回复总结：狗狗出现肚子痒伴随掉毛现象时，如果掉毛部位呈环状且伴随皮屑，重点考虑真菌癣菌感染。建议带狗狗去宠物医院做病灶采样，然后进行细胞学检查确诊。一旦确诊为真菌感染，就需要给狗狗使用抗真菌的药物治疗。如果脱毛征并没有明显规律，并且脱毛部位没有完全掉光，可以先针对瘙痒的问题进行治疗，也就是按照异位性皮肤病给予止痒的药物即可。
问题大致一样，细节不同？
周琪林
执业兽医师
根据您提供的信息，我对它的病情有一个大致了解。从您描述的症状进行诊断，它目前存在的不是一个问题，而是两个。腹部瘙痒通常需要考虑皮肤病，而乳房肿胀则主要考虑乳腺炎。
我还有几个问题需要向你核实一下：第一、它腹部是否有出现红疹、斑块、脓疱等皮肤病症状？第二、它平时有外出且去草丛的行为吗？如果有，请问是否有给它定期体外驱虫？第三、它目前有多大年纪了？上次发情期是什么时候？第四、它肿胀的乳房能否挤出分泌物？乳房周围有坚硬的硬块吗？
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，把您家爱宠的『年龄、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。
我家宠物是串串，有10岁，体重20kg左右，有接种疫苗，有做内外驱虫。
第一，腹部未出现红斑，浓苞等症状，但有脱毛；第二，外出有去草地，但有做内外驱虫；
第三，上次发情在去年下旬，具体忘记了，
第四，乳房只是有点肿胀，未有分泌物和硬块，捏狗狗也未有反，吃过消炎药和宫炎清，但没什么变化
周琪林
执业兽医师
根据您反馈的信息，我对它的病情有进一步了解。先说瘙痒的问题，因为它目前腹部有脱毛征，如果脱毛的部位呈环状脱毛，且伴随着皮屑，那重点考虑真菌癣菌感染。这种情况建议做病灶采样，然后进行细胞学检查确诊。一旦确诊为真菌感染，那就给它使用抗真菌的药物治疗。如果脱毛征并没有明显规律，且脱毛部位并没有完全掉光，那我们就只针对瘙痒的问题进行治疗，也就是按照异位性皮肤病治疗，给予止痒的药物即可。
针对乳房肿胀，由于狗狗是没半年发情一次，所以按照时间推算，目前可能是快要发情了，这种情况考虑因为快到发情期出现的乳房肿胀，若没有其他乳腺疾病症状，可以继续观察，暂时不需要治疗。
主要就是经常瘙痒，用过止痒喷剂也未见好转，脱毛部位是下腹部至腰部，晚上瘙痒明显加剧，请问是什么病用什么药才好？
乳房肿胀会不会是瘙痒造成的肿胀呢
周琪林
执业兽医师
请您把它腹部和腰部的脱毛征拍照片发给我进行诊断，如果是对称性脱毛就可能就不是简单的皮肤问题。另外，通常皮肤病是不会引起乳房肿胀的，乳房肿胀除了发情期快到外，最常见于乳腺炎，如果是因为乳房周围皮肤感染引起问题，那应该是皮肤周围发炎，是局部性的，而不是所有乳房出现肿胀。
周琪林
执业兽医师
那就等您晚上拍了照片再上传照片，到时候我再根据具体情况给您进行治疗建议。
图片已发，但毛多好像不太清楚
为保护用户隐私不显示图片/视频
周琪林
执业兽医师
从您提供的照片看，它并没有大面积脱光的情况，也没有典型的对称性脱毛的问题。针对它目前的问题，个人建议可以先给它按照异位性皮肤病进行治疗，也就是给予口服的抗炎止痒药物，缓解它瘙痒的症状。同时每周使用抗菌香波给它进行药浴，药浴后注意毛发的吹干。如果您发现脱毛征的位置皮肤有异常，可以考虑使用电剪，将毛发适当剃开，避免因毛发污染导致皮肤问题加重。
周琪林
执业兽医师
感谢您的信任，针对它目前的问题，我给它做一个处方，您可以参考处方给它用药治疗。处方：1.****，每公斤体重0.5毫克，一天两次给药。主要是抗炎止痒。由于属于糖皮质激素药，所以用药一周时间症状缓解或消失，请减少用药量，比如按照每次1片，一天两次给药，并逐渐停药。2.**香波，专门针对异位性皮肤病的药浴香波，按照每周一次药浴，注意药浴时需要将香波停留几分钟，再冲洗干净。
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
{"320367":{"id":320367,"case_id":37521,"user_id":1012848,"to_user_id":1987805,"type":3,"content":"感谢您的信任，针对它目前的问题，我给它做一个处方，您可以参考处方给它用药治疗。处方：1.****，每公斤体重0.5毫克，一天两次给药。主要是抗炎止痒。由于属于糖皮质激素药，所以用药一周时间症状缓解或消失，请减少用药量，比如按照每次1片，一天两次给药，并逐渐停药。2.**香波，专门针对异位性皮肤病的药浴香波，按照每周一次药浴，注意药浴时需要将香波停留几分钟，再冲洗干净。","media":{"images":{},"videos":{},"business_params":{"prescription_id":112034}},"is_doctor":1,"status":1,"created_at":"2022-05-18 21:40:43","show_rx":true,"rx_info":{"id":112034,"rx_no":2.02205182136535e+24,"user_id":1987805,"doctor_user_id":1012848,"is_independent":0,"case_id":2742747,"pet_info":{"pet_id":295165,"pet_name":"串秋田","pet_nickname":"大象","pet_gender":2,"pet_birth":"10-0","pet_weight":20,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10岁"},"diagnose":"异位性皮肤病","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-18 21:36:53","updated_at":"2022-05-18 21:40:43","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":26741,"prescription_id":112034,"doctor_user_id":1012848,"product_id":748,"product_sku_id":790,"dose":5,"dose_unit":"ml","use_method":"药浴","frequency":"每周一次","days":30,"number":1,"remark":"","created_at":"2022-05-18 21:36:53","updated_at":"2022-05-18 21:36:53","product_info":{"id":748,"hash_id":"evObG6x8EGpw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":168},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":171,"sell_point":"爱乐美犬猫异位性过敏性香波","title":"维克爱乐美 犬猫异位性过敏性香波 250ml\/瓶","recommend_reason":{"0":"用于过敏性皮肤病","1":"针对异位性皮炎的各个阶段，修复皮肤屏障"},"baike_guide_text":"","baike_article_hash_id":"","advword":"敏感,瘙痒,维护皮肤屏障","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/f82096719490a62dbb73f7f0260439d6.