咨询描述:症状描述:3岁柴犬,8月份脚部及小腿部出现脱毛红肿,去医院医生说是皮肤过敏,给开了抗生素。吃了10天有好转。停药后不久脚趾又开始发作(小腿部痊愈),又去了医院医生做了化验排除外部感染,依然给开了抗生素,吃了一周后没有多大好转。开始用红霉素和碘伏,用了几天有好转,但没有根治,反反复复,一直到现在。用了鱼油和复合维生素也没有多大帮助,想咨询一下医生怎么办呢(狗狗现在不在身边没有照片,就是脚趾中间,底部呈粉色红肿,严重的时候狗狗走路会一瘸一拐,经常舔脚,会佩戴伊丽莎白圈)
患病时长:
患病时长:
患病时长:
患病时长:
回复总结:狗狗腿部脱毛红肿,考虑局部可能趾间炎或者细菌性毛囊炎之类的概率更大一些。其次异位性皮炎这种可能根过敏原刺激有一定关系了。目前这种尝试性之间的话就是伊丽莎白圈必须要佩戴好24小时,不可以舔到。如果说口服过一段时间普通抗生素的话就是考虑口服驱虫药了,也是这种抗炎同时有止痒的作用,局部发红位置涂抹消炎的凝胶,连续治疗2到3周看它恢复情况。
问题大致一样,细节不同?
邓薄鸿
执业兽医师
您好,根据您讲到的宝贝的情况,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.患病的一直都是单侧同一个位置吗。2.具体吃的什么抗生素,有药物名称吗。3.治疗过程中有过明显改善变小是吧,除了典伏和红霉素还有没有用过其他局部外用药。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。
1 狗狗的患病位置不只在单侧同一位置,两只脚的不同脚趾都出现过红肿,有的时候一个位置好转,但其他位置又出现了红肿,有的时候红肿是保持在同一位置
2抗生素不记得名字了,狗狗在国外,是国外的一种抗生素,应该就是最普通大众的一款。去过两次每次只给开抗生素
3对的,治疗过程中有过明显改善,但没好几天又会发作。外用除了红霉素和碘伏目前没有用过其它药物,内部只听过抗生素
我现在在国内,如有推荐的药物,我方便购买。
狗狗3岁,体重7.5公斤
邓薄鸿
执业兽医师
你好,看到你描述的情况了,就是这种的话还是考虑局部可能趾间炎或者细菌性毛囊炎之类的概率更大一些,其次的话就是异位性皮炎这种可能根过敏原刺激有一定关系了。目前这种尝试性之间的话就是伊丽莎白圈必须要佩戴好24小时,就是不可以舔到。如果说口服过一段时间普通抗生素的话就是考虑口服爱波克了,也是这种抗炎同时有止痒的作用,局部发红位置涂抹可鲁凝胶,连续治疗2到3周看它恢复情况。根据宝贝的情况,我给它开个处方。处方里面的1.爱波克,抗炎止痒,每天2次,每次1片。2.可鲁凝胶,抗菌消炎,每天2次,局部涂抹。您可以根据需求自行选择购买
好的谢谢您
还有个问题,在国外的时候医生也提到可能是因为过敏导致,但是过敏原查起来是不是很麻烦呢?如果过敏原没有查处,脚趾炎是否永远无法根治?
邓薄鸿
执业兽医师
就是过敏原筛查是比较简单的,目前国内一些大型的宠物医院都可以进行,一般就是采血之后送到专门的实验室一般7天之内出结果。是的,如果说这种持续有外在过敏原刺激的情况下,他是可能会反复发作出现的。过敏原不单单是环境,可能是一些食物中也会有包括
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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