咨询描述：狗狗是个泰迪狗，有四五岁了。有两方面问题，一是近一段时间感觉它的腿行动起来有点异样，不像以前那么灵动，上台阶的时候有时会被挡一下的样子，左后腿有时上台阶会抬起来，它有时还去用嘴去唔它的左后腿那里，感觉好像是疼。二是最近它吃东西后吐，有时弓背，好像是不舒服，去当地宠物医院诊断可能是胰腺炎，给它打的针，打了两天，现在不吐了，第一天没喂它，第二天也就是昨天看它很饿光找吃的，就喂了它一点狗粮，今天早晨大便正常，今天是第三天，还需要打针吗？感觉它精神状态不跟以前，总是躺着趴着。
回复总结：狗狗的腿出现行动不灵活的现象，很有可能是存在关节骨骼问题。处理办法上，建议最好带狗狗去宠物医院给患肢进行x光片，以及关节穿刺细胞学检查，进一步确诊病因以及发病程度，然后针对性给予治疗，效果最好。如果暂时不方便就诊，建议先给狗狗口服宠物专用广谱消炎药，同时配合服用抗炎止疼的药物以及营养关节的口服药来进行治疗。用药后观察5-7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。
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，1.狗狗的呕吐问题，还是建议坚持用药2-3天的时间，这样可以避免疾病反复。2.腿脚问题，我初步分析狗狗是有患肢关节问题，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. 狗狗发病之后，都做了什么检查？您可以上传一下化验结果过来，这样我可以进一步了解狗狗病情。
3. 狗狗腿脚发病之前，是否有剧烈运动？是否有打架？
4. 狗狗平时饲养在哪里？生活环境温度能达到多少度？是否有昼夜温差？
5.狗狗的疫苗，以及驱虫情况如何？
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。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。
我家狗狗养了四五年了，从它出生两个月就养了，发病时间感觉大概有一两个月。发病之后没有做过检查，需要做什么检查？它也没有剧烈运动也没有打架，每天领它出去玩就是爬台阶上到一个台子上面。它平时总是爱跳跃，见到我们或是准备出去玩的时候都是跳的很高。它平时就是和我们住在一起，楼房，没有昼夜温差。疫苗每年正常打，驱虫也是一年一次。
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很有可能是有关节骨骼问题，从而导致了一系列症状。跟平时喜欢跑跳，运动不当，关节有负荷有一定关系。
狗狗这种情况最好给予患肢进行一下x光片，以及关节穿刺细胞学检查。进一步确诊病因以及发病程度，然后针对性给予治疗，效果最好，最为安全稳妥。
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，抗炎止疼，营养关节的口服药来进行治疗，观察5-7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。
如果考虑在家保守治疗，您可以告诉我狗狗体重信息，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。
我家狗狗是十一斤重，女狗。那个治疗呕吐打了两天针，它现在不吐了，大便也挺好，今天还去打针吗？
陈奕达
执业兽医师
您好，1.打针还是建议持续几天的（坚持3-4天左右）。2.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. ***，宠物专用营养关节用药，促进关节疾病恢复。
3. ***，宠物专用抗炎止疼用药，缓解关节疼痛。
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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