咨询描述:孙医生您好,我家狗狗之前做了乳腺全切手术,还一起切掉了卵巢和子宫,现在已经手术完半个多月了,从前天开始我发现狗狗的阴道有少量出血,很少的一点点颜色也比较深,考虑到已经做了绝育手术了应该不会再发情而且狗狗是三月份刚发过情即使没有做绝育现在也应该不会又发情,我问了一下给狗狗做手术的动物医院他们说可能是阴道炎让吃速诺,想问一下您是这样嘛,不会有什么别的问题吧?如果是阴道炎的话吃速诺是比较对症的嘛?
回复总结:狗狗绝育后阴道出血考虑是子宫颈感染导致。建议口服含有恩诺沙星成分的药物治疗,连续口服一周,观察狗狗情况。如果狗狗不见好转,建议带狗狗去宠物医院做彩超,看子宫颈情况,另外还可以做血常规和C反应蛋白,确定病因后对症治疗。平时还需要注意狗狗卫生,缩短狗狗出去遛弯的时间,尽量静养观察,看狗狗情况是否有缓解。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步诊断子宫颈出血。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.目前流血鲜红色?
2.是否大运动最近?
3.目前流血量怎么样?
4.是否频繁舔着个位置?
5.家里环境是否干净?是否感染了?
6.目前精神状态怎么样?食欲怎么样?
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。
血是暗红色,只有一点,而且没有滴落的情况,只是在她的阴道口附近的毛粘着,我是她是给她擦拭的时候发现的;运动量的话还好,一天有出去遛弯儿两次每次十分钟不到,但是她自己还蛮好动的,有时候会从沙发上上下下跳来跳去;目前手术后一直带着伊丽莎白圈所以没有舔舐的情况;家里环境应该算比较干净吧,她经常也就是在沙发和床上睡觉,之前从来没有感染过阴道炎;精神状态还可以的,食欲一直很好
孙厚福
执业兽医师
有可能是子宫颈感染的可能性,建议的话可以口服拜有利诺沙星可能效果会更好一些,体重是五毫克,一天一次,连续口服一周看一下情况,如果不见好转,可能需要去医院做彩超看一下子宫颈情况。另外的话可以做血常规跟C反应蛋白,同时平时需要注意一下后面的卫生,出去要缩短出去,遛弯的时间尽量静养再观察,看一下这个情况是否有缓解。
我给它开个处方。处方里面的1.***消炎药每公斤体重5mg一天一次
2.**外喷杀菌喷剂可以喷外阴
谢谢孙医生,狗狗目前在吃靶向药***,可以跟您说的这个消炎药一起吃吗,不会有什么不良反应吧?
孙厚福
执业兽医师
消炎药和靶向药分开吃就可以(如早晚分开口服)
正常没有什么不良反应
***是拜尔公司进口消炎药
好的,明白了,谢谢您,她这个子宫颈感染是什么原因导致的呢?不是因为绝育手术没有切干净导致的吧?
孙厚福
执业兽医师
宫颈可能是因为正常绝育的话可能会留一部分宫颈,那医生会留的长一点,有的会短一点,有的时候可能会发炎或者是没有恢复好的时候有可能会出现流血的情况,所以目前建议静养,同时口服消炎药观察看一下是否有好转,如果还是不见好转,可以做超声再进一步检查看一下。
哦哦,之前她长乳腺肿瘤就说是因为没有做绝育分泌雌激素的原因,所以切乳腺的时候就一起切了子宫跟卵巢来降低复发的机率,您说的留一部分宫颈的话那还会不会产生雌激素刺激导致复发的概率变高呢?或者之后会不会还是会有得一些妇科病的概率呢
孙厚福
执业兽医师
正常绝育的话会把卵巢子宫全部切除,但是会残留部分的子宫颈,这个子宫颈正常不会产生雌激素正常,不会导致复发的概率。但是宫颈的话可能也会出现感染的问题,当然这种感染一般可能通过阴道会排出,外面正常消炎对症治疗可能慢慢就会好转。
好的,谢谢医生的科普,很多东西我们当家长的都不懂只能在网上瞎查,现在市面上有的宠物医院也不是特别特别的靠谱,所以特别盲目和担忧,现在明白了好多。那个**诺的话是不对症嘛?还是说效果没那么好?因为家里还**,如果吃**不行的话我就先不给她吃了给她吃您说的那个药
孙厚福
执业兽医师
**主要针对呼吸道效果会更好一些,***可能对于子宫可能效果会更好一些。目前建议吃***可能会效果更好,当然**也是可以使用的。
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
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