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":16,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 17:07:35","updated_at":"2024-08-23 18:10:53","ins":{"id":171,"hash_id":"","class_ids":"[1,2]","title":"犬猫异位性过敏性香波","common_name":"犬猫异位性过敏性香波","trade_name":"爱乐美","en_name":"ALLERMYL","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/a88091346d52b27164e2267b4d4a828f.png","specification":"250ml\/瓶","reference_price":208,"component":"SIS，SLC，神经酰胺，胆固醇，脂肪酸，吡罗克酮乙醇胺盐。","indication":"1.用于过敏性皮肤病\n2.针对异位性皮炎的各个阶段，修复皮肤屏障","usage_dosage":"温水淋湿犬猫毛发，使用香波揉搓犬猫全身并冲洗。再使用一遍香波，停留3-10 分钟，用清水冲洗干净。每周2-3 次、连续使用3周或遵循医嘱。根据犬猫体重，参照杯盖上刻度适量使用。","contraindication":"","adverse_reaction":"","attention":"仅限动物外用，避免进入眼和耳内。","interaction":"","approval_no":"","storage_method":"常温避光保存，并置于儿童无法触及的地方。","validity":"24个月","manufacturer":"维克制药集团（法国工厂）","status":1,"created_at":"2021-03-18 15:10:54","updated_at":"2024-07-08 10:19:15"}},"product_sku_info":{"id":790,"product_id":748,"title":"维克爱乐美 犬猫异位性过敏性香波 250ml\/瓶","advword":null,"price":158,"market_price":188,"cost_price":0,"stock":83,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250ml"}},"cover":null,"thumb":"","sale_count":17,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:07:35","updated_at":"2024-08-23 18:10:53"}},"1":{"id":26742,"prescription_id":112034,"doctor_user_id":1012848,"product_id":774,"product_sku_id":816,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-18 21:36:53","updated_at":"2022-05-18 21:36:53","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-21 09:09:32","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg，或每10公斤体重1-2片。\n2.过敏性皮炎：0.5-1mg\/kg体重，每天2次，连用5-7天；然后按2mg\/kg体重，每隔一天的上午7-10点给药；之后每隔一周剂量减半，直至维持控制病情的最低剂量。\n3.心丝虫性肺炎：1mg\/kg体重，隔天用药一次，持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎：1-2mg\/kg体重，每天1-2次，根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"（新老包装随机发货）","interaction":"","approval_no":"兽药字031801589","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":85,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-21 08:38:12"}}},"drug_data_bak":{"0":{"id":26741,"prescription_id":112034,"doctor_user_id":1012848,"product_id":748,"product_sku_id":790,"dose":5,"dose_unit":"ml","use_method":"药浴","frequency":"每周一次","days":30,"number":1,"remark":"","created_at":"2022-05-18 21:36:53","updated_at":"2022-05-18 21:36:53","product_info":{"id":748,"hash_id":"evObG6x8EGpw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":168},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":171,"sell_point":"爱乐美犬猫异位性过敏性香波","title":"维克爱乐美 犬猫异位性过敏性香波 250ml\/瓶","recommend_reason":{"0":"用于过敏性皮肤病","1":"针对异位性皮炎的各个阶段，修复皮肤屏障"},"baike_guide_text":"","baike_article_hash_id":"","advword":"敏感,瘙痒,维护皮肤屏障","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/f82096719490a62dbb73f7f0260439d6.