咨询描述:拉布拉多,母,七岁半,体重32kg
症状描述:狗狗身上很痒,一直挠。局部掉毛严重,身上有结痂和红块,还出了很多皮屑。耳朵有褐色的异物,而且非常臭。应该是耳道感染了,给它清洗,然后又喷了一些除螨的药,但是没有见好转还是很臭。但是褐色的异物减少了,以前一两天整个耳朵都是,现在少多了
患病时长:他这个样子有三四年了。每年暑假的时候都会这样反反复复,然后差不多两。每年暑假的时候都会这样反反复复,然后差不多两个月就好了
医院检查:前几天带她去医院检查,做了个显微镜的检测。说是弧菌感染,不是真菌没有看到真菌
用药情况:以前以为是真菌给他用的都是治真菌的药,现在没有用药。
问题大致一样,细节不同?
王冲
执业兽医师
您好,弧菌属于细菌感染,但是细菌感染一般不会这么严重,个人感觉有螨虫的可能,建议再做显微镜刮片检查,但是需要刮出点血来,螨虫需要深层检测,而且容易每年反复发作。
细菌感染用药和螨虫不一样,建议换一家医院再次确定一下。
耳道内有褐色分泌物,很可能是耳道感染或者耳螨,治疗办法是这样的,您先用洗耳液滴到耳道里揉耳根,然后用棉棒把耳道里的分泌物清理干净,最后把耳药滴到耳道里,滴黄豆粒大小两滴就可以,滴进去再揉耳根,让药物在耳道里均匀涂抹在耳道。每天都是用两次药,先清洗后滴药,上午下午各一次。
如果您想先按照弧菌感染治疗的话,我可以先给您开治疗细菌的药,您先试试,如果用药一周左右没有明显效果,您再去医院重新刮片检查,您看这样可以吗?
(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。)
上次做的就是显微镜刮片,说是弧菌感染。对它就是每年反反复复的。但是我们经常洗澡呀,会是螨虫感染吗?前一段时间它还行感觉没那么严重,这几天我感觉它越来越严重了,就是经常不停挠不停的挠。然后有时候痒的哼唧
他这样子是不是现在不能洗澡?
可以的,要不然先给我开一点治疗弧菌的药,然后我找时间再带她去看看是不是螨虫感染。她没有定时驱过虫但是驱过虫,上个月还驱虫了
王冲
执业兽医师
螨虫检测虽然也是做显微镜刮片检查,但是需要深层刮片,需要把病灶处刮出血才行,狗狗现在可以洗澡,但是需要洗药浴,不能用普通的浴液洗,而且洗澡后必须要完全吹干吹透才行,潮湿会加重皮肤感染,另外饮食也必须要清淡,肉类,高油高盐的食物会加重病情。
我需要明确一下狗狗体重,用药是根据体重服用的,狗狗体重是32kg吗?
是的31.5~32kg左右,要不然您给我开两种药吧,开治细菌的,还有治螨虫的,两种药可以一起吃吗?如果不能一起吃的话,我带它去检查检查,对开的药也可以有个依据,谢谢啦
王冲
执业兽医师
您好,处方中给您开的口服药和药浴都是治疗细菌的,螨虫用药是把药浴换成口服通灭,但是通灭这个药必须要在确诊的情况下才可以口服,没有确诊不建议贸然用药,如果确诊有螨虫,通灭您每天给狗狗喝一次,每次1.9ml,一定不要过量。
根据宝贝的情况,我给它开个处方。处方里面的
1******,抗感染,每天两次,每次1.5片
2***,止痒,每天两次,每次四片
3*********,使用香波,揉搓按摩直到泡沫覆盖全身,并使香波停留皮肤至少10分钟,然后用温水冲洗干净,最后彻底吹干。每周洗一次药浴,至少连续洗四周。
您可以根据需求自行选择购买
好的,谢谢医生。我一会儿就带她去检查看是不是螨虫感染。谢谢啦
通灭是什么药?具体的名字叫什么?口服还是打针?
王冲
执业兽医师
通灭是杀螨虫的,就是药名字,成分是多拉菌素,是口服的,不是皮下注射,用量就是按照每公斤0.06ml口服
你好医生,这是我带拉拉检查的结果,您看一下,是不是还是吃昨天开的药,它不是螨虫,检查出有真菌和细菌
为保护用户隐私不显示图片/视频
王冲
执业兽医师
您好,昨天给您开的三种药需要服用,通灭不用吃,然后您在当地医院再购买抗真菌口服药就可以了
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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