咨询描述:狗肛门流红褐色液体分泌物很臭,看着像血又不像血,这个是什么情况,用什么药
回复总结:狗狗肛门流褐色的分泌物,如果是这种情况,一般有两种可能性,一个是痔疮,也就是息肉,另外一种可能性就是肛门腺可能存在脓肿,或者是肛门腺化脓,对于这种情况来说,一般需要做一个挤压的检查,如果说挤压之后有脓汁出来,那么基本上就能确定肛门腺炎的可能性会很高。
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,我需要问一下,确定是肛门里面出来的吗?询问一下,有多长时间没有挤肛门腺了?能不能拍摄几张照片发过来看一下?有没有什么别的不同或者异常的?精神状态如何?是公犬还是母犬呢?最近一段时间有没有用屁股拖地板的情况?
是肛门里流出来的,母犬十二岁,之前没有挤过肛门腺,去年阴道肿瘤手术做了,今年又复发了十月底手术子宫蓄脓子宫切除加上阴道肿瘤手术,恢复的很好,大概在十天前开始肛门流液体,有屁股拖地板的情况,刚开始以为是肛门蹭烂了,带去复查的时候线下医生给看了没有伤口,当时挤了肛门腺说回来观察一下,已经又一周了还是流
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
如果是这种情况的话,一般有两种可能性,一个是痔疮,也就是息肉,另外一种可能性就是肛门腺可能存在脓肿,或者是肛门腺化脓,对于这种情况来说,一般需要做一个挤压的检查,如果说挤压之后有脓汁出来,那么基本上就能确定肛门腺炎的可能性会很高。
如果是痔疮或者说肛门腺炎症的话可以药物治疗治疗吗?需要用什么药?大便也是成型的,不便便血,这个应该不会是肿瘤溃散到肠子的问题吧
徐灿
执业兽医师
肿瘤的可能性是存在的,但是不能完全确定,一般来说,如果挤压肛门腺有液体出现的话,那么大概率应该是肛门腺炎,相对来说,临床上肛门腺炎的发病率高一些,通常来说也是口服一些抗生素,用来进行治疗,但是相对来说,治疗时间会很长。这就得看个人意愿了,如果说确实有挤压之后的浓汁儿出现,考虑到年龄问题,可以采取保守方案,但是如果用药1到2周无效的话,还是建议做进一步的检查或者摘除。
抗生素是用哪些呢?用人的吗还是?口服还是涂抹的,具体是哪些药,我去看看哪里有卖
徐灿
执业兽医师
一般来说,最好是使用宠物专用药物,一般的比较推荐的就是头孢菌素类的,或者是喹诺酮类的比较多用,如果你需要的话,我可以帮你开一个常用的方案,但是需要提出处方申请,当然并不是唯一方案,一般的抗生素在口语上也叫消炎药。
徐灿
执业兽医师
我帮你开了一个常用的方案,后续的话,你可以参考使用,但是最好是先挤压肛门腺进行确认,有条件的可以做内窥镜。而且后续一定要坚持用药,大部分都需要用药相当长的一段时间。
好的,如果确定是的话,根据药上的说明使用就可以了是吧?内窥镜听说给狗做需要麻醉?
徐灿
执业兽医师
一般来说,大部分的内窥镜儿是要做麻醉的,但是有个体差异,有一些可以保定之后,然后进行检查,但是我不确定当地是否有该医疗条件。
如果说是确认的话,后续的话可以按照每公斤五毫克,一天吃两次就可以。
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
{"440521":{"id":440521,"case_id":49948,"user_id":1296147,"to_user_id":2113569,"type":3,"content":"我帮你开了一个常用的方案,后续的话,你可以参考使用,但是最好是先挤压肛门腺进行确认,有条件的可以做内窥镜。而且后续一定要坚持用药,大部分都需要用药相当长的一段时间。","media":{"images":{},"videos":{},"business_params":{"prescription_id":132114}},"is_doctor":1,"status":1,"created_at":"2022-12-25 00:14:16","show_rx":true,"rx_info":{"id":132114,"rx_no":2.0221225001414502e+24,"user_id":2113569,"doctor_user_id":1296147,"is_independent":0,"case_id":2987092,"pet_info":{"pet_id":349613,"pet_name":"英国可卡犬","pet_nickname":"卡卡","pet_gender":4,"pet_birth":"12-0","pet_weight":13,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"12岁"},"diagnose":"抗生素","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-12-25 00:14:14","updated_at":"2022-12-25 00:14:16","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":69654,"prescription_id":132114,"doctor_user_id":1296147,"product_id":882,"product_sku_id":923,"dose":5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":3,"remark":"每公斤五毫克一天两次","created_at":"2022-12-25 00:14:14","updated_at":"2022-12-25 00:14:14","product_info":{"id":882,"hash_id":"bEoKq1xnArgMNkRy","class_ids":{"0":1,"1":2,"2":3,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":52,"sell_point":"保灵保思诺恩诺沙星片 25mg","title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","recommend_reason":{"0":"是犬猫细菌性前列腺炎的首选抗生素","1":"用于治疗犬、猫敏感菌感染","2":"用于小型哺乳动物的皮肤和内脏感染、宠物鸟的疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,细菌感染,敏感菌感染,内脏感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25mg×8片×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/2bc0c07b9088d6842acf8a58cf6a3641.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45","ins":{"id":52,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恩诺沙星片","trade_name":"恩诺沙星","en_name":"Enrofloxacin Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/ba16a6bd067e311e6833ad589761e606.PNG","specification":"25mg×8片×2板\/盒","reference_price":100,"component":"恩诺沙星","indication":"1.