咨询描述:猫咪耳朵流脓1个月了,耳朵内长了很多红色凸起肿物,耳道内也有,吃了****,效果不好,吃**拉肚子,请您帮忙看一下
回复总结:猫咪出现耳朵流脓时,建议先做耳朵分泌物检查是什么菌感染,感染源不同使用药物也不同。猫咪耳朵治疗建议用药物把耳内脓性分泌物腐蚀清掉后,再用使用药物进行洗耳朵。同时需要保持猫咪耳朵干净以及干燥,不要往耳朵里滴任何药物。此外,可以给猫咪口服抗生素控制疼痛感,一般口服药物一周左右才可能会慢慢好起来。
问题大致一样,细节不同?
王广龙
执业兽医师
根据您以上描述,还不能做出进一步的判断。我还有几个问题需要向你核实一下。
1.耳道有做过相应镜检吗?有什么感染
2.用过什么耳朵药,效果怎么样
3.体外驱虫有过吗
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。另外麻烦您提供一下宝贝目前的年龄、体重信息,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
1、耳道只做过耳镜,没有做过分泌物检查。之前小时候一直有耳螨,一直不好,10月末的时候用了**和***,刚开始1周的时候,有效果,想着巩固一下,继续用了一周,开始化脓,就停药了,医生说有溃疡,让自己恢复,结果后来就慢慢严重,一个月前发现长东西了,医院给开了**,吃着拉肚子。换成****没效果。相
2、体外驱虫做过。猫咪11个月,体重3千克。
王广龙
执业兽医师
根据您的描述,之前有过耳螨感染病史,现在出现耳朵化脓情况,现在治疗建议是做一下耳朵分泌物检查看看是什么菌感染,球菌和杆菌感染,用的药物是不一样的。现在耳朵治疗建议用***滴一两滴先把耳内脓性分泌物腐蚀清掉后,再用**加****配成液体进行洗耳朵。***一般用两天后,不要用了,继续用**和****配的液体洗5-7天。保持耳朵干净干燥,不要再往耳朵里滴任何药。口服抗生素建议可以换****和****控制它现在疼痛感。一般也是吃一周左右。这样它才可能会慢慢好起来。
昨天换了一个医院看一下,他这边看到耳道内也是肿物化脓,建议我们尽快手术,怀疑是肿瘤。但我目前还是想保守治疗,可以说流脓加重后,一直没有找到好的治疗方法。耳道口肿了现在有点狭窄。
王广龙
执业兽医师
年轻的猫有耳道肿瘤的概率还是很小的,现在是因为长时间用带有激素药物刺激耳朵,耳道有增生导致的狭窄,我建议您按上面治疗方法先保守治一下,好了就不用手术了,不好再考虑手术问题,手术是要做全耳道的切除,这个手术是污染性手术,术后感染的风险也很高的。
请问****和**的比例怎么调?****和****要一起服用吗?
