咨询描述:狗狗大概十岁,小鹿犬,最近不让抚摸,一模就痛的躲避起来爬'着,,几分钟后恢复
回复总结:狗狗身上一摸就疼,引发的原因在临床上主要考虑身体脊柱或者其它骨关节的炎症、增生问题,从而刺激到软骨组织下面的神经,就会有神经性疼痛的症状。如果有条件,可以带狗狗到附近的动物医院拍身体X光片的检查,看一下各个关节有没有异常的情况。如果暂时不方便带狗狗到医院,可以给狗狗使用抗炎镇痛,以及修复软骨组织的软骨素药物,软骨素在中老年时需要每天补充。
问题大致一样,细节不同?
魏新立
执业兽医师
主人您好,宝贝现在十岁,有不明原因的疼痛,有时会有弓背,在临床上主要考虑身体脊柱或者其它骨关节的炎症、增生问题,从而刺激到软骨组织下面的神经,就会有神经性疼痛的症状。
如果有条件的话,可以带宝贝到附近的动物医院拍身体X光片的检查,看一下各个关节有没有异常的情况。
如果暂时不方便带宝贝到医院,我们可以给宝贝使用抗炎镇痛,以及修复软骨组织的软骨素药物,软骨素在中老年时需要每天补充。
上周四,发病时去了宠物医院,他说狗牙结石,因狗狗今年喷嚏打的多,怀疑是鼻瘘,要做CT和准备拔牙手术,我先要医生开了药,去痛2天,甲硝锉和阿莫西林克拉维酸钾各3天,可鲁喷剂1瓶,昨天就没有止痛药了,今天早上就又,开始莫名疼痛
魏新立
执业兽医师
应该机体还是有明显的炎症反应,就是炎症问题引发的疼痛症状。
除了用非甾体类抗炎镇痛药物之外,还是有必要给宝贝补充软骨素来修复骨关节的软骨组织,这样才能从更深层次的方面给予控制机体的疼痛症状的。
推荐临床上常使用的药物,您可以参考了解,在附近的动物医院或者网络平台购买。
魏新立
执业兽医师
当然有可能的,特别是牙龈发炎很严重的话,可以考虑给宝贝做洁牙,把病变的牙齿拔掉。
宠物医院是说要先做头部CT我想问一下,狗狗做CT要麻醉吗?
魏新立
执业兽医师
是要麻醉的,我觉得头部有问题的可能性比较小,更多的还是考虑脊柱,牙齿,或者各关节的炎性反应的。
魏新立
执业兽医师
老年犬身上更多的考虑关节性炎症问题,如果有不明原因的疼痛,除了骨关节性炎症问题之外,就要考虑神经性炎症的情况。这个就需要借助核磁共振的检查才能确诊的。如果怀疑有神经性炎症的问题,在使用贝安可的同时,可以给宝贝使用营养神经的维生素B1、B12。
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
{"400451":{"id":400451,"case_id":45906,"user_id":1003358,"to_user_id":2138711,"type":3,"content":"应该机体还是有明显的炎症反应,就是炎症问题引发的疼痛症状。\n除了用非甾体类抗炎镇痛药物之外,还是有必要给宝贝补充软骨素来修复骨关节的软骨组织,这样才能从更深层次的方面给予控制机体的疼痛症状的。\n推荐临床上常使用的药物,您可以参考了解,在附近的动物医院或者网络平台购买。","media":{"images":{},"videos":{},"business_params":{"prescription_id":123799}},"is_doctor":1,"status":1,"created_at":"2022-09-18 08:47:26","show_rx":true,"rx_info":{"id":123799,"rx_no":2.02209180847015e+24,"user_id":2138711,"doctor_user_id":1003358,"is_independent":0,"case_id":2899525,"pet_info":{"pet_id":329887,"pet_name":"鹿犬","pet_nickname":"鹿鹿","pet_gender":3,"pet_birth":"10-6","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"10岁6个月"},"diagnose":"炎性反应,疼痛症状","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-09-18 08:47:01","updated_at":"2022-09-18 08:47:26","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":52519,"prescription_id":123799,"doctor_user_id":1003358,"product_id":767,"product_sku_id":809,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":10,"number":1,"remark":"2mg\/kg,用于抗炎镇痛","created_at":"2022-09-18 08:47:01","updated_at":"2022-09-18 08:47:01","product_info":{"id":767,"hash_id":"er8ayRxye5x3mwNv","class_ids":{"0":1},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":35,"sell_point":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","recommend_reason":{"0":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/10\/9bb2be06d41c1c6eae50d4ed0f2e466f.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":97,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:41:00","updated_at":"2024-11-18 11:17:10","ins":{"id":35,"hash_id":"","class_ids":"[1]","title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","common_name":"维他昔布咀嚼片","trade_name":"贝安可","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2024\/10\/bea3807eb81c299a9a6fcf93ce01c1e1.jpg","specification":"30mg×7片\/盒","reference_price":175,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,犬2mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药7日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的犬禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病犬之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌犬,幼犬(例如1周龄以下或体重小于4公斤的犬)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2016)153712863","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:37:27","updated_at":"2024-10-14 