咨询描述:症状描述:身体颤抖,站立比较费劲。
患病时长:15天左右
用药情况:葡萄糖酸钙
回复总结:狗狗出现全身颤抖以及走路无力的症状,考虑是有神经炎的问题。如果条件允许,建议带狗狗去就近宠物医院化验血液,同时做神经定位学检查,如果有必要,还需要进行头部的ct或者核磁共振扫描检查,确诊病因以及发病程度,然后针对性的用药治疗。如果暂时不方便就诊,建议先给狗狗吃宠物专用广谱消炎药。同时,还需要配合服用抗炎止疼的药物以及缓解神经水肿、营养神经的口服药来进行治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
您好,狗狗家长,根据您以上描述,我初步分析狗狗有可能是体内离子代谢异常,神经或者关节方面的问题,引发了一系列症状。
为了更好的帮助宝贝,我还有几个问题需要向您了解一下,
1. 狗狗您养了多久?发病之前是否有什么特殊事件?例如惊吓,外力撞击,打架等?;
2. 狗狗吃喝玩排便状态如何?;
3. 狗狗平时饲养在哪里?生活环境温度能达到多少度?;
4. 狗狗是否还有其它症状?例如打喷嚏,流鼻涕,咳嗽,呼吸急促,腹泻等等;
5.是否有狗狗行动的小视频,您可以发送过来。
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配合。
养了半年了,之前有点感冒,眼睛很红。吃喝玩跟正常,平时养在厨房,环境温度差不多8度,
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
根据您的描述以及上传的小视频上看,依个人的经验判断,狗狗出现过感冒的症状,并且现在出现了抽搐的情况,那么个人大概率怀疑狗狗是由于病毒(犬瘟病毒)性感染,从而引发的神经炎问题,然后导致了现在小视频上的症状。之后我还有几个问题追问您一下,以进一步了解狗狗的情况,
一,狗狗之前感冒的时间是什么时候?现在是否还有感冒症状?
二,狗狗从发病到现在是否做过检查?
三,狗狗注射的是什么疫苗?注射疫苗之后是否检测过抗体?
之前感冒是在一个月以前,现在已经没了,没做过检查注射的犬瘟疫苗和狂犬疫苗
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是有神经炎方面的问题,从而导致了一系列症状。跟之前的感冒,以及营养缺乏有一定的关系。如果没有做过基础检查以及抗体检查,即使注射过疫苗,也不一定能预防住犬瘟病毒,所以还是有感染的概率(以个人经验的判断,我比较倾向于是病毒感染侵入神经)。但是由于没有检查化验结果,无法百分之百确诊具体病因(个人可以70-80%判断)。所以这种情况有两个建议供您采纳,
1.如果条件允许的情况下,建议去就近宠物医院化验宝贝的血液,眼鼻口分泌物,神经定位学检查,进一步确诊病因以及发病程度,然后针对性的用药治疗,效果是最好的。(如果有必要的情况下,还需要进行头部的ct或者核磁共振扫描检查)
2.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,抗炎,缓解神经水肿,营养神经的口服药来进行治疗,观察一段时间。
(但是还需要提示您一下,因为宝贝状态不是很理想,并且没有百分之百确诊病因,所以在家观察治疗,可能会有严重发展的情况,还请您慎重考虑)
然后您可以(申请处方,告诉我宝贝是否有过敏史👌 )我这边可以根据宝贝现在的症状给您制定一套适合宝贝的用药方案,供您采纳。
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27-25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。
陈奕达
执业兽医师
这边暂时先给您推荐一套适合宝贝现在症状的用药,可以先用药3-4天,如果效果很好,可以持续用药1-2周的时间。但是如果效果不理想,一定要及时就诊治疗,以免耽误宝贝的治疗时机。具体用法用量可以点击下方(查看详情按钮)处方查看。
给宝贝开的处方内药物
1.***,宠物专用广谱消炎,控制炎症。
2.维生素口服液,补充维生素,营养神经。
3.***片,宠物专用抗炎用药缓解神经水肿。
4.***片,宠物专用镇静用药,减缓抽搐症状
这是狗狗的大便,狗狗刚拉的
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,感谢您的回复,谢谢。从图片上看,狗狗的大便没有太特殊的明显异常,这个是好现象,因为症状越少,说明狗狗的疾病问题越不严重。
陈奕达
执业兽医师
您好,大便干硬,跟吃的食物以及狗狗消化有一定关系。可以给狗狗单纯的饲喂一段时间的狗粮。然后可以适当增加狗狗的饮水量,一般2-3天左右,狗狗的大便就会跟正常的便便软硬程度相同。
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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15:45:25"}},"3":{"id":1746,"prescription_id":100791,"doctor_user_id":1249218,"product_id":774,"product_sku_id":816,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-01-18 13:11:56","updated_at":"2022-01-18 13:11:56","product_info":{"id":774,"hash_id":"7GDJdPpkE6gWkR6K","class_ids":{"0":1,"1":2},"category_ids":{"0":173},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":63,"sell_point":"摩登狗泼尼松龙 P5 5mg","title":"摩登狗泼尼松龙 P5 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