咨询描述:狗狗下巴里面起个包,突然有的,有点滑动,突然间有的,上周打完疫苗和狂犬,昨天洗澡后发现的,有点滑动,不算很硬,按压狗狗有疼痛
回复总结:狗狗下巴里面起个包考虑是由于淋巴结发炎导致。如果暂时不方便就诊并且狗狗吃喝玩以及排便状态没有任何异常,可以在家先给狗狗喂食宠物专用广谱消炎的口服药来进行治疗观察2-3天。如果效果不错可以持续用药1-2周左右,直到疾病康复为止即可。如果就诊,需要给狗狗进行局部肿胀的超声、穿刺细胞学检查以及血液常规检查。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的下巴突然有肿包,我初步分析有可能是下颌淋巴结肿大,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您核实一下:
1. 狗狗吃喝玩排便状态如何?;
2.狗狗昨天洗澡之后,是否着凉?;
3. 狗狗是否有撞击,刺激下巴这里?;
4.狗狗是否还有流口水症状?
5.狗狗这个包,是否有水袋的感觉?还是比较Q弹?
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。
1. 狗狗吃喝玩排便状态如何?
吃喝都正常,和他互动也比较活泼,排便也OK。
2.狗狗昨天洗澡之后,是否着凉?
洗澡的时候狗狗有些哆嗦,开了热暖气后就没有了,吹干净后就穿了衣服,一切正常
3. 狗狗是否有撞击,刺激下巴这里?
没有撞击,洗澡的时候着重清洗了这个部位
4.狗狗是否还有流口水症状?
没有流口水
5.狗狗这个包,是否有水袋的感觉?还是比较Q弹?
没有水袋感,q弹一点吧
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。根据您描述的症状以及提供的信息,以个人的经验判断宝贝是由于淋巴结发炎,从而导致了一系列症状。跟洗澡着凉可能有一定的关系。如果暂时不方便就诊,并且狗狗吃喝玩排便状态没有任何异常的情况下,可以在家先给宝贝吃一些宠物专用广谱消炎的口服药来进行治疗,观察2-3天的时间。如果效果不错,可以持续用药1-2周左右,直到疾病康复为止即可。然后您可以告诉我狗狗的体重信息,我可以帮您开具用药,并且帮您计算好用法用量,供您采纳。
狗狗目前8.4kg,
请问如果就就诊的话需要做什么检查呢?
狗狗今早起来包的痛感有加大,不敢甩头,会不会是淋巴肿瘤之类的
陈奕达
执业兽医师
您好,1.如果就诊,需要进行局部肿胀的超声,穿刺细胞学检查,以及血液常规检查。2.肿瘤一般不会突然间增大这么多。但是由于狗狗年龄偏大,也会有一定概率。3.根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. **,宠物专用广谱消炎,控制炎症。
刚刚又仔细检查了下,肿包靠近喉咙,肿包后靠近耳朵下面也有点肿,而且疼痛是这里,狗狗现在会有轻微发抖,但是体温正常
陈奕达
执业兽医师
嗯嗯,您好,感谢您的回复,谢谢。根据您的描述,以及现在所有信息,以个人10年的经验分析,可以90%的概率判断是发炎,引发的淋巴结肿大的问题,导致了一系列症状。
不会是吃牛肉粒卡在那里了吧,昨晚洗完澡给了牛肉粒,但之后又照常吃饭。
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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