咨询描述:精神无异常。未按时驱虫。大腿内侧、手臂内侧最严重,肚皮一般严重。后背无。(之前有过皮肤病但不严重之前星星点点的小疙瘩。皮特芬喷雾擦了几次就好了)现在的情况大概出现4天左右
回复总结:猫咪出现身上起疙瘩的症状主要考虑两种原因,第一种是由于过敏引起的,建议给猫咪吃脱敏的药或者打脱敏的针,然后观察猫咪状态。第二种情况,猫咪有可能是细菌感染,也就是脓皮症,需要给猫咪口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,一般需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,猫咪居住的环境也需要彻底消毒,照顾完猫咪后也需要洗手、消毒。
问题大致一样,细节不同?
刘文飞
执业兽医师
根据您讲到的详细症状,我初步分析猫咪是皮肤病的症状,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.您家猫咪九个月大了,体重大概是多少,出现如图所示的症状多久了,皮特芬用了多久了,最后一张图片症状表现最严重,猫咪有没有抓挠、舔舐的症状,家里几只猫咪
2.您养猫咪大概多长时间了,多久给猫咪环境消一次毒,猫咪有没有对某种东西过敏,猫咪平时都吃哪种食物,最近有没有给猫咪换过食物或者吃过什么特殊的东西,骨头之类的坚硬物,导致猫咪出现呕吐的症状,呕吐的是未消化的食物,还是白色粘液,或者黄色粘液,有没有血丝,有没有腹泻的症状;
3.猫咪吃饭,喝水,排便,排尿,玩的状态怎么样
4.猫咪有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样,有没有吃东西,喝水,猫咪有没有接种过疫苗,做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温,猫咪趴在垫子上,还是地板上
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。
9个月,体重3.6kg。如图症状大概4天左右,(因为白天穿了衣服没有脱,广东温度28度左右,没开空调。不知道是不是捂的)。****用了两天,没有消下去的迹象。有抓痒舔舐的症状。家里共有三只无毛猫,其他两只无异常。日常每天拖地,每半个月清洗一下猫咪用品。平时吃猫粮,偶尔给泡发的冻干(没发病之前就一直吃,大概排除食物过敏的情况)没有呕吐、大便正常、喝水正常、平时睡的比较多,玩的时候也很积极。不咳嗽、不流鼻涕、不打喷嚏、眼睛无异物。目前精神状态正常,饮食正常,大小便正常。三针疫苗齐全。近三个月未驱虫过。(没出过门)没有突然降温,(我们晚上人回来开空调就给它们穿上衣服,白天上班关空调就给它们脱掉)前几天有一天白天关空调没给脱衣服,晚上回来就出现大片疙瘩,后来几天疙瘩面积逐渐增加开始泛红,双腿大腿内侧手臂内侧上手臂最严重疙瘩密集。肚子上也是大片的。后背暂时未发现疙瘩。大腿外侧也没有。猫咪平时都睡在沙发猫爬架它们的垫子上,从不在地上睡
刘文飞
执业兽医师
您好,猫咪主人,收到您发的图片,结合您的详细描述来看,猫咪目前的症状有两种原因,第一种是由于过敏引起的,建议给猫咪吃脱敏的药或者打脱敏的针,如果环境温度不是太低,猫咪也不着凉感冒的情况下,给猫咪暂时不要穿衣服,观察猫咪的症状,家里有其他的猫咪,建议把这只猫咪和其它猫咪隔离开养,不要养到一起。第二种情况,猫咪有可能是细菌感染。也就是脓皮症,需要给猫咪口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,一般需要每三个月给猫咪做一次体内驱虫,每个月做一次体外驱虫,做体外驱虫可以很好的降低猫咪感染脓皮症的风险。脓皮症感染周期比较长,一般需要用药一个月左右才会好转,猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈,再把猫咪的指甲修剪平整,防止猫咪出现抓挠,舔舐的症状,会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒,以后每周消一次毒,猫窝拿出去晒晒太阳,有助于杀菌消毒,您自己照顾完猫咪也需要洗手、消毒,以上建议您可以参考一下。
所以是过敏还是脓皮症还是要带去医院看一下吗?如果是两种症状各需要吃什么药,打什么针,擦什么药(麻烦给下这些药的名称)大概价格。
刘文飞
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的1.****片对猫咪的炎症作用效果比较好,按猫咪的体重用药;2.***对猫咪皮肤表面消炎抑菌效果比较好。
刘文飞
执业兽医师
如果过敏,吃*****那敏片,目前猫咪的症状暂时不能确诊是过敏还是脓皮症,建议先吃抗过敏的药观察症状,要是没有好转就吃就需要用脓皮症的药
如果是过敏的话外用的药不变是吗?大概几天能判断出不是过敏而是脓皮症呢?猫环境消毒有推荐的消毒液牌子吗?