恩诺沙星在巨噬细胞和中性粒细细胞中的药物浓度是血浆中的4-10倍,因此在感染的组织中药物浓度高于健康组织,对外伤和脓皮病有特效。另外恩诺沙星也是细菌性前列腺炎的首选抗生素。\n2.用于治疗犬、猫敏感菌感染。\n3.常用于小型哺乳动物的皮肤和内脏感染。\n4.用于治疗宠物鸟的疾病可将恩诺沙星添加在饮水中,按0.3-0.5mg\/kg的浓度,可以避免肌肉注射引起的局部刺激。","usage_dosage":"口服恩诺沙星5mg\/kg,每日1次或分剂量每日2次,连续用药至少2-3天,直至临床症状消失,最长用药期30天。","contraindication":"","adverse_reaction":"","attention":"1.对中枢系统有潜在的兴奋作用,诱导癫痫发作,患癫痫的犬慎用。\n2.有严重肝肾损伤的动物应调整给药剂量,避免药物蓄积。\n3.本品不适用于8周龄前的猫,12个月内的小型犬和18个月内的大型大。\n4.对猫的剂量应≤5mg\/kg\/d给药,以减少视网膜变性的风险(未批准猫的肠外给药)。","interaction":"","approval_no":"兽药字020162929","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-05 15:11:30","updated_at":"2020-11-05 15:11:30"}},"product_sku_info":{"id":923,"product_id":882,"title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","advword":null,"price":68,"market_price":108,"cost_price":32,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25mg×8片×2板\/盒"}},"cover":null,"thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45"}}},"drug_data_bak":{"0":{"id":69654,"prescription_id":132114,"doctor_user_id":1296147,"product_id":882,"product_sku_id":923,"dose":5,"dose_unit":"mg","use_method":"口服","frequency":"每天2次","days":14,"number":3,"remark":"每公斤五毫克一天两次","created_at":"2022-12-25 00:14:14","updated_at":"2022-12-25 00:14:14","product_info":{"id":882,"hash_id":"bEoKq1xnArgMNkRy","class_ids":{"0":1,"1":2,"2":3,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":52,"sell_point":"保灵保思诺恩诺沙星片 25mg","title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","recommend_reason":{"0":"是犬猫细菌性前列腺炎的首选抗生素","1":"用于治疗犬、猫敏感菌感染","2":"用于小型哺乳动物的皮肤和内脏感染、宠物鸟的疾病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮症,细菌感染,敏感菌感染,内脏感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"25mg×8片×2板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/01\/2bc0c07b9088d6842acf8a58cf6a3641.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":62,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45","ins":{"id":52,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恩诺沙星片","trade_name":"恩诺沙星","en_name":"Enrofloxacin Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/ba16a6bd067e311e6833ad589761e606.PNG","specification":"25mg×8片×2板\/盒","reference_price":100,"component":"恩诺沙星","indication":"1.恩诺沙星在巨噬细胞和中性粒细细胞中的药物浓度是血浆中的4-10倍,因此在感染的组织中药物浓度高于健康组织,对外伤和脓皮病有特效。另外恩诺沙星也是细菌性前列腺炎的首选抗生素。\n2.用于治疗犬、猫敏感菌感染。\n3.常用于小型哺乳动物的皮肤和内脏感染。\n4.用于治疗宠物鸟的疾病可将恩诺沙星添加在饮水中,按0.3-0.5mg\/kg的浓度,可以避免肌肉注射引起的局部刺激。","usage_dosage":"口服恩诺沙星5mg\/kg,每日1次或分剂量每日2次,连续用药至少2-3天,直至临床症状消失,最长用药期30天。","contraindication":"","adverse_reaction":"","attention":"1.对中枢系统有潜在的兴奋作用,诱导癫痫发作,患癫痫的犬慎用。\n2.有严重肝肾损伤的动物应调整给药剂量,避免药物蓄积。\n3.本品不适用于8周龄前的猫,12个月内的小型犬和18个月内的大型大。\n4.对猫的剂量应≤5mg\/kg\/d给药,以减少视网膜变性的风险(未批准猫的肠外给药)。","interaction":"","approval_no":"兽药字020162929","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-05 15:11:30","updated_at":"2020-11-05 15:11:30"}},"product_sku_info":{"id":923,"product_id":882,"title":"保灵保思诺恩诺沙星片 25mg×8片×2板\/盒","advword":null,"price":68,"market_price":108,"cost_price":32,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"25mg×8片×2板\/盒"}},"cover":null,"thumb":"","sale_count":64,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 17:17:07","updated_at":"2024-02-20 11:19:45"}}}}}}
微信扫一扫
立即问宠医