咨询描述：孙医生您好！
我狗狗从2月初开始出现尿隐血，去医院B超检查说肾结石，膀胱和前列腺都有问题，之前有喂过一些**、****之类的药，还有喂了复方金钱草颗粒，稍微有一些改善，不过总是反反复复。我想请您看看B超报告，帮我分析一下，他现在的情况严重吗，需要吃些什么药才能得到控制和治疗？
我这里的医生说得有点吓人，还说不做绝育就小命难保。我很怕狗狗会因为这个而致命，所以这么晚了还来打搅您。急等回复，谢谢！
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。
1.超声报告看前列腺有囊肿不排除囊肿，膀胱结晶，膀胱颈处肿物不排除肿瘤可能性
2.建议配合排结晶口服药物，同时配合前**，另外配合口服消炎药
3.另外需要定期复查看一下看看是否有好转
4.可以配合增加免疫力药物
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。
1.我家狗病程比较长。从去年7月份开始呈现走路慢，夹尾巴，弓背，精神状态很不好的情况，但吃喝拉撒都还正常，就是吃东西容易吐，消化得不太好。那时候医生根据抽血结果判断是肝脏问题，吃肝脏药治疗了一段时间。但没有得到很好的变化。
2.后来陆续去了很多医院，有说是脊柱增生的，也有说是胆囊问题的，还有说是老了……消炎，止痛，用了不少药，就是没有改善，他的行动力和消化力越来越差，导致我不敢多喂东西，生怕他吐，以至于体重从8.7公斤掉到5.5公斤，如今已是皮包骨头。
3.今年2月2日，狗狗病得连站立都很吃力，尿频，有时候又尿不出，2月3日我带他去做了腹部增强CT和胃镜，胃镜显示里面有一团没有消化的口纸（一个月前吃进去没有拍出来，已经夹出来），还有胃溃疡，CT没有显示有肿瘤（不过不知道这个医生做CT的水平如何，听说不行）。于是打了2天消炎针，开了几天养胃的药给他，稍微舒服了几天，2月8号病情又出现反复。
4.到2月11日，狗狗尿潜血，且尿之前还要帮他挤一挤，医生建议给吃复方金钱草颗粒，并提醒要给他加强营养，把体重吃回来，可是除了拉尿稍有改善，走路仍然弓背、夹尾巴、后腿弯曲无法直立，行动力更差了。
5.拖拖拉拉到2月26日凌晨，我狗出现了一次大小便失禁的现象，直接拉在床上，当天下午又换了一家医院，做了一系列检查（抽血检查报告在下图，B超报告之前已传），除了诊断他泌尿系统的系列问题之外，该医生还怀疑他脑神经有问题（又或者是脑里有肿瘤），于是给他用关于脑神经的药。目前用药4天，情况有改善，吃东西变多了，也不弓背夹尾巴弯后腿走路了，行动力变强。前两天看尿颜色很浅，不像有血，今天特别明显，问医生，她说前列腺问题不解决，这个尿潜血会反复出现，我问她可以用什么药，她说没有药，只能绝育，目前我的狗身体很虚弱，又不适合绝育。所以只能开求助您了。
6.狗狗现在的吃食是我给他做的鸡肉鱼肉加淮山南瓜胡萝卜燕麦小米婴儿米粉打成糊糊，这两天还给他加了一点点狗粮。药就只吃了关于神经方面的和复方金钱草颗粒，开胃药这两天没有喂。
7.他的这一系列表现都是脑神经的问题吗？吃药之前行动力很差差，走路弓背夹尾巴弯后腿，走得慢，经常走到角落用头顶在墙上，叫他他都很难转过弯来，而且不太能准确走到我面前。吃药以后改善了很多。不过有时候还会呆站着不动。
8.泌尿系统问题真的必须做手术吗？吃药治疗或者控制不继续恶化不行吗？
另外，他之前抽血检查，***特别高，超过100了，其他的都还好。胆囊内有少许胆泥。下图是2月26日的检查报告和治疗用药明细（犬C反蛋白14.6，只能传5张图片，所以这项结果只能口述给您）
为保护用户隐私不显示图片/视频
他2月27日在医院住院治疗时候，还尿过3次很红的尿，呈浓茶色，后来给他打抗生素点滴，才得以缓解。2月28日出院回来看尿色就比较正常。每天尿4-5次，每次尿量很大，拉尿时也没有看出他有疼痛感。出去遛弯20分钟，会尿3-4次，大便成型，但有些软烂。
吃饭胃口很好，每天4顿糊糊，每顿约160克，目前没有吐（最近一次吐是2月7日，吐了2次）。
请医生根据我狗狗的情况，给我推荐一些能控制他泌尿系统问题的药，或者您在我的描述中还发现了什么新情况，请告知。
下图是CT报告，不知道这些截图对病情分析有没有用。
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
我看了整体病例还是比较长的病史，目前表现症状确实脑部问题，尿血问题泌尿系统问题跟前列腺和膀胱结晶都有有关系的，可以先吃药保守看一下，口服前**配合消炎药**，另外配合排结晶口服药物。
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前**早晚各一次
