咨询描述:症状描述:右前爪有问题 站立时候爪子是弯曲的 可能脚底板疼 走路不顺 像是瘸了 不太跑得起来 摸脚也没反应 不叫
患病时长:半个月
医院检查:没有检查出蜱虫 拍过片子 医院说没骨折 之后脚趾甲略微修了一下 没有变化
回复总结:狗狗爪子疼不敢着地,极有可能是骨骼发育异常引发的。建议将狗狗带去专业的宠物医院进行拍片检查狗狗有无脱位问题,如果是骨关节关节脱位严重和明显有缝隙就需要手术治疗。如果情况不严重,建议吃止痛药和消炎药保守治疗,连续吃半个月以上。注意吃药期间尽量笼养,半个月没有效果就带去医院检查和手术。
问题大致一样,细节不同?
王广龙
执业兽医师
根据您讲到的前抓有异常,不敢着地,我初步诊断骨骼发育异常,但仅仅根据目前这个症状,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. 从小养到大吗?还是之前也在这样爪子呢?
2. 有没有受伤过或者压过?或者扭伤过呢?
3. 看看脚垫有没有外伤和扎刺呢?看看有没有红肿地方?
4.吃喝大小便没有一次吗?
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,把您家爱宠的信息提供一下,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。)
从小养到大 以前没有问题 受伤不清楚 应该是没有 脚垫正常 摸着比左爪厚一些 不多 没发现红肿 吃喝正常 大便成粒 比较大的粒 不成条 其他都正常
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
好的,谢谢您的回复,根据您描述和视频信息,现在这个狗狗走路跑可以的,就是站立时候出现不敢着地情况,现在这个腕关节位置应该是有问题的,现在没有看到拍片检查结果,还是怀疑这个关节有韧带损伤和关节脱位的问题,目前没有骨折是最好的,后期关节脱位有严重就要手术治疗,没有严重的慢慢也会回复的,这期间吃一些止痛消炎的,还有营养关节药物治疗。
关节有问题 拍片拍的出来嘛 宠物医院片子就说没骨折 没说别的 什么情况下需要手术 慢慢恢复时常大概多久 药物吃什么 怎么吃 是要自己去买药嘛
王广龙
执业兽医师
拍片可以看出来脱位问题的,一般是骨关节关节脱位严重和明显有缝隙就要手术治疗的,没有的话就保守吃药治疗。现在吃的药开在下面,1是止痛和前消炎药,一天一次,一次0.6ml,2.营养关节软骨素,一天一次,一次一颗口服,连续吃半个月以上,。
这个是医院当时的片子 看看怎么样
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
这个片子看的右腕关节,有些裂缝的。我画这个位置。
为保护用户隐私不显示图片/视频
王广龙
执业兽医师
先保守吃药和静养一段时间看看,没有改善进行手术治疗的,狗狗比较小,骨头发育没有完全,说不定自己也会长好的。
王广龙
执业兽医师
吃半个月以上,这三个月是尽量笼养的,吃半个月没有效果带去医院检查和手术的。
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
{"283405":{"id":283405,"case_id":33743,"user_id":1179411,"to_user_id":1937733,"type":3,"content":"拍片可以看出来脱位问题的,一般是骨关节关节脱位严重和明显有缝隙就要手术治疗的,没有的话就保守吃药治疗。现在吃的药开在下面,1是止痛和前消炎药,一天一次,一次0.6ml,2.营养关节软骨素,一天一次,一次一颗口服,连续吃半个月以上,。","media":{"images":{},"videos":{},"business_params":{"prescription_id":108070}},"is_doctor":1,"status":1,"created_at":"2022-04-09 13:53:51","show_rx":true,"rx_info":{"id":108070,"rx_no":2.0220409135005502e+24,"user_id":1937733,"doctor_user_id":1179411,"is_independent":0,"case_id":2689288,"pet_info":{"pet_id":284954,"pet_name":"雪纳瑞","pet_nickname":"十七","pet_gender":1,"pet_birth":"0-6","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"6个月"},"diagnose":"软组织挫伤","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-09 13:50:05","updated_at":"2022-04-09 13:53:51","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":17894,"prescription_id":108070,"doctor_user_id":1179411,"product_id":916,"product_sku_id":957,"dose":0.6,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-09 13:50:05","updated_at":"2022-04-09 13:50:05","product_info":{"id":916,"hash_id":"O2PrEVxdk9g1e6Wk","class_ids":{"0":1},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":220,"sell_point":"美昔美洛昔康内服混悬液(犬用)10ml","title":"汉维宠仕美昔美洛昔康内服混悬液(犬用)10ml:15mg\/瓶","recommend_reason":{"0":"用于控制犬急慢性骨引起的疼痛和","1":"以及用于术后止痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,车祸,骨折,手术,术后","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/0da2fae6c4d28cd376eb654477632b45.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":18,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-02-12 17:49:28","updated_at":"2024-09-30 14:30:47","ins":{"id":220,"hash_id":"R0LPkmpMmnp3bVXD","class_ids":"[\u00221\u0022]","title":"美昔美洛昔康内服混悬液(犬用)10ml:15mg","common_name":"洛昔康内服混悬液(犬用)","trade_name":"美昔","en_name":"Melocam","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2022\/02\/d382a2dd5c1297ce511013dda99517bf.JPG","specification":"10ml:15mg\/瓶","reference_price":260,"component":"美洛昔康","indication":"用于控制犬急慢性骨引起的疼痛和,以及术后止痛等。","usage_dosage":"以本品计。内服:用前充分摇匀,每1KG体重,犬量0.133ml;维持量0.067ml,一日1次,连用7日,因存在个体差异,请遵医嘱。","contraindication":"1.不用于妊娠期、泌乳期或不足6周龄的犬;\n2.禁用于对本品过敏的犬;\n3.存在肾毒性的潜在,请慎用于脱水、血容量减少或低血压的动物;\n4.禁用于胃肠道溃疡或出血,肝脏、心脏或肾脏功能受损及出血异常的犬;\n5.禁与糖皮质、其他非类固醇类药或抗凝血剂合用;","adverse_reaction":"","attention":"","interaction":"对NSAIDs过敏的人应避免接触本品。