咨询描述：狗狗的脚起了个豆，被它舔肿了
患病时长：1周
回复总结：狗狗出现脚上长痘痘的症状有三种可能性，第一种是皮脂囊肿，涂抹消炎药和药膏即可。第二种是皮肤脓包，需要给狗狗吃消炎药，外抹消炎药膏，用药期间需要给狗狗戴上伊丽莎白圈，再把狗狗的指甲修剪平整、光滑，狗狗居住的环境也需要彻底的消毒，狗窝拿出去晒晒太阳，狗狗偶尔也可以晒晒太阳，保持环境清洁、干燥。第三种是皮肤肿瘤，需要带狗狗去宠物医院做临床检查，判断皮肤肿瘤是良性或者恶性，是否已经扩散，需不需要切除。
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13岁了，体重大概是8千克，爪子上的豆您发照片我看看，长了多久了，有没有用过什么药，有没有长大的情况，摸上去硬的还是软的，其他部位有没有类似的症状
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。
1，宠物是狗狗。痘痘长了一周左右了，起初是个硬的红色痘痘，后来它忍不住舔变成大的软的痘痘了，其他部位没有类似情况。
2，养了12年了，平时我吃啥它吃啥，没有吃过特殊的东西，直到今天也饮食正常。
3，因为狗狗老了，所以一般除了下去遛它，基本都在睡觉。
4，今天给涂了百多邦
5，目前精神还行，吃东西喝水都正常。小时候接种过疫苗，半年内做过一次体外驱虫
6，最近家里开空调了，狗狗垫子上和地上都会睡。大部分时间在床上
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，结合您发的图片来看，狗狗快十三岁了目前的症状有两种可能性，第一种狗狗的症状是皮脂囊肿，当毛囊和毛孔被堵塞时，狗狗的皮肤会发炎，然后长出小痘痘，皮脂能让狗狗的毛发发亮，但也会堵塞狗狗皮肤上的毛孔，导致皮脂囊肿。皮脂囊肿只要不是非常大的疙瘩，一般对狗狗没有害。如果想治疗的话，可以用一些消炎药和药膏涂抹即可；第二种狗狗有可能是皮肤脓包，您看到的痘痘是皮肤表面的脓包，需要给狗狗吃消炎药，外摸消炎药膏，坚持用药5-7天左右狗狗症状就会好转，需要给狗狗戴上伊丽莎白圈，把狗狗指甲修剪平整、光滑，防止狗狗出现抓挠舔舐的去，狗狗居住环境需要彻底的消毒，狗窝拿出去晒晒太阳，狗狗偶尔也可以晒晒太阳，以后每周给狗狗居住环境消毒，保持环境清洁、干燥；第三种皮肤肿瘤，如果您摸到的是一小硬块，而且有长大的情况，那可能会严重一点，可能是皮肤肿瘤。狗狗的皮肤肿瘤有多种，有些是良性的，但也可能会发展成恶性肿瘤。这需要去宠物医院，宠物医生做临床检查进行判断，皮肤肿瘤是良性或者恶性，是否已经扩散，需不需要切除。皮肤肿瘤的治疗包括手术、放射治疗、化学治疗等，或这些治疗的组合治疗，以上分析与建议您可以先参考一下。
刘文飞
执业兽医师
我按照皮肤脓包给狗狗开个处方，根据狗狗的情况，我给它开个处方。处方里面的1.***对狗狗皮肤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
{"338537":{"id":338537,"case_id":39448,"user_id":1345841,"to_user_id":1549232,"type":3,"content":"我按照皮肤脓包给狗狗开个处方，根据狗狗的情况，我给它开个处方。处方里面的1.***对狗狗皮肤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。","media":{"images":{},"videos":{},"business_params":{"prescription_id":113753}},"is_doctor":1,"status":1,"created_at":"2022-06-05 16:39:20","show_rx":true,"rx_info":{"id":113753,"rx_no":2.0220605163746503e+24,"user_id":1549232,"doctor_user_id":1345841,"is_independent":0,"case_id":2765143,"pet_info":{"pet_id":227400,"pet_name":"田园犬","pet_nickname":"球球","pet_gender":2,"pet_birth":"12-8","pet_weight":8,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"12岁8个月"},"diagnose":"皮肤脓包（炎症）","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-06-05 16:37:46","updated_at":"2022-06-05 16:39:20","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":30686,"prescription_id":113753,"doctor_user_id":1345841,"product_id":706,"product_sku_id":749,"dose":0.8,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-05 16:37:46","updated_at":"2022-06-05 16:37:46","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":30687,"prescription_id":113753,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-05 16:37:46","updated_at":"2022-06-05 16:37:46","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}}},"drug_data_bak":{"0":{"id":30686,"prescription_id":113753,"doctor_user_id":1345841,"product_id":706,"product_sku_id":749,"dose":0.8,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-06-05 16:37:46","updated_at":"2022-06-05 16:37:46","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":30687,"prescription_id":113753,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-06-05 16:37:46","updated_at":"2022-06-05 16:37:46","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":284,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 13:36:03","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1098,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":295,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:09:35","updated_at":"2024-11-08 12:55:21"}}}}}}
微信扫一扫
立即问宠医
