咨询描述:你好,我家猫右眼睁不开,分泌物增加,请问什么原因以及怎么处理?我现在在上海不能出门。
回复总结:猫眼睛睁不开有分泌物考虑是由于结膜炎引起。如果猫咪同时还伴随呼吸道症状,比如咳嗽、打喷嚏等,还需要考虑猫鼻支感染的可能性。如果没有猫鼻支感染,就考虑是细菌性感染造成的眼睛发炎。建议给猫咪口服含多西环素成分的药物,同时配合眼睛局部滴眼药。治疗期间需要给猫咪佩戴伊丽莎白项圈,避免猫咪抓挠眼部加重感染。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的Dobby 情况,我初步判断它有结膜炎,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. 猫咪具体是什么时候开始出现眼分泌物增多的?这之前,他的眼睛里面有没有见过东西有没有受过刺激?
2. 猫咪最近有没有流鼻涕打喷嚏,等上呼吸道症状?
3. 他有没有频繁的挠或者是抓眼睛?
4. 他最近精神食欲大小便情况怎么样?
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。
一切都比较正常,它一直有一些咳嗽。体重6.5斤左右,1岁。今天下午发现右眼有异物,然后用了***,之后没有缓解反而更加严重。我现在出不去,只能买人用的部分药品
郭秋萍
执业兽医师
他一直咳嗽的话,有没有给他治疗过呼吸系统的问题,或者之前有没有做过呼吸系统的检查,他有没有猫鼻支?
如果本身有呼吸的问题,同时眼睛也跟着出现结膜炎的问题的话,一般是有猫鼻支感染造成的。
除此以外就是一般的细菌性感染造成的眼睛发炎。
因为你家猫本身是有呼吸道的问题,所以我建议你给它口服****同时在配合眼睛局部滴眼药。
根据猫咪的情况,我给它开个处方。处方里面的1.****,抗菌消炎,一天两次,一次10毫克每千克体重,连用7-15天。
2.***滴眼液,一天四次,一次1滴,连用7-15天。
3. ***滴眼液,一天5次,一次1滴,连用7-15天。
您可以根据需求自行选择购买。
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。
那个图片中的点是什么情况?我之前体检没有猫鼻支。***确定可以吗?会不会是结膜溃疡或者病毒感染?
郭秋萍
执业兽医师
你具体指的是眼睛里面的哪个点?因为你拍的照片,他的瞳孔部位都是有反光的,我不清楚是异常状态,还是反的光,你可以把它圈出来发过来我看一下。
另外,那个点是在眼球表面还是眼球里面?
眼球上的,这张图片里面有很具体。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
这个点,如果是眼球表面的,有三种可能性,一种就是有角膜溃疡,第二种是角膜脂质沉积,第三种是角膜矿物质沉积。如果是第一种情况的话,是可以治疗的可以滴修复角膜的眼药,如果是后面两种的话没有治疗的必要,因为后面两种是代谢性疾病,没有任何药物可以治疗,只能控制他的饮食,少吃高油脂的食物。
至于这三种疾病的确诊的话,就你这张照片真的没有办法确诊,因为照片是平面的,眼睛是立体的,必须要做荧光素钠染色和裂隙灯检查才能给你确诊。
***是可以使用的,他只是局部消炎抑菌,对结膜炎是有帮助的。
好的,我现在用了***和***先看看,观察一周可以吗?如果是溃疡,能控制住吗
郭秋萍
执业兽医师
***是不够的额,你如果是买不到宠物专用的眼药的话,除了***,你最好是把***,***眼膏也给他用上。每一种眼药都要间隔,5分钟使用。
如果是溃疡像他这么大一个溃疡灶的话,光滴眼药不一定能控制住。
如果有可能还是尽快的到医院去检查一下之后,到时候再调整用药方案。
好的,现在只能找到这两样,明天我找一个其他牌子的****滴眼液,现在上海封城,不知道要到什么时候。刚刚滴了***,感觉眼屎和张开程度都有改善
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你图片的这个眼药水是可以使用的。
可以,先这样用着眼药观察一下,一定要带好伊丽莎白项圈,不让它抓挠。
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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