咨询描述:3岁猫咪从去年开始肚子痒 一直舔肚子的毛,舔到出血,检查过没有什么寄生虫真菌之类的感染,有定期驱虫,期间吃过一周的药,当时不痒了,一停药又开始舔肚子,换了**低敏处方粮,现在还是会肚子痒一直舔肚子
回复总结:猫咪身上出现瘙痒、掉毛的症状,可能有异位性皮炎。针对这种情况,处理办法上建议给猫咪抗过敏、止痒的药物,一天两次,同时还需要配合服用增强皮肤抵抗力的药物,一天一次,口服药建议长期服用。如果条件允许,建议最好带猫咪去宠物医院抽血检查过敏源,看猫咪具体是对哪些物质过敏,尽可能地减少接触这些物质,也可以根据过敏原检测制定脱敏方案。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断猫咪可能有异位性皮炎,但仅仅根据目前信息,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. 猫咪的基本信息,品种,性别,体重,有没有打疫苗驱虫?有没有绝育?有没有什么疾病史?
2. 猫咪当时患病时,最近一次的检查报告都上传过来这边看看,可以吗?以及具体用的什么药物也上传过来看看。
3. 它平时如何喂养的?除了低敏处方粮,你有没有喂过其它的食物?它的生活环境如何?可以上传一下患处的高清放大照片吗?
4. 猫咪精神食欲大小便如何?
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,把您家爱宠的信息补充完整,特别是『年龄、体重』,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。
英短,公,已绝育,还有几天就3岁了,目前6kg多,每年都有打年免,定期有做内外驱虫,没有疾病史。早晚各喂一次处方粮,没有喂其他的食物。精神和食欲都可以,大小便正常。一直居家养,非必要都不外出的,家里定期都有卫生清洁。吃的药是图片这个加阿莫西林克拉维酸钾,最近掉毛也比较严重,,毛发也变得有点粗糙,下巴附近摸着有小疙瘩,猫猫经常会挠
郭秋萍
执业兽医师
鉴于他以往的病情,以及现在的临床症状来看,你家猫咪最有可能的是异位性皮炎。
确诊的方法最好是带到医院去抽血送检过敏源,看一下他具体是对哪些物质过敏,尽可能地减少接触这些物质。也可以根据过敏原检测制定脱敏方案,这样,以后才可能不复发。
而且从你上一次的医院开的药来看,他是吃了抗过敏的药物之后好转的,所以正好也印证你家猫咪的皮肤肯定是有过敏,而且多半是特异性皮炎导致的。
对于它的情况,除了吃过敏处方粮,也是需要长期吃***。
根据猫咪的情况,我给它开个处方。处方里面的1. ***,抗过敏,止痒,一天两次,一次一片,建议长期服用。
2,***,增强皮肤抵抗力,一天一次,一次1粒,建议长期服用。
郭秋萍
执业兽医师
第一个药物长期服用可能有一定的副作用,但是副作用不大,短期使用是完全没有副作用的。
第二个药物任何副作用都没有,可以长期吃。
第一个药服药时间不能超过多久呢?会不会有耐药性?处方粮还要继续吃吗,我感觉吃了半年多的处方粮了改善不明显,可不可以换回最开始吃了也没有什么不良反应的粮呢?
郭秋萍
执业兽医师
第一个药物正常来说最好是不要停用,因为一停用,他很容易就反复,所以我不推荐你停用,当然你要是担心他长期服用的副作用,最好的办法就是给他做脱敏治疗。这个药物一般情况下不会产生耐药性,不用太担心。
处方粮必须要长期给他吃。当然你也可以做过敏源测试后,选择里面没有过敏成分的普通粮给它吃也可以的。
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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