咨询描述：一个星期前指甲盖大小现在巴掌大小还在慢慢变大，伴有脓液，掉毛
患病时长：一个星期
回复总结：狗狗毛发脱落皮肤发脓考虑是细菌感染引起，需要给狗狗把患部的毛毛清理干净，然后用双氧水消毒，在口服治疗细菌的药，外喷治疗细菌的喷剂，期间需要坚持用药，不能停药，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫。用药期间最好给狗狗除了吃饭喝水都戴上嘴套子，再把狗狗的指甲修剪平整，狗狗居住的环境也需要彻底的大消毒，以后每周消一次毒，狗窝可以拿出去晒晒太阳，照顾完狗狗后也需要洗手、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，我初步分析宝贝是皮肤病的症状，但仅仅根据目前的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.您家宝贝多大了，体重大概是多少，您拍的照片是宝贝的哪个部位，其他部位有没有类似的症状，您有没有给宝贝用过什么药
2.您养宝贝大概多长时间了，宝贝平时都吃哪种食物，最近有没有给宝贝换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致宝贝出现呕吐的症状，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;
4.宝贝有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给宝贝用过什么药;
5.宝贝目前精神状态怎么样，有没有吃东西.喝水，宝贝有没有接种过疫苗，做过体内体外的驱虫。
6.宝贝居住的环境有没有突然降温，宝贝趴在垫子上，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。
多大了不太清楚大概两岁左右，15kg，受伤位置脖子偏下，没其他症状就是抓痒比较频繁，掉毛，
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，根据您的描述结合您发的狗狗患部的照片来看，狗狗是细菌感染，需要给狗狗把患部的毛毛清理干净，然后用双氧水消毒，在口服治疗细菌的药，外喷治疗细菌的喷剂，细菌感染治疗周期比较长，一般需要用药半个月左右才会逐渐恢复，期间需要坚持用药，不能停药，如果断断续续用药会使狗狗产生耐药性，延长治疗周期，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗细菌感染的风险。细菌感染周期比较长，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗出现抓挠，舔舐的症状，会有利于狗狗皮肤的早日康复。狗狗住的环境需要彻底的大消毒，以后每周消一次毒，狗窝拿出去晒晒太阳，有助于杀菌消毒，您自己照顾完狗狗也需要吸收、消毒，家里如果有其他狗狗建议隔离开，不要养到一起，近期不建议遛狗狗，等狗狗恢复之后就可以遛了，以上建议您可以参考一下。
是吧感染一块的毛清除还是全身的毛都清除啊，这两种药可以吗
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好，狗狗主人，您把把狗狗感染部位的毛毛清理一下，没必要全身清理，清理毛毛的时候，把感染的部位可以稍微清理大一些，防止细菌二次感染，然后阿微菌素是体外驱虫喷剂，正常每一个月给狗狗喷一次就可以了，聚维酮碘溶液具有消炎抑菌的作用。给狗狗感染部位用双氧水消毒，消完毒之后喷聚维酮碘喷剂，然后用无菌的纱布轻轻包扎一下伤口，可以防止细菌感染，然后再给狗狗，需要口服消炎药，两者相结合，大概需要检查用药半个月左右，狗狗会出现好转的情况。
我现在在乡下附近没宠物店，没有口服的怎么办，可以确定是细菌感染吗？会传染人吗
刘文飞
执业兽医师
您好，狗狗主人，狗狗皮肤病的病因一般就是细菌感染、真菌感染、体外寄生虫感染引起的，您家狗狗感染部位所表现出来的特征是细菌感染的特征，所以我这边诊断为细菌感染，细菌感染是不传染给人的，但是您每次给狗狗用药的时候需要带上一次性手套。用完药之后勤洗手消毒，注意环境卫生的消毒，狗狗住的窝可以拿出去多晒晒太阳，有助于杀菌。我处方推荐您口服的消炎药和消炎药膏您可以参考一下
根据狗狗的情况，我给它开个处方。处方里面的1.***对狗狗的炎症作用效果比较好，按狗狗的体重用药；2.**凝胶对狗狗皮肤表面消炎抑菌效果比较好。
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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