咨询描述:陈医生你好!我家是金毛,九岁。三月前发现耳道红肿,有分泌物,用洗耳液,***治疗,效果不好,去诊所打针(广谱消炎,抗过敏)五天,好转!一月后又发现耳道又开始红肿,发炎。去诊所打针一个星期,好转!后回家每天使用洗耳液洗耳,***!最近一个月病情加重,两耳都长出类似增生物,菜花状,质地硬。两侧耳道几乎都堵住了,狗狗听力下降!
请问医生我家狗子得的这个是啥病?该如何治疗!
患病时长:三月
回复总结:狗狗耳道有增生物,可能是局部增生,或者耵聍腺肿瘤引发的问题,从而导致了一系列症状。这种情况,建议最好是给狗狗进行细胞学检查,进一步确诊,然后针对性给予治疗,效果最好。如果暂时不方便就诊,可以在家先给狗狗吃一些宠物专用广谱消炎药,以及活血化瘀、托消化瘤的口服药来进行治疗。用药后,观察10-15天的时间,如果有效果,可以持续用药3-4周左右。
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,我初步分析狗狗很有可能是有过敏,或者增生问题,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. 狗狗去附近宠物医院就诊,是否有检查?检查了什么?
2. 狗狗平时都喂什么食物?
3. 狗狗是否有抓挠,瘙痒症状?
4. 狗狗现在吃喝玩排便状态如何?
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。
狗平时吃狗粮,还有些零食,水果,酸奶啥的
这边建议去做个病理,看看是不是恶性的
狗最近老是甩头,听力下降,有时候会抓耳部
食欲,排便,睡眠都正常,只是天气太热,不太愿意出去玩
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。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局部增生,或者耵聍腺肿瘤问题,从而导致了一系列症状。
狗狗这种情况最好,确实是给予进行细胞学检查,送检,进一步确诊,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,活血化瘀,托消化瘤的口服药来进行治疗,观察10-15天的时间。如果有效果,可以持续用药3-4周左右,观察效果如何。
如果考虑在家保守治疗,您可以告诉我,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。
陈奕达
执业兽医师
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,控制炎症感染问题。
2. ***片,宠物专用活血化瘀,托消化瘤用药。
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
{"384662":{"id":384662,"case_id":44236,"user_id":1249218,"to_user_id":2098796,"type":3,"content":"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。\n处方里面的\n1. ***,宠物专用广谱消炎,控制炎症感染问题。\n2. ***片,宠物专用活血化瘀,托消化瘤用药。\n\n您可以根据需求自行选择购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":120337}},"is_doctor":1,"status":1,"created_at":"2022-08-10 16:14:09","show_rx":true,"rx_info":{"id":120337,"rx_no":2.0220810161407503e+24,"user_id":2098796,"doctor_user_id":1249218,"is_independent":0,"case_id":2857868,"pet_info":{"pet_id":319880,"pet_name":"金毛","pet_nickname":"可乐","pet_gender":1,"pet_birth":"7-8","pet_weight":40,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"7岁8个月"},"diagnose":"初步分析是由于耳道增生或者肿瘤问题,导致了一系列症状(有待进一步确诊)","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-08-10 16:14:07","updated_at":"2022-08-10 16:14:09","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":45161,"prescription_id":120337,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":6,"remark":"","created_at":"2022-08-10 16:14:07","updated_at":"2022-08-10 16:14:07","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":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":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","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":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":45162,"prescription_id":120337,"doctor_user_id":1249218,"product_id":731,"product_sku_id":773,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":4,"remark":"","created_at":"2022-08-10 16:14:07","updated_at":"2022-08-10 16:14:07","product_info":{"id":731,"hash_id":"0ojnXLxa3L4e16GB","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"45":202},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":49,"sell_point":"癌肿平 三黄双丁片","title":"保灵癌肿平 三黄双丁片 8片×4板\/盒","recommend_reason":{"0":"活血化瘀、消癓散结,对毒瘀內结所致肿瘤患宠具有缓解症状","1":"临床应用于肿瘤,因热毒瘀结所致"},"baike_guide_text":"","baike_article_hash_id":"","advword":"活血化瘀,消癓散结,肿瘤,食道癌,肝癌,胃癌,乳腺增生,乳腺癌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"32片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/385be1b9ea4e348c355723a89239dcf8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":58,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:41:29","updated_at":"2023-03-17 13:54:14","ins":{"id":49,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"三黄双丁片","trade_name":"癌肿平","en_name":"","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/11\/bd272d6d2ad83454dc3320c42f7145e4.JPG","specification":"8片×4板\/盒","reference_price":240,"component":"郁金、五灵脂、三棱、莪术、黄芪、刺五加、肿节风、蟾酥、甘草、白花蛇舌草","indication":"1.