咨询描述:症状描述:狗狗两岁,开始是三月底不进食光喝水,眼睛一直水汪汪的分泌物增多,有点发热精神萎靡除此以外没有别的症状。刚好又生理期但是咨询过宠物诊所的说是发烧不会来姨妈,然后喂的**和****溶粉慢慢好起来了能进食也爱动了。
不知道是不是和前面症状相关,狗狗三天前突然一只眼睛睁不开看着有点肿,怀疑角膜炎买的****滴眼液两眼用药一天四次滴了两天,也配着喂了点****,发现双眼(包括本来能睁开的那只眼睛)瞳孔外面均匀的覆了层很淡的白膜,周围也满是红血丝。
用药情况:****滴眼液,****
我想知道是否人用眼药水引起?狗狗是得了什么病后续怎么治疗?
回复总结:狗狗的眼睛分泌物增多可能是角膜溃疡,也有可能是狗狗全身性疾病在眼睛部位的局部表现。如果只是眼部问题,建议给狗狗滴抗生素滴眼液,同时配合使用修复角膜的眼药水。注意用药期间需要给狗狗佩戴伊丽莎白项圈,防止狗狗抓挠眼睛。如果持续用药没有好转,建议将狗狗带去医院做血常规、crp、病毒筛查以及生化检查来确定具体病因,再根据确诊结果对症治疗。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的 狗狗的情况,我初步判断有角膜溃疡或者青光眼,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你核实一下:
1. 狗狗的基本信息:品种,年龄,性别,体重,有没有打疫苗和驱虫?有没有什么疾病史?
2. 狗狗现在的眼睛局部照片可以按照我下面的图片格式分别拍照上传过来我看一下吗?
3. 狗狗,目前除了眼部症状以外,还有其他异常吗?
4. 他现在精神食欲,大小便情况怎么样呢?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。)
为保护用户隐私不显示图片/视频
两岁,17斤,串串
有一年没打疫苗驱虫了,之前也没生过病。今天有点发热精神不是很好,大小便没什么异常,最近除了肉不吃别的,喝水多
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
这两个眼睛你轻轻的往下按压一下,你看他的眼睛有没有那种硬邦邦的感觉。
另外的话,他两个眼睛你感觉有没有增大的表现?
他有没有抓或者是挠眼睛?
摁了没有硬邦邦的感觉,我只觉得瞳孔稍微大了一丢丢,一般不会抓挠就是眯着眼睛,滴眼药水的时候会想动我都抓着不让碰
郭秋萍
执业兽医师
从你的描述和你上传的眼睛的图片来看,他暂时两个眼睛都是有角膜溃疡的。他这个角膜溃疡有可能是眼睛局部疾病导致的,也有可能是他发烧全身性疾病在眼睛部位的局部表现。
对于眼睛问题,最好是去医院做一个荧光素钠染色和裂隙灯检查确认一下。同时测一下眼压,看看有没有青光眼。
因为你上传的照片没有完全暴露他的眼球,所以对于眼球内部有没有什么问题,我暂时是没办法去帮你评判的。
另外,再说他发热精神食欲差这个问题,这个肯定是身体内部有炎症,但至于是什么原因造成的是必须要做血常规,crp,病毒筛查,还有生化检查来确定。不排除有犬瘟病毒,或者是肝肾疾病造成。
对于他的眼睛部位,你给他滴的抗生素滴眼液是可以的,但是仅仅滴这个抗生素滴眼液还是不足够的,还必须要给他使用修复角膜的眼药水。
根据狗狗眼睛的情况,我给它开个处方。处方里面的
1. 自体血清,修复角膜,需要去医院抽狗狗的血制备,一天6次,一次1滴。连用15-30天。
2. ***滴眼液,促进角膜修复,一天6次,一次1滴,连用15天。
3. ***,滋润角膜,一天6次,一次1滴,连用15天。
4,**眼膏,自己去购买,一天4次,一次1厘米,连用15天。
您可以根据需求自行选择购买。
另外,治疗期间需要给他佩戴伊丽莎白项圈,不能让他抓,或者是挠眼睛。
上面的眼药每一种都有间隔5分钟使用,然后这个处方只针对他的眼睛局部症状的控制,对于他全身的发热是必须要去做我上面说的那些内科检查来确定,还要给他进行相应的打针治疗。他的内科检查出结果之后,症状控制后眼睛也会有所好转。
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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