\n远离儿童。","approval_no":"兽药字150252468","storage_method":"遮光,密封保存。","validity":"48个月","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 16:43:38","updated_at":"2022-02-12 17:43:45"}},"product_sku_info":{"id":957,"product_id":916,"title":"汉维宠仕美昔美洛昔康内服混悬液(犬用)10ml:15mg\/瓶","advword":null,"price":188,"market_price":260,"cost_price":0,"stock":81,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml装"}},"cover":null,"thumb":"","sale_count":19,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:49:28","updated_at":"2024-09-30 14:30:47"}},"1":{"id":17895,"prescription_id":108070,"doctor_user_id":1179411,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-04-09 13:50:05","updated_at":"2022-04-09 13:50:05","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":233,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:34:35","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"犬猫口服,5kg体重1片,5-10kg体重2片,10k以上每次4粒,每天两次,可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫,避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":226,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":238,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:25:05"}}},"drug_data_bak":{"0":{"id":17894,"prescription_id":108070,"doctor_user_id":1179411,"product_id":916,"product_sku_id":957,"dose":0.6,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-04-09 13:50:05","updated_at":"2022-04-09 13:50:05","product_info":{"id":916,"hash_id":"O2PrEVxdk9g1e6Wk","class_ids":{"0":1},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":220,"sell_point":"美昔美洛昔康内服混悬液(犬用)10ml","title":"汉维宠仕美昔美洛昔康内服混悬液(犬用)10ml:15mg\/瓶","recommend_reason":{"0":"用于控制犬急慢性骨引起的疼痛和","1":"以及用于术后止痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,车祸,骨折,手术,术后","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/02\/0da2fae6c4d28cd376eb654477632b45.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":18,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-02-12 17:49:28","updated_at":"2024-09-30 14:30:47","ins":{"id":220,"hash_id":"R0LPkmpMmnp3bVXD","class_ids":"[\u00221\u0022]","title":"美昔美洛昔康内服混悬液(犬用)10ml:15mg","common_name":"洛昔康内服混悬液(犬用)","trade_name":"美昔","en_name":"Melocam","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2022\/02\/d382a2dd5c1297ce511013dda99517bf.JPG","specification":"10ml:15mg\/瓶","reference_price":260,"component":"美洛昔康","indication":"用于控制犬急慢性骨引起的疼痛和,以及术后止痛等。","usage_dosage":"以本品计。内服:用前充分摇匀,每1KG体重,犬量0.133ml;维持量0.067ml,一日1次,连用7日,因存在个体差异,请遵医嘱。","contraindication":"1.不用于妊娠期、泌乳期或不足6周龄的犬;\n2.禁用于对本品过敏的犬;\n3.存在肾毒性的潜在,请慎用于脱水、血容量减少或低血压的动物;\n4.禁用于胃肠道溃疡或出血,肝脏、心脏或肾脏功能受损及出血异常的犬;\n5.禁与糖皮质、其他非类固醇类药或抗凝血剂合用;","adverse_reaction":"","attention":"","interaction":"对NSAIDs过敏的人应避免接触本品。\n远离儿童。","approval_no":"兽药字150252468","storage_method":"遮光,密封保存。","validity":"48个月","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2022-02-12 16:43:38","updated_at":"2022-02-12 17:43:45"}},"product_sku_info":{"id":957,"product_id":916,"title":"汉维宠仕美昔美洛昔康内服混悬液(犬用)10ml:15mg\/瓶","advword":null,"price":188,"market_price":260,"cost_price":0,"stock":81,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml装"}},"cover":null,"thumb":"","sale_count":19,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:49:28","updated_at":"2024-09-30 14:30:47"}},"1":{"id":17895,"prescription_id":108070,"doctor_user_id":1179411,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2022-04-09 13:50:05","updated_at":"2022-04-09 13:50:05","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":233,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:34:35","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"犬猫口服,5kg体重1片,5-10kg体重2片,10k以上每次4粒,每天两次,可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫,避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":226,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":238,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-23 16:25:05"}}}}}}
微信扫一扫
立即问宠医