咨询描述:医生您好,我家狗今年快八岁,一直没生病过。这两天突然发现,他右侧,后边胯骨位置,肿了一个大包,可能是之前不明显。包摸起来是软的,今天有有点变大了,吃东西拉尿都没有发现什么异常,走路也没觉得有问题。昨天洗澡,看包那里的皮肤略微泛红,有血丝。由于疫情严重,麻烦您帮忙看一下是什么原因,我再带他去相对靠谱的医院治疗。(图上是包的大小,感觉像是积液)
回复总结:狗狗身上皮肤泛红有肿包,考虑是由于外力因素刺激引发的局部皮下发炎、肿胀、增生问题。治疗方面,建议给狗狗口服宠物专用广谱消炎药,同时配合服用活血化瘀、托消化瘤的口服药。然后,可以每天热敷患处,起到一定物理疗法。如果是老年狗狗,还需要怀疑是否有肿瘤的问题,建议带狗狗去附近宠物医院就诊,确诊病因以及发病程度,然后针对性给予治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析狗狗这里是有皮下增生或者囊肿的问题,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. 狗狗这个包,是活动的?还是固定的?
2. 按压包,狗狗是否不舒服?是否疼痛?
3. 狗狗这个位置最近一段时间是否有外力因素刺激?例如打针,撞击等?
好的医生,这个包是固定的,不来回活动。我家狗胆子比较小,可能是轻微按压疼痛她也不敢躲,但是我觉得昨天洗澡时,给她清洗皮肤的时候,这个位置她会有反应,可能是有些疼或者不舒服的感觉。最近几个月内,可能有一次家里来人,她叫的太凶老人踢他或者是踹了一脚,当时我没有看到是怎么回事,也闹了点不愉快就把狗抱走了。
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很有可能是由于外力因素刺激,引发的局部皮下发炎,肿胀,增生问题,从而导致了一系列症状。但是处于狗狗年龄考虑,还需要怀疑是否有肿瘤的问题。
最好的方案是带狗狗去附近宠物医院就诊,进一步确诊病因以及发病程度,然后针对性给予治疗,效果最好,最为安全稳妥。
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,活血化瘀,托消化瘤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2-3周左右,直到疾病康复为止即可。然后可以每天热敷一下患处,能够起到一定物理疗法,帮助狗狗。
您看肿瘤的几率大吗?因为一个月前刚带他去美容过,当时并没有发现有这个包,且离她被踢也有不算短的时间了。另一侧相同位置什么都没有,扁塌的。这个大小的包,如果是外伤所致的话,您看形成需要多久?因为我也查了一下,也怕是一个月前美容不当,毛剃的太短了,引起的皮肤感染发炎。您帮忙看一下,更像是哪种原因可以吗。
陈奕达
执业兽医师
您好,1.如果用比例形容,那么肿瘤的概率在20-30%左右。2.刚开始可能症状不明显,所以没有发现,然后可能会认为狗狗并没有疾病问题。3.形成时间无法预估,就算看到实体动物,也是没有办法判断的。4.美容不当,皮肤表面发炎不像,因为如果有皮肤表面发炎,会有皮肤局部掉毛,结痂等症状。5.综合现在所有信息,我还是比较倾向于我的判断。
好的医生,那我就放心了。因为附近宠物医院就两家,只有一家可以美容,他家回来以后我总觉得洗的不太干净,且送去的宠物过多,也怕有传染疾病。还有,您可以告诉我到医院需要做哪些检查吗?我怕医院给我开一堆没必要的检查,也是邻居告诉我他去过之后一些不愉快的经验。所以在这里,只能麻烦您帮忙指点一下,哪些必须做的检查。谢谢您。
陈奕达
执业兽医师
您好,狗狗这种情况需要进行的基础检查,1.局部细针抽吸细胞学检查,2.超声检查,3.血液常规检查。4.医生的触诊检查。其它方面的检查,这个需要根据基础检查结果出来之后,才能进行判断。
陈奕达
执业兽医师
您好,然后这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症感染。
2. ***片,宠物专用活血化瘀,托消化瘤用药。(发情期禁用,度过发情期再用)
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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