咨询描述:您好,我的猫是一只田园黑猫。
症状描述:突然消瘦,几乎没有了脂肪和肌肉。但很能吃能喝,没有出现食欲减退。由于太瘦,猫也显得没有力气。头顶上出现一个硬鼓包。
患病时长:近两个月。
医院检查:这次没有带它去医院,因为这只小猫非常应激。每次带出门或者看病都极度恐慌,回家后长期缓不过来,我就不轻易去医院。也因为一年以前出现过类似情况,当时检查过生化,B超,穿刺,排除了传腹,猫艾滋,肿瘤等疾病。后来给它吃了**维,驱虫药,逐渐胖回来。
用药情况:本次也尝试在2月1日喂了驱虫药,近一个月每天喂**维,用主食猫罐增加营养。它吃得下,吃得很多。但消瘦未好转。
想请问医生大致可能的判断?
问题大致一样,细节不同?
邓薄鸿
执业兽医师
你好,看到你描述的情况和上传的照片了,照片看着不是特别清晰,你说的头顶的鼓包是软的还是说硬的呢,这个有清晰照片可以上传一下。像是你现在描述的症状,而且已经持续两个月了,能吃能喝突然消瘦,无力,一般可能会考虑的就是寄生虫,肝脏问题,再在就是内分泌方面像是肾上腺皮质功能亢进了,目前主要会考虑这几方面问题的。
您好,头上鼓包有点儿像人被蚊子叮了以后起来的那种大包,不软,但不是那种硬邦邦的。
邓薄鸿
执业兽医师
那头顶的话应该还好,这个暂时没有问题。主要现在就是你的猫能吃能喝,但是持续消瘦,你现在如果说不方便带猫咪到医院的话,你在尝试性治疗就只能说吃一些特殊的驱虫药,像是杀球虫,杀滴虫的这种的看会不会有效果了,因为保肝之类的你也正常给它吃了,也增加营养了。假设说内分泌方面的话那就是需要具体检查之后看能否用药治疗还是需要手术切除肾上腺了的
明白,谢谢医生。我给它吃了**驱虫药,这个属于广谱的对吗。那我再观察两天。刚刚查了一下,真的很像肾上腺皮质亢进。如果我自己尝试用药是可以的吗?
邓薄鸿
执业兽医师
**驱虫药只针对常规的寄生虫,像是我刚才跟你说的滴虫,球虫这种都是不管的。如果说肾上腺皮质机能亢进的话这种没办法自己用药的,因为不清楚它目前具体严重程度,同时无法检查药物剂量和药物效果的,大部分最后可能都是需要手术了就
邓薄鸿
执业兽医师
可以的,这种尝试性用药的话滴虫对应使用7天的***。球虫的话对应使用7天的***,都是需要根据体重用药的。根据宝贝的情况,我给它开个处方。处方里面的1.***,杀滴虫,每天一次,每8公斤吃一片。2.***,杀球虫,每天2次,每公斤体重喝1毫升。 你可以根据需求自行选择购买
邓薄鸿
执业兽医师
是的,这种一般不管是预防还是治疗的话都是需要连续使用7天的,***可以说最多吃到14天。***7天就够了,没有再继续连续使用的必要的
好的,谢谢医生,那请问同一天可以吃两种药吗?还是需要一种喂完再喂另一种?
