咨询描述：眼睛边是红肿的，一直不见好。嘴巴边上也有这样的痘子，也不知道是什么情况。狗狗没有其它异样，很活泼，食欲也很好。这种情况持续了一年的样子了，感觉很难医治。平时两个月一次驱虫，有人判断是结膜炎，有人说是真菌感染。。。。。。
回复总结：针对狗狗眼睛红肿的症状，建议主人带狗狗去就近的宠物医院给它做过敏原检查，查看是否有过敏导致眼睑出现问题。如果线下医院已经确诊是眼睑内翻导致，需要做手术恢复内翻眼睑才可以解决根本问题。另外，建议主人定期给狗狗做好驱虫以防止蠕形螨导致的过敏反应。
问题大致一样，细节不同？
王园龙
执业兽医师
据您讲到的糖豆眼睑和嘴巴的情况
我初步判断有可能是蠕形螨导致的，也可能是由于过敏，免疫力底下导致的眼睑炎，眼缘炎。
但仅仅根据目前您描述的情况，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. 宝贝您养了多久，多大年龄了？家里还有其他动物吗？
2. 宝贝日常饮食主要喂什么吃？眼部和嘴巴的症状是一直就这样么？还是需要用药控制？还是有什么特说情况下才会严重呢？
3.您给糖豆有做过什么具体检查吗？都用过什么药？
4.两个月一次驱虫是用什么驱虫药呢？他平时抓眼睛吗？
5.您扒开他的眼睑，看一下眼球，结膜，有没有充血水肿的情况？
6.家里有没有糖豆在用的药吗，有的话把包装，规格发上来我看一下。
8.还有宝贝的体重以及过往病史(是否有药物过敏史)，疫苗以及驱虫情况。
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。另外，把您家爱宠的『年龄、体重』提供一下，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。
（若您需要离开本诊室，稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。）
养了两年了，四个月大开始养的，家里的其他动物只有人。日常吃狗粮，有些时候是我自己给它煮的，家里常常准备有烤箱烘干的鸡肉干，自己做的。眼睛感觉直接肿一坨，嘴巴边林林散散的小点点。有用*****滴眼液,***眼膏，****胶囊，和才开的******散片。以前常常流眼泪，医生说眼睑内翻，但没很严重，后来就这样了。有做常规的体检，当时眼睛没这么严重。驱虫药我也不知道用的什么，宠物医院开的。抓眼睛，我给带了狗圈。眼球平时还好，但带出去玩就红眼睛。40公斤，两岁。两个月前感冒了一次，去医院打了吊针好了。拉布拉多，母犬
王园龙
执业兽医师
1.如果线下医院已经确诊是眼睑内翻导致的，那需要做手术，恢复内翻眼睑才可以解决根本问题。
2.抓眼睛说明这个位置痒的厉害所以才抓，建议您带狗狗去就近的宠物医院给他做一个过敏原检查，看看是否有过敏的情况导致眼睑出现的这个问题。
还需要做一下这个位置皮肤的检查，最好是送检专业的实验室，看看有没有蠕形螨感染。(看着很像)
3.体内，体外驱虫，都需要一个月做一次的。
4.如果您暂时没时间带他去检查，那只能根据现有的症状用一些对症的药，看看能不能缓解，如果没有缓解，是必须做一下检查，排除一下我怀疑的过敏，以及蠕形螨感染的情况的。
王园龙
执业兽医师
根据糖豆的情况，我给它开个处方。
处方里面的
1. ******，这个是抗过敏，控制瘙痒的药，需要每天*****每次5粒口服，连用10天。
2.*******，这个是提高免疫力，增加皮肤抵抗力的药品，需要每天两次，每次12ml口服，连用10天。
您可以根据需求自行选择购买。
除以上两种药以外，还需要配合您家里的****胶囊和****滴眼液一起使用，控制感染。
滴眼液要滴到眼睛上，不可以弄湿眼睑要保持眼睑的清洁干燥。
用药10天后，需要回来找我复诊，然后再帮您制定下一步治疗方案。
用药期间需要24小时佩戴伊莉莎白圈圈，防止狗狗抓眼睛。
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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