咨询描述:你好 上个月我的猫指甲缝里突然长了一颗肉芽,去检查说好像是嗜酸性肉芽肿,开了消炎药回来吃了一礼拜不见消,有流出少量分泌液有一点点臭味,我每天给他涂杀菌药水就好很多,但是到了前天她下嘴唇突然肿了,我以为是上火有个小白脓点,今天发现小脓点变多了,这到底是什么情况呢
回复总结:猫咪嗜酸性肉芽肿是由细菌引起的,如果真的是嗜酸性溃疡的话,有两个方面来进行治疗:第一个方面也是最根本的就是需要找一找可能的过敏原,可以考虑给猫咪做一个过敏原的筛查。第二个方面,因为过敏原筛查费用较为高昂,如果不方便带猫咪去宠物医院做检查,也可以考虑给猫咪吃一段时间的激素类药物,看看会不会有所帮助,或者是直接注射激素类药物,效果更快。如果吃药能控制住,就继续吃药,如果控制不住,需要给猫咪手术切除。
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,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.您家猫咪快六岁了了,体重大概是多少,猫咪下巴和指甲如图所示的症状是同时出来的吗,除了吃消炎药,有没有吃其他的药,猫咪有没有抓挠舔舐的症状
2.您养猫咪大概多长时间了,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。
体重4.4左右偶尔有一点点微微浮动
先有指甲上的快大半个月了,嘴巴上是这两天才有的,如图所示样子,之前查手指的时候顺便也开了治疗肚皮上貓藓的药,是个液体,喝七天停七天一个疗程现在一个疗程了,基本肚皮上的小红点消了很多,但是还有零星的几颗,等我忙完继续买药给她再巩固一疗程,这个药听说副作用是对肝脏有点影响,但是她喝下来吃喝拉撒心情都很正常,所以感觉还好。
抓挠到没有,正常舔毛洗脸,感觉手指上那个肉芽不痛也不痒的,下巴这个肿的比较大,估计我捏她会有点疼,
从小养的,六年多了,最近没有吃特别奇怪的东西,就是前两个月换了一次粮,之前都是吃卫士鸡肉冻干粮,前两月换了一袋海陆双拼冻干粮,我在怀疑她是不是里面某些海鲜肉干过敏?但是医生说她手是真菌感染,嘴上的叫我去做细胞活检我还没去,那个医生一天到晚叫我各种检查,说手上的肉芽要开刀才能去除,呕吐的话最近很少很少,就前天吃饭吃得太快了刚吃完就吐光了,之后重新吃了没啥问题,没有腹泻症状
她有时候半夜睡起来会突然打喷嚏,连打几个,我觉得应该是空气里有刺激的漂浮物?但是最近两年她一直有这个症状,就是突然感觉鼻腔里有东西呛到她她想哈出来或者打喷嚏,过会儿又好了,
疫苗最近两年没有接,她一直在我房间不出门也不社交就没打,驱虫去年有滴福来恩,最近一直疫情就没弄了
居住环境就在家里,一直睡在我床上,有时候跑去客厅玩一会还是会回来睡觉的
刘文飞
执业兽医师
您好,猫咪主人,收到您发图片,猫咪这个症状是嗜酸性肉芽肿的症状,猫咪患上嗜酸性肉芽肿是一个很常见的现象常常发生于猫咪的口腔,但是病因尚不明确但是可以肯定的是猫咪嗜酸性肉芽肿是由细菌引起的,如果真的是嗜酸性溃疡的话,有两个方面来进行治疗。第一点也是最根本的就是得找一找可能的过敏原。可以考虑给猫咪做一个过敏原的筛查。第二点,因为过敏原筛查费用较为高昂,如果不太方便去做这个检查的话呢,也可以考虑给猫咪吃一段时间的激素类药物,看看会不会有所帮助。或者是直接注射激素类药物,这个要来的比较快。我推荐了您一款消炎药和激素类药物,两者需要同时服用,然后猫咪目前口腔的症状会引起他食欲下降,您可以给猫咪吃营养膏或者温水把猫粮泡软,这样比较好咀嚼一些,不然干的猫粮比较硬,猫咪咀嚼起来会有困难。我先开了一周的药,您先给猫咪坚持吃一周的时间,观察猫咪的症状。猫咪嗜酸性的肉芽肿,如果吃药能控制住,就继续吃药,如果吃药控制不住,需要给猫咪手术切除(医生提出的建议是正确的)您可以先给猫咪吃消炎药和糖皮质激素内药物,再把含有海鲜的猫粮给猫咪暂时停掉,换成其他的猫粮,看猫咪是否有好转。