15:01:43"}},"product_sku_info":{"id":809,"product_id":767,"title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":58,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7片盒装"}},"cover":null,"thumb":"","sale_count":101,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:41:00","updated_at":"2024-11-18 11:04:31"}},"1":{"id":52520,"prescription_id":123799,"doctor_user_id":1003358,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"用于修复软骨组织","created_at":"2022-09-18 08:47:01","updated_at":"2022-09-18 08:47:01","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":231,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-20 09:14:29","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"犬猫口服,5kg体重1片,5-10kg体重2片,10k以上每次4粒,每天两次,可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫,避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":227,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":237,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-22 07:23:17"}}},"drug_data_bak":{"0":{"id":52519,"prescription_id":123799,"doctor_user_id":1003358,"product_id":767,"product_sku_id":809,"dose":10,"dose_unit":"mg","use_method":"口服","frequency":"每天1次","days":10,"number":1,"remark":"2mg\/kg,用于抗炎镇痛","created_at":"2022-09-18 08:47:01","updated_at":"2022-09-18 08:47:01","product_info":{"id":767,"hash_id":"er8ayRxye5x3mwNv","class_ids":{"0":1},"category_ids":{"0":162},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":35,"sell_point":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","recommend_reason":{"0":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛"},"baike_guide_text":"","baike_article_hash_id":"","advword":"止痛,胰腺炎,尿道结石","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/10\/9bb2be06d41c1c6eae50d4ed0f2e466f.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":138,"max_price":138,"sale_count":97,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 14:41:00","updated_at":"2024-11-18 11:17:10","ins":{"id":35,"hash_id":"","class_ids":"[1]","title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","common_name":"维他昔布咀嚼片","trade_name":"贝安可","en_name":"Vitacoxib Chewable Tablets","brand_name":"欧博方","is_prescription":1,"cover":"\/drug\/2024\/10\/bea3807eb81c299a9a6fcf93ce01c1e1.jpg","specification":"30mg×7片\/盒","reference_price":175,"component":"维他昔布","indication":"用于治疗犬围手术期及临床手术等引起的炎症和疼痛。","usage_dosage":"以维他昔布计,内服。每1kg体重,犬2mg,每日一次。建议饲喂食物后给药,术前及术后可连续给药7日(详见说明书)。","contraindication":"1.对本品活性成分维他昔布有过敏史的动物禁用。\n2.本品对患有胃肠道出血、血液病或其它出血性疾病的犬禁用。","adverse_reaction":"按推荐的用法用量使用,尚未见不良反应。","attention":"1.如果患病犬之前对 NSAIDS不耐受,应在兽医的严格监测下使用本品。\n2.如果观察到下列症状应停止用药:反复腹泻、呕吐、粪便隐血、体重突然下降、厌食、嗜睡、肾或肝功能退化。\n3.繁殖、妊娠或泌乳雌犬,幼犬(例如1周龄以下或体重小于4公斤的犬)或疑似和确诊有肾、心脏或肝功能损害的犬,应在兽医的指导下使用。