咨询描述：症状描述：狗狗十岁、右眼有脓肿、像是疙瘩、已经对眼球影响、白色眼仁出现发红现象、
患病时长：一个月
医院检查：未到医院检查
用药情况：使用一种消炎的眼药水、没有好转、已经停用
回复总结：狗狗眼睛有脓肿考虑是由于眼睑炎症增生或者肿瘤问题引起，进一步刺激结膜导致发炎。建议先带狗狗去宠物医院就诊，进行增生位置的细胞学检查，确诊病因以及发病程度后针对性用药治疗。如果暂时不方便就诊，可以在家先给狗狗吃宠物专用广谱消炎的口服药，配合宠物专用广谱消炎杀菌滴眼液治疗观察5-7天。如果效果不错可以持续用药2-3周左右，直到疾病康复为止即可。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的信息，我暂时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. 狗狗您养了多久？发病多久了？
2. 狗狗用的什么药物成分滴眼液？什么用法用量？
3. 是否有狗狗最开始发病的时候的图片？
4. 狗狗是否有抓挠剐蹭症状？是否有佩戴伊丽莎白圈？
5.狗狗现在吃喝玩排便状态如何？
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，把您家爱宠具体的『具体体重』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。
狗狗现在10岁、男孩、病情大概有一个多月了、没有初期照片、眼药水是这个、每天两次、滴完没有好转就停止了、今天发现狗狗眼睛有点严重倾向、就上来咨询一下大夫、请帮我看看是否可以开个处方及及时治疗、很担心他会更严重，吃玩正常、排便正常
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
好的，非常感谢您的回复，谢谢。根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于眼睑炎症增生或者肿瘤问题，然后进一步刺激了结膜发炎问题，从而导致了一系列症状。这个跟狗狗年龄偏大，是有一些关系的。
以狗狗现在的疾病程度，如果条件允许，建议带狗狗去附近宠物就诊，进行一下增生位置的细胞学检查，进一步确诊病因以及发病程度，然后针对性给予治疗，效果最好。如果是肿瘤问题，需要考虑进行手术治疗。
如果暂时不方便就诊，可以在家先给宝贝吃一些宠物专用广谱消炎的口服药，配合宠物专用广谱消炎杀菌滴眼液来进行治疗，观察5-7天的时间。如果效果不错，可以持续用药2-3周左右，直到疾病康复为止即可。
如果考虑保守治疗观察，然后您可以提供一下狗狗具体体重信息，我可以帮您开具一些用药，并且帮您计算好用法用量，供您采纳参考一下。(图片上的滴眼液就不要再用了，没有药物成分标注，不一定是正经药物)。
狗狗没办法量体重、但他是大型犬、应该在50斤以上、正常牧羊犬体型、不瘦不胖、
陈奕达
执业兽医师
好的，👌， 根据狗狗的情况，我给宝贝开个处方。
处方里面的
1. ***，宠物专用广谱消炎，控制炎症。
2.*****滴眼液，宠物专用广谱消炎杀菌滴眼液。
您可以根据需求自行选择购买。
我还有一只狗狗、14岁、女孩、没有做过绝育、身上有几处这样的疙瘩、脸上的比较严重、没有用过药、也没有看见过她又抓挠现象、排便及吃喝正常、右眼睛也有一处明显病灶、因为年纪过大、我没有办法带她去医院看病、右后肢有点支撑不住自己、走路跌跌撞撞、每天下午4点开始就哼哼、不知道它是难受还是想找人陪、有人离他很近就好了、没人理她、他就哼哼、我怕她身体里有肿瘤、很难受、医院去了检查也是不能手术。您看看、她是否需要开什么药
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，根据您的描述，这个母狗狗，确实很有可能是有皮肤肿瘤或者增生问题，不过进一步确诊的情况下，还是需要进行化验。不过以个人经验判断分析，肿瘤的概率性可能会大一些。如果实在不方便就诊，可以考虑给予狗狗口服一些宠物专用广谱消炎，提高免疫力，以及活血化瘀，托消化瘤的用药，来帮助狗狗，观察一下效果如何。
您也可以告诉我一下狗狗的体重信息，我可以帮您开具一些用药，并且帮您计算好用法用量，供您采纳参考一下。
陈奕达
执业兽医师
好的，根据母狗狗的情况，我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***，宠物专用广谱消炎，控制炎症感染问题。
2. ***，提高免疫力，增加抵抗力。(提高免疫力用药，可以每个月服用一周的时间，这样维持性服用，效果更佳)。
3. ****片，宠物专用活血化瘀，托消化瘤用药，(发情期禁用)。
狗狗14岁还有发情期么、是不是可以不用考虑发情问题、使用药物了、另外眼睛帮我看一下、我觉得有点严重。
陈奕达
执业兽医师
您好，1.正常来讲，14岁狗狗不会发情了。但是个别的狗狗，也会出现发情的问题。2.图片上来看确实有一块增生的问题，但是无法判断眼睛的严重程度与否，这个需要使用一些专用的眼科检查设备，来进行判断分析。
她的肚子比较大、是不是也存在一些肿瘤情况、能初步判断一下哼哼的原因吗
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，肚子发的因素有很多，单纯凭借图片没有办法判断是否有腹部的肿瘤问题，需要您提供基础的腹部影像检查结果才能判断分析。巧妇难为无米之炊，还请您理解。而哼哼的原因，狗狗难受，不舒服，或者心情不好，都有可能会哼哼。
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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