咨询描述：狗狗没有什么精神，食欲感觉也没有很好，就是给它吃的它会吃，但吃多少不一定，水喝得也少，挺长一段时间没有驱虫了。额头（见图1）和脖子（见图2）有皮屑有掉毛泛红且有小块结痂。鼻子和嘴巴（见图2）那块红红的，有些小泡泡，它会经常舔鼻子。腹部（见图3）和腋下（见图4）没毛的地方有小点点，这些小点点在没有毛及毛少的地方都有，有些地方颜色会不一样，最开始发现时颜色偏红些，在四肢（到爪子）也有，且毛掉了好多，还泛红，然后还会有些类似皮屑但上面有点点的东西脱落。这样症状已经有两个月左右了，没有去过医院，有用过叫**********的药水给它涂过，没有什么显著效果。附上了一些图望有用。
回复总结：狗狗得皮肤病可能是因为过敏性皮炎引起，同时不排除有寄生虫感染啃咬的可能。建议主人先给狗狗口服宠物专用抗生素并且配合外用抑菌消炎的喷剂进行治疗，持续几天再观察用药效果。如果效果不好，建议主人带狗狗去宠物医院做皮肤刮片以及染色显微镜检查，确诊以后再对症治疗。
问题大致一样，细节不同？
赵一强
执业兽医师
主人您好，首先按照您的描述，关于宝贝的饮食的问题，其实现在随着人类的生活变好，狗狗的生活跟着也变好，本身他们是两天吃一顿饭的，但是现在恨不得一天吃两顿。所以其实宝贝只要他的体重维持的比较恒定，没有变瘦的话，我觉得她正常的饿了，吃一点，这都属于正常现象。或者如果您想判定一下宝贝的食欲有没有问题？，那您就去市场上买一块鸡胸肉，然后回家以后白水煮鸡胸肉，煮好以后给宝贝撕碎了凉了以后喂一下。如果宝贝吃的很香，那说明他的食欲没有问题。
那么，通过您后续描述的内容和宝贝的照片来看，宝贝，这种情况确实第一不排除有可能感染了一些寄生虫，寄生虫啃咬引起的这种皮肤病问题。比如感染了螨虫。
另外一方面，宝贝的这种全身性皮肤病问题也不排除有可能有一些潮湿导致。所以宝贝平时洗澡是在家洗还是在外面洗？是您给他洗，还是宠物店给它洗？每次洗澡有没有完全的吹干？用的是宠物专用的香波吗？大概多久给宝宝洗澡一次？
宝贝，嘴唇边上那块比较严重，这款皮肤您有给他用水杨酸搓过吗？还是说在用水杨酸治疗之前，这块就一直这样。
您觉得宝贝嘴头子这块的皮肤问题有没有变大的表现？平时有没有抓挠蹭的表现？
宝贝的年龄六个月大，是只公犬有没有做过绝育啊？
宝贝日常饮食主要喂什么吃？狗粮是什么品牌的？合下来多少钱一斤？一顿喂多少？一天喂几顿？还是说自由采食？
平时有没有给他吃过一些高油高盐高脂肪的人吃的饭菜？
可以给宝贝测个体温，水银体温计顶在大腿根内侧，顶紧点测5分钟。告诉我温度。
要仔细回答每一条，不要有遗漏，描述的越详细越好。
是在家洗的，会吹干，是宠物专用的沐浴露，沐浴露我是看销量买的，第一次养很多我不清楚，大概半月左右洗一次。嘴唇那块没有用水杨酸搓过，水杨酸我只在它的腹部脖子四肢处涂过，在用水杨酸之前嘴那块并没有那样，我有半个月左右没在它身边，回来以后才注意到它嘴巴。嘴巴这块皮肤感觉是有在变严重，细看在下巴有挺多小小个像水泡一样的泡泡。脖子那块经常有看到它在挠，其他地方也会挠，还会去舔。牛奶是只母狗，没有做绝育。它前主人说给它吃剩饭就行，所以我也是喂的米饭，偶尔会拌些肉，会给它吃些蔬菜（人吃的咸度），但它吃的也不多，不是很爱吃，家里偶尔有炸东西吃（像荔枝肉什么的）它会来讨，所以也会给它吃些。体温的话，我现在在外面，不方便量，今天早上我出来的时候，它躺在窝里懒洋洋的，也不爱出来玩，因为平常这个时候它早就满屋跑了，不知道是因为天气比较冷了还怎样（最近在下雨）
赵一强
执业兽医师
主人您好，那宝贝这种情况考虑饮食不太规范我觉得一方面有可能有过敏性皮炎的可能性，另外一方面有我上面给您提到的，不排除有可能有寄生虫感染啃咬的可能。除此之外，宝贝这个情况主要我个人看着还是考虑是混合的细菌感染了。也就是说，宝贝有可能潮湿，也有可能过敏，也有可能蚊虫叮咬，但是终归表现在宝贝的皮肤上面，属于一个细菌感染的一个炎症问题。
所以我这边给您的建议是，如果您需要的话，我可以给您一个口服抗生素配合外用抑菌消炎的喷剂的药物治疗建议。您可以给宝贝用药看一下效果，但是需要您提供一下宝贝的准确体重。如果您方便的话，给宝贝好好去做一个皮肤刮片，染色显微镜检查，确诊以后再去对症治疗当然是更好的。
好的谢谢您啊！然后狗狗走路时有只脚会抬起来，我在它躺着的时候看了下，肉垫那块有破皮，这种情况该怎么处理？
为保护用户隐私不显示图片/视频
赵一强
执业兽医师
这种情况一样的，这也是他的一个皮肤问题，这是他表现在趾间炎的一个问题。和皮肤是一个处理方式，也要给这里上药。我把药给您开出来，您先给宝贝用药看看效果吧！能给他做一下体外驱虫，当然是最好的，。
用药指导期间，如果有舔舐，啃咬，抓挠蹭表现的话，是需要给宝贝带上伊丽莎白圈的。
那么我先给您开上十天的口服消炎药，配合外用的抑菌消炎的喷剂，您先给宝贝用药看下效果。好的，宝贝的面积比较大，皮肤的问题比较多，您要是方便的话，最好把毛剃掉，给宝贝上药。因为考虑症状比较严重，有可能这一个疗程用完之后，宝贝还得再来一个疗程。十天以后看宝贝的情况，您可以重新再购买药物继续使用。
好的。驱虫用***的可以吗？用药的这个期间可以正常洗澡吗？在饮食方面需要注意什么？在它嘴巴那块皮肤上也要涂喷剂吗？
赵一强
执业兽医师
主人您好，我的建议是驱虫用***，***，***，***。这个驱虫药的效果要更好一些。
建议用药期间尽量减少洗澡，或者如果洗澡的话可以给宝贝洗药浴。
饮食方面，规范饲养，给予一款营养均衡，品牌可靠的狗粮，单价30元已经左右的。可以适当补充一些维生素和鱼油这一类的保健品。需要开具这些营养皮肤的处方的话下一条回复也可以给你开。
嘴巴那块也需要喷这个药的，喷药以后舔舐到嘴里吃掉也没有问题。
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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