咨询描述:症状描述:嘴巴以及下巴突然肿了,鼻子嘴巴周围一圈干的脱皮出血。大便一开始正常,尿尿泛黄。打了**喂了****,食欲精神也还好。到今天有5天了目前食欲不振精神也不怎么好除了嘴巴消肿其他地方也没有变化
回复总结:狗狗下巴肿了可能是由于局部皮肤发炎导致,也可能是过敏或者免疫方面的疾病引起。如果暂时不方便就诊,可以先给狗狗口服抗炎以及广谱消炎的药物,配合宠物专用广谱消毒杀菌外用药膏治疗观察3-4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。同时需要改善狗狗的饮食,建议除了狗粮外其它食物都暂时停止饲喂,因为吃的食物越杂乱越容易引发食源性过敏。
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?发病之前,狗狗都做了什么?是否有什么特殊性刺激?
2. 狗狗发病之后,是否就诊化验过?是否确诊病因?
3. 狗狗平时都吃什么食物?是否新鲜?
4. 狗狗现在大便状态如何?除了上述症状,是否还有其它症状?
5.狗狗除了脸上,身上其它位置是否有皮肤方面的症状?
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。
狗狗养了11个月了,去过兽医站说是发炎有炎症,平时就吃饭跟狗粮还有一些骨头,最近没怎么吃没看到它大便
陈奕达
执业兽医师
好的,感谢您的回复,谢谢。然后我还有几个问题追问您一下,以进一步了解狗狗的病情。
1.就诊的时候,医生都给做了什么化验?您可以把化验结果上传过来。我可以进一步了解一下狗狗的病情。
2.狗狗吃的食物具体有哪些?是否新鲜?
3.狗狗吃的这些食物里面,是否有狗狗以前没有吃过的食物?
4.狗狗平时饲养在哪里?是否可以自行外出玩耍?
5.狗狗发病之前,是否有被人殴打,或者伤害?
小诊所没有单子,狗吃的食物都挺新鲜,没有以前没吃过的食物,平时我中午会放下来让它自己玩
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局部皮肤发炎,从而导致了一系列症状。不过根据狗狗的总体症状来讲,个人还怀疑狗狗是否有过敏或者免疫方面的疾病问题,导致了一系列症状。但是由于没有进一步的化验结果来进行分析,所以暂时无法做出进一步的判断。
如果暂时不方便进一步的检查判断,可以在现在狗狗用药的基础上,给予狗狗口服一些抗炎,以及广谱消炎(****更换成****),配合一些宠物专用广谱消毒杀菌外用药膏,来进行治疗,观察3-4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。(同时需要改善狗狗都饮食,建议最近一段时间除了狗粮,其它食物暂时都停止饲喂,因为吃的食物越杂乱,越容易引发食源性过敏,从而加重病情)
陈奕达
执业兽医师
您好,1.狗狗之所以消瘦,跟不吃饭有很大关系。而之所以不吃饭,跟身体难受有很大关系。2.按照疗程以及医嘱用量,对于狗狗现在的疾病来讲,是利益大于弊端的。而且疗程内,只要狗狗没有过敏,没有其它基础疾病,一般是可以承受药物的。
这个是不是发热导致的
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.狗狗发烧并不会引发这么严重的皮肤病变。2.如果狗狗有发烧的问题,那么个人认为很有可能是由于皮肤发炎导致的。
陈奕达
执业兽医师
您好,1.如果给予狗狗进行过皮肤方面的显微镜检查,没有发现蠕形螨的情况下,那么就不是这个方面的病因。2.如果是有蠕形螨感染的皮肤问题,可以给予狗狗进行打针驱虫(****,每公斤0
05-0.1毫升,一周一次,连续4-5次,皮下或者肌肉注射)。然后配合一些宠物专用外用治疗螨虫用药。3.根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. ***,(替代****)宠物专用广谱消炎,控制皮肤炎症。
2. ****膏,宠物专用广谱消炎,杀除螨虫,外用药膏,均匀涂抹皮肤患处,禁止舔舐,口服。
陈奕达
执业兽医师
您好,1.首先并不是药物使用的多,对于狗狗的疾病问题帮助就大,这是一个误区。2.如果想进一步给予一些抗过敏用药以及去除螨虫用药的情况下,最好还是进一步确诊病因以及发病程度之后,再进行给予,这样才是最理想的。因为药物用多了,对身体本身也会有副作用的。2.如果实在不方便就诊进一步检查,那么可以先试探性用药,给予抗过敏针剂用药,以及去除螨虫用药来观察2-3天的时间,如果有效果,可以继续给予用药。但是如果效果不理想,甚至越来越严重,一定要及时去附近宠物医院就诊治疗,以免耽误狗狗的治疗时机。
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
{"311146":{"id":311146,"case_id":36675,"user_id":1249218,"to_user_id":1911579,"type":3,"content":"您好,1.如果给予狗狗进行过皮肤方面的显微镜检查,没有发现蠕形螨的情况下,那么就不是这个方面的病因。2.如果是有蠕形螨感染的皮肤问题,可以给予狗狗进行打针驱虫(****,每公斤0\n05-0.1毫升,一周一次,连续4-5次,皮下或者肌肉注射)。然后配合一些宠物专用外用治疗螨虫用药。3.根据狗狗的情况,我给宝贝开个处方。\n处方里面的\n1. ***,(替代****)宠物专用广谱消炎,控制皮肤炎症。\n2. ****膏,宠物专用广谱消炎,杀除螨虫,外用药膏,均匀涂抹皮肤患处,禁止舔舐,口服。","media":{"images":{},"videos":{},"business_params":{"prescription_id":105888}},"is_doctor":1,"status":1,"created_at":"2022-03-15 15:17:17","show_rx":true,"rx_info":{"id":105888,"rx_no":2.02203151516265e+24,"user_id":1911579,"doctor_user_id":1249218,"is_independent":0,"case_id":2660934,"pet_info":{"pet_id":279761,"pet_name":"拉布拉多金毛串","pet_nickname":"呆子","pet_gender":1,"pet_birth":"1-10","pet_weight":25,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁10个月"},"diagnose":"初步分析,怀疑是严重局部皮肤发炎,过敏或者免疫方面的问题,引发了一系列症状(有待进一步确诊)","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-15 15:16:26","updated_at":"2022-03-15 15:17:17","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":13107,"prescription_id":105888,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":2.