锁性的。没有发现对称性脱毛或者是皮肤上的问题,所以暂时不考虑内分泌问题,引起的体重下降。
还有就是他经常在地上翻滚,就是背朝下这样扭动,还有用前爪去弄他的头,他鼻子上面靠近毛的地方有黑色的点
徐灿
执业兽医师
翻滚的话,一般考虑习惯性问题,但是鼻子上有黑点,这个就得多看一下,喜欢挠,那么要考虑一下,可能小概率是真菌,但是这个得看一下照片才能知道。目前来说,建议是按照上面的方式去用药,先缓解他的症状,然后有时间的话,做个B超排除一下子宫蓄脓,顺带做一个血糖的检查就可以。
他刚刚又发出了一点声响,但是应该不算是咳嗽和打喷嚏,就是抽了一下,感觉就像人醒鼻涕一样,然后一直在舔鼻子
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个鼻子上的黑点是色素沉积造成的,和真菌没有关系,但是他的症状确实不是很明显,后续的话,建议是服药,然后再观察一下,因为目前来说状态稳定,还可以用药,然后观察一下后续发展。
他今天白天也在打喷嚏,但是没有咳嗽,他咳嗽的都很少,有的时候给他穿了衣服,但是他还是在打抖
徐灿
执业兽医师
打抖是什么意思呢?是在发抖吗?后续的话,实际上按照上面的方案就可以,一般来说,还是建议及时用药的。
发现他大腿内侧长了一个这种白色的有点点凸起的小点
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
实际上并不是能很清楚的看到,检查一下,对侧有吗?如果可以的话,尽量的拍摄几张更为清晰的照片,因为这张确实是看不清楚。
徐灿
执业兽医师
对侧没有,而且位置太靠下了,所以基本排除了乳头,暂时不确定原发性原因,不过更考虑之前可能有感染,比如说真菌感染或者是增生,只不过恢复了,后续的话,观察一段时间即可,一般问题不大。
今天晚上喂了他一点苹果还有苹果皮,然后他吃了过一会儿就吐了,也没有喂给他太多,是因为他太瘦了,胃太小了吗
徐灿
执业兽医师
不一定,也有可能是不适应,或者说胃肠炎之类的可能,这个得看一下实际的精神状态,或者说他不喜欢吃,也有可能会吐出来。
太奇怪了吧,他精神状态也挺好的,他也没有不喜欢吃,因为我家里 我们吃苹果削下来的苹果皮他都吃的
徐灿
执业兽医师
这个并不一定,因为狗狗的呕吐中枢发达,所以一次的呕吐并不能说明什么,只要是他的活力正常,没有频繁的呕吐即可。
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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