咨询描述:症状描述:狗狗脸上长了个疙瘩,可能有一年了,之前没有变大,但从2月到现在长大了一些,肉眼看明显,用力按压有积液,挤了一些出来疙瘩就小了一点,但再按感觉是实心的。不过不管是怎么用力按它都不觉得痛。之前问的医生要我用注射器排出积液,但是它很抗拒不配合,所以只能消毒之后用纸巾挤了些出来,然后涂了点***软膏。这个疙瘩如果不处理会影响他的健康吗?
(最后一张图是2月,倒数第二张是今天,感觉变大了很多。)
患病时长:1年
用药情况:酒精消毒、红霉素软膏涂抹
回复总结:狗狗脸上长疙瘩主要考虑两种原因,第一种是由于皮肤炎症感染引起的脓肿,处理方面需要给狗狗把患部的毛毛用推子清理干净,然后再用碘伏和酒精消毒,消完毒之后需要穿刺挤出里面的脓汁,然后再给皮肤表面涂抹宠物专用的消炎药膏,并配合口服消炎药治疗。第二种是皮肤肿瘤,狗狗的皮肤肿瘤有多种,有些是良性的但也可能会发展成恶性肿瘤。这需要宠物医生进行判断皮肤肿瘤是良性或者恶性,是否已经扩散,需不需要切除。
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,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.您家狗狗十一岁八个月大了,体重大概是20千克,狗狗出现如图所示的症状有一年了,狗狗有没有抓挠的症状
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;
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。
1.它没有抓挠,自己估计没什么感觉
2.从满月养起,从小养大的,平时都是吃宝路狗粮、最近开始吃鸡肉冻干,还会给它吃没有放调料的肉汤或者肉拌饭,没有呕吐腹泻
3.家里只有一只狗
4.没有咳嗽流鼻涕,去年和今年夏天各吃了一盒阿福拉纳咀嚼片驱虫
5.很活泼,但应该是老了所以白天睡觉时间比较长,吃饭喝水都照常,胃口也很好
6.天热了睡在地板上
刘文飞
执业兽医师
您好,狗狗主人,收到您的详细描述,结合您发的图片来看,狗狗目前脸部出现鼓起一个包的情况,这种情况有两种原因,第一种是由于狗狗皮肤炎症感染,出现脓肿,正常需要给狗狗把患部的毛毛用推子清理干净,然后再用碘伏和酒精消毒,消完毒之后,穿刺挤出里面的脓汁,然后再给皮肤表面涂抹宠物专用的消炎药膏,口服消炎药,坚持用药十天左右,狗狗皮肤脓包的症状就会逐渐恢复,如果狗狗比较抗拒,不让医生穿刺挤出里面的脓汁,要考虑给狗狗打麻醉之后顺利剂出浓汁,不然长此以往下去皮肤脓包会出现长大的情况。11岁的狗狗麻醉之前必须要给狗狗做临床检查,要是身体情况允许,可以给狗狗打麻醉,如果身体情况不允许就只能吃药,吃药恢复起来比较慢;第二种情况是皮肤肿瘤,如果您摸到的是硬的突起,那可能会严重一点,可能是皮肤肿瘤。狗狗的皮肤肿瘤有多种,有些是良性的,但也可能会发展成恶性肿瘤。这需要宠物医生进行判断,皮肤肿瘤是良性或者恶性,是否已经扩散,需不需要切除。皮肤肿瘤的治疗包括手术、放射治疗、化学治疗等,或这些治疗的组合治疗,以上分析与建议您可以参考一下
硬的突起摸起来是什么样的感觉?它的肿块表面上是积液,底下摸起来是像蚊子包一样的感觉
刘文飞
执业兽医师
硬的突起就是摸上去比较硬,比皮肤硬,肿块表面有积液,皮肤脓肿的可能性比较大,底下皮肤摸起来像蚊子咬的是皮肤炎症的症状。
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.阿莫西林克拉维酸钾,对狗狗皮肤脓肿引起的炎症作用效果比较好,按狗狗的体重用药;2.可鲁凝胶对狗狗皮肤表面消炎抑菌效果比较好,您可以根据需求自行选择购买
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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