柴犬散步回来后前脚后脚无法落地走路怎么办?
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咨询描述:柴犬,2岁。
症状描述:
1. 昨天散步后回来前脚后脚无法落地走路,一直抬在半空中。按压关节等均无疼痛感,用手按压到第四个肉垫时疼痛感明显(一按就缩脚);
2.肉垫:表面无红肿破皮或割伤,但摸起来比其他几个肉垫发硬很多
用药情况:使用消毒湿巾清洁,修建了脚掌毛,涂了碘酒和烫伤膏,但今天仍然无法走路。
问题大致一样,细节不同?
您好医生,有几个地方打错信息了。
1.是前脚右脚无法落地,并不是前脚和后脚~
2.柴柴是30斤,不是30公斤🙉
谢谢医生!
周亭宇
执业兽医师
您好家长,根据您提供的狗狗情况,它这个有可能是指甲炎,建议口服4天消炎药结合外用消炎药看看,推荐用药如下:
****每天三次,连续七天
****每天两次,每次0.75片,连续五天。
以上用药体重按15公斤算。
周亭宇
执业兽医师
另外还有一个可能就是考虑指关节的损伤,这个如果后边发现这个指头有肿大,而且按压有明显抗拒,很可能存在这个问题,建议送医拍个片子看看有没有指关节的挫伤或者骨折,严重的话可能需要做第一指关节的切除,一般情况服用一段时间消炎药即可。
谢谢医生,请问药物的话是涂抹在那个不舒服的肉垫上还是其他部位?
另外想问下医生,由于我目前是在海外,无法购买到国内的一些药物,您是否知道有其他常用消炎药物可以替代的?谢谢🙏
周亭宇
执业兽医师
直接涂抹在肉垫上,和这个指头两侧的指缝中。如果买不到国内的,可以就近去宠物医院或者药房买****的****进行治疗,也是每天三次,连续五天。
但是因为是人用药,医生本人和平台是不支持给宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。
明白,谢谢医生,理解的🙏
另外想补充下,它平时一直走跑正常的,昨天出门也一直在跑得很快玩,没任何异常。是回来途中我感觉他有点抗拒回家走路慢吞吞,差不多到家一两小时后开始吊起脚不落地的。您觉得这个是不是突发情况的外伤可能性高一些?(比如路上踩到什么东西等情况)还是也有可能是一直积累下来的慢性情况?谢谢~
周亭宇
执业兽医师
这个还不好说,不过突发的外力损伤的可能性更大一些,也不排除是趾间炎这种细菌性的感染导致,先按照我说的用药方案治疗五天看看吧。
好的明白谢谢!最后想问下,我就暂时给它涂这个药,其他的比如芦荟啊什么冷敷热敷这些就暂时都别弄是吗🙏
周亭宇
执业兽医师
芦荟胶这些对于皮表的损伤有一定护理作用,冷敷热敷对于关节扭伤有一定作用,但是如果不是关节问题,这个也没啥用,而且我说的****这个药对于这种关节的问题也是有一定疗效的,如果是趾间炎,使用这个也有一定效果,先用五天看看吧,但是如果用药第四天还是没有恢复,而且有恶化,还是应该送医拍片看看有没有关节损伤或者趾骨骨折的情况。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":89604,"prescription_id":141432,"doctor_user_id":1624728,"product_id":793,"product_sku_id":835,"dose":1,"dose_unit":"mg","use_method":"涂抹","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2023-04-17 11:18:39","updated_at":"2023-04-17 11:18:39","product_info":{"id":793,"hash_id":"650KvV4QAE4WXBEd","class_ids":{"0":1,"1":2},"category_ids":{"14":175},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":98,"sell_point":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏","title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 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ointment","brand_name":"金盾","is_prescription":0,"cover":"\/drug\/2020\/11\/f76e1e33e67dad2a121303450d137cbb.jpg","specification":"20g\/支\/盒","reference_price":40,"component":"醋酸氟轻松","indication":"主要用于各种皮肤病,如湿疹,过敏性皮炎,疥螨性皮肤病和皮肤瘙痒等。","usage_dosage":"直接将药膏涂在问题部位,涂抹前先将患处污染物、结痂等清除干净,1天2次。视情况,连用5-7天。可同时配合金盾蜱螨洗剂使用,效果更好。症状消失后,亲也不要着急停药,继续使用本品3-5天以巩固效果不复发哦。","contraindication":"1.对本药及基质成分过敏者和对其他糖皮质激素过敏者禁用。\n2.急性细菌性、真菌性及病毒性等感染性皮肤病禁用。","adverse_reaction":"1.长期或大面积应用,可引起皮肤萎缩、毛细血管扩张、毛囊炎,增加对感染的易感性等。\n2.应用于面部可发生痤疮样皮炎、口周皮炎等。偶可引起接触性皮炎。","attention":"1.使用后应将管盖拧紧。\n2.请将此药放在儿童不能触及的地方。\n3.对本品过敏宠物紧致使用。\n4.避免宠物吞食。\n5.本品为膏剂,赋形剂受外界温度的变化可能存在膏体硬度差异,不影响使用效果。","interaction":"","approval_no":"兽药字100381593","storage_method":"密闭,阴凉处保存。","validity":"2年","manufacturer":"南京金盾动物药业有限责任公司","status":1,"created_at":"2020-11-16 16:05:55","updated_at":"2020-11-16 16:05:55"}},"product_sku_info":{"id":835,"product_id":793,"title":"金盾 肤美宁 醋酸氟轻松消炎杀螨膏 20g\/支\/盒","advword":null,"price":35,"market_price":55,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"20g"}},"cover":null,"thumb":"","sale_count":44,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-20 18:59:33","updated_at":"2024-10-19 21:13:27"}}}}}}
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