咨询描述：小狗之前就是脚上红肿，走路跳着走的。后来它就一直舔，期间有点时候喂它一点消炎药。最近就忽然很严重了，碰一下应该也很痛。从红肿开始，大概有四五个月了。
回复总结：狗狗的脚出现红肿的症状主要考虑两种情况，第一种是由于脚底肉垫扎到异物导致的，需要先把异物给狗狗清理出来，清理出来之后如果有化脓，需要用双氧水消毒，如果没有化脓，可以用碘伏消毒，消完毒之后再给狗狗涂抹宠物专用的消炎药膏，并配合口服消炎药物治疗。第二种是患有趾间炎引起的，需要把狗狗脚底、指头缝里的毛毛用推子清理干净，清理干净之后用碘伏消毒，消完毒之后再给狗狗涂抹宠物专用的消炎药膏，并配合口服消炎药物。
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，我初步分析狗狗是趾间炎的症状，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.您家狗狗多大了，体重大概是多少，出现如图所示的症状多久了，有没有给狗狗做临床检查，给狗狗喂完消炎药是否有好转。
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;
3.家里几只狗狗
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。
小狗养了三年，现在十五斤左右，当时喂好消炎药之后就好转一点，但是一停就又反复红肿。最近小狗脚应该很痛，经常在舔，有的时候能落地。检查什么的 都没做过。这个症状出现大概两个月，之前只是隔着毛看得出脚红肿。平时就是吃米饭，没有呕吐情况。也没有打喷嚏什么的，只是脚有问题，家里也只有一只小狗。东西每天都在吃，但是食量不多。
刘文飞
执业兽医师
您好，狗狗主人，我这边收到您的详细描述，结合您发的图片来看，狗狗目前脚底肉垫的症状有两种情况，第一种是由于狗狗脚底肉垫扎到异物正常需要把异物给狗狗清理出来，清理出来之后如果有化脓，需要用双氧水消毒，如果没有化脓，可以用碘伏消毒，正常消完毒之后。给狗狗涂抹宠物专用的消炎药膏，再给狗狗口服消炎药，大概坚持用药五到七天左右，狗狗脚底的症状就会逐渐好转，两周左右就会康复，期间需要坚持用药。第二种情况就是狗狗有是趾间炎的症状，正常需要把狗狗脚底、指头缝里的毛毛用推子清理干净，清理干净之后用碘伏消毒。消完毒之后再给狗狗涂抹宠物专用的消炎药膏，指头缝隙需要仔细消毒、用药，口服消炎药。大概坚持用药两周左右，狗狗趾间炎的症状就会逐渐恢复。用药期间需要给狗狗把指甲修剪平整光滑。防止狗狗出现抓挠的症状，再给狗狗带上伊丽莎白圈防止狗狗舔食，会有利于狗狗早日康复。狗狗居住的环境还需要消毒，每周消一次，用宠物专用的消毒液消毒，消完毒之后狗狗可以出去晒晒太阳，会有利于狗狗早日康复。以上分析与建议您可以先参考一下。
如果是有异物但是取不出来怎么办？还有消炎药膏具体是买哪个
刘文飞
执业兽医师
如果扎到了异物，您自己没办法取出来，就要领狗狗去宠物医院或者兽医站，让专业的大夫帮狗狗取出来。
根据狗狗的情况，我给它开个处方。处方里面的1.***对狗狗趾间炎引起的炎症作用效果比较好，按狗狗的体重用药；2.**凝胶对狗狗患部消炎抑菌效果比较好。
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
{"370927":{"id":370927,"case_id":42818,"user_id":1345841,"to_user_id":2052169,"type":3,"content":"如果扎到了异物，您自己没办法取出来，就要领狗狗去宠物医院或者兽医站，让专业的大夫帮狗狗取出来。\n根据狗狗的情况，我给它开个处方。处方里面的1.***对狗狗趾间炎引起的炎症作用效果比较好，按狗狗的体重用药；2.**凝胶对狗狗患部消炎抑菌效果比较好。","media":{"images":{},"videos":{},"business_params":{"prescription_id":117048}},"is_doctor":1,"status":1,"created_at":"2022-07-09 16:15:50","show_rx":true,"rx_info":{"id":117048,"rx_no":2.0220709161533502e+24,"user_id":2052169,"doctor_user_id":1345841,"is_independent":0,"case_id":2810290,"pet_info":{"pet_id":308688,"pet_name":"中华田园犬","pet_nickname":"Lulu","pet_gender":1,"pet_birth":"3-0","pet_weight":10,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"3岁"},"diagnose":"趾间炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-07-09 16:15:33","updated_at":"2022-07-09 16:15:50","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":37913,"prescription_id":117048,"doctor_user_id":1345841,"product_id":706,"product_sku_id":749,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-07-09 16:15:33","updated_at":"2022-07-09 16:15:33","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":268,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-04-30 09:03:20","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":392,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":279,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-04-29 18:59:56"}},"1":{"id":37914,"prescription_id":117048,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-09 16:15:33","updated_at":"2022-07-09 16:15:33","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":241,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-04 09:39:02","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1141,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":252,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-03 22:50:02"}}},"drug_data_bak":{"0":{"id":37913,"prescription_id":117048,"doctor_user_id":1345841,"product_id":706,"product_sku_id":749,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":7,"number":1,"remark":"","created_at":"2022-07-09 