咨询描述:几天前发现猫咪不停挠头部,出现脱毛现象,带到宠物医院去看了,照了说不是真菌感染,开了*****喷剂没得效果,后来又去看了,就让碘伏消毒再上*****软膏,今天发现毛掉了更厉害了,反而出现红疙瘩,这是什么,检查发现头部其他地方也有红疙瘩,请问医生是不是过敏了哟
回复总结:猫咪头部出现掉毛以及长红疙瘩的症状,可能是有异位性皮炎或者浅表脓皮症,也有可能是过敏导致的问题。如果猫咪之前有外出的经历,考虑是过敏的可能性比较大。针对这种情况,建议给猫咪使用抗菌消炎的宠物专用喷剂,同时配合口服抗过敏药物和宠物专用抗生素。另外,建议最好不要再带猫咪出去逛,在家需要给猫咪戴上伊丽莎白项圈,防止因抓挠造成二次伤害。饮食方面,建议饲喂低敏处方粮。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断可能有异位性皮炎或者浅表脓皮症和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. 猫咪最近一周有没有接触过什么?另外,它平时吃的什么?
2. 猫咪上一次体外驱虫是什么时候?用的什么驱虫药?
3. 除了头部,其他部位还有皮肤异常吗?可以上传一下它的患处局部照片吗?
4. 猫咪精神食欲大小便如何?之前有没有什么疾病史?
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。
猫咪平时喜欢出门都是抱着,现在天气热了,就放地下自己走。最近一周前,猫咪喜欢出门溜达,我用套子带出门在小区溜达,进了草丛。每月一号一次体内.外驱虫,这次出现这个问题后又体外驱虫一次。平时吃的猫粮是**,这次换成***,换猫粮是因为猫咪热重,有眼屎。今天发现眼睛上方出现对称性的红疙瘩,疙瘩脱毛,摸了一圈又发现头顶上也有大小不等的疙瘩,疙瘩旁边有黑色的条状东西(不知道是什么,硬硬的,把它扣下了猫咪的皮肤就出现出血)。猫咪精神状态好,就是想挠,给它带上项圈了。没有得过什么病,是公仔,现在有一岁半了,体重11.5斤,做了绝育手术。
郭秋萍
执业兽医师
可以上传一下患处照片或者视频吗?
除了医院开的药,还用过其他的药物吗?
郭秋萍
执业兽医师
从上传的图片来看,确实过敏的可能性是最大的。
对他目前的这个状态,你最好不要再带它出去逛了,然后在家你要给他戴上伊丽莎白项圈,不让他继续抓或者是挠,造成二次伤害。除了医院,你给你开的**喷剂药物继续使用以外,你还可以给他口服抗过敏药物和抗生素配合一起治疗,另外近期三个月,最好是给他吃低敏处方粮。
另外一个软膏的药物可以暂时先停用一下,因为你用了这个药之后,他的皮肤加重,很有可能对这个药物不适应。
局部患处的皮肤,我建议你把毛给他剃掉,这样方便上药。
如果有时间的话可以去医院抽血送检第三方的实验室,测一下过敏源,然后尽可能的避免接触这些过敏的东西。
根据猫咪的情况,我给它开个处方。处方里面的1.**,防止细菌继发感染,一天两次,一次1.5片,连用14天。
2.*****,抗过敏消炎,一天一次,一次2片,连用5天,剂量减半连用7天,再剂量减半连用7天。
3. 低敏处方粮
药是不是太多了哟 猫粮我不需要 购买了你们的药几天能到呢?
郭秋萍
执业兽医师
药不多呀,因为你主要的口服药只有两个,一个是控制细菌感染的,一个是抗过敏消炎的,另外再配合你自己家里有的皮肤消炎喷剂给他使用。而且口服药最少都要喂半个月以上,要不然一个星期好转,你就停了之后,后面很容易再复发。
你自己可以选择性购买的,不用三个一起都买。
郭医生 我们这边宠物医院过敏是打针脱敏可以吗?抗生素只开了三天的量
郭秋萍
执业兽医师
打针过敏是可以的,可以给他打抗过敏的针,我建议你是连续用抗生素和口服抗过敏药半个月,因为他打完针吃完药肯定一个星期之内会好,但是以我的经验,如果不继续治疗的话,可能再过一个星期或者半个月他又会复发。
当然你也可以试试先打针治疗,停针后看看会不会复发。
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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