咨询描述:症状描述:皮肤溃烂瘙痒脱毛
患病时长:4年以上
医院检查:近期五检查,半年前体内外做驱虫,B超显示膀胱大,
用药情况:外喷药,**,内服***,注射****
回复总结:狗狗出现脱毛皮肤溃烂考虑是真菌感染引起,需要给狗狗口服治疗真菌感染的药,同时外喷治疗真菌感染的喷剂。平时需要每三个月给狗狗做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好降低狗狗感染真菌感染的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转。用药期间最好给狗狗佩戴伊丽莎白圈,然后将狗狗的指甲修剪平整,防止狗狗出现抓挠舔舐的现象。
问题大致一样,细节不同?
我先把所有图片给您发过去,便于您的判断
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
根据您讲到的详细症状,我初步分析狗狗是皮肤病的症状,但仅仅根据目前的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.您家狗狗5岁多大了,体重大概30千克,皮肤的症状长达四年了,用过***,****,***用了多久了,狗狗皮肤的症状有没有做皮肤刮片镜检
2.您养狗狗大概多长时间了,狗狗平时都吃哪种食物,最近有没有给狗狗换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致狗狗出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
4.狗狗有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样,有没有吃东西.喝水,狗狗有没有接种过疫苗,做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温,狗狗趴在垫子上,还是地板上,环境潮湿吗,有没有定期消毒
7.狗狗半年前B超检查膀胱大,狗狗近半年有没有正常排尿
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。
狗狗今年7岁,平时在楼房养殖,室内干净不潮湿,日常吃狗粮和剩饭,例如鸡蛋,面包,火腿,偶尔会吃骨头,吃多的时候会发生呕吐,呈黄绿色水样,近期没有做刮片实验。用***有1个月,止痒效果明显,但副作用表现在乳房有分泌物,不爱动。前半年能喝水排尿也多,最近2个月排尿基本正常。体重60斤。脱毛严重,尤其脖子后颈处多处呈钱状型脱毛伴有不明溃疡
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述,根据您的描述结合您发的狗狗患部的照片来看,狗狗是真菌感染,需要给狗狗口服治疗真菌感染的药,外喷治疗真菌感染的喷剂,一般需要每三个月给狗狗做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低狗狗感染真菌感染的风险。真菌感染周期比较长,一般需要用药一个月左右才会好转,狗狗皮肤病的症状就会有所好转。用药期间最好给狗狗带上嘴套子,再把狗狗的指甲修剪平整,防止狗狗出现抓挠,舔舐的症状,会有利于狗狗皮肤的早日康复。狗狗住的环境需要彻底的大消毒,以后每周消一次毒,狗窝拿出去晒晒太阳,有助于杀菌消毒,家里有没有老人和小孩,如果有老人和孩子建议不要让他们接触到狗狗,因为真菌感染会传染给人,老人和小孩皮肤免疫力抵抗力比较差,比较易感,所以不建议接触,您自己照顾完狗狗也需要洗手,消毒,脖子的症状像是炎症感染,需要把里面的感染分泌物挤出来,然后用***消毒,在涂抹上消炎药膏,以上建议您可以参考一下。
您给推介几款内外驱虫药,口服药,或则还需要进行那方面的检查,大夫不耽误您的时间,你看看怎么治疗
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
根据狗狗的情况,我给它开个处方。处方里面的1.******,对狗狗的真菌感染作用效果比较好,按狗狗的体重用药;2.真菌皮肤性香波,对真菌全是感染效果比较好,您可以根据需求自行选择购买,您需要给狗狗把全身毛毛剃掉做药浴,作用比较好,后掌和脖子伤口的位置用消炎药膏3.**凝胶,具有润滑,消炎抑菌的作用
脖子上口如何处理,把里面的血水挤出来吗?那个香波是药浴吗?*****是口服的吗?另外是否需要做其他检查,日常喂食需要注意哪些
刘文飞
执业兽医师
脖子上的伤口,把里面感染的粘液清理干净,然后用***消毒,消完毒抹上**凝胶,后脚掌裂的部位也抹上**凝胶,香波是要做药浴,但是要避开脖子的伤口,您要是不放心可以领狗狗去做皮肤刮片镜检查,日常饲养以狗粮为主,每天的主食建议以狗粮为主,狗粮里面含有的均衡的维生素、矿物质、微量元素等,能够满足狗狗日常所需的营养成分,*****是口服药
做了个甲状腺没事,刮片1000倍显微镜发现真菌和球菌混合感染,毛囊感染接近中层,他给我开了些药,看一下有没有冲突或没必要的药
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好,检查结果也是真菌感染,开的药有抗生素,治疗真菌的,止痒的,作用效果和我开的大同小异,但是狗狗一定需要坚持用药,中间不能停,停药会产生耐药性,延长治疗周期
刘文飞
执业兽医师
两种都可以,作用一样,您买临床医生开的药比较好一些,因为医生做了具体的检查,具有针对性,我这边只能眼观判断,从真菌感染广泛的角度开药,临床医生开的药会作用更直接见效会更快,您参考一下。
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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