咨询描述:孙医生您好,我家狗12月发烧,不吃饭,精神不好,拉黑色稀便。医院B超检查大肠肿大,CT检查胆囊炎,盲肠炎,粪便有细菌和病毒。打了二十天的点滴,吃了十天的药,期间吃饭正常,粑粑正常,就是没精神。
两个星期后又开始发烧41.5度,去医院打了四天的针才退烧,以为盲肠炎犯了,做了CT检查准备割盲肠,但是盲肠炎好了,胆囊炎还有,粪便有细菌和病毒,因为一直高烧,就做了很多检查,这次查出了支原体感染,甲状腺功能减退。又打了十天点滴,回来吃药十天后回去复查,这期间吃饭,粑粑都正常,精神比第一次打了20天点滴那次,明显好了。复查结果,粪便还是有细菌和病毒,拍片子肠子还是有肿的地方,但是面积小了很多,只有一小节在肿。甲减,支原体转阴。但是丙氨酸转氨酶偏高,碱性磷酸酶爆表,就又做了腹部B超,脂肪肝,胆囊壁厚,有多发性息肉,其他没毛病。医生也不知道为什么碱性磷酸酶爆表。这次复查完给狗开了护肝和胆囊的药,甲减药,还有消炎药,益生菌,酵素。(两次CT检查胰腺是好的)
我现在有几个问题想咨询一下
1、碱性磷酸酶那么高是怎么回事
2、甲减有没有可能是生理的,不是病理的(因为它的身体一直很好,生病前换了环境和家庭成员以后突然就病了,会不会和心情有关)
3、它已经十岁了,现在身体出了这么多问题,我该怎么护理,它现在饮食就是鸡胸肉和肠胃处方粮,我应不应该给它吃羊奶粉或者高免**,提高一下免疫力,再把维生素和微量元素吃上。
问题大致一样,细节不同?
刚发的图片是12月的检查,现在把一月,三月的陆续发给您
为保护用户隐私不显示图片/视频
这是一月和二月的CT检查结果
为保护用户隐私不显示图片/视频
这是前两天的复查结果
为保护用户隐私不显示图片/视频
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.碱性磷酸酶升高明显可能肝损伤、肿瘤、内分泌疾病等都会导致
2.甲状腺功能需要做其他项目一起确诊不能完全确诊
3可以给**肠道湿粮调理一下,同时可以配合口服增加免疫力药物提高免疫力
所有的检查报告都发给您了,它现在到底是哪个地方有问题,碱性磷酸酶高和甲减有关系吗?它现在就是鸡胸肉和肠胃处方粮,其他什么都没给吃
我们这给宠物检查的仪器有限,能做的检查都做了,您说的甲状腺需要做其他项目确诊,具体需要做哪些呢?
孙厚福
执业兽医师
1. 需要排除肾上腺皮质功能亢进症或用药ALP升高,另外胆囊粘液囊肿、结节性增生、特发性空泡型肝病和肝脏肿瘤(目前可以看看是否有多饮多尿情况,如果有需要检查肾上腺皮质功能亢进)
如果没有会看彩超看一下是否有胆囊粘液囊肿,多发性结节增生,空泡肝病,肝脏肿瘤
2.甲状腺功能检查T4+FT4+TSH一起评估
从它的检查报告看,它病的严重吗?后续可能出现什么问题?
刚又发现它的嘴有一块变白了,牙龈上还有一个表面是软的,里面是硬的一个疙瘩
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
哪个位置变白了?肿物考虑齿龈肿物可以观察看看是否变大,目前可能存在多种疾病,之后恢复情况,可以看看肝脏指标是否好转可以之后复查一下
好的,谢谢医生,您在帮我看一下它的这个嘴唇是怎么回事,它一直舔嘴,我才发现的
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
考虑细菌感染可能性比较大可以外喷**喷剂,同时可以注意观察看看是否加重情况之后可以做一下细胞学检查,目前可以配合保肝口服药物和增加免疫力药物,另外配合肝脏处方粮
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***一天一次2粒
2.肝脏处方粮
3.***一天一次2袋
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。
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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