邓薄鸿
执业兽医师
这种的话是可以同一天吃两种药物的,正常按照剂量使用他们是没有什么冲突的
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
{"658662":{"id":658662,"case_id":72544,"user_id":1401608,"to_user_id":2513174,"type":3,"content":"可以的,这种尝试性用药的话滴虫对应使用7天的***。球虫的话对应使用7天的***,都是需要根据体重用药的。根据宝贝的情况,我给它开个处方。处方里面的1.***,杀滴虫,每天一次,每8公斤吃一片。2.***,杀球虫,每天2次,每公斤体重喝1毫升。 你可以根据需求自行选择购买","media":{"images":{},"videos":{},"business_params":{"prescription_id":170451}},"is_doctor":1,"status":1,"created_at":"2024-03-06 09:28:13","show_rx":true,"rx_info":{"id":170451,"rx_no":2.02403060927415e+24,"user_id":2513174,"doctor_user_id":1401608,"is_independent":0,"case_id":3252887,"pet_info":{"pet_id":444036,"pet_name":"其它","pet_nickname":"团团","pet_gender":3,"pet_birth":"6-2","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"6岁2个月"},"diagnose":"病因待查","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2024-03-06 09:27:41","updated_at":"2024-03-06 09:32:02","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":153606,"prescription_id":170451,"doctor_user_id":1401608,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2024-03-06 09:27:41","updated_at":"2024-03-06 09:27:41","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}},"1":{"id":153607,"prescription_id":170451,"doctor_user_id":1401608,"product_id":1108,"product_sku_id":1167,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-03-06 09:27:41","updated_at":"2024-03-06 09:27:41","product_info":{"id":1108,"hash_id":"ekz3bB4vL3xdKJMv","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"18":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":279,"sell_point":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","title":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"球虫,弓形虫,驱虫,血便,止癫,虫卵,果冻便,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml\/支×3支"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/e5c346b487e7598d843ae08601c157ba.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/2c65c152a479414182dd06fe69a20a88.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/cfe93d27d3c96b1112efc45c4dce62b6.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d5d1481d374005886b5bfabaac70bd91.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":20,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 12:29:40","updated_at":"2024-11-22 09:24:38","ins":{"id":279,"hash_id":"blVqn84wwG4LvPAG","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022]","title":"宠诺球乐泰 驱球止癫合剂10ml\/支","common_name":"球乐泰","trade_name":"球乐泰驱球止癫合剂","en_name":"Quqiu zhili Mixtuer","brand_name":"宠诺","is_prescription":0,"cover":"\/drug\/2023\/08\/f194b13b3891338765cd710894ecec8e.jpg","specification":"10ml","reference_price":0,"component":"常山、白头翁、仙鹤草、马齿苋、地锦草","indication":"球虫感染、杀虫止癫、便血、果冻状腹泻。","usage_dosage":"每1ml相当于2g原生药。每次使用不得超过3瓶\n【治疗】每日1-2次,七日一个疗程\n【预防】每日1次,连用三日,每三个月预防1次\n犬猫:\n每1kg体重,用1ml,空腹喂食;\n体重大于20kg可按每公斤0.5ml使用。\n\n兔禽:\n每1kg体重,用0.5ml,可按照1:100比例,兑水稀释。","contraindication":"","adverse_reaction":"","attention":"喂药后15分钟内不要喝水","interaction":"","approval_no":"兽药字162016596","storage_method":"密封,置于阴凉处","validity":"24个月","manufacturer":"河南大德广动物药业有限公司","status":1,"created_at":"2023-08-17 12:13:59","updated_at":"2023-08-17 12:13:59"}},"product_sku_info":{"id":1167,"product_id":1108,"title":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","advword":null,"price":48,"market_price":98,"cost_price":0,"stock":79,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml\/支×3支"}},"cover":null,"thumb":"","sale_count":21,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 12:29:40","updated_at":"2024-11-21 23:18:53"}}},"drug_data_bak":{"0":{"id":153606,"prescription_id":170451,"doctor_user_id":1401608,"product_id":697,"product_sku_id":740,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2024-03-06 09:27:41","updated_at":"2024-03-06 09:27:41","product_info":{"id":697,"hash_id":"lazo6rxWNPgOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":37,"sell_point":"抒畅 甲硝唑片","title":"远征抒畅 甲硝唑片 200mg×8片×1板","recommend_reason":{"0":"用于治疗或预防厌氧菌引起的系统或局部感染","1":"用于原虫的预防和治疗","2":"用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,呼吸道,结肠炎,破伤风,阿米巴原虫,滴虫,贾第鞭毛虫,牙龈炎,牙周炎,冠周炎,口腔感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"1板8片装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/91917ed5391a3b151178e99e1c2638c5.