咨询描述：症状描述：老是会用爪子挠耳朵，挠完后会舔爪子，有时会发出呜咽的声音。情绪感觉不太稳定。一边耳朵颜色正常，另一边耳朵有点红肿，还有分泌物（有图）。
患病时长：应该是一周以上了，一直没重视，今天突然翻开看耳朵都是红的。
回复总结：狗狗出现老挠耳朵伴随耳朵红肿的现象，考虑是感染性的外耳炎引起。确诊需要带狗狗去宠物医院通过分泌物采样做显微镜镜检，根据检查结果对症采取治疗措施。在不做检查的情况下，可以考虑给狗狗使用复方的抗菌类耳药进行治疗，同时定期清理和驱虫即可。如果狗狗有明显抓挠的行为以及严重瘙痒症状，为避免自损行为引起更严重的外耳炎，可以考虑佩戴伊丽莎白圈。
问题大致一样，细节不同？
周琪林
执业兽医师
根据您提供的信息和它目前的症状，我对它的病情有一个大致了解。从您描述的症状以及提供的照片进行诊断，初步可以确诊为感染性的外耳炎。至于感染的因素是什么，如马拉色菌感染、耳螨感染、厌氧菌感染等，目前无法确定，确诊需要通过分泌物采样做显微镜镜检才行。针对它目前的问题，在不做检查的情况下，可以考虑使用复方的抗菌类耳药进行治疗，同时定期清理和驱虫即可。
进一步检查的话能够更好地对症下药是吗？如购买药物能否有推荐的药物呢？
请问这样的情况会传染给人吗？平常都是和狗狗一起睡觉，人是否需要做相关检查呢？
周琪林
执业兽医师
进一步检查确实能够帮助更好用药治疗，如耳螨感染的外耳炎用药重点就是在治疗螨虫上，而抗菌消炎是次要的。而真菌、细菌感染性耳炎，重点就是抗菌，而且因为感染的菌群不同，所以用药的倾向性也可能不同。但不检查，直接用药，那使用复方类药物也是可以解决的。这种方式治疗，可以参考我处方中的药物。先使用**清洗耳道，然后给它使用***治疗即可。
通常这类耳道感染性问题，与人没有太大关系，因为狗狗的耳道是被耳叶盖住的，所以一旦感染，就可能严重并出现外耳炎。只要即使治疗，通常预后良好。
好的，谢谢您，
用药一般大概需要多长时间呢？
您根据图片判断她这个症状严重吗？
只需要在红肿的耳道用药吗？没有红肿的那一边需要吗？
平常是否需要用伊丽莎白圈防止她挠伤耳朵呢？
另外，
狗狗这样的情况，会不会引起人的感染呢？耳螨、真菌会传染给人吗？需要避免和狗狗亲密接触吗？
周琪林
执业兽医师
通常外耳炎的治疗周期为1-2周时间，从目前的情况进行判断，并不是很严重，但需要尽快用药治疗，避免症状继续加重。个人建议只需要针对发炎的耳朵进行用药治疗，另一只耳朵如果没有明显分泌物，那就不需要用药治疗。如果有分泌物，那可以考虑只使用**进行清洗。另外，如果狗狗有明显抓挠的行为，和严重的瘙痒不适症状，为避免自损行为引起更严重的外耳炎，可以考虑佩戴伊丽莎白圈。
通常真菌、螨虫是会传染给人的，但主要还是跟我们自身皮肤免疫力相关，所以不需要刻意避免跟狗狗的接触，但需要注意帮助它清理和用药后，我们应该做好洗手和消毒的工作。
好的，谢谢医生，还有一个问题
她在治疗期间，可以正常洗澡吗？
周琪林
执业兽医师
可以的，但是注意洗澡的过程中，需要防止水进入耳道，如果不小心进去了，那就用洗耳液清洗，然后上药即可。
医生你好，今天下午五点多给橙子在耳朵上了药，刚才七点半时她突然一阵反胃，像卡着嗓子出不过气一样的感觉，然后不停发抖，但缓了一会儿就好了。请问这有没有问题呢？
还想请教您，平常狗狗需要做哪些驱虫和耳朵的护理来避免这样感染发炎的问题呢？
周琪林
执业兽医师
这个症状应该不是由于上药后出现的药物过敏的症状，您需要观察它是否有持续性反复发作，如果没有，那就不用担心。从您描述的症状，有可能不是消化道症状，而是呼吸道症状（比如逆向喷嚏）。
至于耳道治疗，建议用药康复后，每次洗澡以后都进行耳道清洗，避免感染源增殖，引起外耳炎。
刚才一共断续卡了六次，发出很大的“咔”的声音，但是几秒钟很快就好了。不知道是不是伊丽莎白圈的原因，第一次卡的时候带着圈，我赶紧给她摘下来，结果还是又卡了好几次。如果明天没有出现类似症状还需要去做什么检查或者治疗吗？
好的，谢谢您医生，请问平常驱虫需要购买内外驱虫的药物吗？您能否推荐一下，感谢！
周琪林
执业兽医师
有可能是因为伊丽莎白圈刺激到咽喉部诱发的咳嗽，这种情况应该不需要用药针对性治疗。注意继续观察即可。
至于驱虫药的选择，个人建议可以尽可能选择不同成分的药物进行驱虫治疗。这样避免长时间使用单一的药物引起耐药性。比如体内驱虫可以考虑***、***进行治疗，每3个月用药一次。而体外驱虫则可以考虑***、***等药物定期交叉使用，每1-2个月用药一次。
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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