王广龙
执业兽医师
100ml******,和2ml一支****混合,配成这样稀释液。口服药那两个可以一起口服,一天都是一次的,最好是饭后吃,这两种分开早晚吃。这边帮您开一下处方建议,有需要就可以购买使用。
王广龙
执业兽医师
后期有问题再咨询,非常感谢您对蘑菇宠医的信任。如果我的回答能够帮助到您,请您在咨询结束后留下5星评分,您的评价是我工作最大的支持,感谢🙏
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
{"235387":{"id":235387,"case_id":28504,"user_id":1179411,"to_user_id":1824169,"type":3,"content":"100ml******,和2ml一支****混合,配成这样稀释液。口服药那两个可以一起口服,一天都是一次的,最好是饭后吃,这两种分开早晚吃。这边帮您开一下处方建议,有需要就可以购买使用。","media":{"images":{},"videos":{},"business_params":{"prescription_id":100078}},"is_doctor":1,"status":1,"created_at":"2022-01-07 22:14:46","show_rx":true,"rx_info":{"id":100078,"rx_no":2.02201072214375e+24,"user_id":1824169,"doctor_user_id":1179411,"is_independent":0,"case_id":2563929,"pet_info":{"pet_id":265111,"pet_name":"加菲","pet_nickname":"嘟嘟","pet_gender":1,"pet_birth":"0-11","pet_weight":3,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":1,"pet_age_format":"11个月"},"diagnose":"中耳炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-01-07 22:14:37","updated_at":"2022-01-07 22:14:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":192,"prescription_id":100078,"doctor_user_id":1179411,"product_id":705,"product_sku_id":748,"dose":15,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-01-07 22:14:37","updated_at":"2022-01-07 22:14:37","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-05-18 09:52:33","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":553,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":292,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-05-17 22:34:48"}},"1":{"id":193,"prescription_id":100078,"doctor_user_id":1179411,"product_id":765,"product_sku_id":807,"dose":3,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"饭后吃","created_at":"2022-01-07 22:14:37","updated_at":"2022-01-07 22:14:37","product_info":{"id":765,"hash_id":"X3LOlVpl88pa20WY","class_ids":{"1":2},"category_ids":{"1":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":36,"sell_point":"贝安可 维他昔布咀嚼片(猫专用)8mg","title":"欧博方贝安可 维他昔布咀嚼片(猫专用)8mg×7片×2板\/盒","recommend_reason":{"0":"用于治疗猫手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"14片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c21392afee766bccdb0469803bdb016e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":57,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-05-16 09:07:41","ins":{"id":36,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"维他昔布咀嚼片","trade_name":"贝安可猫专用","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2020\/10\/e6619b91a0c37e0445688e0c00493295.JPG","specification":"8mg×7片×2板\/盒","reference_price":205,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,猫1mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药3日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的猫禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病猫之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌猫,幼猫(例如1周龄以下或体重小于2公斤的猫)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2020)153717024","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:51:39","updated_at":"2020-10-30 15:51:39"}},"product_sku_info":{"id":807,"product_id":765,"title":"欧博方贝安可 维他昔布咀嚼片(猫专用)8mg×7片×2板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":90,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"14片盒装"}},"cover":null,"thumb":"","sale_count":61,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-05-16 00:42:48"}}},"drug_data_bak":{"0":{"id":192,"prescription_id":100078,"doctor_user_id":1179411,"product_id":705,"product_sku_id":748,"dose":15,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-01-07 22:14:37","updated_at":"2022-01-07 22:14:37","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":281,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-05-18 09:52:33","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":553,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":292,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-05-17 22:34:48"}},"1":{"id":193,"prescription_id":100078,"doctor_user_id":1179411,"product_id":765,"product_sku_id":807,"dose":3,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"饭后吃","created_at":"2022-01-07 22:14:37","updated_at":"2022-01-07 22:14:37","product_info":{"id":765,"hash_id":"X3LOlVpl88pa20WY","class_ids":{"1":2},"category_ids":{"1":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":36,"sell_point":"贝安可 维他昔布咀嚼片(猫专用)8mg","title":"欧博方贝安可 维他昔布咀嚼片(猫专用)8mg×7片×2板\/盒","recommend_reason":{"0":"用于治疗猫手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"14片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c21392afee766bccdb0469803bdb016e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":57,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-05-16 09:07:41","ins":{"id":36,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"维他昔布咀嚼片","trade_name":"贝安可猫专用","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2020\/10\/e6619b91a0c37e0445688e0c00493295.JPG","specification":"8mg×7片×2板\/盒","reference_price":205,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,猫1mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药3日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的猫禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病猫之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌猫,幼猫(例如1周龄以下或体重小于2公斤的猫)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2020)153717024","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:51:39","updated_at":"2020-10-30 15:51:39"}},"product_sku_info":{"id":807,"product_id":765,"title":"欧博方贝安可 维他昔布咀嚼片(猫专用)8mg×7片×2板\/盒","advword":null,"price":128,"market_price":160,"cost_price":0,"stock":90,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"14片盒装"}},"cover":null,"thumb":"","sale_count":61,"status":1,"delete_status":0,"created_at":"2021-12-20 14:36:54","updated_at":"2024-05-16 00:42:48"}}}}}}
微信扫一扫
立即问宠医