咨询描述：十岁大，三天前鼻子出现红肿破溃（图3），前两张是今天的照片，狗狗一直在抓挠，好像耳朵也很痒，耳朵边缘出血结痂，耳内无毛，没看见分泌物或者虫，上次驱虫为两个月前
回复总结：狗狗鼻子出现红肿、破溃，是炎症感染的症状。治疗上，需要给狗狗患部剃干净毛毛，防止细菌二次感染，戴上一次性手套把鼻子上方浓汁挤出来，用双氧水消毒，挤浓汁、双氧水消毒比较疼。消完毒涂抹宠物专用的消炎药膏，再给狗狗口服消炎药，坚持用药一周左右，狗狗患部的症状就会逐渐恢复。两周左右就会恢复，用药期间需要给狗狗带上伊丽莎白圈，防止狗狗舔舐，在给狗狗把指甲修剪平整光滑，防止狗狗抓挠，有利于狗狗早日康复。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，但仅仅根据目前的信息还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1.您家狗狗十岁了，体重大概是8千克，狗狗有没有打架或者受伤，您有没有给狗狗用药或者做检查，狗狗多久洗一次澡，用的是不是宠物专用沐浴液，多久做一次驱虫，最近一次体外驱虫是什么时间
2.您养狗狗大概多长时间了，狗狗平时都吃哪种食物，最近有没有给狗狗换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致狗狗出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
4.狗狗有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给狗狗用过什么药;
5.狗狗目前精神状态怎么样，有没有吃东西.喝水，狗狗有没有接种过疫苗，做过体内体外的驱虫。
6.狗狗居住的环境有没有突然降温，狗狗趴在垫子上，还是地板上
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，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
没有打架，上次洗澡是一周前，两个月洗一次，上次驱虫为两个月前，未接种疫苗，
平时吃肉蔬菜水果，没有换食物，不呕吐腹泻
不打喷嚏流鼻涕
第1，2天精神状态一般（外出溜达时和以往一样兴奋，但在家里不怎么走动），食欲不振，第二天晚上喂了阿莫西林，今天第三天食欲、精神状态恢复正常，但鼻子上的红肿破溃更严重了
温度15度左右，没有突然降温，平时睡毛毯上
刘文飞
执业兽医师
您好，狗狗主人，收到您的详细描述，结合您发的图片来看，您家狗狗皮肤是炎症感染的症状，需要给狗狗患部剃干净毛毛，防止细菌二次感染，戴上一次性手套把鼻子上方浓汁挤出来，用双氧水消毒，挤浓汁、双氧水消毒比较疼，注意安全，别让狗狗伤到您，消完毒涂抹宠物专用的消炎药膏（不要让狗狗舔舐）再给狗狗口服消炎药，坚持用药一周左右，狗狗患部的症状就会逐渐恢复。两周左右就会恢复，用药期间需要给狗狗带上伊丽莎白圈，防止狗狗舔舐，在给狗狗把指甲修剪平整光滑，防止狗狗抓挠，有利于狗狗早日康复。平时需要给狗狗需要每周洗一次澡，用宠物专用的沐浴液洗澡，洗完澡之后完全吹干毛毛，然后定期给狗狗做好驱虫。一般每三个月做一次体内驱虫，每一个月做一次体外驱虫，定期做好驱虫可以降低狗狗皮肤炎症感染的风险，还需要给狗狗居住的环境做好驱蚊虫工作，您目前需要给狗狗居住的环境，每周消一次毒，用宠物专用的消毒液消毒，消完毒之后保持环境清洁干燥，狗狗住的窝拿出去多晒晒太阳，有助于杀菌消毒，以上分析与建议您可以先参考一下。
刘文飞
执业兽医师
根据狗狗的情况，我给它开个处方。处方里面的1.拜有利对狗狗皮肤的炎症作用效果比较好，按狗狗的体重用药；2.可鲁凝胶对皮肤消炎抑菌效果比较好，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
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