咨询描述:医生你好:狗狗一岁半,是女生,约克夏,大概3-3.5公斤,平时不经常出去遛,前两天出去遛弯回来发现肚子这里一块红红的但是没有虫咬的印记,就很轻微的一点点红红的,其余地方也没有异样。昨天晚上发现原本一点点红红的地方(腹部)有了一片红点,然后在它的四肢内侧也有几点红印子,没有腹部那块面积那么大,就是零星的几个小红点,脸上也有但是有点被它抓破的样子,屁股附近也是有一块可能被它自己咬破的类似印记。很明显这两天抓痒的动作多了很多。胃口精神大小便都很正常,身上也没有皮屑,因为不常出去,基本上三周左右洗一次澡,最近也没有带她去外面洗过澡
我想问一下这个大概是个什么病因,需要用些什么药呢
回复总结:狗狗身体发红发痒主要有两种情况,第一种是狗狗有可能对某种东西或食物过敏,引起身体患部瘙痒、发红,需要给狗狗吃抗过敏的药,再及时找到过敏源。第二种是细菌感染的症状,也就是脓皮症,需要给狗狗口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,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,做体外驱虫可以很好的降低狗狗脓皮症感染的风险。
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,我初步分析狗狗是脓皮症的症状,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.您家狗狗一岁四个月大了,体重大概是4千克,狗狗有没有在遛的过程中被蚊虫叮咬,目前身上多处发红,比较痒,您有没有给狗狗用过什么药。狗狗洗澡用的是宠物专用沐浴液吗,有没有完全吹干
2.您养狗狗大概多长时间了,狗狗平时都吃哪种食物,最近有没有给狗狗换过食物或者吃过什么特殊的东西,有没有呕吐、腹泻的症状;
4.狗狗有没有出现咳嗽,打喷嚏,流鼻涕的症状,您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样,有没有吃东西.喝水,狗狗有没有接种过疫苗,做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温,狗狗趴在垫子上,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。
发现这个情况之前没有用过药,昨晚用生理盐水给它擦了一下局部红红的地方,喷了一点点可鲁的复合溶菌酶消毒喷剂。用的一直是同一个牌子的宠物狗专用沐浴露,每次洗澡都吹的很干的,之前没有发生过这个情况。
它四个月的时候我就带回家养了,家里还有个约克夏哥哥六岁多,哥哥没有这个情况,哥哥这两天也是一起同时出门遛的,我检查过,哥哥完全没有红点。之前一直吃的网购的冠能益生菌粮,因为上海被封两个月只能买到其他的,就换了两次狗粮,进食和排泄都很正常。
狗狗身体一直很棒,没有任何的咳嗽,鼻涕异样,精神也一直很好,居住环境一直是干燥的卫生的,一直和我们睡在床上在室内地板上玩的,就是前两天出去遛完回家慢慢有这个皮肤问题了。
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,狗狗目前的症状有两种情况,第一种是狗狗有可能对某种东西或者食物过敏,引起身体患部瘙痒,发红,需要给狗狗吃抗过敏的药,在及时找到过敏源,第二种是细菌感染的症状,也就是脓皮症,需要给狗狗口服治疗脓皮症的药,外喷治疗脓皮症的喷剂,脓皮症感染治疗周期比较长,一般需要用药一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脓皮症感染的风险。脓皮症感染周期比较长,用药期间最好给狗狗除了吃饭喝水戴上伊丽莎白圈,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洗手、消毒,以上建议您可以参考一下。
过敏药和脓皮症的药可以推荐一下吗?
这两种情况的话我要怎么分辨是哪一种呢?
期间可以洗澡吗?
这个皮肤问题会传染给另一只狗狗吗?
期间饮食需要注意些什么吗?
刘文飞
执业兽医师
过敏一般吃两三顿药就会恢复,脓皮症需要用药一个月左右,狗狗目前的症状不好判断,需要做临床检查,狗狗暂时不要洗澡,过敏不会传染,脓皮症会传染。目前正常饮食,如果是过敏,需要找到过敏原,从源头上控制。根据狗狗的情况,我给它开个处方。处方里面的1.****片对狗狗脓皮症引起的炎症作用效果比较好,按狗狗的体重用药;2.***对狗狗皮肤表面消炎抑菌效果比较好,如果是过敏可以吃*******。
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
{"337606":{"id":337606,"case_id":39356,"user_id":1345841,"to_user_id":1405150,"type":3,"content":"过敏一般吃两三顿药就会恢复,脓皮症需要用药一个月左右,狗狗目前的症状不好判断,需要做临床检查,狗狗暂时不要洗澡,过敏不会传染,脓皮症会传染。目前正常饮食,如果是过敏,需要找到过敏原,从源头上控制。根据狗狗的情况,我给它开个处方。处方里面的1.****片对狗狗脓皮症引起的炎症作用效果比较好,按狗狗的体重用药;2.***对狗狗皮肤表面消炎抑菌效果比较好,如果是过敏可以吃*******。","media":{"images":{},"videos":{},"business_params":{"prescription_id":113524}},"is_doctor":1,"status":1,"created_at":"2022-06-03 12:01:48","show_rx":true,"rx_info":{"id":113524,"rx_no":2.02206031155135e+24,"user_id":1405150,"doctor_user_id":1345841,"is_independent":0,"case_id":2762195,"pet_info":{"pet_id":299153,"pet_name":"约克夏","pet_nickname":"yoko","pet_gender":2,"pet_birth":"1-4","pet_weight":4,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁4个月"},"diagnose":"脓皮症(疑似过敏)","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-03 11:55:13","updated_at":"2022-06-03 12:01:48","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":30157,"prescription_id":113524,"doctor_user_id":1345841,"product_id":714,"product_sku_id":756,"dose":0.8,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-06-03 11:55:13","updated_at":"2022-06-03 11:55:13","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":30158,"prescription_id":113524,"doctor_user_id":1345841,"product_id":798,"product_sku_id":840,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-06-03 11:55:13","updated_at":"2022-06-03 11:55:13","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":30157,"prescription_id":113524,"doctor_user_id":1345841,"product_id":714,"product_sku_id":756,"dose":0.8,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-06-03 11:55:13","updated_at":"2022-06-03 11:55:13","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":30158,"prescription_id":113524,"doctor_user_id":1345841,"product_id":798,"product_sku_id":840,"dose":2,"dose_unit":"毫升","use_method":"外喷","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2022-06-03 11:55:13","updated_at":"2022-06-03 11:55:13","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