\n4.宠物主人应该警惕诸如厌食、精神萎靡、无力等症状和体征,而且当有上述任何症状或体征发生后,应该马上寻求兽医帮助。","interaction":"由于非甾体类抗炎药( NSAIDS)具有潜在发生胃溃疡或穿孔的风险,因此在使用本品时应当避免使用其它抗炎类药物,如NSAIDs或皮质类固醇类药。","approval_no":"兽药字(2016)153712863","storage_method":"密封,在凉暗干燥处保存。","validity":"3年","manufacturer":"青岛欧博方医药科技有限公司","status":1,"created_at":"2020-10-30 15:37:27","updated_at":"2024-10-14 15:01:43"}},"product_sku_info":{"id":809,"product_id":767,"title":"欧乐宝 维他昔布咀嚼片(犬)30mg×7片\/盒","advword":null,"price":138,"market_price":180,"cost_price":0,"stock":58,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7片盒装"}},"cover":null,"thumb":"","sale_count":101,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 14:41:00","updated_at":"2024-11-18 11:04:31"}},"1":{"id":52520,"prescription_id":123799,"doctor_user_id":1003358,"product_id":777,"product_sku_id":819,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"用于修复软骨组织","created_at":"2022-09-18 08:47:01","updated_at":"2022-09-18 08:47:01","product_info":{"id":777,"hash_id":"Ldvaqr4eNGg6De9l","class_ids":{"0":1},"category_ids":{"0":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":21,"sell_point":"摩登狗鲨鱼软骨关节宝","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","recommend_reason":{"0":"用于颈椎、腰椎、髋关节发育不良及骨科手术后恢复","1":"促进关节软骨组织再生、改善关节的活动功能","2":"消除关节炎症有很好的效果,预防关节病变和髋关节发育不良"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.5g\/50片"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/07\/8da0525c650b3c17a3512c9dcc0de69c.jpg","images":{"0":"https:\/\/cdn.moguvet.com\/shop\/2023\/09\/c4494e2e41c89b9a675efb5f9ab6ab14.jpg"},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":148,"max_price":148,"sale_count":231,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-20 09:14:29","ins":{"id":21,"hash_id":"","class_ids":"[1,2]","title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","common_name":"摩登狗鲨鱼软骨关节宝 Ⅱ","trade_name":"鲨鱼软骨宝","en_name":"Joint Care Tablets","brand_name":"摩登狗","is_prescription":0,"cover":"\/drug\/2024\/07\/1f75c2fe0628064033b32256f92a074d.jpg","specification":"0.5g\/50片","reference_price":260,"component":"葡萄糖胺盐酸盐、胶原蛋白、糊精淀粉、乳糖、硫酸软骨素、维生素C、维生素B1、维生素B2、维生素B6、维生素B12、烟酰胺、维生素A","indication":"1.用于颈椎、腰椎、关节病变和髋关节发育不良及骨科手术后恢复。\n2.促进关节软骨组织细胞再生和修复,提供关节液生成的重要元素。\n3.提供关节健康所必需的粘多糖的全部成分,改善关节的活动功能。\n4.对消除关节炎症有很好的效果,预防关节病变和髋关节发育不良。","usage_dosage":"犬猫口服,5kg体重1片,5-10kg体重2片,10k以上每次4粒,每天两次,可长期使用","contraindication":"","adverse_reaction":"","attention":"仅用于犬 猫,避免儿童接触","interaction":"","approval_no":"冀饲预(2019)35004","storage_method":"请保持本品密封,置于阴凉干燥处保存","validity":"2年","manufacturer":"秦皇岛莱银生物科技有限公司","status":1,"created_at":"2020-10-27 15:27:59","updated_at":"2024-07-04 15:45:16"}},"product_sku_info":{"id":819,"product_id":777,"title":"摩登狗鲨鱼软骨关节宝 Ⅱ 0.5g\/50片","advword":null,"price":148,"market_price":350,"cost_price":0,"stock":227,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.5g\/50片"}},"cover":null,"thumb":"","sale_count":237,"status":1,"delete_status":0,"cloud_repo_id":1,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 16:03:29","updated_at":"2024-11-22 07:23:17"}}}}}}
微信扫一扫
立即问宠医