咨询描述：医生，两个月右右了，我家狗狗皮肤表面光滑正常无异样，背上极痒又挠抓不到，我们帮它挠抓时，力度比较重了，还不能解它的痒，这是什么原因？
回复总结：狗狗皮肤正常，但出现瘙痒的症状，一般称为瘙痒症，引起的原因有很多，比如过敏、皮肤的结构变化、缺乏维生素等等。处理办法上，建议给狗狗口服宠物专用卵磷脂营养补充剂，一天3次，连用7天。同时，还需要给狗狗服用符合维生素，一天3次，连用7天。然后，建议给狗狗做好体外驱虫。
问题大致一样，细节不同？
陆文健
执业兽医师
根据您讲到的狗狗这两个月背部瘙痒，但皮肤没有异样 ，我初步判断可能和夏天季节中常用的物品导致狗狗轻度过敏有关，比如使用杀虫剂、空气清洁剂、消毒剂、杀虫剂或者蚊香、花露水或者其他人用的皮肤喷剂、洗澡的浴液等导致狗狗轻微皮肤过敏。
但仅仅根据您目前提供的信息，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、狗狗这两个月精神状态和食欲都是正常吗？
2、除背部瘙痒外，其他部位狗狗有没有频繁挠痒痒？还有没有除瘙痒外的其他异常现象或者症状？
3、您回忆一下这两个月家里有没有比较频繁使用杀虫剂、空气清洁剂或者其他经常使用的环境用品？
4、狗狗最近一次外寄生虫驱虫是什么时间？使用了什么驱虫药？
5、狗狗有没有使用药物进行治疗？什么药物？效果？
以上这些情况您仔细回忆后详细的描述给我，对我给狗狗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：精神状态和食欲正常
2：爪子、耳根都痒，只有肚子和胸前没见挠过。
3：家里没用任务环境用品，狗狗沐浴露用的是雪貂（抑菌护肤）
4：6月15日用欣宠克驱体外虫
5：吃了两次***没明显效果，喷了本草花露水有缓解作用。
陆文健
执业兽医师
狗狗这种皮肤瘙痒，但皮肤没有明显的异常的情况，一般称为瘙痒症，引起的原因有很多，比如过敏（喷雾剂、花草、外寄生虫分泌物）、皮肤的结构变化（比如皮肤油脂的分泌减少、皮肤干燥）、缺乏维生素（比如维生素A等）、内脏疾病（比如肝脏问题、黄疸、肾脏衰竭问题、高血糖问题）。
目前从您的描述所提供的信息来看，分析如下：
1、狗狗除瘙痒以外一切正常，可以排除内脏疾病导致的瘙痒；
2、狗狗使用了***，没有明显效果，说明不是过敏原因导致；
3、6月15日使用***外驱，也是在您的狗狗瘙痒的时间段，说明狗狗也应该不是外寄生虫感染；
通过以上的分析，只能是怀疑是狗狗皮肤结构问题，或者维生素缺乏问题导致的皮肤瘙痒，这两种问题化验室还没有有效的技术手段进行确诊。
给您的建议是：
1、先按狗狗皮肤结构改变的问题，或者维生素缺乏问题导致的皮肤瘙痒进行用药尝试治疗，主要药物有*** 犬磷虾卵磷脂宠物营养补充剂和*** 复合维生素；
2、如果您使用的本草花露水有缓解作用的话，可以继续适量使用。
下面我给您的狗狗开个处方，尝试进行治疗，供您参考。
陆文健
执业兽医师
根据狗狗皮肤瘙痒，但皮肤基本上正常，怀疑皮肤结构的变化或者缺乏维生素的情况，我给它开个处方。处方里面的：
1、*** 犬磷虾卵磷脂，对于不停褪色、毛质粗糙 、瘙痒不适 、持续掉毛有效；
2、*** 含有各种维生素以及其他一些狗狗必须的营养素，增强免疫力和皮肤的抵抗力。
建议处方：
1、*** 犬磷虾卵磷脂宠物营养补充剂，300g/瓶，一次口服2颗，一天3次，连用7天；
2、*** ，100ml/瓶/盒，一次口服3ml，一天3次，连用7天。
陆文健
执业兽医师
说明：这两个药物均为营养保健类药物，药效肯定不会快速显示，需要口服一周以上。
请用药5天后复诊，根据您的狗狗恢复的情况再来考虑是否需要调整治疗方案，有问题可随时在线联系。
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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