咨询描述：医生好，狗狗三岁，母。前五六天拉稀，喂了止泻药好了。昨天开始肛门流水状粪便颜色液体，不知道是粪便还是肛门腺（狗狗每一到两周洗澡会定期挤肛门腺），肛门有一点点红。精神食欲排便一切正常。昨天晚上又喂了点止泻的药，还喂了阿莫西林。以上是病情，麻烦给推断一下是什么原因，谢谢
回复总结：狗狗出现拉水状便便的症状，治疗方面，建议给狗狗吃宠物专用广谱消炎药，减轻消化道炎症。同时，配合服用促进消化道粘膜恢复的药物，以及吸附性止泻的口服药来进行治疗，用药后观察2-3天的时间，如果效果不错，可以持续用药1-2周左右，直到疾病康复为止即可。然后，最近除了狗粮，其它食物都不要再给狗狗喂食。如果用药后不见好转，建议带狗狗去宠物医院做粪便检测，然后进行对症治疗。
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，我初步分析狗狗有肠炎问题，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. 狗狗肛门流液体的时候，是否有有腹泻的症状？大便是否成型？
2. 狗狗最近都喂了什么食物？是否新鲜？
3. 狗狗发病之后，是否有检查？
4. 狗狗生活环境温度能达到多少度？是否有昼夜温差？是否吹空调？多少度？
5.狗狗的疫苗，以及驱虫情况如何？
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。另外，把您家爱宠具体的『体重』提供一下，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。
流液体的时候大便正常，不腹泻了
最近吃的狗粮加鸡胸肉
腹泻没有去医院检查，喂了药就好了
北京的温度，家里也就20多度吧，晚上有开空调，但不是直吹，空调温度24度
疫苗一年多没打，体内驱虫半年多没吃（因为之前断断续续肠胃不好过，所以没敢喂），体外三个月前驱的
狗狗三岁，体重7.5斤
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是由于着凉引发了急性胃肠炎问题，从而导致了一系列症状。跟吹空调，生活环境温度偏低，着凉有一定的关系，发病位置在大肠阶段。同时如果狗狗没有完全免疫疫苗，以及驱虫的情况下，需要考虑是否有病毒（细小病毒，犬瘟病毒，冠状病毒），以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。
如果暂时不方便就诊检查的情况下，可以在家先给宝贝吃一些宠物专用广谱胃肠炎（消炎，提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复，吸附性止泻）的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药1-2周左右，直到疾病康复为止即可。
然后最近除了狗粮，其它食物都不要再给予喂食了。禁止再着凉。
如果考虑在家保守治疗，您可以告诉我狗狗体重信息，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
您好，可以的。但是建议再给予狗狗喂食一些促进消化道粘膜恢复的用药，来帮助狗狗进行恢复。
陈奕达
执业兽医师
好的，这边根据宝贝的情况，我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***，提供消化道营养，促进消化道粘膜恢复，减轻消化道炎症
您可以根据需求自行选择购买。
您好，我刚下班回家，跟您说一下今天的情况，麻烦您再给看一下，肛门红肿，有破的地方。应该是肛门发炎或者撑破了吧？今天排便也是成形正常的，该用些什么药呢？（前两张是今天流出的液体，最后一张是擦干净后的状态）
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，从图片上看，确实有一些肛门周围粘膜损伤问题，这种情况有可能是有肛周炎问题。如果没有持续腹泻，那么需要把止泻药停止服用。除了上述的用药以外，还可以给予狗狗使用一些宠物专用外用消炎杀菌药膏，来帮助狗狗。
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. ***药膏，宠物专用广谱消炎杀菌外用药膏，均匀涂抹患处即可，禁止舔舐，口服。
您可以根据需求自行选择购买。
陈奕达
执业兽医师
您好，狗狗现在这种疾病情况，是不建议给予狗狗洗澡的。可以使用宠物湿巾轻轻擦拭狗狗的肛门。
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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