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":2,"remark":"","created_at":"2022-03-15 15:16:26","updated_at":"2022-03-15 15:16:26","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":345,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-08-31 10:19:56","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2019)外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":315,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":356,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-08-31 00:01:20"}},"1":{"id":13108,"prescription_id":105888,"doctor_user_id":1249218,"product_id":793,"product_sku_id":835,"dose":3,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2022-03-15 15:16:26","updated_at":"2022-03-15 15:16:26","product_info":{"id":793,"hash_id":"650KvV4QAE4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"14":175},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":98,"sell_point":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏","title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","recommend_reason":{"0":"用于湿疹、过敏性皮炎、皮肤瘙痒等皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"疥螨性皮肤病,皮肤瘙痒,湿疹,过敏性皮炎,皮肤病","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/d0531223abab03bde0d5f7250e1c4079.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/6611f11086f8c75be8407c3349fb42d7.png"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":35,"max_price":35,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:59:33","updated_at":"2024-08-20 15:08:56","ins":{"id":98,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"醋酸氟轻松乳膏","trade_name":"消炎杀螨膏","en_name":"Fluorocarbon acetate ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/f76e1e33e67dad2a121303450d137cbb.jpg","specification":"20g\/支\/盒","reference_price":40,"component":"醋酸氟轻松","indication":"主要用于各种皮肤病,如湿疹,过敏性皮炎,疥螨性皮肤病和皮肤瘙痒等。","usage_dosage":"直接将药膏涂在问题部位,涂抹前先将患处污染物、结痂等清除干净,1天2次。视情况,连用5-7天。可同时配合金盾蜱螨洗剂使用,效果更好。症状消失后,亲也不要着急停药,继续使用本品3-5天以巩固效果不复发哦。","contraindication":"1.对本药及基质成分过敏者和对其他糖皮质激素过敏者禁用。\n2.急性细菌性、真菌性及病毒性等感染性皮肤病禁用。","adverse_reaction":"1.长期或大面积应用,可引起皮肤萎缩、毛细血管扩张、毛囊炎,增加对感染的易感性等。\n2.应用于面部可发生痤疮样皮炎、口周皮炎等。偶可引起接触性皮炎。","attention":"1.使用后应将管盖拧紧。\n2.请将此药放在儿童不能触及的地方。\n3.对本品过敏宠物紧致使用。\n4.避免宠物吞食。\n5.本品为膏剂,赋形剂受外界温度的变化可能存在膏体硬度差异,不影响使用效果。","interaction":"","approval_no":"兽药字100381593","storage_method":"密闭,阴凉处保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-11-16 16:05:55","updated_at":"2020-11-16 16:05:55"}},"product_sku_info":{"id":835,"product_id":793,"title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","advword":null,"price":35,"market_price":55,"cost_price":0,"stock":59,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20g"}},"cover":null,"thumb":"","sale_count":41,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:59:33","updated_at":"2024-08-20 