咨询描述:中华田园犬,10岁,母,体重9斤。
第一次发病:是在今年1月20日,因呕吐,便血,无力,没精神,去宠物医院检查并治疗,输液5天见好回家。
第二次发病:40天后,3月3日,又出现上次的问题,便血,站不住,抽搐惨叫一次,宠物医院就医,提示肾病,目前在输液,药物与上次一致,以消炎,营养为主。
狗狗体重这一个月瘦了一斤。
到今天已经输液三天,除了食欲不太好,喝水、拉尿都是正常的了。请问狗子是究竟是什么病?到了哪种程度?目前医院治疗是否合适?输液结束之后需要吃药吗?吃什么药?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.生化检查提示二级肾衰,建议吃肾脏处方粮和处方罐头
2.同时配合**和保肾药物
3.同时需要排除是否同时有胰腺炎,目前先输液控制临床症状
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。
这是上次1月份就医时的资料,输液用的药这两次都是一样的。目前已经输了3天,症状明显得到控制,大便成型偏软无血,尿量正常,就是不爱吃狗粮(肠道处方粮),只想吃人饭,但肯定不会喂人饭的。精神尚可,爱睡觉,爱喝水。宠物医院医生怀疑同时伴有胰腺炎,不仅肾衰一种问题。还有个疑问,前几天发生一次抽搐惨叫会是什么原因呢?
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
目前考虑可能有胰腺炎,如果再次反复建议做一下胰腺炎检查平时可以配合胰腺口服药物**调理一下胰腺
目前输的这些药物对胰腺炎也有作用吗?还是治疗胰腺炎有其他的特效药?针对肾衰和胰腺炎,有什么口服的药物吗?
孙厚福
执业兽医师
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**一天三次
2.肾脏处方粮
3.***一天一粒
4.**早晚各一粒
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。
今天输液第四天了,狗狗精神好多了,也想吃东西了,刚才便便了,是成型黄色软便。说明治疗有效果。还有个问题咨询您,就是这个肾衰和肾炎不是一回事吧?肾衰是不是不可逆,只能通过饮食药物延缓病情发展?
孙厚福
执业兽医师
急性肾衰可以痊愈的,慢性肾衰无法痊愈需要长期用药控制,目前状况有好转,之后可以吃药和处方粮慢慢调理肾功能
我家狗狗是急性还是慢性肾衰呢?以上面的检查结果能判断吗?如果按您的处方吃药,狗粮也吃处方粮,应该能使狗狗寿命延长一些吧?
孙厚福
执业兽医师
可以之后再做一下彩超检查,同时做一下尿液检查看看是急性还是慢性一个月后可以再复查一下肾脏指标看一下,正常药物配合处方粮指标会好转,会延长寿命的
好的。另外,这两次宠物医院就医都没有检查过尿。尿液检查都查哪些指标呢?明天还要去输液,顺便做个尿液检查。
狗狗食欲还是不太好。除了狗粮以外,能喂一点它原来喜欢吃的红薯,南瓜,大米粥吗?还是说以后这类人吃的东西都不能吃了?
孙厚福
执业兽医师
1.可以加少量红薯、南瓜、大米粥卡可以给少量
2.但是尽量少给会导致挑食
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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