咨询描述:刘医生您好。
今天狗狗(三个月,柴犬)从高处摔下,前牙
有一颗小牙断裂并伴有舌尖顿挫出血。一天食欲还不错,见到食物就会跑过来,大小便都正常。但就是没精神走路很慢,且吃完就睡觉。不知道是否是疼痛或是惊吓导致精神萎靡?
去做了相关检查,您看下这个X光片有问题吗?您看这个血项指标能不能排除内脏问题?
回复总结:针对狗狗从高处摔下走路很慢的情况,处理办法上建议给狗狗做拍片检查,查看骨骼的情况。如果狗狗颈椎没有问题,而且骨骼正常、没有骨折的痕迹,说明骨骼没有明显损伤。如果狗狗有有炎症,而且有贫血的情况,正常给狗狗饮食,这种轻微贫血的症状会随着年龄的增长逐渐恢复正常,然后需要给狗狗口服一周的消炎药。另外,狗狗摔完受到了惊吓,您需要多安抚狗狗的情绪,多陪狗狗,让狗狗从惊吓中走出来。
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,狗狗主人,狗狗颈椎是否正常,有没有脖子抬不起来的症状,有没有鼻腔嘴巴流血,最近一次拉粑粑是什么时间,有没有咳嗽,呼吸急促。
颈椎正常,能抬起来,和平时一样。只不过走路有点没精神。
没有鼻腔流血。
最近一次拉粑粑是在晚上8点多,正常大便,不软不硬。
没有咳嗽和呼吸急促。
您看片子有什么异常问题吗?脊椎,肺部以及心脏之类的?
刘文飞
执业兽医师
图片标出来的位置看着颈椎断了,但是也有可能是是摆位的问题,经过询问您狗狗颈椎没有问题,从片子看骨骼正常、没有骨折的痕迹,内脏器官没有看到明显有出血的地方,目前从血常规来看,狗狗有炎症,而且有贫血的情况,但是对于未成年的狗狗来说,一般都会出现轻微贫血的症状,正常给狗狗饮食,这种轻微贫血的症状会随着年龄的增长逐渐恢复正常,然后狗狗有轻微的炎症,需要给狗狗口服一周的消炎药,狗狗摔完受到了惊吓,您需要多安抚狗狗的情绪,多陪狗狗,让狗狗从惊吓中走出来。
为保护用户隐私不显示图片/视频
感谢您的及时回复。
那就好,如果颈椎真的断了狗狗会有明显的疼痛吧?有没有可能暂时没事后面再出现问题的情况?
另外,狗狗的舌头挫伤一般多久能恢复呢?
消炎药您帮我开一下吧,谢谢。
刘文飞
执业兽医师
您好,狗狗主人,如果狗狗颈椎断了,他的脖子是抬不起来的,更别说正常走路了,不会出现暂时颈椎没事,后面颈椎断了的情况,内脏器官是否受伤您需要在观察一下,一般临床观察72小时,72小时内狗狗正常吃饭喝水,拉粑粑排尿,精神状态也在逐渐恢复,或者趋于稳定狗狗就是正常的内脏器官没有受伤,舌头的挫伤正常用消炎药两周左右就会逐渐恢复。
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,对狗狗挫伤引起的炎症作用效果比较好,按狗狗的体重用药;2.***口腔喷剂,对狗狗口腔消炎抑菌效果比较好,您可以根据需求自行选择购买
好的明白。那我就按您的处方治疗。
另外再麻烦您看一下图片画的这里是否有问题呢?还有X光片看心脏大小之类的都正常吗?
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您这会发的是正位片子,一般狗狗、猫咪拍片子,正位片子都是看着心脏肥大,需要结合侧位片子,心脏正常的大小是三根肋间隙,您家狗狗刚好三个肋间隙,目前没有心脏肥大,心脏肥大除了遗传因素,一般高发于成年的肥胖狗狗
是的,就是正位片子箭头骨骼那里也都正常吗。看着和其他关节不太一样,但一样触摸脊椎狗狗没有疼痛,正常行走。
刘文飞
执业兽医师
您好,箭头方向完整的胸椎成了两部分,触摸无痛感,狗狗也没有明显异常的症状,这种情况不能掉以轻心,需要让狗狗静养一个月,观察狗狗的症状,尤其是爬楼梯、剧烈运动需要禁止,偶尔可以散散步活动一下。
好的,那这种情况算异常吗?因为没有任何反应,有没有可能天生就这样?
刘文飞
执业兽医师
您好,不确定是不是天生就长这样,之前也没有拍片子,所以无法做对比,只能先用药、然后静养,观察狗狗症状
明白了,那静养一段时间没有出现什么不适的话就没事了吧?
需要再进一步的拍CT之类的再看看吗?
刘文飞
执业兽医师
您好,是的,静养,用药要是没有异常症状就正常饲养,以后防止让狗狗摔,要引以为戒,如果狗狗表现异常就需要复查
好的,那如果是天生就这样的话,这种脊椎形状是有一定几率会发病的吧?也可能没事和正常一样?
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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