咨询描述：您好，我们家狗狗七岁，母狗未绝育，四岁生育过一次。五天前发现狗狗不爱打闹，两条腿站起来会疼痛，站立后腿会有点发抖。昨天发现最后一对右乳腺旁边有一个不到1cm的不规则硬块，边缘清晰，按硬块狗狗不疼，旁边还有一个比绿豆小的小硬粒。这是乳腺结节或者乳腺肿瘤吗？
另外，狗狗阴部有点肿大，可能是快来月经了。吃喝拉撒都正常。
回复总结：针对狗狗腿疼、发抖的症状，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，同时配合服用抗炎止疼的药物以及营养关节的药物。如果狗狗乳房出现硬块，建议增加使用托消化瘤方面的口服药来进行治疗，另外最好带狗狗去宠物医院做肿物细胞学检查，诊断是普通增生还是乳腺肿瘤。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的狗狗后腿发抖，疼痛的症状，我初步分析是有骨骼关节方面的问题。而乳腺硬块问题，这个有待进一步了解，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. 狗狗现在行走姿势如何？；
2. 狗狗的其它乳腺是否有硬块问题？，；
3. 狗狗现在吃喝玩排便状态如何？；
4. 狗狗您养了多久？以前是否有什么病史？
5.狗狗发病之后，是否做过检查？
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，把您家爱宠具体的『年龄、体重』提供一下，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。
1.狗狗现在行走姿势很正常，但遛弯不会像以前一样疯跑，偶尔趴着站起来的时候或者走着走着会嗷的叫一声，疼痛的那种叫声。并且提着前爪提起来的时候她会疼。
2.其他乳腺没有问题，只有最后左乳腺旁。
3.排便尿尿正常，吃喝感觉比以前稍微少一点点。
4.狗狗养了七年，以前没有生过病。
5.还没去医院检查。
陈奕达
执业兽医师
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有两个方面的问题，1.狗狗年龄老化之后，出现了关节骨骼方面的问题，例如关节炎，缓解磨损，关节增生。2.狗狗的乳腺出现了增生，或者乳腺肿瘤（进一步判断，需要提供化验结果来分析，盲目猜测，无法进行确诊性判断），从而导致了一系列症状。跟年龄老化有一定的关系。
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，抗炎止疼，营养关节，托消化瘤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3-4周左右直到疾病康复为止即可。
好的。
狗狗乳腺的硬块会导致疼痛吗？我怀疑她偶尔的疼痛和不站起来打闹是肿块导致的来着。
去宠物医院的话要做什么化验呢？如果是肿瘤的话有没有什么明显的症状可以判断
陈奕达
执业兽医师
根据您的描述，1.狗狗的乳腺问题，应该不疼，因为如果疼痛，在按压或者揉搓的情况下，狗狗会抗拒，有疼痛的表现。2.而狗狗这种不定时，或者行走姿势稍微不正的时候，出现疼痛，个人比较倾向于是关节问题。3.检查需要做，①体表肿物超声检查，②肿物细胞学检查，③骨骼关节的x光片或者ct检查。4.肿瘤跟乳腺增生的症状差不多，用肉眼或者触摸是没有办法进行进一步的诊断的。
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。（不疼的时候不用给予。疼痛的情况下，按照每周一个疗程服用）。
4****片，宠物专用活血化瘀，托消化瘤用药。（狗狗发情期不能用，需要过了发情期使用）
好的好的，我明白啦！
狗狗这两天阴部有点肿大，肿的有点像公狗的样子，是不是在发情期了？我给您附了一张图片。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，从图上看阴部确实有一点肿大，可能是要发情了，不过还是有待观察一段时间。
好的，我会密切观察，是不是要尤其观察肿块是否变大，另外体重需要观察吗？
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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