在治疗的同时,驱虫可以同步吗?这种在家不外出的无毛猫也需要外驱吗?治疗期间需不需喂维生素?哪种维生素和品牌呢?谢谢
刘文飞
执业兽医师
如果是过敏要吃******片,您可以去宠物医院确诊一下,要是距离比较远就可以先吃抗过敏的药观察,如果吃两天没有好转再换脓皮症的药,脓皮症要用药一个月左右,消毒液一般宠物专用的消毒液就可以,您看您这边能买到哪一种,有时候我推荐您的,您不一定能买到,您自己如果能买到宠物专用的消毒液,按比例就可以给猫咪消毒,治疗期间可以做体外驱虫,无毛猫也需要做体内体外的驱虫,如果平时正常吃饭,就不用给他补充维生素,如果说有挑食、厌食的症状,他需要给猫咪补充维生素,**牌子的维生素就可以给猫咪吃。
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
{"331976":{"id":331976,"case_id":38756,"user_id":1345841,"to_user_id":1772136,"type":3,"content":"根据猫咪的情况,我给它开个处方。处方里面的1.****片对猫咪的炎症作用效果比较好,按猫咪的体重用药;2.***对猫咪皮肤表面消炎抑菌效果比较好。","media":{"images":{},"videos":{},"business_params":{"prescription_id":112964}},"is_doctor":1,"status":1,"created_at":"2022-05-28 15:15:51","show_rx":true,"rx_info":{"id":112964,"rx_no":2.02205281511385e+24,"user_id":1772136,"doctor_user_id":1345841,"is_independent":0,"case_id":2754438,"pet_info":{"pet_id":257097,"pet_name":"无毛猫","pet_nickname":"发糕","pet_gender":2,"pet_birth":"0-9","pet_weight":1,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"9个月"},"diagnose":"脓皮症","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-28 15:11:38","updated_at":"2022-05-28 15:15:50","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":28897,"prescription_id":112964,"doctor_user_id":1345841,"product_id":714,"product_sku_id":756,"dose":0.6,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-28 15:11:38","updated_at":"2022-05-28 15:11:38","product_info":{"id":714,"hash_id":"ZjEadAxNaNgJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":111,"sell_point":"宠立维头孢氨苄片75mg","title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","recommend_reason":{"0":"用于治疗狗狗的皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮病,毛囊炎,蜂窝组织炎,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26856d6b002e611b881077f6d7f6f802.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":27,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 16:03:17","ins":{"id":111,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠立维头孢氨苄片75mg","common_name":"头孢氨苄片","trade_name":"宠立维","en_name":"Cefalexin Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2020\/11\/11e39dd51a5edee939b239decc798f35.PNG","specification":"75mg×7片×10板\/盒","reference_price":500,"component":"头孢氨苄","indication":"用于治疗犬的革兰氏阳性菌和阴性菌感染,如皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)。","usage_dosage":"以头孢氨苄计。内服一次量,每1kg体重犬猫15mg。一日2次,治疗尿路感染连用14天,浅表脓皮病连用7~14天,深层脓皮病连用28天。","contraindication":"1.禁用于对青霉素类药物过敏的动物。\n2.禁用于兔子、豚鼠、沙鼠和仓鼠。","adverse_reaction":"","attention":"1.肾功能受损的动物同时服用其他经肾排泄的药物会加重本药在体内的蓄积,因此在动物肾功能不全时可减少本药的用量。\n2.对青霉素类过敏的人不得接触该产品。\n3.使用该品时要倍加小心以避免直接接触,使用后要洗手。\n4.给药人员皮肤出现红疹时要尽快就医,若嘴唇、眼睑和脸部肿胀、呼吸困难要立即拨打急救电话。","interaction":"","approval_no":"兽药字090242454","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2020-11-23 15:07:48","updated_at":"2022-01-15 14:56:43"}},"product_sku_info":{"id":756,"product_id":714,"title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","advword":null,"price":298,"market_price":358,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7板盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 