活血化瘀、消癓散结,对毒瘀內结所致肿瘤患宠具有缓解症状,缩小瘤体,提高机体免疫力,延长患宠生存时间的作用。\n2.临床应用于肿瘤,因热毒瘀结所致。\n3.症见患宠有疼痛感,触压有固定疼痛处,舌质紫黯,脉沉涩;食道癌、肝癌、胃癌、乳腺增生、乳腺癌见上述症侯者。","usage_dosage":"宠物专用,每10kg体重口服本品一片,每日1-2次,连用20-30日。","contraindication":"","adverse_reaction":"","attention":"","interaction":"联合用药:丰兹益、黑酵母、康健灵。","approval_no":"兽药字(2015)020166540","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:55:46","updated_at":"2020-11-04 18:55:46"}},"product_sku_info":{"id":773,"product_id":731,"title":"保灵癌肿平 三黄双丁片 8片×4板\/盒","advword":null,"price":148,"market_price":240,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"32片盒装"}},"cover":null,"thumb":"","sale_count":65,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:41:30","updated_at":"2023-03-17 13:54:14"}}},"drug_data_bak":{"0":{"id":45161,"prescription_id":120337,"doctor_user_id":1249218,"product_id":706,"product_sku_id":749,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":6,"remark":"","created_at":"2022-08-10 16:14:07","updated_at":"2022-08-10 16:14:07","product_info":{"id":706,"hash_id":"ay8LblpOKVp9EdBq","class_ids":{"0":1,"1":2},"category_ids":{"0":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":397,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:17:10","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":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":411,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:25:59","updated_at":"2024-11-18 11:04:31"}},"1":{"id":45162,"prescription_id":120337,"doctor_user_id":1249218,"product_id":731,"product_sku_id":773,"dose":4,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":4,"remark":"","created_at":"2022-08-10 16:14:07","updated_at":"2022-08-10 16:14:07","product_info":{"id":731,"hash_id":"0ojnXLxa3L4e16GB","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"45":202},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":49,"sell_point":"癌肿平 三黄双丁片","title":"保灵癌肿平 三黄双丁片 8片×4板\/盒","recommend_reason":{"0":"活血化瘀、消癓散结,对毒瘀內结所致肿瘤患宠具有缓解症状","1":"临床应用于肿瘤,因热毒瘀结所致"},"baike_guide_text":"","baike_article_hash_id":"","advword":"活血化瘀,消癓散结,肿瘤,食道癌,肝癌,胃癌,乳腺增生,乳腺癌","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"32片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/385be1b9ea4e348c355723a89239dcf8.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":58,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-17 15:41:29","updated_at":"2023-03-17 13:54:14","ins":{"id":49,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"三黄双丁片","trade_name":"癌肿平","en_name":"","brand_name":"保灵","is_prescription":0,"cover":"\/drug\/2020\/11\/bd272d6d2ad83454dc3320c42f7145e4.JPG","specification":"8片×4板\/盒","reference_price":240,"component":"郁金、五灵脂、三棱、莪术、黄芪、刺五加、肿节风、蟾酥、甘草、白花蛇舌草","indication":"1.活血化瘀、消癓散结,对毒瘀內结所致肿瘤患宠具有缓解症状,缩小瘤体,提高机体免疫力,延长患宠生存时间的作用。\n2.临床应用于肿瘤,因热毒瘀结所致。\n3.症见患宠有疼痛感,触压有固定疼痛处,舌质紫黯,脉沉涩;食道癌、肝癌、胃癌、乳腺增生、乳腺癌见上述症侯者。","usage_dosage":"宠物专用,每10kg体重口服本品一片,每日1-2次,连用20-30日。","contraindication":"","adverse_reaction":"","attention":"","interaction":"联合用药:丰兹益、黑酵母、康健灵。","approval_no":"兽药字(2015)020166540","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:55:46","updated_at":"2020-11-04 18:55:46"}},"product_sku_info":{"id":773,"product_id":731,"title":"保灵癌肿平 三黄双丁片 8片×4板\/盒","advword":null,"price":148,"market_price":240,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"32片盒装"}},"cover":null,"thumb":"","sale_count":65,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 15:41:30","updated_at":"2023-03-17 13:54:14"}}}}}}
微信扫一扫
立即问宠医