15:04:12"}}},"drug_data_bak":{"0":{"id":13107,"prescription_id":105888,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":2.5,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":2,"remark":"","created_at":"2022-03-15 15:16:26","updated_at":"2022-03-15 15:16:26","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":345,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-08-31 10:19:56","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2019)外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":315,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":356,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-08-31 00:01:20"}},"1":{"id":13108,"prescription_id":105888,"doctor_user_id":1249218,"product_id":793,"product_sku_id":835,"dose":3,"dose_unit":"ml","use_method":"涂抹","frequency":"每天2次","days":7,"number":3,"remark":"","created_at":"2022-03-15 15:16:26","updated_at":"2022-03-15 15:16:26","product_info":{"id":793,"hash_id":"650KvV4QAE4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"14":175},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":98,"sell_point":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏","title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","recommend_reason":{"0":"用于湿疹、过敏性皮炎、皮肤瘙痒等皮肤病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"疥螨性皮肤病,皮肤瘙痒,湿疹,过敏性皮炎,皮肤病","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"20g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/d0531223abab03bde0d5f7250e1c4079.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/03\/6611f11086f8c75be8407c3349fb42d7.png"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":35,"max_price":35,"sale_count":36,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:59:33","updated_at":"2024-08-20 15:08:56","ins":{"id":98,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"醋酸氟轻松乳膏","trade_name":"消炎杀螨膏","en_name":"Fluorocarbon acetate ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/f76e1e33e67dad2a121303450d137cbb.jpg","specification":"20g\/支\/盒","reference_price":40,"component":"醋酸氟轻松","indication":"主要用于各种皮肤病,如湿疹,过敏性皮炎,疥螨性皮肤病和皮肤瘙痒等。","usage_dosage":"直接将药膏涂在问题部位,涂抹前先将患处污染物、结痂等清除干净,1天2次。视情况,连用5-7天。可同时配合金盾蜱螨洗剂使用,效果更好。症状消失后,亲也不要着急停药,继续使用本品3-5天以巩固效果不复发哦。","contraindication":"1.对本药及基质成分过敏者和对其他糖皮质激素过敏者禁用。\n2.急性细菌性、真菌性及病毒性等感染性皮肤病禁用。","adverse_reaction":"1.长期或大面积应用,可引起皮肤萎缩、毛细血管扩张、毛囊炎,增加对感染的易感性等。\n2.应用于面部可发生痤疮样皮炎、口周皮炎等。偶可引起接触性皮炎。","attention":"1.使用后应将管盖拧紧。\n2.请将此药放在儿童不能触及的地方。\n3.对本品过敏宠物紧致使用。\n4.避免宠物吞食。\n5.本品为膏剂,赋形剂受外界温度的变化可能存在膏体硬度差异,不影响使用效果。","interaction":"","approval_no":"兽药字100381593","storage_method":"密闭,阴凉处保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-11-16 16:05:55","updated_at":"2020-11-16 16:05:55"}},"product_sku_info":{"id":835,"product_id":793,"title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","advword":null,"price":35,"market_price":55,"cost_price":0,"stock":59,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20g"}},"cover":null,"thumb":"","sale_count":41,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:59:33","updated_at":"2024-08-20 15:04:12"}}}}}}
微信扫一扫
立即问宠医