咨询描述：症状描述：陈医生好！我家小狗狗本月19号忽然身体疼痛行走困难，22号我们送到医院医生检查后让狗狗静养，并开了止痛药，止痛药已经吃了三天，但狗狗的疼痛没有减轻而且不愿动，一活动狗狗感觉很痛苦，且左后腿行走没有力。但狗狗的饮食大便都正常，也没有出现过激烈的运动，我们一直观察，觉得狗狗左边尾肋骨与背部之间有点肿，也不知道这是什么原因，请陈医生帮诊断一下，谢谢！发照片还有视频给您看。④禁止狗狗剧烈运动，或者长时间运动。可以慢步，短时间行走锻炼。
回复总结：狗狗出现身体疼痛、行走困难的症状，可能是后肢关节疾病和肌肉肿胀导致的。针对这种情况，建议给狗狗先口服宠物专用广谱消炎药，控制炎症感染，同时还需要配合服用止疼药，缓解疼痛症状。此外，还需要给狗狗服用营养关节的用药，促进关节疾病恢复。另外，建议给狗狗做局部热敷。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的信息，我初步分析狗狗很有可能是由于后肢关节问题，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您核实一下：
1. 狗狗检查都做了什么？结果可以发送过来。
2. 狗狗除了止疼用药，是否还给予其它药物治疗？
3. 狗狗生活环境温度能达到多少度？是否有昼夜温差？
4. 狗狗平时是否做关节方面的维护？
5.狗狗是否有其它病史？
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。
一、狗狗送去做检查，主要是19号进医院的头一天狗狗吃了一颗葡萄，当天晚上狗狗出当天晚上，狗狗出现了腹部肿胀，而且伴随有疼痛的现象，我们当时担心是葡萄中毒，所以去了一我们当时担心是葡萄中毒，所以去了医院做检查。但是医院检查的结果是，并没有中毒的情况，但是在身体检查上面发现了背部的疼痛。背部疼痛的地方，我上传了一张照片并标注出来了。疼痛的位置并不是在左腿上面，具体的位置是在髋关节延脊椎骨到肋骨之间这块肌肉。在左侧的肋骨，肚子，脊椎和髋关节之间。视频里面有一处明显的凸起。狗狗因为这一块的疼痛导致左后腿无法用力。
另外具体的检验结果我拍了一张照片，检查结果如我上面所述。
二，狗狗除了止痛药以外，没有接受其他的药物。止痛药的名称在照片里面。
三，狗狗大部分时间是在家里面生活，早晚温差不大，屋内室温在17度左右。
四，狗狗平时没有做关节方面的维护。狗狗也从来没有过关节上面出现问题的情况。狗狗平时运动量不大，基本上是在家里或者是后院里走动。
五，狗狗3年前拔过牙齿。除此之外，没有其他病史。拔完牙齿的两年间，恢复的非常好。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，感谢您的回复，谢谢。1.您需要告诉我一下药物中文名称或者药物成分名称。2.然后根据您的描述，狗狗这种情况个人比较高度怀疑两个方面的问题，①后肢关节（脊椎部分），②后北肌肉肿胀（背腰肌肉）。3.单纯化验血液的结果，还不足以支撑狗狗的疾病诊断，还需要提供骨骼关节的影像学，以及神经定位学，肿胀位置超声检查，才能给予狗狗疾病的进一步诊断。
药物的中文名加巴喷丁（Gabapentin）。我们现在预约不到狗狗的医生，排期到一个月后，陈医生狗狗这种情况常见吗？我们做不了任何检查的情况下，能吃什么药请推荐一下，对狗狗我们日常需要注意些什么！！
陈奕达
执业兽医师
您好，1.加巴喷丁属于抗癫痫用药，不太清楚您这边医生给予狗狗开具这个药物的目的。您可以具体咨询一下主治医生。2.如果无法给予狗狗进行检查的情况下，那么可以考虑给予狗狗先口服一些宠物专用广谱消炎，抗炎止疼，营养关节用药，来进行保守治疗，观察一下效果如何。然后可以局部热敷一下，能够起到一定物理疗法。3.狗狗这种关节或者肌肉问题，相对还是比较常见的。4.根据狗狗的情况，我给宝贝开个处方。
处方里面的
1. **，宠物专用广谱消炎，控制炎症。
2. ***，宠物专用营养关节用药，促进关节疾病恢复。
3. ***，宠物专用抗炎止疼用药，缓解关节疼痛。
陈奕达
执业兽医师
然后给您再总结一些照顾宝贝一定需要注意的几点，
①需要改善宝贝生活环境，需要环境温度达到26-25度恒温（不能着凉，因为着凉可能会加重宝贝的病情）。
②需要改善饮食，需要吃宝贝专用狗粮，用温水泡发，搅拌成糊糊（好消化，易吸收，对消化道刺激性小），以少吃多餐为原则喂食。
③其它的食物可以暂时先停掉，因为吃的食物越杂乱，消化道负担越重。
④禁止狗狗剧烈运动，或者长时间运动。可以慢步，短时间行走锻炼。
好的，谢谢陈医生！我再发一张狗狗上楼梯的视频给您细看一下，左后有个肿点很明显，这个肿的部位是肌肉还是内脏的什么地方？
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，从图片上以及小视频上看，个人比较倾向于是肌肉，但是进一步判断，那就必须提供化验结果才能进行了。
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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