咨询描述:我家狗狗肛门肿胀并出血破裂流血,请问医生严重吗我要如何处理
回复总结:狗狗肛门出血考虑是肛门腺炎破溃引起的,针对这种情况,如果自己会清洗创口,可以使用含有洗必泰成分的药物,一天一次给狗狗清洗伤口,然后上药处理。其次,因为狗狗肛门有发炎情况,所以会排些软便,容易污染伤口,需要随时给狗狗进行清洁,建议每次在狗狗排便以后加上药一次。需要注意在清创过程中,一定要给狗狗挤肛门腺,把肛门腺里面的脏东西清干净,并且每天都要冲洗干净,建议找宠物医院处理最好。
问题大致一样,细节不同?
赵一强
执业兽医师
主人您好,属于比较严重的问题。考虑有可能是肛门腺炎。
大晚上的话,你看如果没有急诊的话,您最好给宝贝带上伊丽莎白圈,明天再带他去做处理。也来得及。
如果需要处理的话,你可以拿红霉素软膏或洗必泰给宝贝初步的肛门冲洗一下。如果没有的话也不需要处理,你明天一早带宝贝去处理也行。这种情况需要给宝贝进行伤口的情况处理,然后上药。
最主要的是避免宝贝舔舐一定要带上伊丽莎白圈。
那么您回顾一下,宝贝平时洗澡是在家洗还是在外边儿洗?在外边儿洗的话有没有定期挤肛门腺?
宝贝平时有没有蹭屁股的表现,有没有自己舔式屁股的表现?
目前宝贝的精神状态怎么样?还有吃喝食欲吗?大小便正常吗?
可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我温度。
要仔细回答每一条,不要有遗漏,描述的越详细越好。
考虑您以身体处方,那么这种情况如果您自己在家处理的话,一般可以用洗必泰冲洗伤口,冲洗完以后用纱布擦干净。然后给宝贝外用抑菌消炎的凝胶,我给您开到下面的处方里。同时给您把常用的消炎药给您开上,您得给宝贝同时配合吃吃消炎药。
宝宝一般都在家洗澡没有挤肛门腺的习惯,这是第一次知道,平时爱蹭屁股以为是便便没有干净擦屁股行为,小狗子比较胖舔舐不到肛门部位,家里人给它擦了一点碘伏,有脓血挤了一下,拿双氧水清洗了一下,精神状态挺好的,也能吃,大小便正常,大便早上还干下午就开始软便了,我现在回自己家了宝贝和爸爸妈妈在一块量不到体温,因为我们这边宠物医院不太正规,不敢轻易带她去看,所以这边请问医生是必须要去吗,或者请问去到宠物医院要告诉医生如何处理
赵一强
执业兽医师
主人你好,那应该是我和您说的,这个肛门腺炎破溃了。
这种的话,如果您自己会清洗创口,可以自行购买***,可以按照上面我给您看的这个处方,一天一次给宝贝清洗伤口,上药处理。一般也都能治好。
因为肛门这块有发炎,所以宝贝排干净大便,有的时候会比较痛,所以他会排些软便,但是排软便化就容易污染伤口,需要主人您随时给它清洁。可以每次在他旁边把伤口照弄脏,以后加上药一次。
在清创的过程当中,一定要给它挤肛门腺,把肛门腺里面的脏东西清干净,然后每天都要冲洗干净。我觉得正常的宠物医院都可以操作处理的,所以如果您放心的话,当然是找宠物医院处理是最好的,。
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
{"310257":{"id":310257,"case_id":36592,"user_id":1046848,"to_user_id":1878300,"type":3,"content":"主人您好,属于比较严重的问题。考虑有可能是肛门腺炎。\n大晚上的话,你看如果没有急诊的话,您最好给宝贝带上伊丽莎白圈,明天再带他去做处理。也来得及。\n如果需要处理的话,你可以拿红霉素软膏或洗必泰给宝贝初步的肛门冲洗一下。如果没有的话也不需要处理,你明天一早带宝贝去处理也行。这种情况需要给宝贝进行伤口的情况处理,然后上药。\n最主要的是避免宝贝舔舐一定要带上伊丽莎白圈。\n那么您回顾一下,宝贝平时洗澡是在家洗还是在外边儿洗?在外边儿洗的话有没有定期挤肛门腺?\n宝贝平时有没有蹭屁股的表现,有没有自己舔式屁股的表现?\n目前宝贝的精神状态怎么样?还有吃喝食欲吗?大小便正常吗?\n可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我温度。\n要仔细回答每一条,不要有遗漏,描述的越详细越好。\n考虑您以身体处方,那么这种情况如果您自己在家处理的话,一般可以用洗必泰冲洗伤口,冲洗完以后用纱布擦干净。然后给宝贝外用抑菌消炎的凝胶,我给您开到下面的处方里。同时给您把常用的消炎药给您开上,您得给宝贝同时配合吃吃消炎药。","media":{"images":{},"videos":{},"business_params":{"prescription_id":103413}},"is_doctor":1,"status":1,"created_at":"2022-02-15 00:43:54","show_rx":true,"rx_info":{"id":103413,"rx_no":2.0220215004351502e+24,"user_id":1878300,"doctor_user_id":1046848,"is_independent":0,"case_id":2624180,"pet_info":{"pet_id":273886,"pet_name":"法斗","pet_nickname":"花轰","pet_gender":2,"pet_birth":"4-7","pet_weight":11,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"4岁7个月"},"diagnose":"肛门腺炎。","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-15 00:43:51","updated_at":"2022-02-15 00:43:54","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":7568,"prescription_id":103413,"doctor_user_id":1046848,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2022-02-15 00:43:51","updated_at":"2022-02-15 00:43:51","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":534,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-26 09:16:49","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":876,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":565,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-26 04:19:03"}},"1":{"id":7569,"prescription_id":103413,"doctor_user_id":1046848,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-02-15 