咨询描述:【小狗描述】:拉布拉多公犬,三岁,较肥胖(体重快80斤),未阉割。
【情景还原】:昨晚狗狗本来还很正常的在趴睡,后来为了下楼迎接主人回家,在站立起身并准备走动的时候,突然惨叫一声,随后走到不远处的楼梯口处又惨叫一声,好像身体哪里很痛。
但还是下完了楼梯。之后给零食他吃,发现他好像只能坐着,前半身和前腿正常可灵活变动,但后半身、后两腿似乎一直维持不动。之后为了吃更远的食物,勉强一下,也可以起身走一小点距离。
睡前可正常竖起脚拉尿,但不知道是不是忍痛着的。
准备上房间睡觉时,发现他好像上不了楼梯,只能在楼梯第一级那里站立张望。
今天早上,小狗起床后,在垫子上又连连惨叫,低声汪叫。仍然是前半身可以正常活动,坐起来,后半身行动不便。主人下去看他,他在站起来走路的时候还是会很痛的叫。
早上拉大便可以蹲下。
【观察】:走路时后半身不太正常,像瘸拐,没有流血的外伤,最近也没有打过架。好像不太能侧躺,他以前挺多时候都会侧躺的。就非常突然。当轻轻触碰他尾巴以上的后背处的时候身体反应比较大,那里也会会突然一震。触碰他的后腿侧面的肉时,也会有反应。摸脚部时没反应。
【平时习惯】:尤其喜欢钻进比较低的桌底凳底(听说曾经在进出的时候好像因为凳底太低,可能伤到腰惨叫了)喜欢玩拉圈圈游戏,玩的时候也有一些跳跃活动。每日都有爬楼梯。
回复总结:狗狗后腿不灵活了,可能是由于后肢关节,或者脊椎异常问题,从而导致了一系列症状。有可能跟狗狗最近运动不当,姿势不稳妥有一定的关系。狗狗这种情况,还是比较严重的,最佳方案是去附近宠物医院就诊,进一步确诊病因以及发病程度,然后针对性给予治疗。如果暂时不方便就诊,可以在家先给狗狗吃一些宠物专用广谱消炎,抗炎止疼,营养关节的口服药来进行治疗。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我暂时还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1. 狗狗发病之前,是否有剧烈运动?
2. 狗狗是否还有其它症状?
3. 狗狗发病之后,是否有用药?是否有检查?
4. 狗狗以前是否有什么病史?
5.您可以录制一个狗狗行走的小视频,发送过来,我看一下狗狗的行走姿势。
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。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
发病之前,没有剧烈运动,但在发病的前一天玩过图片里的游戏,可能挺伤腰,平时也经常爬楼梯,钻低矮的桌底凳底;除了行动困难,不愿走动,没有其他症状;暂时没有用药,除了昨晚吃了几片钙片,没有检查;没有病史;附带视频最后有一些狗狗走路的镜头,现在他不愿意站起来走路了
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
好的,非常感谢您的回复,谢谢。根据您描述的症状以及提供的信息,以个人的经验判断宝贝是由于后肢关节,或者脊椎异常问题,从而导致了一系列症状。有可能跟狗狗最近运动不当,姿势不稳妥有一定的关系。
狗狗这种情况,还是比较严重的,最佳方案是去附近宠物医院就诊,进一步确诊病因以及发病程度,然后针对性给予治疗,效果最好,最为安全稳妥。
如果暂时不方便就诊,可以在家先给宝贝吃一些宠物专用广谱消炎,抗炎止疼,营养关节的口服药来进行治疗,观察3-4天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
禁止狗狗再剧烈运动。
如果考虑在家保守治疗,您可以告诉我狗狗具体体重,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。
是脊柱还是髋关节伤到了吗?怎么伤法,会不会是神经炎?正常走动会不会继续加深伤势?要照片子吗
陈奕达
执业兽医师
您好,具体诊断,需要您这边提供化验结果分析之后才能判断。
现在是根据狗狗表现出来的症状,初步进行疾病方向的判断。
正常行走,只要不剧烈运动,以及姿势有异常,一般不会进一步加重。不过个人还是建议近期内静养。
初步分析狗狗损伤原因是由于体重火大,运动姿势不正当导致的。不像神经炎症状。
有条件的情况下,建议照射x光片以及ct检查。
这个情况,可以在家静养等待他自己痊愈吗?这个可以自己痊愈吗?会不会恶化产生更严重的影响的啊?
陈奕达
执业兽医师
您好,综合狗狗现在所有信息,狗狗自愈的概率在50-60%左右。
狗狗会有40-50%的概率恶化,疼痛加剧。
个人建议给予狗狗即使不去宠物医院就诊的情况下,给予狗狗口服一些基础用药,这样最起码能够起到一定帮助狗狗不那么痛苦的作用。
如果严重发展,狗狗可能会出现瘫痪的问题。
陈奕达
执业兽医师
好的,这边根据狗狗的情况,我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. 速诺,宠物专用广谱消炎,控制炎症。
2. 关节宝,宠物专用营养关节用药,促进关节疾病恢复。
3. 贝安可,宠物专用抗炎止疼用药,缓解关节疼痛。
您可以根据需求自行选择购买。
陈奕达
执业兽医师
宠物主人您好,3天后我的助理会联系回访您宠物的康复情况,请添加这个微信,治疗过程中爱宠吃药有任何不良反、要及时和助理反馈,如果爱宠平时有什么养护小问题也可以咨询我们助理,这是助理的二维码
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
非常感谢您对蘑菇宠医的信任🙏。如果没有其它疑问的情况下,您可以在咨询结束后留下5星评价✨以及评论(点击左下角评论按钮),祝您的爱宠早日康复!您可以关注我,或者后续宝贝有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
您好,我还在。如果您还有其它疑问,可以随时提问。因为是在职医生,可能会有急诊病例。如果回复不及时请您见谅。您可以给我留言,我会在忙完第一时间给您回复信息。
你好,下午带了狗狗去照片子,说是腰后二三节那里长了骨赘,请问这些东西需要切除吗?可以自愈吗?什么程度需要做手术?是不是有针灸疗法?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,1.如果想彻底治疗狗狗这个问题,只能手术治疗,自愈以及其它方法是不可能的。2.如果狗狗疼痛特别厉害,建议及时手术,别等快要瘫痪的程度手术,那么效果就不好了。
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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