咨询描述:大夫您好,我家狗狗咽口水时伸脖子,有时还咳嗽,吃点什么药好呢
回复总结:狗狗咽口水时伸脖子,可能是咽喉位置发炎引起的疼痛反应,也可能是咽喉位置有卡住异物的情况。建议带狗狗去就近的宠物医院做血常规和C反应蛋白的检查,然后拍一下胸腔X光片。如果有感染的情况,需要对症治疗,如果有异物,需要考虑尽快取出。如果不方便带狗狗去医院,可以给狗狗口服具有清热解毒、止咳平喘作用的口服液和止咳消炎的口服药,配合使用含有阿莫西林和克拉维酸钾成分的光谱类抗生素效果更好。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的狗狗情况
我初步判断可能是有咽喉位置的发炎引起的疼痛反应,导致的吞咽时伸脖子,咳嗽的情况。
还有可能咽喉位置有卡住异物(比如骨头,鱼刺等)
但仅仅根据目前您描述的情况,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.宝 贝您养了多久,多大年龄了?是何时发病的?家里还有其他动物吗?
2. 宝贝日常饮食主要喂什么吃?宝贝发病之前(最近几天)都给吃了什么食物;有没有吃过骨头,或者鱼呢?
3.宝贝精神状态,饮食,排便排尿都正常吗?有没有吐的和拉肚子的情况?除了咳嗽还有打喷嚏流鼻涕吗?
4.宝贝最近有没有洗过澡受凉,或者通风受凉等情况?家里环境温度多少度?(理想温度22-25度左右)
5.发病前有没有受过应激刺激?比如说换环境,陌生人或者陌生成员的应激?或者噪音刺激?
6.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
7.家里有没有狗狗专用的药,有的话把包装,规格发上来我看一下。
8.还有宝贝的体重以及过往病史(是否有药物过敏史),疫苗以及驱虫情况
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『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。
王大夫,我家狗狗体温是36.9℃,喂的是狗粮加冻干肉,有时拌点鸡肉或蛋黄,最近没有喂骨头和鱼,精神还好。昨天晚上出现这种现象的 ,同时也吐了,但是今天开始有咳嗽,大便正常21号体外驱虫的,上周洗的澡,前天滴的耳康,滴了有4、5天了,昨天没滴。家里温度22—23℃,吃饭喝水正常,没有受到应急反应,体重11公斤,家里有兽药阿莫西林克拉维酸钾,规格500kg.现在吃的萨鲨软骨素,上个月狗狗脊柱炎治疗之后,大夫让吃萨鲨软骨. 。刚才又干咳,好像嗓子有东西s似的。
王园龙
执业兽医师
感谢您的回复。
1.大耳朵这个情况呢建议您带他去就近的宠物医院做一下血常规和C反应蛋白的检查,然后最好拍一下胸腔X光片,看一下心肺情况以及咽喉位置是否有异物。以及炎症是否很高。如果有感染的话,需要对症治疗,或者有异物的话要考虑尽快取出。
3.36.9℃这个体温是比较低的,正常体温至少应该达到37.5℃。
所以我觉得有必要带大耳朵去就近的宠物医院做一下这几项检查然后再制定用药方案。
4.如果您暂时没时间的话,我这边也可以帮您推荐一些口服药,在大耳朵饮食,排便排尿都正常的情况下可以先口服药看看能否缓解。
后腿内侧是36.9℃,缸内是37.7℃,有炎症应该是体温高吧,但它体温不高。
有时间我听您的带它去医院检查一下,现在您看该用点什么药好呢?
王大夫,上个月大耳朵得的脊柱炎压迫神经,经过治疗后,现在能不能给它吃点人用的甲钴胺和维生素B1,我们这里的大夫让吃萨鲨软骨素,之前狗狗髌骨脱位吃的萨鲨软骨素,脊柱炎吃这个萨鲨也不知道管用不,问问您,您看应该吃点什么药好呢?
王园龙
执业兽医师
根据大耳朵的情况,我给它开个处方。
处方里面的
1. ********口服液,这个有去润肺止咳的功效?
用法用量:口服,每天2次,每次11ml,用药7天
2.*****(大)********片,这个是止咳消炎的口服药,需要配合家里兽用的********一起服用效果会更好。
这个*****的用法用量:口服,每天2次,每次1片,用药7天
王园龙
执业兽医师
脊柱神经炎如果已经治愈了,平时可以服用复合*****口服液就可以,可以起到营养神经的作用,我觉得暂时用不上甲钴胺成分的药。
**软骨素可以继续吃,用来预防骨关节疾病是很好的。
可以用这个******口服液就可以。
如果是神经炎发病期的话还需要带到医院具体治疗的。
王大夫,我记错了不是脊柱炎是颈椎压迫神经,打了7天针,现在回复的还行,也能喝液体B族维生素吗?萨鲨也能治颈椎病吗?这个病应该注意些什么才能让它不复发或少复发。谢谢
王园龙
执业兽医师
不好意思这么晚才回复您。我这刚处理完门诊的病例。是在不好意思。
1.**主要是营养关节。增强关节活力的药品。
颈椎压迫神经导致的脊柱炎可能是由于关节软骨的增生或者是骨骼变形错位引起的,所以用**是没有太好效果的。
2.******口服液可以为神经细胞提供相应的营养,对神经炎有辅助治疗的作用,但是如果是颈椎压迫引起的神经炎,那还是需要先解决病因,然后再营养神经。后期调养是可以喝的。
3.这个病需要控制体重,不可以太过肥胖,容易导致脊柱变形压迫神经,还有就是禁止太剧烈的活动,以免骨骼错位。禁止击打,禁止和其他狗狗疯闹。牵引绳需要换成胸背,以免颈绳对颈部的伤害。
我觉得大耳朵需要减减肥
我们也想给它减肥,就是不知道如何能减下来,喂的少了,每天饿的要吃的,您能给我提个建议吗?谢谢!也谢谢您给开的药和我聊的这么多。
王园龙
执业兽医师
减肥的话可以给大耳朵吃皇家的成犬减肥处方粮,其他肉啊蛋啊每周少吃点就可以。还是要以狗粮为主,其他能不吃就别吃了。这样应该可以控制住体重,达到减肥的效果。
或者只吃家里的狗粮。其他食物都暂停。多喝水,适当运动,还不能剧烈运动,不然骨关节也承受不了。就可以的。无论那种方法,这都是一个漫长的过程。
管住嘴,这个是可以瘦下来的。
好的,王大夫,谢谢您又给了三次追问的机会,也给出了大耳朵减肥的建议。液体*****家里有的,**能不能长期吃啊?狗狗吃萨沙大便干。
昨晚和孩子说了一下,他说今天下午带大耳朵去医院检查检查,查完以后有需要的我再和您联系,再次的谢谢您了
王园龙
执业兽医师
1.**可以长期吃的,如果大便干的话可以多喝水,或者按照以前剂量减半服用,看看排便能不能改善。
2.有需要可以随时联系我。主要还是要听接诊医生的意见,毕竟他们是亲眼看到患者了,我这只能作为参考。
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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