12:39:59"}},"1":{"id":28898,"prescription_id":112964,"doctor_user_id":1345841,"product_id":798,"product_sku_id":840,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-28 15:11:38","updated_at":"2022-05-28 15:11:38","product_info":{"id":798,"hash_id":"L8XDa7xbEngkoe2y","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":102,"sell_point":"伴玞爽 皮肤抑菌喷剂","title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫脓皮症,掉毛,瘙痒,红疹,螨虫等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癣类皮肤病,脓皮,掉毛,瘙痒,红疹","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/099d8a7e2f966f0d4cf5967ff8117bc5.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/84360d35107239ad9bcff9467cfd23ab.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":87,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 15:33:45","updated_at":"2024-11-18 10:56:01","ins":{"id":102,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","common_name":"皮肤抑菌喷剂","trade_name":"伴玞爽","en_name":"Compound terbinafine spray","brand_name":"贝安淇沃","is_prescription":0,"cover":"\/drug\/2023\/11\/d3ececd303d3a1e136278960ef10a89c.jpg","specification":"100ml\/瓶\/盒","reference_price":90,"component":"茶树精油、艾叶、金银花、薄荷醇、水杨酸、乳酸链球菌素","indication":"犬猫因真菌螨虫导致的藓类皮肤病,脓皮,掉毛,瘙痒,红疹,螨虫疙瘩等皮肤病类疾病。","usage_dosage":"1.用前轻轻摇匀,清除患处的结痂层、皮屑、脓包,扒开被毛,喷于患处,喷至湿润即可。\n2.每日1-2次,症状严重者每日3次,连用7-15日或遵医嘱,症状消失后再用5-7日,加强巩固。","contraindication":"","adverse_reaction":"","attention":"1.周龄太小的犬猫不适合使用,幼孕猫犬遵循医嘱使用;\n2.请放置于儿童触及不到的地方;\n3.使用完毕后,请勿放置于阳光直射处及高温处;\n4.使用时避免接触眼,鼻,口等部位。","interaction":"","approval_no":"","storage_method":"","validity":"2年","manufacturer":"湖北淇沃生物科技有限公司","status":1,"created_at":"2020-11-18 15:49:17","updated_at":"2023-11-01 17:00:23"}},"product_sku_info":{"id":840,"product_id":798,"title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":90,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":88,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:33:45","updated_at":"2024-11-18 10:56:01"}}},"drug_data_bak":{"0":{"id":28897,"prescription_id":112964,"doctor_user_id":1345841,"product_id":714,"product_sku_id":756,"dose":0.6,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-05-28 15:11:38","updated_at":"2022-05-28 15:11:38","product_info":{"id":714,"hash_id":"ZjEadAxNaNgJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":111,"sell_point":"宠立维头孢氨苄片75mg","title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","recommend_reason":{"0":"用于治疗狗狗的皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮病,毛囊炎,蜂窝组织炎,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26856d6b002e611b881077f6d7f6f802.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":27,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 16:03:17","ins":{"id":111,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠立维头孢氨苄片75mg","common_name":"头孢氨苄片","trade_name":"宠立维","en_name":"Cefalexin Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2020\/11\/11e39dd51a5edee939b239decc798f35.PNG","specification":"75mg×7片×10板\/盒","reference_price":500,"component":"头孢氨苄","indication":"用于治疗犬的革兰氏阳性菌和阴性菌感染,如皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)。","usage_dosage":"以头孢氨苄计。