咨询描述:医生您好
症状描述:我家狗子柯基,最近眼睛一直流泪,有眼屎,今天滴眼药的时候扒开眼睛看到眼角那里有一圈白膜。
患病时长:3个月
医院检查:兽医检查说结膜炎
用药情况:兽医开的宠视明,没康复,又问别的宠主,买了氯霉素滴眼液,昨天去看人的医生(也会给狗看),开了盐酸洛美沙星滴眼液、复方硫酸新霉素滴眼液
回复总结:狗狗眼睛有白膜,并且出现流眼泪的症状,考虑是由于眼睑和结膜发炎引发的问题。治疗方面,建议给狗狗口服宠物专用广谱消炎药,同时配合使用宠物专用消炎杀菌的滴眼液。用药后观察4-5天的时间,如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。然后,建议给狗狗佩戴伊丽莎白圈,防止抓挠、剐蹭患处。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我初步分析狗狗是有结膜炎以及眼睑炎问题,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. 狗狗您养了多久?发病多久了?
2. 狗狗是否有抓挠,剐蹭眼睛的症状?
3. 狗狗发病之前,是否有刺激过眼睛?
4. 狗狗现在吃喝玩排便状态如何?
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。
1、养了两年三个月
2、有抓挠
3、刺激眼睛不确定,但是每天都定时出去遛狗,跟别的狗玩,是不是狗子玩闹过程中刺激到眼睛。
4、精神状态正常,排便今天是软便,可能跟昨晚吃了猪头肉有关。但是最近排便状态会有软便。
还有,狗狗的眼睛那圈白膜您能看清楚吗?需要我再拍一张吗?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,白色膜看的不是很清晰,您可以用灯光照射狗狗的眼睛,然后拍摄一些清晰图片过来。
好的,我拍了照片,还录了个视频,但是不知道视频上传清不清楚。
我很焦虑这个事儿,但是我这里是小县城,没有宠物医院,只有兽医,医疗水平不行,去市里带宠物交通不便,所以请您用心帮忙,谢谢。
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.图片上我圈画的这个是狗狗第三眼睑,是由于发炎之后,暴露出来的。平时都是缩回去的。2.然后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由于眼睑,结膜发炎问题,从而导致了一系列症状。
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的口服药,配合宠物专用广谱消炎杀菌滴眼液来进行治疗,观察4-5天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
然后建议佩戴伊丽莎白圈,防止抓挠剐蹭患处,不然会越来越严重。
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
为保护用户隐私不显示图片/视频
那您说这个问题会不会导致失明什么的吗?我也在网上搜了说第三眼睑,不是什么大问题吗?那为什么这么久还不好?
狗子眼睛眼球是不是都看着挺正常的啊?
再有那个伊丽莎白圈,是需要全天带还是用药后带呢?
谢谢您了。
陈奕达
执业兽医师
您好,1.结膜炎,眼睑炎不会导致狗狗失明。2.一般只要积极治疗即可。3.眼球从图片上看还可以。没有发现明显异常。4.伊丽莎白圈必须全天佩戴。
好的好的谢谢您了,就是说我在家治疗的话也不会造成太大影响是吗?
(我忽然想起来狗子有只柴犬小伙伴,老是拿爪子扒我们脸,不可避免会碰到眼睛吧,有没有可能是因为这个受到感染了?)
这样的话那麻烦您给个治疗方案吧,买什么药的话我看看我在我们这边去买。
再有就是前几天用的***滴眼液,昨天晚上开始用的***滴眼液、***滴眼液有影响吗?是不是要停用?
十分感谢!!!
陈奕达
执业兽医师
您好,1.没有条件去专业宠物医院就诊的情况下,那就只能先在家治疗观察一下了。2.狗狗互相之间玩耍,确实有可能刺激到眼睛。3.人类用药建议停止使用,因为人用药是针对人类设计的,并不一定适合给予宠物(动物)使用,效果不一定好,而且可能会有未知性副作用,还请您慎重考虑后采纳使用。4.然后这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症。
2.****滴眼液,宠物专用广谱消炎杀菌滴眼液。
谢谢您。
但是我看拜耳那个是恩诺沙星,但是狗子可能对这个过敏,治疗肠胃炎时有过敏现象。是我没有跟您提,不好意思。是否有影响?或者需不需要能换个?
图二是我刚买的还在路上,有用吗?
等下我可能回不了您了,先跟您再次道谢!祝生活愉快!
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,如果有过敏,那么需要更换其它药物,这边重新给您开具一下处方。
处方里面的
1. 速诺,宠物专用广谱消炎,控制炎症。
2.硫酸新霉素滴眼液,宠物专用广谱消炎杀菌滴眼液。
图片上如果是宠物专用的,那么可以代替处方内滴眼液,给予狗狗使用。人用的那就不要给予狗狗使用了。
陈奕达
执业兽医师
不用客气,非常感谢您对我以及蘑菇宠医的信任🙏。如果没有其它的疑问,不要忘记动动小手,点击左下角评论按钮,给我一个五星好评呦😁 。(您的评论是对我的督促,让我精益求精,帮助更多的宝贝,谢谢💪)。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-23 18:50:26"}}}}}}
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