已经恢复之前鸡肉冻干粮了,又买了一些猫罐头,她口腔里还没有长,就是下巴和手指,上次开的小白粒消炎药吃了一周感觉没有效果,你这次看的是啥呀,会不会有副作用?她六岁半了我很担心有什么后遗症导致年长以后有问题,过敏源的话会不会是猫砂啊,最近用了点pidan的豆腐渣膨润土混合猫砂,不过用完了不打算买了效果不好还贵,新买的领先小星球猫砂不错,准备以后不过敏就用这个了,我打算再把房间大扫除一下,看看会不会好一些,麻烦您开药我看看哦
刘文飞
执业兽医师
您好,猫咪主人,猫咪下巴上的症状已经有轻微化脓的情况,您需要用生理盐水给猫咪冲洗,冲洗完之后吃消炎药观察症状,因为下嘴唇距离嘴巴太近了,猫咪会出现舔舐的情况,所以不能涂抹消炎药膏,爪子上的位置可以把毛毛清理干净,然后再涂抹消炎药膏,给猫咪居住的环境彻底的消毒,以后每周消一次毒,保持环境清洁干燥。猫窝拿出去晒晒太阳,猫咪偶尔也晒晒太阳,有助于杀菌消毒,我处方开的药是消炎的药和激素类药物,这两种药相对来说消炎药的副作用比较小,但是激素类药物副作用比较大,需要吃一周之后停药,观察猫咪的症状。猫咪嗜酸性的肉芽肿必须要吃到激素类药物,抗组胺类药物,这个是不能避免的
根据猫咪的情况,我给它开个处方。处方里面的1.***对猫咪嗜酸性的肉芽肿引起的炎症作用效果比较好,按猫咪的体重用药;2.*******(狗狗、猫咪用的激素类药物)控制炎症效果比较好,3.**凝胶对狗狗皮肤表面消炎抑菌效果比较好。
刘文飞
执业兽医师
您好,最后把3打错了,应该是3.对猫咪脚上的肉芽消炎抑菌作用比较好,用药期间给猫咪戴好伊丽莎白圈防止猫咪抓挠舔舐
为什么消炎药开了两个呢?第二个一百片我应该吃不了这么多的吧?它们具体剂量怎么用药呢,刚称了一下4.35kg
之前医生开了个喷剂我感觉也就那样 上次开的小白片我忘记是什么药了也没啥效果,嘴唇和手指要分开吃药吗?感觉嘴唇里面脓很多都肿了
刘文飞
执业兽医师
您好,一个是消炎药,一个是激素类药物,两者配合使用效果比较好,嗜酸性肉芽肿必须要用到的就是激素类药物,如果有好转需要隔三天继续吃,剂量没有问题,***(50毫克)给猫咪每天吃一次,每次吃半片,****(5毫克)每次一片,每天两次,坚持用药一周观察情况,医生上次开的小白片有可能是**,也是消炎药,嘴唇上和手指用药一样,不用分开吃,手指上可以涂抹**凝胶,嘴唇上如果用生理盐水冲洗没有作用,需要用到双氧水,双氧水冲洗会比较疼,注意别让猫咪伤到您,如果吃药抹药一周仍然没有好转,需要考虑用激光治疗或者手术切除。
好的好的 冲洗不太能实现用棉签盐水沾涂抹也可以的吧?她日常舔毛洗脸不会传染吧?会传染我吗?目前还没有传染给我 应该不会的吧
刘文飞
执业兽医师
您好,可以棉签蘸生理盐水擦拭,多擦拭几遍,嗜酸性肉芽肿不传染给人,您照顾完猫咪正常吸收消毒,是不传染给人的。
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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