咨询描述:您好,宠物柯基,28斤,快5岁,公狗,前几天突然抬不起头,一抬脖子或者左右扭就惨叫一嗓子,有人敲门他下意识叫完之后也会马上惨叫一下,惨叫完浑身发抖,去了宠物医院拍片(常规片),脖子周围骨骼显示无异常,骨缝中间有一点点阴影,后来打了消炎针止疼针,打完的1~2天有好转,基本第2~3天恢复打针前抑郁、躲角落、不爱动的状态,现在又有点严重了,左前腿走路内八,落地往里旋着一下,右后腿走路发僵。食欲正常,排便正常,近几天水喝得多。
症状描述:不特定动作或突然刺激导致下意识汪汪叫会突然惨叫,之后浑身发抖,精神抑郁,躲角落,不爱动,走路迟缓,不能蹦跳。一周左右,左前腿走路偏内八,右后腿走路发僵。
患病时长:一周
医院检查:拍常规片颈部周围骨骼无异常,骨缝略有阴影,打了消炎针止疼针,即刻好转1~2天,随后恢复症状。
回复总结:狗狗一抬脖子就出现惨叫的现象,考虑是由于脊椎关节疼痛导致的症状。治疗方面,建议给狗狗服用宠物专用广谱消炎药,控制炎症感染,同时配合服用抗炎止疼用药,缓解疼痛症状。此外,还需要给狗狗服用补充关节营养的药物,促进关节疾病快速恢复。然后,建议不要让狗狗剧烈运动。如果条件允许,建议带狗狗去宠物医院做CT检查,确定骨关节发病程度,然后进行对症治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您的小视频以及提供信息,个人分析,狗狗这种情况是属于颈椎关节的问题,引发了疼痛,然后导致了您描述的一系列症状。这种情况如果狗狗没有反复发作。然后这种情况,如果条件允许,建议给狗狗进行ct影像的检查,这样可以进一步确诊狗狗的病情。因为颈椎的结构特殊性。所以普通的x光片诊断信息有限,并不能完全的对狗狗病情百分之百确诊。
颈椎关节问题的话,他抬头扭头应该办不到吧?现在抬头扭头是正常的,只有发病严重的时候不喜欢抬头,或者抬起有明显抗拒抖动,发病期间偶尔来回溜达,或者原地转圈走一圈,明显感觉左前腿有点问题,后腿有点无力。现在发病期可以抬头看主人,低头吃饭,但走路缓慢,不想蹦跳,昨天发现前后腿有问题的时候是在外遛狗,走平时一半的路程明显感觉到不想走,原地趴一会,头枕前肢呈拜佛状,缓一会叫起能小跑(比正常走路稍微快一些)。大概是这些症状。视频里面状态好是因为刚去医院又打了消炎针止痛针,打上就见效,但只能维持2天左右。
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.颈椎关节如果严重但一定程度,那么确实可以发展到无法扭头的一个程度。2.您可以想象一下我们人睡落枕的情况,疼的时候几乎不敢扭头。但是随着症状缓解,或者不严重的情况下,扭头还是可以做到的。3.颈椎内有中枢神经,如果颈椎发病,可能会影响神经的传导异常,所以感觉四肢有异常的症状,也是有可能的。4.而且像您说的,用上止疼就好,停药又发病,那么这种持续性疼痛,结合狗狗的症状,以个人10年经验判断分析,颈椎方面的问题概率高达90%。
那该怎么治疗或者用药?我所在城市比较小,没有宠物医院有ct跟核磁共振,现在又临近过年,有没有什么可以应急的办法或者药物?
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,控制炎症。
2. ***,宠物专用广谱抗炎止疼用药,缓解疼痛。
3.***,补充关节营养,促进关节疾病恢复。
陈奕达
执业兽医师
然后给您再总结一些照顾宝贝一定需要注意的几点,
①需要改善宝贝生活环境,需要环境温度达到26-25度恒温(不能着凉,因为着凉会加重宝贝的病情)。
②需要改善饮食,需要吃宝贝专用狗粮,用温水泡发,搅拌成糊糊(好消化,易吸收,对消化道刺激性小),以少吃多餐为原则喂食。
③不要让狗狗剧烈运动,尤其是紧急回头这种。
好的医生,那麻烦问一下,如果想进一步确诊,是拍CT就可以还是需要核磁共振?
陈奕达
执业兽医师
您好,可以先做ct的扫描检查,因为看骨骼,隔壁的效果没有ct那么好。而且ct性价比高一些。费用大概在***-***左右,地区差异不一样,费用也可能会有一定差异。
因为也怀疑过是不是神经炎,当地医生说要拍核磁共振,常规片无异常所以就没往骨头问题方面去想,再麻烦问一下,如果是您说的病症,那治疗成功率跟复发率是多少呢?后期需要哪方面注意或者增加营养?
陈奕达
执业兽医师
您好,1.如果是颈椎关节问题,只能维持治疗,或者考虑手术治疗。主要看具体的发病程度以及具体病因。2.成功率以及复发概率这个暂时还没有办法计算,因为发病程度暂时未知。3.后期主要就是静养,不能让狗狗剧烈运动。其次就是不能猛烈的摇头晃脑。然后就是不能着凉,因为着凉也有可能加重病情。4.营养方面,还需要就是给予口服营养关节用药了。食物方面忌油腻,以及不好消化的食物即可,例如骨头。
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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