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":92,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:26:55","ins":{"id":37,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"甲硝唑片","trade_name":"抒畅","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/7df536b5114540d98bb1095d241f0a83.JPG","specification":"200mg×8片×10板\/盒","reference_price":1600,"component":"甲硝唑、增效成分、风味剂等。","indication":"1.主要用于治疗或预防厌氧菌引起的系统或局部感染,如腹腔消化道、生殖系统、下呼吸道、皮肤及软组织、骨和关节等部位的厌氧菌感染,对败血症、心内膜炎、脑膜感染以及使用抗生素引起的结肠炎也有效,治疗破伤风时常与破伤风毒素(TAT)联用。\n2.抗原虫:用于阿米巴原虫病、滴虫性阴道炎、蓝氏贾第鞭毛虫等腔道中的毛滴虫和鞭毛虫感染的预防和治疗。\n3.用于牙龈炎、牙周炎、冠周炎和口腔厌氧菌引起的感染。","usage_dosage":"口服。犬、猫25~50mg\/kg(即4~8kg\/片),或遵医嘱。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"兽药字(2015)030461094","storage_method":"置于阴凉干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:06:12","updated_at":"2020-10-30 17:06:12"}},"product_sku_info":{"id":740,"product_id":697,"title":"远征抒畅 甲硝唑片 200mg×8片×1板","advword":null,"price":138,"market_price":168,"cost_price":0,"stock":57,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"1板8片装"}},"cover":null,"thumb":"","sale_count":102,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:18:02","updated_at":"2024-11-20 09:20:30"}},"1":{"id":153607,"prescription_id":170451,"doctor_user_id":1401608,"product_id":1108,"product_sku_id":1167,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2024-03-06 09:27:41","updated_at":"2024-03-06 09:27:41","product_info":{"id":1108,"hash_id":"ekz3bB4vL3xdKJMv","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"18":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":279,"sell_point":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","title":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","recommend_reason":{"0":""},"baike_guide_text":"","baike_article_hash_id":"","advword":"球虫,弓形虫,驱虫,血便,止癫,虫卵,果冻便,拉稀","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml\/支×3支"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/e5c346b487e7598d843ae08601c157ba.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/2c65c152a479414182dd06fe69a20a88.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/cfe93d27d3c96b1112efc45c4dce62b6.jpg","2":"https:\/\/cdn.moguvet.com\/shop\/2023\/08\/d5d1481d374005886b5bfabaac70bd91.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":48,"max_price":48,"sale_count":20,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2023-08-17 12:29:40","updated_at":"2024-11-22 09:24:38","ins":{"id":279,"hash_id":"blVqn84wwG4LvPAG","class_ids":"[\u00221\u0022,\u00222\u0022,\u00223\u0022]","title":"宠诺球乐泰 驱球止癫合剂10ml\/支","common_name":"球乐泰","trade_name":"球乐泰驱球止癫合剂","en_name":"Quqiu zhili Mixtuer","brand_name":"宠诺","is_prescription":0,"cover":"\/drug\/2023\/08\/f194b13b3891338765cd710894ecec8e.jpg","specification":"10ml","reference_price":0,"component":"常山、白头翁、仙鹤草、马齿苋、地锦草","indication":"球虫感染、杀虫止癫、便血、果冻状腹泻。","usage_dosage":"每1ml相当于2g原生药。每次使用不得超过3瓶\n【治疗】每日1-2次,七日一个疗程\n【预防】每日1次,连用三日,每三个月预防1次\n犬猫:\n每1kg体重,用1ml,空腹喂食;\n体重大于20kg可按每公斤0.5ml使用。\n\n兔禽:\n每1kg体重,用0.5ml,可按照1:100比例,兑水稀释。","contraindication":"","adverse_reaction":"","attention":"喂药后15分钟内不要喝水","interaction":"","approval_no":"兽药字162016596","storage_method":"密封,置于阴凉处","validity":"24个月","manufacturer":"河南大德广动物药业有限公司","status":1,"created_at":"2023-08-17 12:13:59","updated_at":"2023-08-17 12:13:59"}},"product_sku_info":{"id":1167,"product_id":1108,"title":"宠诺球乐泰 驱球止痢合剂10ml\/支×3支","advword":null,"price":48,"market_price":98,"cost_price":0,"stock":79,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml\/支×3支"}},"cover":null,"thumb":"","sale_count":21,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2023-08-17 12:29:40","updated_at":"2024-11-21 23:18:53"}}}}}}
微信扫一扫
立即问宠医