咨询描述:医生您好,我家意大利小灵缇9个月大,香港正规宠物店领养,现有皮肤和肠道问题向您求助。它4月初开始头部皮肤出现结痂掉皮,成了小瘌痢头。最近3天排便时出现软便和拉稀(粘液便,无流血),次数正常,在饮用水中加入益生菌调节有效,食物减半,继续观察中。与此同时,脖子皮肤出现多个较大颗粒,白色无破溃。
问题大致一样,细节不同?
周亭宇
执业兽医师
您好家长,它皮肤的问题还是建议送医做个真菌检测和皮肤刮片镜检来确定是否为螨虫感染,它脖子这里局部的病灶如果没有出现红疹,掉毛,抓挠的情况,则很有可能是被跳蚤,蜱虫等寄生虫叮咬过形成的炎性增生物,如果没有去抓挠,说明不严重,只要不溃破,发炎,继续观察即可。肠道的问题如果疫苗都打全了,而且精神也正常,也有食欲,则主要考虑细菌性肠炎或者体内寄生虫感染的问题,比如球虫感染。皮肤的问题可以先送医做个皮肤刮片来看看具体情况,肠道的问题我可以给它针对性的开处方,主要是抗菌止痢,推荐用药如下:
纽贝健每天两次,每次4ml,连续四天
发育宝每天两次,每次1g,随餐服用,连续半个月到一个月。
谢谢回复,我们在香港带它来深圳不方便,是否可以这样操作?我们收集一些皮屑来您的诊所做化验,然后取药带回。
周亭宇
执业兽医师
因为皮肤刮片对采样要求比较高,如果非专业人员操作很可能伤到皮肤,所以建议送医由医生来操作,还有一个办法就是我这边先给它开一些药先保守治疗,如果有效就没事了,如果用药半个月还没恢复还是建议送医做检查,推荐用药如下:
肤美宁每天三次,涂抹患处皮肤,连续五天
洗必泰每周洗一次,连续四周,具体洗的方法参考产品说明书
伴肤康每天两次,每次一片,连续十天。
它今天不吃狗粮,可以听到肠鸣音,吃点无乳糖牛奶可以吗?
周亭宇
执业兽医师
您好家长,平台目前还没有伊丽莎白圈,有肠鸣音说明肠道有气体,这个和肠炎引起的肠菌群紊乱有关系,益生菌需要继续吃半个月,不建议喝牛奶,应该喝羊奶,少食多餐。
洗耳液:
每天两次,每次滴5-7滴进耳朵,再揉耳朵半分钟,再松开让它自己把药液甩出来,再用纸巾棉签擦干。
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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