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":16,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 17:07:35","updated_at":"2024-08-23 18:10:53","ins":{"id":171,"hash_id":"","class_ids":"[1,2]","title":"犬猫异位性过敏性香波","common_name":"犬猫异位性过敏性香波","trade_name":"爱乐美","en_name":"ALLERMYL","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/a88091346d52b27164e2267b4d4a828f.png","specification":"250ml\/瓶","reference_price":208,"component":"SIS，SLC，神经酰胺，胆固醇，脂肪酸，吡罗克酮乙醇胺盐。","indication":"1.用于过敏性皮肤病\n2.针对异位性皮炎的各个阶段，修复皮肤屏障","usage_dosage":"温水淋湿犬猫毛发，使用香波揉搓犬猫全身并冲洗。再使用一遍香波，停留3-10 分钟，用清水冲洗干净。每周2-3 次、连续使用3周或遵循医嘱。根据犬猫体重，参照杯盖上刻度适量使用。","contraindication":"","adverse_reaction":"","attention":"仅限动物外用，避免进入眼和耳内。","interaction":"","approval_no":"","storage_method":"常温避光保存，并置于儿童无法触及的地方。","validity":"24个月","manufacturer":"维克制药集团（法国工厂）","status":1,"created_at":"2021-03-18 15:10:54","updated_at":"2024-07-08 10:19:15"}},"product_sku_info":{"id":790,"product_id":748,"title":"维克爱乐美 犬猫异位性过敏性香波 250ml\/瓶","advword":null,"price":158,"market_price":188,"cost_price":0,"stock":83,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250ml"}},"cover":null,"thumb":"","sale_count":17,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 17:07:35","updated_at":"2024-08-23 18:10:53"}},"1":{"id":26742,"prescription_id":112034,"doctor_user_id":1012848,"product_id":774,"product_sku_id":816,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-05-18 21:36:53","updated_at":"2022-05-18 21:36:53","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","recommend_reason":{"0":"用于犬猫消炎和抗过敏","1":"用于炎症、风湿病、关节炎、过敏性皮炎等炎症"},"baike_guide_text":"","baike_article_hash_id":"","advword":"炎症,风湿病,关节炎,过敏性皮炎,犬心丝虫性肺炎,犬窝咳,先天性食欲不振,淋巴浆细胞增多性肠炎,狄氏鼠药中毒,脑脊髓炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/21f23c6705d1e32cd9325344b3429055.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":474,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-21 09:09:32","ins":{"id":63,"hash_id":"","class_ids":"[1,2]","title":"摩登狗泼尼松龙 P5 100片\/瓶","common_name":"泼尼松龙 P5","trade_name":"P5","en_name":"Prednisolone for dog&cat","brand_name":"摩登狗","is_prescription":1,"cover":"\/drug\/2024\/07\/5433d10a8357e0b122a0954fe0825c65.jpg","specification":"5mg×100片\/瓶","reference_price":180,"component":"泼尼松龙","indication":"1.用于犬猫消炎和抗过敏。\n2.适用于炎症、风湿病、关节炎、过敏性皮炎、犬恶心丝虫性肺炎、犬窝咳、猫先天性食欲不振、淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎。","usage_dosage":"1.常规每公斤体重0.5-2.5mg，或每10公斤体重1-2片。\n2.过敏性皮炎：0.5-1mg\/kg体重，每天2次，连用5-7天；然后按2mg\/kg体重，每隔一天的上午7-10点给药；之后每隔一周剂量减半，直至维持控制病情的最低剂量。\n3.心丝虫性肺炎：1mg\/kg体重，隔天用药一次，持续三个月。\n4.淋巴浆细胞增多性肠炎、狄氏鼠药中毒、肉芽肿型脑膜脑脊髓炎：1-2mg\/kg体重，每天1-2次，根据情况选择不同的治疗方案。","contraindication":"","adverse_reaction":"","attention":"（新老包装随机发货）","interaction":"","approval_no":"兽药字031801589","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"秦皇岛摩登狗生物科技有限公司","status":1,"created_at":"2020-11-05 19:14:53","updated_at":"2024-07-09 09:17:28"}},"product_sku_info":{"id":816,"product_id":774,"title":"摩登狗泼尼松龙 P5 5mg×100片\/瓶","advword":null,"price":148,"market_price":180,"cost_price":0,"stock":85,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100片盒装"}},"cover":null,"thumb":"","sale_count":499,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"yaopin110","sort":1,"created_at":"2021-12-20 15:45:20","updated_at":"2024-11-21 08:38:12"}}}}}}
微信扫一扫
立即问宠医
