猫咪复发尿血三天没拉粑粑怎么回事

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患宠信息:中华田园猫/弟弟/8岁8个月

咨询描述:于医生你好,我家猫从1月中旬复发尿血(21年首次尿血,住院输液好了),然后我给它吃了****和***,吃了一个星期就好了,到了二月底又复发,我又给它买了***、***、**,吃了两天就好了,又过了两天开始不吃饭,没精神,三天没拉粑粑,喝水量增多,喜欢待在水边,尿量也增多,我马上带到医院去做了检查,请帮我看看它的检查结果 症状描述:三天不吃饭不拉屎,喝水量增多 猫猫9九岁了,公猫已绝育 患病时长:复发一个星期

问题大致一样,细节不同?

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于博

执业兽医师

好的,去检查时候猫咪有尿闭吗? 检查肾脏指标有升高肾衰的情况 白细胞检测不到。有做超声和片子检查膀胱和肾脏吗?

从来没有尿闭过,请问检测不到白细胞代表着什么呢?

为保护用户隐私不显示图片/视频

于博

执业兽医师

好的,白细胞一般常见的原因有:检测机器问题,应激,病毒性疾病(猫瘟),急性感染,中毒感染。 我建议您给猫咪重新检测一次血常规或者换个医院检测一下血常规看是不是检测问题。 猫咪没有尿闭,那就是肾功能有问题,需要做个超声看一下肾脏内部结构,片子看大小形态没有异常。肾脏功能问题需要之后长期用药维持,定期监测指标

谢谢医生,请问从它目前的指标来看,是确诊肾衰了吗,几期呢?

于博

执业兽医师

好的,是有肾衰的情况 按照指标目前属于三级肾病的情况

这边建议怎么治疗,需要用哪些药,饮食上要不要调整

于博

执业兽医师

好的,首先建议您再检测一下血常规和SAA,肾脏超声。确定一下是机器问题还是身体原因 肾脏药物稍后给您开个处方 饮食上建议饲喂肾脏处方粮,但罐头零食,高蛋白猫粮就不要饲喂了。 要保证饮食,如果不吃可以先饲喂主食罐头看看有没有食欲,如果都不吃需要人工强饲食物,保证每天的营养。前期建议先住院输液调理,保证水分

于博

执业兽医师

1.*** 一天一次 一次一粒 2.** 一天两次 一次两勺 3.定期检测指标2-3个月一次

谢谢医生,想请问一下,三期肾病大概还能活多久,是不是没有治愈的可能

于博

执业兽医师

好的,内脏疾病都是不可逆的,药物也是帮助肾脏分解有害物质,但是肾脏本身功能的病变是没有办法治疗的。 一般如果发展慢3-5年,快速或者药物控制不住的几个月。目前猫咪的年龄应该是退行性的病变,药物进入应该不会急性发展。一般都是早期主人没有发现,慢慢发生急性升高,肌酐达到1000以上

我看了下它的肌酐超出的范围不算太高,请问判断它肾衰最直观的指标是哪一项?以后我多多关注,感谢医生

于博

执业兽医师

好的,就是肌酐,尿素氮,血磷,红细胞(肾病会引起贫血) 它是有一个分级标准 肌酐小于140是一级,没有氮质血症(尿素氮升高),肌酐略升高 肌酐再140-250之间,是二级 轻度氮质血症 肌酐250-440之间,是三级,中度氮质血症 肌酐440以上 重度氮质血症是四级 看看用药后尿毒氮能不能降一些,如果持续这么高还是很不好的。

于博

执业兽医师

肌酐升到500以上,尿素氮30以上长时间不能下降需要透析

医生建议及处方根据当前病情给出,仅适用于本次问诊

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猫咪三天没有拉粑粑,可以摸一摸它的腹部有没有明显的硬块。如果硬块多,说明是有大量的便便的,如果便秘,一个要考虑猫咪有些慢性肠道紊乱,包括巨结肠症,肝脏问题引起消化不良。如果整个摸了它肚子都是软软的, 那就是没有便秘,喝水排尿都好,就正常给它喂化毛膏和食物就好,平常记得补充营养。

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猫三个月,刚来家里三天,不在猫砂盆尿,都要在地上或者床上,床上的最多,连续三天没有拉粑粑怎么办,猫砂一次没用过,也不上自己的床,就想上主人的床,很急 问宠物店,宠物店说拿笼子关两天就好了。 用药情况:没有用药

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您好 我是上次猫咪从七楼坠落的家长 目前已经坠楼三天了猫咪还是尿血但是变淡了一些 然后就是鼻子没有血色 其他还是一切正常

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