咨询描述:医生您好,我家17岁的母猫在10天前突然出现嘴肿,最开始只是嘴看起来有些歪但是不影响吃饭,两三天后流口水食欲降低,观察牙龈肿大发白,给吃了四天速诺外用了可鲁的口腔喷剂,第一次和第二次用喷剂有血冲出来后面就没有了,吃药后肿的小了也能吃饭了,第四天她开始拉肚子怀疑是药物造成的就停药了。停药后拉肚子好了,但是没两天肿的又变大了,但是观察口腔牙龈不发白也不发红是粉色的,更像是嘴唇和下巴的软组织肿,肿的嘴唇上能看到有像人长的粉刺那样的白尖,但是一直没有冒出来,从昨天开始又给吃了速诺,今天肿的又小了点,现在不流口水吃饭也不疼便便也正常精神也很正常,闭着嘴的时候嘴巴还是明显歪。照片是今天拍的,肿的部位有个小眼是上面的犬牙扎的,嘴边的黄色是给吃的维生素B溶液流出来了。麻烦您看看是怎么回事,需要怎样治疗,谢谢
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.是否做过片子检查?
2.考虑嗜酸性肉芽肿不排除肿瘤可能性
3.可以吃低过敏处方粮同时配合类固醇
4.另外可以口服增加免疫力药物乳铁蛋白
5.同时可以外喷可鲁喷剂
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。是否有其它异常行为或情况补充?希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。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。)
你好医生,没有做过片子检查,因为猫咪性格很胆小,加上她年纪大了所以想先在网上咨询一下,她平时是全罐头喂养的,都是选择的一些磷含量比较低的罐头。您在第3和4条推荐的有没有具体的品牌呢?我怕自己买错
孙厚福
执业兽医师
目前考虑嗜酸性肉芽肿,不排除肿瘤可能性,可以口服消炎药速诺配合类固醇泼尼松龙,同时可以配合口服口服乳铁蛋白增加免疫力。
我给它开个处方。处方里面的1. ***每公斤体重10mg早晚各一次
2******早晚各一次
3******每公斤体重1mg一天一次
您可以根据需求自行选择购买。
好的非常感谢您,请问这三种药每次一起服用可以吗?应该餐前还是餐后呢 还有口腔喷剂还需不需要继续用了呢?
孙厚福
执业兽医师
1.建议间隔30分钟不要同时口服的
2.建议加到食物里面口服,不要空腹口服
3.口喷需要继续外用的
收到,口腔喷剂之前用的***,还听说过一个叫***的,请问您推荐用哪种?
好的,非常感谢您,请问如果是嗜酸性肉芽肿的话,可能是什么原因引起的,以后我需要注意哪些问题才能避免她复发呢?
孙厚福
执业兽医师
可能是免疫力低原因,平时可以口服乳铁蛋白和低过敏处方粮减少复发。
我给它开个处方。处方里面的1. ***,您可以根据需求自行选择购买。
收到,非常感谢您!最后再问一下还应该继续给她补充维生素B和维生素C吧?维生素C应该吃哪一种呢,之前看到过有吃无酸Vc的
孙厚福
执业兽医师
可以补充维生素B,VC即维生素C,是人类和一些动物的必需营养素,但猫咪却不需要额外的VC补充。猫咪的身体可以自行合成VC,因此不需要从外部摄入
孙厚福
执业兽医师
记得好评支持一下🤝🤝🤝
感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,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。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
明白了,非常感谢您,我先给她吃几天药看看,后面如果再有问题再来咨询。祝您生活愉快工作顺利
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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