咨询描述:白色贵宾,4岁一个月,病前是5.2kg。今年初二发病,有点吐,开始是吐狗粮,后来就是黄水,大便一直很正常。吐了一天不吐了,但不吃不喝,没精神。春节期间没找到营业的宠物医院,又怕她脱水,就给她在家自己输水:5%葡萄糖注射液60ml+Vc(2ml:0.5g/支)0.1g+b6 (2ml:0.1g/支)0.05g;0.9***注射液60ml+**霉素(2ml:40mg四万单位/支)半支+**米松(1ml:5mg/支)1/3支。这样输了四天水,她好了,开始疯狂要食物,精神也很好,但不吃狗粮,就用蛋黄加馒头喂她,期间家里人还偷偷喂她吃了点羊骨头。
两天后又开始疯狂吐,这次和上一次不一样了,吐得特别频繁,还拉了一次黑色的稀屎,就直接带她去宠物医院了,化验血常规,cpl和cCRP。血常规全部正常,cpl是213ug/L,cCRP132.88mg/L。医生给输水**噻呋,***唑,ATP,CoA还皮下打了止吐*(*****)和***康,输完水还是吐,医生让我回家给她再用50ml 9%***注射液配比2万的**他丁给她点滴(因为当天医院这个药断货,我从人的医院给她买了一支),一个小时点滴完。点滴完就吐的更厉害了。第二天换了一家宠物医院,医生按肠胃炎又给输了两天水,不让用**他丁了,不吐也不拉了,还是不吃不喝,精神不振。接着又输了一天水,晚上开始欢蹦乱跳了,疯狂要食物,给她喝了有100ml的小米粥(很稀)。接下来又打了两天皮下注射的小针,她状态更好了,这两天喂食以小米粥为主,配一点点狗粮:第一天配了有她平时的1/6,吃完我晚上喂了她一颗***挫,她一晚上还挺好。第二天也就是昨天配了有1/3狗粮,从凌晨两点多她就不好受了,吐了一小口,我赶紧喂了她一颗***挫,刚刚5:13她又吐了好多好多。以前都没吐过这么多。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
考虑胰腺炎不排除异物和病毒感染可能性
1.是否做过传染病检查?是否拍过片子?
2.胰腺炎恢复期建议吃处方粮,建议少吃多餐原则,呕吐后禁食禁水4-6小时之后可以口服****调理一下
3.之后可以口服**同时配合***
4.如果持续加重需要排查是否有其他问题
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
做了轮状病毒检查,是阴性。其他传染病检查没有做。没有拍过片子。
孙厚福
执业兽医师
目前建议禁食禁水后给低脂处方罐头或者处方粮是否吃,吃完看看是否呕吐,如果不吐可以在家吃药调理,如果还是呕吐去医院再检查看看,是否有其他问题,如果胰腺炎没有痊愈再输液巩固一下。
如果胰腺炎继续输液您建议输哪些药?
还有请问
①还需要什么病毒检查
②**和***什么牌子的好,按什么剂量服用?一天几次?需要检查服用多久?
③还需要服用消炎药吗?
④处方粮您推荐什么处方粮?一天喂几次,一次喂多少?可以让她吃饱吗?处方粮她需要终身服用吗?如果终身服用,除了处方粮她是不是这辈子不能再吃其他任何事物了?⑤水敞开让她喝吗?
⑥胰腺炎康复期间是让她多运动还是多休息?
孙厚福
执业兽医师
1.胰腺炎可以加上***同时配合对症治疗,营养液消炎吊瓶,***,***,***
2.可以做一下细小病毒,冠状,犬瘟热
3.**和***我开一个处方,正常需要口服一个月,避免复发
4.处方粮推荐**,按照狗粮后面说明吃就可以,少吃多餐原则,之后需要复查指标,3个月内建议处方粮之后可以混合其他品牌低脂粮食
5.水也是少量多次避免呕吐
6.自由活动就可以,避免剧烈运动
宝贝家长你好,考虑宝贝的情况,我给宝贝开具了一个处方,你可以根据实际需求自行选择购买。
1**早晚各一粒
2.***早晚各1ml
3.低脂处方粮
你可以点击查看详情按钮,进入处方页面查看药物使用说明。
医生您好,狗狗从早上5:13吐过,到现在没有再吐,喝了100ml的小米粥,25g的处方粮。尿量也正常,但我觉得她肠胃或者腹内可能还是不太舒服,因为她睡觉的时候不停变换位置(不是变换体位,而是会是不是换位置。她睡沙发上。)。以前她健康的时候总是在一个位置睡觉。感觉她肚子里面可能不舒服。我去咨询了我们这里的医生,医生的意思是狗狗从初三到现在已经打了这么些天抗生素了,不建议她打了。可她如果确实肚子疼,我该怎么办?如果晚上她再吐了,我是即时喂她****吗?****按0.1g/kg喂吗?她一般白天不怎么吐,要是吐一般都在后半夜。****是吐的时候喂,还是白天也喂。如果她不吐,就是肚子痛我该怎么处理?
孙厚福
执业兽医师
可以按摩一下肚子缓解一下疼痛,也可以配合口服****调理一下,可能吃完东西不舒服。
发现狗狗吃处方粮按说明剂量吃,好像有点吃不饱。请问大夫,处方粮可以让她敞开肚皮吃饱吗?
孙厚福
执业兽医师
处方粮需要少吃多餐原则,按照狗粮袋子建议量可以增加一点但是不可以吃太多了
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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