咨询描述：小狗昨天下午被沙发垫砸了一下，然后发现头抬不起来，站不稳，撅着屁股，但是晚上出去遛遛的时候，还拽绳子，能胡跑很激动，今天早上起来又是呢也 头抬不起来，屁股撅着，感觉站不稳，喂啥也不吃，这种可以自愈吗，麻烦你看下片子怎么样，还有没有别的问题
回复总结：狗狗被砸后有头抬不起来的症状，考虑是由于颈椎关节问题导致的，跟外力的撞击以及剧烈运动都有一定的关系。处理办法上，建议给狗狗口服宠物专用广谱消炎药，抑制关节炎症，以及口服抗炎止疼的药物，同时还需要配合服用缓解神经水肿的药物和营养神经、关节方的药物来进行治疗。然后，建议近期禁止狗狗剧烈运动，同时避免狗狗着凉。
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，我初步分析狗狗是由于颈椎的问题(您标记这里，有轻微错位的情况)，导致了一系列症状，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. 狗狗现在是否可以左右，上下摆头？
2. 狗狗昨天晚上出门玩耍，是否有剧烈运动？或者上窜下跳？
3. 狗狗除了x光片，是否有有进行脊椎的ct扫描检查？
4. 您可以录制一个狗狗行动的小视频，发送过来，我可以初步的了解一下狗狗的病情。
5.狗狗现在采取的什么治疗方案以及用药？
1.可以左右摆头，上下不太行，他不愿意抬头；2.有的，昨天可激动了就呢种拽着绳子跑，还转圈；3.没有进行脊椎的扫描，这个是看什么的呀；4.没有视频，他现在睡着了，就是走路一挪一挪，感觉四肢站着有点摇晃，然后头抬不起来（就跟第一张图片一样）就呢种眼睛往上的看人，还有点发抖，你看他的呢个腰是不是有点点歪，也不想坐下，就呆呆的站着5.现在就是在静养，我想知道，看片子他还有别的问题吗，
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，1.脊椎的ct扫描，主要判断狗狗的脊椎，颈椎缓解的变形程度，然后考虑进一步的治疗方案，是否需要考虑手术治疗。2.从现有的x光片来看，并没有发现明显的其它异常问题了(除了肠道内有一些蓄便以外)。3.根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于颈椎关节问题，压迫了局部神经，从而导致了一系列症状(神经的传导出现了异常)。跟外力的撞击，以及剧烈运动都有一定的关系。
如果暂时不方便就诊，可以在家先给宝贝吃一些宠物专用广谱消炎，抗炎，缓解神经水肿，营养神经，营养关节方面的口服药来进行治疗，观察5-7天的时间。如果效果不错，可以持续用药2-3周左右，直到疾病康复为止即可。然后近期内，禁止狗狗剧烈运动，以及着凉，不然可能会进一步加重狗狗的病情。
陈奕达
执业兽医师
补充一个题外的情况，从x光片来看，狗狗的心脏有一些肥大，如果条件允许，建议给予狗狗进行一下心脏彩超以及心电图，心脏生化的检查，进一步判断狗狗是否还有心脏病问题。
现在打了一针保护神经的不发炎的针 一针维生素针，早上打完针后排便了。这种是可以愈合的吗，他会很疼吗，昨天的运动会有影响吗
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，1.疼痛这个需要看狗狗的症状来判断，如果狗狗不敢行走，或者动作僵硬，那么确实是有疼痛的问题。(属于中度疼痛)。2.从小视频上看，行走的姿势还可以，应该并不是很疼通。3.如果没有继发性的问题，例如神经炎等，一般是可以逐渐恢复的。4.剧烈的运动，也是属于疾病的诱发因素之一。个人认为有影响。
心脏肥大有什么影响吗，他在博美体型里算是比较大的，这个算是胖吗，然后比如热或者运动以后就会有呢种伸舌头，喘气的样子，是肥胖影响的吗，但他之前精神状态很好，就是很活泼，这个愈合的话要多久会好呀，对，他很喜欢站，前脚就是趴在人腿上，后脚站在地上；继发性问题，就是如果打针的话是不是就不会发生了。
陈奕达
执业兽医师
您好，1.心脏形态不正常，很有可能会有心脏病的问题。从图片上看，狗狗并不是很肥胖。2.所有的狗狗炎热或者运动过后都会吐舌头，因为需要舌头以及唾液蒸发进行散热，这个属于正常生理现象。3.愈合时间不固定，一般需要3-8周不等。4.继发问题，主要跟狗狗的体质，以及恢复程度有关系。而用药打针，只是治疗疾病，以及把继发性的问题发生概率降到最低，并不会百分之百杜绝。
1.呢如果心脏有问题，会有什么影响呢，需要吃什么药呢，2.愈合的话有什么注意事项呢，比如不要抬头什么的，饮食有什么注意的吗
陈奕达
执业兽医师
您好，1.心脏病不同的程度，需要给予不同的用药来进行治疗(具体用药，现在暂时无法判断)。狗狗的心脏病，跟人类的一样，没有紧急发作的情况下，一般不会危及生命，但是也不能轻视它。因为一旦发病，可能会致命。2.狗狗康复之后，唯一需要注意的就是禁止剧烈运动。3.饮食没有特殊注意的，正常进食即可，但是需要注意不能太油腻。
呢像你之前说的药有什么吗消炎的 神经的呢种药有推荐吗，谢谢医生
陈奕达
执业兽医师
您好，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，缓解关节疼痛以及神经水肿。
4.维生素口服液，补充维生素，可以起到营养神经的效果。
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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