16:15:33","updated_at":"2022-07-09 16:15:33","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":33,"sell_point":"拜有利恩诺沙星风味片 50mg","title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染，以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/1988349ed1be553a88eea3abc43ee00c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":268,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-04-30 09:03:20","ins":{"id":33,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/4d389fce8db21b6a36a3a1009ec2a1de.JPG","specification":"50mg×10片\/盒","reference_price":160,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染，以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服：一次量，每1kg体重，犬、猫5mg，每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"（2019）外兽药证字52号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:50:56","updated_at":"2022-01-14 15:42:03"}},"product_sku_info":{"id":749,"product_id":706,"title":"拜耳拜有利恩诺沙星风味片 50mg×10片\/盒","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":392,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":279,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-04-29 18:59:56"}},"1":{"id":37914,"prescription_id":117048,"doctor_user_id":1345841,"product_id":789,"product_sku_id":831,"dose":2,"dose_unit":"厘米","use_method":"涂抹","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-07-09 16:15:33","updated_at":"2022-07-09 16:15:33","product_info":{"id":789,"hash_id":"L7kR354mQ24X8V1q","class_ids":{"0":1,"1":2},"category_ids":{"8":169},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":2,"sell_point":"复合溶菌酶抗菌消炎凝胶30g","title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","recommend_reason":{"0":"用于手术切口、骨折外固定支架伤口等皮肤创口","1":"用于阴囊炎、趾间炎等局部皮肤感染","2":"安放导尿管、鼻饲管时，润滑和抗感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"黑下巴,皮肤病,细菌感染,溢脂性皮炎,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"30g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/2d5fb6f2345052da66c545c7f216a846.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":241,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-04 09:39:02","ins":{"id":2,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复合溶菌酶抗菌凝胶","trade_name":"可鲁凝胶","en_name":"Compound Lysozgme Antibacterial Gel","brand_name":"可鲁","is_prescription":0,"cover":"\/drug\/2020\/10\/a1e373fd288413041f78ef44d47e2da6.JPG","specification":"30g\/支","reference_price":100,"component":"溶葡萄球菌酶、溶菌酶、醋酸氯己定、冰片、甘油等","indication":"1.皮肤创口护理:手术切口、食管插管切口、骨折外固定支架伤口等。\n2.局部皮肤感染:慢性溃疡、阴囊炎、趾间炎、毛囊炎、感染伤口等。\n3.安放导尿管、鼻饲管时,涂抹于导管上,起润滑和抗感染作用。","usage_dosage":"1.创面涂薄薄一层即可,数分钟形成白色保护膜。\n2.每日2-3次涂抹于患处,创面较大需要增加使用频率。\n3.配合可鲁复合溶葡萄球菌酶喷剂使用效果更好,可鲁喷剂喷洒于患处,作用1分钟或自然晾干,可鲁凝胶均匀涂抹于患处。","contraindication":"","adverse_reaction":"","attention":"1.凝胶涂抹后形成保护膜,保护患处,避免接触污染物。\n2.本品需作为原剂使用,切勿用水稀释过后使用。\n3.放置于宠物和儿童接触不到的地方。","interaction":"本品不能与双氧水、高锰酸钾、碘制剂等氧化性物质配伍或合用。","approval_no":"","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"昆山博青生物科技有限公司","status":1,"created_at":"2020-10-21 13:42:55","updated_at":"2020-10-26 14:35:57"}},"product_sku_info":{"id":831,"product_id":789,"title":"可鲁复合溶菌酶抗菌消炎凝胶 30g\/支\/盒","advword":null,"price":68,"market_price":100,"cost_price":0,"stock":1141,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"30g"}},"cover":null,"thumb":"","sale_count":252,"status":1,"delete_status":0,"created_at":"2021-12-20 18:09:35","updated_at":"2024-05-03 22:50:02"}}}}}}
去微信领券提问
实时接受医生通知
