咨询描述:3岁澳牧50斤疫苗齐全,按时驱虫。两月前开始断断续续拉软屎,稀屎,有时有鲜红组织。有时却拉得还可以。隔三差五食欲不振,特别是上午,不爱进食,甚至闻到零食都会扭头。傍晚食欲有所好转,可把狗粮掺零食泡温水食用。不吃饭的早上会吐,平均每周一次,呕吐物主要是棕色液体,其中有红色斑驳,有腥味,推测是血块。如果当天上午食欲不佳,多数时候傍晚会拉稀,拉血。精神状态较以往有削减,但出门后仍然活跃。血常规仅见蛋白含量低,其他正常。b超显示小肠增厚,其他未见异常。推测炎性肠病但无法确诊,现有治疗都不奏效。包括三周前开始换食单一蛋白质狗粮(兔肉),服用***,益生菌,**2。烦请医生费心
症状描述:间歇性拉稀,便血,吐棕红液体,食欲差。
患病时长:两个月
医院检查:多次检查,包括血常规,粪便检查寄生虫,B超。主要发现是小肠增厚
用药情况:***和益生菌已用一个月,为增强食欲还使用了******和***五天左右,都没有明显效果。狗粮也换成了全兔肉的处方粮
我在海外,有些词是直译可能不准确,麻烦您见谅
问题大致一样,细节不同?
于博
执业兽医师
好的,这种情况一般考虑:寄生虫,炎性肠病、消化酶不足,肠道肿瘤、细菌性肠炎、食物过敏不吸收这些情况会引起来。炎性肠病就是把所有其他病因都排除后就基本可以确诊了。便检、肠镜、钡餐造影、胰腺炎、****12、食物这些检查抖做齐全没有问题或者都尝试治疗没有改善就可以确诊了
一般考虑是炎性肠病,需要使用抗生素、激素、****、处方粮一起维护治疗长期饲喂
谢谢你的回答,寄生虫确认没有,便检已经做过了。B12正在吃补剂,应该也无法检出结果。血液检查有一项PrecisionPSL是18U/L偏低,其他都正常。B超只有小肠增厚,其他正常。尝试换了新种类蛋白质的粮三周未见好转。请问1.肠镜,钡餐造影,胰腺炎的检查应该如何安排先后顺序? 2.活检是否有必要? 3.为何狗的状况会好几天坏几天?如果食欲差应该怎么办? 4.如果是炎性肠病,具体应用什么治疗方案? 大约多久能稳定病情,又需要多久能彻底治愈?
于博
执业兽医师
好的,1.可以先做胰腺炎检测和肠镜没有冲突,肠镜检查完可以做钡餐造影
2.如果能够做活检是最好的了
3.一般炎性肠病,消化酶分泌不足,慢性胰腺炎会引起食欲忽好忽坏,排便也会忽好忽坏。食欲差是因为疾病引起的,只有能够满足日常营养就不用担心,可以饲喂****促进胃肠蠕动,增进食欲。
4.炎性肠病需要常年饲喂肠道处方粮,***龙,抗生素长期饲喂。本病不能治愈,只能药物和粮维持。
谢谢。1.B超未见胰腺异常可否排除胰腺炎? 2.已喂食兔肉处方粮一个月未见好转,能否排除过敏? 3.应如何挑选肠道处方粮?那种比较好?
于博
执业兽医师
好的,建议还是检测一下特异性脂肪酶,因为胰腺在超声上还是比较难扫查的,要有经验的超声医生能判定,所以主观性太强
您需要饲喂肠道处方粮或者低敏粮,建议饲喂**肠道处方粮
好的,谢谢。如果采取中兽医治疗,有没有更好的手段?
于博
执业兽医师
好的,给您开个处方,可以尝试治疗
木香5g、川连5g、**10g、白芍15g、松克6g、甘草5g、太子参30g、白术15g、云苓15g
研磨成粉装胶囊,一天两次、一次2胶囊
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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