内服一次量,每1kg体重犬猫15mg。一日2次,治疗尿路感染连用14天,浅表脓皮病连用7~14天,深层脓皮病连用28天。","contraindication":"1.禁用于对青霉素类药物过敏的动物。\n2.禁用于兔子、豚鼠、沙鼠和仓鼠。","adverse_reaction":"","attention":"1.肾功能受损的动物同时服用其他经肾排泄的药物会加重本药在体内的蓄积,因此在动物肾功能不全时可减少本药的用量。\n2.对青霉素类过敏的人不得接触该产品。\n3.使用该品时要倍加小心以避免直接接触,使用后要洗手。\n4.给药人员皮肤出现红疹时要尽快就医,若嘴唇、眼睑和脸部肿胀、呼吸困难要立即拨打急救电话。","interaction":"","approval_no":"兽药字090242454","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2020-11-23 15:07:48","updated_at":"2022-01-15 14:56:43"}},"product_sku_info":{"id":756,"product_id":714,"title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","advword":null,"price":298,"market_price":358,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7板盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 12:39:59"}},"1":{"id":28898,"prescription_id":112964,"doctor_user_id":1345841,"product_id":798,"product_sku_id":840,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天3次","days":30,"number":1,"remark":"","created_at":"2022-05-28 15:11:38","updated_at":"2022-05-28 15:11:38","product_info":{"id":798,"hash_id":"L8XDa7xbEngkoe2y","class_ids":{"0":1,"1":2},"category_ids":{"0":171},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":102,"sell_point":"伴玞爽 皮肤抑菌喷剂","title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","recommend_reason":{"0":"用于犬猫脓皮症,掉毛,瘙痒,红疹,螨虫等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"癣类皮肤病,脓皮,掉毛,瘙痒,红疹","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"100ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/099d8a7e2f966f0d4cf5967ff8117bc5.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/11\/84360d35107239ad9bcff9467cfd23ab.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":87,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-21 15:33:45","updated_at":"2024-11-18 10:56:01","ins":{"id":102,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","common_name":"皮肤抑菌喷剂","trade_name":"伴玞爽","en_name":"Compound terbinafine spray","brand_name":"贝安淇沃","is_prescription":0,"cover":"\/drug\/2023\/11\/d3ececd303d3a1e136278960ef10a89c.jpg","specification":"100ml\/瓶\/盒","reference_price":90,"component":"茶树精油、艾叶、金银花、薄荷醇、水杨酸、乳酸链球菌素","indication":"犬猫因真菌螨虫导致的藓类皮肤病,脓皮,掉毛,瘙痒,红疹,螨虫疙瘩等皮肤病类疾病。","usage_dosage":"1.用前轻轻摇匀,清除患处的结痂层、皮屑、脓包,扒开被毛,喷于患处,喷至湿润即可。\n2.每日1-2次,症状严重者每日3次,连用7-15日或遵医嘱,症状消失后再用5-7日,加强巩固。","contraindication":"","adverse_reaction":"","attention":"1.周龄太小的犬猫不适合使用,幼孕猫犬遵循医嘱使用;\n2.请放置于儿童触及不到的地方;\n3.使用完毕后,请勿放置于阳光直射处及高温处;\n4.使用时避免接触眼,鼻,口等部位。","interaction":"","approval_no":"","storage_method":"","validity":"2年","manufacturer":"湖北淇沃生物科技有限公司","status":1,"created_at":"2020-11-18 15:49:17","updated_at":"2023-11-01 17:00:23"}},"product_sku_info":{"id":840,"product_id":798,"title":"贝安淇沃伴玞爽 皮肤抑菌喷剂 100ml\/瓶\/盒","advword":null,"price":78,"market_price":90,"cost_price":0,"stock":84,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"100ml"}},"cover":null,"thumb":"","sale_count":88,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:33:45","updated_at":"2024-11-18 10:56:01"}}}}}}
微信扫一扫
立即问宠医