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
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