2.**早晚各1.5片
3.***早晚各一次
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。
1.狗狗昨晚9点拉尿以后，就没有再拉，直到今天早上6点，摸膀胱很充盈，让他在家里走了几圈都不拉，直到今早6点半带出去遛，才拉，遛20分钟拉了4次。尿色红，每次尿8-12秒，尿量还算大。（下图是他今早的尿，实际颜色稍微暗一些）
2.因为这两天他的尿量很大，大便也呈褐色，我以为是每餐的糊糊含水量比较多，所以给他喝水稍微少了一些。
3.他发病比较严重的这5天，我发现他的舌头舔水舔不起，吃糊糊还行，今天稍微有改善。
（图2是CT报告医生下的结论）
我一共发了4条信息，第一条很长，辛苦医生阅读！
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
走路弓背，走路慢等跟退行性腰骶部狭窄有关系，可以配合口服止痛药控制疼痛另外配合修复神经药物***，同时可以配合激光和针灸治疗。
1.狗狗从26日吃了神经方面的药以后，弓背和走路慢的情况已经有改善了。但是这个神经方面的药我们这里太贵了您能给我推荐一些有效且价格稍微便宜一些的吗？
2.另外我需要您帮我狗狗介绍一些能解决他泌尿系统问题的药（治疗肾和膀胱），具体一些，我可以在蘑菇宠医买，或者您推荐我去哪里可以买到具体的药。行吗？
孙厚福
执业兽医师
1.推荐口服***和****口服液
2.泌尿道系统药物我已经开好处方可以看一下
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.****口服液早晚各一次
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。
谢谢孙医生！
1.以上5种药都要买是吗？还是可以选择搭配着买？
2.这些药是要长期服用吗？还是症状缓解后就可以停药，再出现状况才又用药？
孙厚福
执业兽医师
1.5个药物都需要购买的
2.10-14天后建议过来复查看一下调理治疗方案
1.复查的意思是要重新照B超检查膀胱和肾的情况？还是检查他有没有尿血就可以了？
2.有的药在用法用量上您写的是吃30天对吧？
3.这些药的用量都是按照我狗狗6公斤的体重安排的对吧？
4.这些药副作用大吗？
孙厚福
执业兽医师
1观察看看临床症状尿血是否有缓解，看看精神状态和走路是否缓解
2.是的，有的药物可以长期吃都是写的30天
3.药物都是按照6kg体重
4.副作用不大都是很安全的
1.服药期间有什么需要注意的吗？
2.这些药都是饭后服用？还是可以随餐一起吃？
3.不同的药需要间隔多长时间吃？
4.在护理方面您有什么建议？
孙厚福
执业兽医师
1.注意观察看看临床症状，正常情况药物需要一个恢复过程不会那么快有效果的
2.正常可以加到食物里面或者饭后口服
3.正常间隔30分钟-60分钟
4.平时可以做一下频谱理疗 ，同时可以配合泌尿道处方粮
为保护用户隐私不显示图片/视频
谢谢孙医生！
1.他现在是不是不适合给他吃我做的鲜食了？（60%的鸡肉鱼肉，40%的淮山南瓜胡萝卜小米燕麦）
2.我已经下单买药了，可是一天两天到不了，能帮我办个快递加急吗？
3.没有药吃，可以用别的消炎药代替吗？他现在尿血越来越红了，
4.治疗肾病的药我在我们这边医院问，说没有这样的药，只能开出消炎的，还说要做手术。可是狗现在很虚弱，根本无法进行手术。
5.必须要手术吗？保守治疗不行？我的狗还有康复的可能吗？看他样子每天那么痛苦，我很焦虑
孙厚福
执业兽医师
1.推荐配合处方粮可能更好一些
2.快递问题可以加客服微信*******让她帮忙加急一下
3.看看是否能买到**可以先买回家先口服
4.治疗肾脏也有药物可以配合口服。
5.目前可以暂时不手术，先口服药物看看是否可以控制住
1.我这里医院推荐用***，这个是属于**类药，他说这个效果更好，请问，我该买****还是**？
2.刚才我带了狗的尿来医院检查，结果在下图。
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
1**和**都可以，看看有哪个可以先买回家先口服一下
2.尿液检查，尿血还是挺严重的，炎症高，结晶比较多
复方金钱草颗粒还继续吃吗？还是等您给我开的药到了以后再停？吃这个对我狗的病有帮助吗？
感谢孙医生的耐心讲解，10天以后我会回来复诊。非常感谢！
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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