咨询描述:3岁泰迪今早突然右后腿不敢着地,出去遛狗的时候走路也觉得后腿无力
回复总结:泰迪后腿不敢着地主要考虑是髌骨脱位引起,其次考虑是狗狗右后腿股骨头脱位导致。建议最好先带狗狗去宠物医院拍x光确诊,根据病因以及病情程度对症采取治疗措施。狗狗髌骨脱位是指膝盖上有块小骨头从原来的位置掉出来,会引起狗狗出现翘腿、腿不敢着地、腿疼等,根治需要进行手术治疗。狗狗股骨头脱位通常会导致腿部一直疼、一直不敢着地。保守治疗需要给狗狗吃软骨素和止疼药,同时不能让狗狗站立舔,禁止上窜下跳和剧烈活动。
问题大致一样,细节不同?
王冲
执业兽医师
您好,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您核实一下:
1. 狗狗现在食欲怎么样?精神状态如何?
2. 狗狗平时有没有经常后腿直立跳?
3. 后腿是不是过一会就能好了?
6.您拉扯它后腿疼不疼?
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。
1. 食欲一般般,为了肉干勉强吃了几口,精神状态下楼尿尿的时候还可以,回家就趴着,叫过来会过来身边
2.平时我们吃东西的时候喜欢直立跳扒我们腿
3. 早上下去尿尿的时候好像就好了,可以四只腿着地,但是还是感觉右后腿无力,支撑不起来
4. 扯后腿的时候会叫,不过他平时下半身也很敏感。
为保护用户隐私不显示图片/视频
王冲
执业兽医师
好的,根据您的描述和视频,我主要怀疑狗狗有髌骨脱位的情况,其次是右后腿股骨头脱位的情况,这两种情况都需要拍x光确定,髌骨脱位的意思就是膝盖上有块小骨头从原来的位置掉出来了,这样它就会翘腿,不敢着地,还腿疼,但是如果赶巧一活动有可能髌骨又复位了,这就是您看到的腿又可以正常走路了,这种情况时好时坏,根治的办法就是手术治疗。
另一种股骨头脱位是会一直疼,一直不敢着地,这种可能性比较小,您重点要确定的就是髌骨脱位这种情况,需要带去医院拍x光,保守治疗效果很差。
那这个手术风险大吗,着急做吗?主要是我白天都在上班,周末才有空带去做手术。大概是怎么实施手术的?保守治疗的话需要什么药物呢?
王冲
执业兽医师
手术前需要查体,看看身体指标能不能麻醉,如果确诊下来是髌骨脱位,越早做越好,年龄越大风险越高。髌骨脱位说的简单一点就是放膝盖骨的那个凹槽被磨平了,膝盖骨没有附着点了,手术就是把这个凹槽加深,能够防住膝盖骨,不让其掉出来。保守治疗的话需要吃软骨素和止疼药,再就是不能让狗狗站立舔,禁止上窜下跳和剧烈活动,下边我给您推荐几种药您看看。
***软骨素,增加关节液,起到润滑作用,没4.5公斤吃两粒,每天两次
***,止疼的,每天一次,每公斤2mg
还有好一点的软骨素,名字叫**,有颗粒的也有粉状,您可以先保守治疗半个月左右看看有没有效果
这些药您可以去附近宠物医院购买,如果没有这个牌子可以和医生沟通选购其他牌子,作用相同就可以。
好的,谢谢医生了~另外再麻烦问一下这种病一定要手术才能根治吗?如果半个月保守治疗好了之后还会有可能复发吗?我想等药到了先让他服用观察一下,再决定要不要做拍片做手术。
王冲
执业兽医师
髌骨脱位根治是一定要手术的,吃软骨素和止疼药只能短时间内起到作用,如果停药和活动不注意的话可能会复发,可能需要长时间吃药,您先保守治疗一段时间观察一下吧,狗狗运动方面一定要注意。
还有一个问题,它最近老是放屁,而且还特别臭,大概一天放3-4次,拉屎尿尿都正常。也吃过益生菌。
王冲
执业兽医师
这种情况属于消化不良或者肠道菌群失调,您继续给它喂益生菌,每天两次,每次半包,然后就是可以换换狗粮,换点含肉量高的,看配料表里,含肉越多越好,肉粉多的话最好是换换
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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