患寵信息：土狗/弟弟/7個(gè)月

咨詢描述：絕食 血尿 尿里有白色小蟲 沒有精神 消瘦 血便 喝水嘔吐

回復(fù)總結(jié)：狗狗拉血尿消瘦，有以下幾種原因。第一種狗狗吃家常飯菜中毒，這種情況建議及時(shí)帶往帶往醫(yī)院進(jìn)行治療，治療方法主要是輸液代謝，再給狗狗補(bǔ)液。第二種是成年狗狗患有膀胱結(jié)石會(huì)引起狗狗尿血的情緒，膀胱結(jié)石需要給狗狗手術(shù)把結(jié)石取出來，然后后期做好護(hù)理。第三種就是狗狗感染了蜱蟲，引起了巴貝斯蟲，需要給狗狗打肌肉針驅(qū)血液寄生蟲，然后用藥治療。

根據(jù)您講到的詳細(xì)癥狀，但僅僅根據(jù)目前的信息還不能做出進(jìn)一步的判斷。我還有幾個(gè)問題需要向你核實(shí)一下: 1.您家狗狗7個(gè)月大了，體重大概是10千克，狗狗尿血的癥狀多久了 2.您養(yǎng)狗狗大概多長時(shí)間了，狗狗平時(shí)都吃哪種食物，吃不吃家常飯菜，最近有沒有給狗狗換過食物或者吃過什么特殊的東西，骨頭之類的堅(jiān)硬物，導(dǎo)致狗狗出現(xiàn)嘔吐的癥狀，嘔吐的是未消化的食物，還是白色粘液，或者黃色粘液，有沒有血絲，有沒有腹瀉的癥狀; 4.狗狗有沒有出現(xiàn)咳嗽，打噴嚏，流鼻涕的癥狀，您正常有沒有給狗狗用過什么藥; 5.狗狗目前精神狀態(tài)怎么樣，有沒有吃東西.喝水，狗狗有沒有接種過疫苗，做過體內(nèi)體外的驅(qū)蟲。 6.狗狗居住的環(huán)境有沒有突然降溫，狗狗趴在墊子上，還是地板上 以上這些情況您仔細(xì)回憶后詳細(xì)的描述給我，對(duì)我給寶貝目前情況做判斷以及制定治療方案有非常大的幫助，感謝您的配合。另外，把您家愛寵的信息補(bǔ)充完整，特別是年齡、體重」，待會(huì)兒咱們溝通后如果涉及用藥建議，方便為寶貝開具處方。

最早發(fā)現(xiàn)是一星期前 有拉稀的情況 食欲不振 后面便血 會(huì)往陰涼的地方趴著 給狗狗用了消炎藥和驅(qū)蟲藥 吃的是家常飯 嘔吐的都是水 最近幾天沒有喝過水也沒有吐過 精神萎靡 沒有疫苗 吃過驅(qū)蟲藥 最近尿的血尿里面有白色小蟲很多 拉的血水也是很多白色小蟲

為保護(hù)用戶隱私不顯示圖片/視頻

您好，狗狗主人，狗狗尿血會(huì)引起貧血，尿有以下幾種原因，第一種狗狗吃家常飯菜中毒，狗狗是不能吃飯菜里的蔥、蒜的，蔥、蒜里面含有N-丙基二硫化物成分，它會(huì)導(dǎo)致狗狗的血紅蛋白收到破壞，狗狗食入蒜之后就會(huì)出現(xiàn)中毒癥狀，臨床上表現(xiàn)為尿血、嘔吐、腹瀉、溶血，嚴(yán)重者會(huì)導(dǎo)致機(jī)體出現(xiàn)貧血、脫水、休克、死亡，這種情況建議及時(shí)帶往帶往醫(yī)院進(jìn)行治療，治療方法主要是輸液代謝，再給狗狗補(bǔ)液；第二種是成年狗狗（一歲以上）患有膀胱結(jié)石會(huì)引起狗狗尿血的情緒，結(jié)石在膀胱里面來回摩擦?xí)?dǎo)致狗狗膀胱上皮細(xì)胞脫落引起排尿渾濁，上皮細(xì)胞脫落后會(huì)引起狗狗尿血的癥狀，膀胱結(jié)石需要給狗狗手術(shù)把結(jié)石取出來，然后后期做好護(hù)理；第三種就是狗狗感染了蜱蟲，引起了巴貝斯蟲，巴貝斯蟲是血液寄生蟲，導(dǎo)致狗狗出現(xiàn)貧血嚴(yán)重的情況，需要給狗狗打肌肉針驅(qū)血液寄生蟲，您家狗狗目前的癥狀感染巴貝斯蟲的風(fēng)險(xiǎn)比較高，建議做臨床檢查，然后及時(shí)用藥，以上分析與建議您可以先參考一下。

您好，狗狗主人，收到您的詳細(xì)描述，狗狗出現(xiàn)排醬油色尿液的情況，排醬油色尿液就是尿血的癥狀，尿血一般有三種原因，第一種是吃家常飯菜里面的蔥可蒜引起中毒，導(dǎo)致狗狗尿血；第二種情況是狗狗尿道結(jié)石、膀胱結(jié)石引起尿血的情況，第三種是巴貝斯蟲感染巴備絲蟲是血液寄生蟲。血液寄生蟲感染后會(huì)出現(xiàn)狗狗尿血，狗狗的癥狀可以給它做一下血液寄生蟲的檢查，如果確診是巴貝斯蟲感染，需要給狗狗打針輸液治療，狗狗巴貝斯蟲病是由蜱蟲傳播，您需要給兩只狗狗做體外驅(qū)蟲，主要引起狗狗嚴(yán)重貧血和血紅蛋白缺失。治療以驅(qū)蟲、消炎、對(duì)癥治療為主?？墒褂萌?3.5mg/ kg，肌內(nèi)注射一次，后期口服甲硝唑，每日兩次，連用一個(gè)月。對(duì)于嚴(yán)重貧血的狗狗應(yīng)該用生血的藥，如果用生血的藥效果不明顯，就需要輸血，輸健康狗狗的血，如果出現(xiàn)脫水及衰竭時(shí)，應(yīng)及時(shí)輸液補(bǔ)充體液，并糾正代謝性酸中毒。注意保肝同時(shí)注射維生素B12，0.2mg，每日兩次，以上分析與建議您和主治醫(yī)生溝通一下。

您好，打肌肉針的同時(shí)最好輸液，輸完液體輔助吃處方開的藥 根據(jù)狗狗的情況，我給它開個(gè)處方。處方里面的1.甲硝唑?qū)饭钒拓愃瓜x感染驅(qū)蟲作用效果比較好，按狗狗的體重用藥；2.肝血維補(bǔ)血、生血效果比較好，您可以根據(jù)需求自行選擇購買

醫(yī)生你看一下那個(gè)血尿圖片 里面的蟲子肉眼可見 這是不是血吸蟲呀

您好，肉眼可見的小白蟲子需要在顯微鏡下做檢查方可確診，您家狗狗膀胱結(jié)石的可能性小，吃家常飯菜造成中毒，主要看狗狗飲食情況，血液寄生蟲可能性比較大，所以建議做檢查

醫(yī)生建議及處方根據(jù)當(dāng)前病情給出，僅適用于本次問診

蘑菇寵醫(yī)處方箋

用法用量需根據(jù)患寵的年齡、體重等信息開具，此處方暫不展示

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