咨询描述:拉布拉多,九岁,雄性,因主人脚伤,在宠物店寄养两个月,1月份回来发现脖子左侧项圈处长了许多黑色的小肉突,三五成串,像细小的虫子,初以为是蜱虫,但实际是肉刺之类。现在五月份了,肉刺长大了,不再是黑色,而是变大变红肿了,会痛,狗狗精神还好,
回复总结:狗狗得了皮肤肿瘤,最佳的处理办法是手术切除,当然做手术前要做病理切片进行诊断。如果肿瘤变大的同时狗狗有疼痛的现象,建议先带狗狗去宠物医院做细胞学检查,全身评估一下身体状况,如果是良性肿瘤,大部分切除即可。如果暂时做不了手术,可以先用生理盐水清洗一下,同时外涂消炎药膏,控制局部的炎症。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步诊断皮肤肿瘤。但仅仅根据目前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.肿物变大建议手术切除,切除需要细胞学检查看一下
2.是否用过外用药?
3.之前是否去医院看过?
4目前疼痛可能提示有炎症
5.皮肤肿瘤大部分良性
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。
谢谢您!没有看过医生,也没有上过药,我给它吃过人用的阿莫西林胶囊,1月份从寄养处回来,摸到它耳朵后部双侧对称有圆圆的突起,以为是淋巴结仲大,吃了7天,但没有变化,后来就没吃了,我以为是寄养店老板拧它的脖子导致发痰长肉刺的
孙厚福
执业兽医师
目前考虑皮肤肿瘤的可能性比较大一些。因为变大同时疼痛,建议先做细胞学检查,全身评估一下身体状况做手术切除就可以,这个手术风险很低,当然做手术要做病理切片看一下,因为这个年纪肿瘤的可能性是非常高的,之后的话,如果是良性大部分切除,预后很好。外用药口服药效果可能不会很好,当然目前如果暂时做不了手术,可以先用生理盐水清洗一下,同时外涂消炎药膏****,而控制一下局部的炎症。
我们现在上海,封控了,买不到药,可以用碘伏吗?耳朵后面对称隆起是原本肌肉还是淋巴结肿大呢?刚刚又去看了狗狗,肉瘤比发给您两周前拍沙图片又大了点,这是疣吗?我担心它由黑变红,短时间长得快会不会恶性?
孙厚福
执业兽医师
1.可以暂时碘伏消毒可以的预防感染
2.淋巴结正常再脖子下面,耳道那个位置不一定是淋巴结
3.目前肿瘤性质不好判断还是看病理结果我看照片良性可能性大
4.良性正常不会变成恶性
5.阿莫西林暂时不需要
6.尽量不要吃高蛋白食物可能促进肿物生长
多谢您,现在狗粮不够了,每天会在狗粮里加点米饭和一个白煮蛋,蛋可以吃吗
孙厚福
执业兽医师
昨晚后来休息了耽误一点时间还请谅解
可以给米饭➕鸡肉➕蔬菜
鸡蛋可以给少量不要给太多
孙医生辛苦啦!想再请教您
最后一个问题,狗狗总是啃屁屁,但屁屁看起来没什么问题,不红不肿,该怎么办呢?
孙厚福
执业兽医师
这个可能是行为上精神上的问题,平时可以分散一下注意力,另外平时去咬的时候跟他互动一下,可能会减少。
这个是如果皮肤或肛门都没问题,是行为上的问题有可能有焦虑症。
如果皮肤或肛门痒的话,您这边有药可以开给我吗?还有广谱外用药推荐么
孙厚福
执业兽医师
可以口服***止痒效果很好。广谱外用药选择****杀菌喷剂,止痒消炎作用。
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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