咨询描述:一周前身上长小疙瘩 前肢胸口腿肚子都有 现在发展成扁疙瘩了 还有破的地方 小猫一岁 吃了过敏药 一直没有好转
回复总结:猫咪身上长小疙瘩可能是真菌感染,但也不排除有异位性皮炎。建议先给猫咪停药三天之后直接去宠物医院做皮肤刮片检查,同时再给猫咪做IgE检查是否有皮肤过敏。如果确诊猫咪是有真菌感染,需要给猫咪使用真菌性皮肤香波进行药浴,同时口服抗真菌药物治疗。如果是特异性皮炎,需要给猫咪口服抗生素和消炎抗过敏的药物,同时配合给猫咪喂食不饱和脂肪酸以及使用针对细菌感染的香波进行药浴治疗。
问题大致一样,细节不同?
郭秋萍
执业兽医师
很高兴看到卷卷毛过来复诊,他上一次呼吸道问题应该完全痊愈了吧?
根据您讲到的卷卷毛皮肤情况,我初步判断有皮肤过敏。但仅仅根据目前信息,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. 卷卷毛一个星期之前出现这个皮肤问题有没有去医院进一步检查?具体做了哪些检查呢?可以把检查结果都上传过来看一下吗?
2. 你给卷卷毛是吃的什么抗过敏的药物?具体的成分名是什么?
3. 卷卷毛,平时是吃的什么食物呀?
4. 生活的环境怎么样?然后多久给他洗一次澡?主要是用的什么给他洗的澡?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。
没有去医院 精神食欲状态挺好的 年龄一岁 大概在6斤半左右 我给吃的药是******* 外涂的是*****软膏 这只不是上次那只 这是另一只 平时吃猫粮 我家其他猫都没染这个病 还吃些*** 汤罐 猫条
郭秋萍
执业兽医师
从你发的图片来看,你家猫咪的皮肤有可能是有真菌感染,但是也不排除有异位性皮炎,因为他现在的这个皮肤状态,是你用过药之后的皮肤状态,目前看起来局部皮肤都已经出现了增生。
因为你使用了***和吃***脱敏没有效果,我建议你这两种药都不要用。停药三天,停药三天之后直接去宠物医院做皮肤刮片检查是最好的,另外除了皮肤刮片检查,我建议再做一下IgE检查,看看他是不是有皮肤过敏的情况。
对于他目前的这个皮肤状态,无论是真菌感染,还是特异性皮炎,局部抹药都不适合,他这个必须得给他口服药物同时配合药用香波治疗。
因为现在他的这个皮肤症状不是特别典型,所以我没有办法具体给你开是哪一种药物,还是得先去医院做检查之后再给他开药。
如果是有真菌感染的话是需要给他***每个星期两次药浴,同时口服****。
如果是有特异性皮炎,是需要给他口服抗生素和****,吃不饱和脂肪酸,同时要用***香波给他药浴。
您有时间再帮我确认下 我刚给洗了澡 我想问问有没有生命危险
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你现在发的图片来看,真菌的可能性,更大。这个是没有生命危险的。
不过你之前的治疗方案不行,我建议你按照我说的,口服抗真菌药和药浴治疗。另外,因为抗真菌药物有肝脏副作用,建议需要监测肝功能。
根据猫咪的情况,我给它开个处方。处方里面的1. ****口服液,一天一次,一次1.65毫升,连用7天,然后停7天,为一个疗程,需要使用3个疗程。
2. ***,每周两次药浴,连续药浴3-4个月。
3. ***,增强速度抵抗力,一天一次,一次1粒,连用60天。
4,******,帮助辅助治疗猫癣,一天2次,一次2毫升,连续服用2个月。
皮肤真菌感染治疗起来比较漫长,在治疗过程中不能见好就收,必须要坚持用药,一般在皮肤症状消失之后,还需要再做一个月的药浴巩固,这样才避免复发。
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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