咨询描述：症状描述：边牧十三岁半，四肢肘部you癣，左前肘最严重。用的****
回复总结：狗狗长藓考虑是真菌感染的情况，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，期间需要坚持用药，不能停药，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整。其次，狗狗住的环境需要彻底的大消毒，以后每周消一次毒，狗窝拿出去晒晒太阳，有助于杀菌消毒，自己照顾完狗狗后也需要洗手、消毒。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，我初步分析狗狗是皮肤病的症状，但仅仅根据目前的信息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.您家狗狗十三岁半了，体重大概是20千克，您家狗狗多久洗一次澡，用的是什么浴液，是不是宠物专用的，洗完有没有吹干，狗狗是在笼子里养的，还是栓养的或者散养，肘部有没有摩擦比较严重，您有没有给狗狗用药，狗狗有没有抓挠舔舐的症状
2.您养狗狗大概多长时间了，狗狗平时都吃哪种食物，最近有没有给狗狗换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致狗狗出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
4.狗狗有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样，有没有吃东西.喝水，狗狗有没有接种过疫苗，做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温，狗狗趴在垫子上，还是地板上
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，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
两到三周洗澡一次，专用沐浴露，大型吹水机吹干，吃老年犬粮，用的****效果不明显
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，根据您的描述结合您发的狗狗患部的照片来看，狗狗是真菌感染，需要给狗狗口服治疗真菌的药，外喷治疗真菌的喷剂，建议给狗狗把狗狗肘部的毛毛剃掉，用药效果比较好，真菌感染治疗周期比较长，一般需要用药一个月左右才会逐渐恢复，期间需要坚持用药，不能停药，如果断断续续用药会使狗狗产生耐药性，延长治疗周期，一般需要每三个月给狗狗做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低狗狗真菌感染的风险。真菌感染周期比较长，用药期间最好给狗狗除了吃饭喝水戴上嘴套子，再把狗狗的指甲修剪平整，防止狗狗出现抓挠，舔舐的症状，会有利于狗狗皮肤的早日康复。狗狗住的环境需要彻底的大消毒，以后每周消一次毒，狗窝拿出去晒晒太阳，有助于杀菌消毒，家里有没有老人和小孩，如果有老人和孩子建议不要让他们接触到狗狗，因为狗狗是真菌感染，会传染给人，老人和小孩皮肤免疫力抵抗力比较差，比较易感，所以不建议接触，您自己照顾完狗狗也需要洗手、消毒，给狗狗住的地方铺上比较软的垫子，尽量避免狗狗肘部摩擦硬物，以上建议您可以参考一下。
刘文飞
执业兽医师
根据狗狗的情况，我给它开个处方。处方里面的
1.*****片对狗狗真菌引起的炎症作用效果比较好，按狗狗的体重用药;2.******喷剂对狗狗皮肤表面消炎抑菌效果比较好。
狗狗已经十三岁半了，后腿明显没有劲了，我们还需要注意什么？或者给它补充什么？
刘文飞
执业兽医师
您好，狗狗主人，狗狗13岁半了，已经是老龄犬了，您需要给狗狗补钙，每天按照狗狗的体重给狗狗补钙，年龄大了之后钙容易流失，然后给狗狗清淡饮食，适当的活动，尽量少爬楼梯。
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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