00:43:51","updated_at":"2022-02-15 00:43:51","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":253,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-04-10 09:06:02","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":791,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":262,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-04-09 20:06:55"}}},"drug_data_bak":{"0":{"id":7568,"prescription_id":103413,"doctor_user_id":1046848,"product_id":709,"product_sku_id":752,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":10,"number":1,"remark":"","created_at":"2022-02-15 00:43:51","updated_at":"2022-02-15 00:43:51","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":534,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-26 09:16:49","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":876,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":565,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-04-26 04:19:03"}},"1":{"id":7569,"prescription_id":103413,"doctor_user_id":1046848,"product_id":812,"product_sku_id":854,"dose":1,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-02-15 00:43:51","updated_at":"2022-02-15 00:43:51","product_info":{"id":812,"hash_id":"VjX39W4zDPxQ0bvZ","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":4,"sell_point":"百灵金方抑菌膏10g","title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","recommend_reason":{"0":"用于手术、术后切口、咬伤、烫伤、交通伤等创面感染","1":"用于细菌、真菌引起的皮肤及粘膜感染","2":"用于子宫及产道、外生殖器及肛门腺的感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,脓皮症,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/8fd35c62b90e9eb884e32c271cdcc0c1.jpeg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/b4a90fdc25766615b045299982a0dbf6.jpg","1":"https:\/\/cdn.moguvet.com\/shop\/2023\/06\/cb0fcbe97a1a93d979f82fbf7e02ddd2.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":253,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-04-10 09:06:02","ins":{"id":4,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"百灵金方抑菌膏","trade_name":"百灵金方膏","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2020\/10\/a76d880a7848393054bd1d4991a3b027.JPG","specification":"10g\/瓶","reference_price":130,"component":"麝香、珍珠、冰片、细胞集落因子等。","indication":"1.手术中、术后切口、咬伤、烫伤、交通伤等创面感染、已经产生耐药菌的创面治疗。\n2.细菌、真菌引起的皮肤及粘膜感染、已经形成溃烂、溃疡等皮下组织感染。\n3.子宫及产道感染。\n4.外生殖器及肛门腺的感染。","usage_dosage":"1.外用,将膏体涂于创面,用量视感染面积大小而取,每日更换一次。\n2.溃烂疮面有流脓、渗血、渗水情况的,配合百灵金方粉撒在疮面薄薄一层,疮面周围涂百灵金方软膏,纱布包扎即可。","contraindication":"","adverse_reaction":"","attention":"1.外用,严禁内服。\n2.内含麝香,孕畜慎用。","interaction":"","approval_no":"","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2020-10-21 14:13:33","updated_at":"2020-10-29 16:06:30"}},"product_sku_info":{"id":854,"product_id":812,"title":"贝里奥百灵金方抑菌膏 10g\/瓶\/盒","advword":null,"price":88,"market_price":140,"cost_price":0,"stock":791,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":262,"status":1,"delete_status":0,"created_at":"2021-12-21 16:36:03","updated_at":"2024-04-09 20:06:55"}}}}}}
去微信领券提问
实时接受医生通知