咨询描述:症状描述:脚上的皮肤一直发红,喷了喷剂一直没有见好。可能是养会舔脚,按压可能有痛感。
患病时长:不稳定一直持续存在,有2个月以上了吧。有时候好点有时候比较严重。
用药情况:喷了伴肤爽,那非普之类的喷剂 貌似没有什么疗效。
回复总结:狗狗脚上皮肤发红可能是趾间炎导致的,也可能是真菌细菌的感染导致的。如果狗狗有疼痛感说明有感染的情况,可以给狗狗口服含有头孢氨苄的消炎药和含有泼尼松龙成分的抗炎药,并且配合外用消炎抗炎的药膏治疗。用药期间需要保持狗狗脚部清洁干燥,并且需要24小时给狗狗佩戴伊莉莎白圈,防止狗狗舔到。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的包子的情况以及图片看
我初步判断应该是趾间炎导致的包子脚部皮肤发红。也可能是真菌细菌的感染导致的。
建议您要24小时给包子佩戴伊莉莎白圈,防止他舔咬脚部。不要带现在这个棉圈,可能保护不到位。
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. 包子您养了多久??家里还有其他动物吗?
2.包子 日常饮食主要喂什么吃?有没有吃过鱼虾蟹一类成分的食物?
3.包子生活环境潮湿吗?他有没有往潮湿的地方趴?喝水有没有弄到脚上湿湿的?
4.身上其他位置有类似的皮肤问题吗?有没有货脚趾肿胀,有渗出液的时候呢?
5.您除了给他用外用药,有没有口服过消炎药和抗炎药控制感染呢?
6.包子的饮食,排便排尿,精神状态都正常吗?走路运动都不当误吧?
7.您有带包子铺宠物医院做过检查吗?家里目前有什么药品可以告诉我一下。
8.还有宝贝的体重以及过往病史(是否有药物过敏史)。
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。
1.狗子养了3年多了吧,家里没有其他宠物。之前养阳光房里面,后来感觉温差比较大,有时候天气比较潮湿,发现它身上有皮肤病的状况,目前我就放在室内了,室外很少去。就是早晚去外面上个厕所就回来了。
2.日常饮食一般就是狗粮+蛋黄+火腿肠这样,偶尔会放维生素,有吃过鱼油胶囊,不过不常吃。
3.在室内环境不潮湿,狗在外面外出便便后回家都会拿毛巾擦个脚,毛巾是拧干水的,难道是潮湿不行?
4.其他部位也有皮肤的问题的,之前身上有红疹,一块的那种红色的,用力擦会有血渍。掉毛。。 之前有严重过。 打过 真菌2号 和 伊维菌素针剂 (一个星期一次已经打了3次) 目前基本不严重已经消退。。不过还是有局部。 不过脚上这个问题好像没有好转过。
5.外用药 伴肤爽、那非普喷剂 (喷完了也没多少效果),我会用双氧水脚部消毒一下。 之后用了 猫狗鲜的药膏 和中药的喷剂 也没有效果。 口服的 吃过 头孢钦安苄片。 吃了2天过吧就没吃了。
6.之前排版走路精神都可以,今天早上起来感觉一直脚走路有点拐,我以为他早上自己跑崴到脚了。后来发现应该是脚的皮肤病疼的原因。
7.没有去过医院。
8.体重是20斤,除了皮肤病问题 其他没有。
王园龙
执业兽医师
1.维生素和鱼油您可以给狗狗长期服用,对狗狗皮肤毛发都是有好处的。
2.毛巾潮湿擦脚的话也会导致狗狗脚部潮,久而久之会导致局部的感染。所以建议您以后尽可能的不要用湿的毛巾给狗狗擦脚了。
3.脚上这个位置如果有疼痛感说明有感染,这个需要口服消炎药和抗炎药,并且配合外用消炎抗炎的药膏治疗。
4.身上的皮肤问题您可以先打皮肤针治疗4-6次,然后停药,如果有复发情况,建议您带狗狗做一个过敏原检查,看看是否是有过敏情况导致的皮肤问题。
1.关于口服消炎药 和 抗消炎药 配合消炎药膏。 具体是哪些药膏的名字? 目前的皮肤情况是属于真菌 还是 螨虫 还是细菌性的 我该如何处理?是不是用药膏就可以治疗?
2.因为都没去过宠物,关于过敏原的检查是怎么做,当场能出结果么?
王园龙
执业兽医师
根据包子的情况,我给它开个处方。
处方里面的
1. ***********片,这个药是消炎药。
用法用量:口服,每天2次,每次2片,用药14天
2.*********.这个是抗炎用药,对皮肤炎症,也有功效。
用法用量:口服,每天2次,每次1片,用药7天
7天后按照每天1次,每次1粒口服,再用14天。
3.*******抑菌膏.这个药膏是再涂消炎药膏
用法用量:涂抹,每天2次,每次1g,用药14天
用药期间保持脚部清洁干燥。
用要7天后可以回来找我复诊,我再帮您制定下一步方案。
用药期间必须24小时佩戴伊莉莎白圈防止舔到。
王园龙
执业兽医师
1.皮肤具体是真菌还是细菌还是螨虫感染,需要做皮肤检查才知道的。如果您用真菌药和螨虫药有效果,那可以先连续打4-6次针再观察看。
狗狗皮肤情况肯定是有细菌感染的。所以口服消炎,抗炎的药也是会有效果的。皮肤感染的话可以打针配合药膏是可以的。
2.过敏原检查需要抽血送实验室检查,可以具体查出是什么导致狗狗过敏,大概需要3-5天才能出结果,一是检查75项过敏原,如果怀疑特殊的过敏可以追加检查。
目前我在上海疫情封闭,没法快递买药。狗子的脚掌好像有些肿痛,有没有什么方式处理或者可以解决这段时间的情况
王园龙
执业兽医师
附近宠物医院没有开门的吗?或者您能买到什么消炎药,或者家里有什么消炎药需要告诉我一下。
上海封闭了,都是关闭状态,快递也只是送生活物资不会送其他东西。 我看了一下,我家里有狗狗用的 头孢噻呋钠 的注射针剂可以用。 其他没有了。
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
1.必须带伊莉莎白圈防止舔到。
2.那可以用这个*****按照说明剂量给狗狗皮下注射。每天一次,连用7天。
(如果家里有****注射液可以每天皮下注射一次,每次5mg。连用7天,起到抗炎作用。没有的话就不用打了。)
3.狗狗的脚只能先用碘伏涂抹,如果能买到***,可以碘伏干了以后涂抹百多邦。绝对不可以舔到。(如果用药3-5天有效果的话可以继续使用。直到康复。如果没有效果那还是需要停药)
4.看看打针消炎的情况下并且不舔能不能消肿。
5.如果都没有任何效果,那只能及时就洗了啊。
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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