咨询描述:您好医生,我家五岁的公拉布拉多前胸处颤抖抽搐,而且狗狗很疼,吃了止痛药好一些,但是药效过完后后就会复发
回复总结:狗狗有胸口抽搐的症状,考虑是神经炎或骨关节异常引发的问题。处理方案上,建议带狗狗去宠物医院进行核磁共振的扫描检查,进一步确诊病因和发病程度,然后进行对症治疗。如果暂时不方便检查判断,建议先给狗狗口服宠物专用广谱消炎药,同时配合服用缓解神经水肿、疼痛的药物和营养神经的药物控制症状。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的狗狗发抖,疼痛,我初步分析狗狗有可能是有神经炎,或者肌肉拉伤发炎,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. 狗狗发病多久了?发病之前是否有剧烈运动?或者打架,外力撞击?;
2. 是否给狗狗进行过检查?;
3. 狗狗走路,行走姿势如何?
4. 狗狗吃喝玩排便状态是否受到影响?
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,把您家爱宠具体的『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。
您好医生,家里狗狗已经排过片子了,骨头没有大问题,狗狗走路不敢走,弓着背夹着尾巴,不吃止痛药的情况下食欲减少,排便没有问题,目前本地医生判断是脊椎神经问题,如果要检查的话要去做核磁共振,但是我们省只有省会一家医院可以做,现在本地医生给的方案是每天打三针,止痛针,营养神经针,抗炎针。一开始认为是肌肉拉伤,但是已经快两个星期了,止痛药也吃完了,只要一吃完就会犯,
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, 如果狗狗已经进行保守治疗一段时间之后,效果并不理想,那么这种情况个人的建议也是进一步的对狗狗进行核磁共振的扫描检查,进一步确诊发病位置以及病因,发病程度。这样可以具体了解到狗狗的疾病情况,同时可以判断狗狗的疾病治疗方法,以及可以治疗到什么程度。如果实在不方便进一步检查判断,那么以狗狗现在的疾病情况,只能给予止疼,抗炎,营养神经用药来进行维持,没有太特殊的好方法来帮助到狗狗了。(说实话,检查这下部分的费用,省不下)。
从现在的情况看,狗狗不是肌肉问题,因为肌肉问题,一般2周的治疗还是有很好效果的。
好的医生,那如果选择静养保守治疗的话可以起到很好的治疗效果吗?我们准备是打针之后用药物静养,毕竟没做过检查目前也不确定,狗狗现在走路是没问题,就是有点护疼,而且本地医生说脊椎神经的问题很难去治本,目前走路的话就是以下的情况
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.保守治疗,经验,最理想的状态就是维持现状,病情不持续的发展,恶化。2.然后适当给狗狗减减肥,减轻一下体重,能好一些。平时尽量不要给狗狗吃肉类食物,或者少吃。
好的谢谢医生,那如果想要彻底根治的话就是得去做核磁共振再进行下一步的治疗吗,根据您的推测脊椎神经这方面的问题可能性是最大的了吗,,
陈奕达
执业兽医师
您好,1.是的,如果想进一步治疗,以及知道狗狗疾病可以治疗到什么程度,需要进一步的进行检查确诊。2.根据我们的沟通,以我十多年的经验判断,狗狗神经炎的可能性,要比肌肉方面的问题大。(80-90%的概率)。
那就目前来说,有什么药物可以使用的吗,需要补充维生素吗,或者说平时护理有什么要注意点吗
陈奕达
执业兽医师
您好,1.给您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26-25度恒温(不能着凉,因为着凉可能会加重宝贝的病情)。
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。
③禁止狗狗剧烈运动。
2.用药方面,您可以告诉我狗狗的体重信息,这样我可以帮您开具用药,并且帮您计算好用法用量,供您采纳参考。
陈奕达
执业兽医师
您好,根据狗狗的情况,我给宝贝开个处方。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症问题。
2. ***,宠物专用抗炎止疼用药,缓解神经水肿,疼痛。
3. 维生素口服液,补充维生素,可以起到营养神经效果。
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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