咨询描述:狗狗基本信息:9岁零10个月,博美,公狗
症状描述:
狗狗下牙龈有肉包,图片按照时间顺序摆放。这一周看着肉包稍微大了点。
用药情况:
最近一周给吃过阿莫西林一周,喷了***口喷,但看着肉包还是稍微长大了一点。
回复总结:狗狗下牙龈有长肉包的症状,可能是炎性增生。如果肉包有越来越大的现象,不排除有肿瘤的问题。处理办法上,建议带狗狗去宠物医院进行局部的细胞学检查,进一步确诊病因以及发病程度,然后考虑是否需要手术解决狗狗这个问题。如果只是单纯的炎性增生,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活血化瘀、托消化瘤用药。
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,我暂时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. 狗狗的肉包,是否有疼痛,不舒服感觉?
2. 狗狗吃喝玩排便状态如何?
3. 狗狗发病之后,是否有检查过?用的阿莫西林是否宠物专用?如何使用的?
4. 其它口腔位置是否还有这个症状?
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、应该不疼痛,狗狗目前没有出现食欲下降、进食困难的症状。
2. 吃喝正常,排便正常,上周有一次大便稍微有点稀,但是多数情况下都是干便。
3、没有检查过。我问了网上的宠物医生,开了***狗狗的阿莫西林和口喷,每天服用两次,每次一片,研磨后放在肉或狗粮上。
4、目前暂时没发现口腔其他地方有肉包。
另外,补充一下,我家狗狗特别凶,不让摸抱..口喷的药反抗严重,我是涂抹在玩具上 逗他玩,保证每天他嘴里能有一定剂量的药。
陈奕达
执业兽医师
越来越大,那么这种情况需要考虑是否有肿瘤的问题。2.这种情况建议考虑给予狗狗进行一下局部的细胞学检查,进一步确诊病因以及发病程度,然后考虑是否需要手术解决狗狗这个问题。3.狗狗这种情况如果不是肿瘤,是属于炎症增生的情况下,可以更换一下消炎用药,来试一试效果如何。
1、好的谢谢,请问细胞学检查是需要全麻吗?
2、目前您是建议细胞学检查后,根据情况看是否手术是吗?
3、目前狗狗的年纪大一些,家里人都很担心全麻的影响,请问如果不做手术,会有什么情况和后果呀?
4、现在有什么保守治疗方法吗?
5、您看我现在需要换消炎药吗?换哪种呢?剂量是多少?
7、口喷需要换吗?
8您看图里 狗狗的肉包是大了吧?(想和您再确认下 我看着好像大了点,还不那么光滑了)
陈奕达
执业兽医师
您好,1.细胞学检查一般不用麻醉,而且狗狗不遭罪。2.如果是肿瘤的情况下。一旦转移,那么会口腔内大量生长,然后导致狗狗无法饮食,甚至会影响呼吸。3.现在保守治疗,可以先尝试更换口服消炎,配合宠物专用活血化瘀,托消化瘤用药。其它用药暂时不同更换。4.图片上看,确实有一些增大。
5.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,控制炎症感染。
2. ***片,宠物专用活血化瘀,托消化瘤用药。
谢谢医生
1、请问细胞学检查大概是怎么做呀?
2、您推荐的药物,我会都买。那这边阿莫西林和***口喷还用继续吃吗?
(您可能打错了一个字,我没太明确您的意思)
3、您推荐的两种药,狗狗吃的剂量方便发一下吗?10公斤的小狗;
4、您推荐的药物,需要吃多久再观察肉包大小呢?
(家人的意思是 如果换了药 还扩大,那就冒险做掉之类的)
5、如果各项指标正常,您看10岁的小狗,做全麻风险大吗?
6、请问狗狗有什么忌口的吗?饮食上、运动上有什么需要注意的呀?
陈奕达
执业兽医师
您好,1.细胞学检查是使用显微镜进行的。2.***是替代阿莫西林的,***口喷需要继续使用。3.药物用法用量已经帮您计算妥当,您可以点击查看详情按钮,进入处方页面查看。4.一般1-2周左右会有效果。5.如果还是没有效果,那么就需要进一步检查确诊,然后考虑手术治疗了。
好的谢谢医生
1请问细胞学 是需要就是 扎针到狗狗肉包上吗?我想大概预判一下,因为小狗相当凶哈
2、请问狗狗有啥忌口之类的吗?
陈奕达
执业兽医师
您好,1.是的,需要经过细针抽吸取样,然后检查。2.狗狗这种情况注意不要吃油腻,以及硬的食物即可。
好的,谢谢您
那我最后和您确认下我给小狗用的药,您看对不:
***
***
***口喷
吃一周观察效果,这么理解对吧?
谢谢医生
请问消炎药和*** 分别能最多吃多久呀?我父母比较抗拒给做手术,
我想知道最多 这两个要能吃多久?
能否长期吃作为延缓肿瘤长大的药物呢?
谢谢您给的提问机会,之后也会给五星好评。
长期吃会有什么危害吗?
陈奕达
执业兽医师
您好,药物用法用量已经帮您计算妥当,这边给您再截图标记一下。最多可以1-2个月时间,超过一个月,没有效果不建议再保守治疗了。长期吃对狗狗的肝脏肾脏有负荷,是不好的
为保护用户隐私不显示图片/视频
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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