咨询描述:狗狗老甩耳朵,挠。耳朵里面挺干净,昨天用海耳净洗了两次,还是一直挠,晚上就没咋睡觉也在挠。耳朵厘米红红的,很热
回复总结:狗狗出现总是甩耳朵、挠耳朵的情况,如果耳朵发红且没有明显分泌物,可能有过敏性耳病的问题。针对这种情况,建议先给狗狗佩戴伊丽莎白圈,防止它继续抓挠,造成更严重的炎症,然后,给狗狗口服糖皮质激素或者抗组胺的药物,进行抗炎止痒,先缓解耳道瘙痒的症状。如果条件允许,建议带狗狗去宠物医院做耳道采样,通过显微镜检查判断它是否有感染的问题,再针对具体感染对因治疗。
问题大致一样,细节不同?
周琪林
执业兽医师
根据您提供的信息,我对它的病情有一个大致了解。从您描述的症状进行诊断,它应该存在感染性耳病,造成了瘙痒、疼痛等症状。
我还有几个问题需要向你核实一下:第一、它目前多大年龄?发病有多长时间了?第二、您观察一下它耳道里的分泌物是什么颜色的?黄色、深褐色?是干燥成块状还是油状的?第三、是否有明显恶臭?第四、是否有定期驱虫治疗?
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。
瑶瑶 1岁一个月 大概6斤
前天发现挠耳朵不频繁,昨天一直挠频繁挠,看着很难受,不让碰耳朵。
耳道没有分泌物,不臭,定期驱虫。
周琪林
执业兽医师
如果没有明显分泌物,耳朵确过于发红,那我们就重点考虑是否有过敏性耳病的问题。比如它本身就有瘙痒,所以抓挠。当抓挠频率增加,或者使用了存在刺激性的洗耳液(耳药),就可能加重它耳道瘙痒的症状。针对它目前的情况,我个人建议:第一、您先给它佩戴一个伊丽莎白圈,防止它继续抓挠,造成更严重的炎症。第二、可以考虑给它口服糖皮质激素或者抗组胺的药物,进行抗炎止痒,先缓解它目前耳道瘙痒的症状。第三、因为没有明显分泌物,所以无法肉眼观察和根据分泌物判断是否有感染的问题,这种情况如果用药后,瘙痒依旧反复发作,建议给它做一个耳道采样,通过显微镜检查,判断它是否有感染的问题。再针对具体感染对因治疗,比如使用抗生素类药物治疗细菌性的外耳炎。
周琪林
执业兽医师
针对它瘙痒炎症的问题,我给它做一个处方:1.****,糖皮质激素,用于抗炎止痒,按照每公斤体重0.5毫克给药。2.******,对各种感染性耳病都有治疗效果,但如果用药后导致药物过敏(通常是易过敏的皮肤)建议停药,并使用口服抗生素治疗。
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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