咨询描述:你好 请问一下你我家狗狗是贵宾犬,它最近出现红泪痕、嘴边周耳朵里脚扯肛门口多处毛都变红,请问是什么原因啊
问题大致一样,细节不同?
唐潮
执业兽医师
你好家长,根据你讲到的多处毛变红,我初步判断异位性皮炎,为做出进一步的判断。我还有几个问题需要向你核实一下。
1.宝贝是否有明显的皮肤损伤?或是局部脱毛,如果有麻烦拍一下图片?
2.宝贝平时是不是有吃人的食物,比如馒头,饭菜,肉,餐桌食物等?
3.变红地方,宝贝是不是频繁舔舐,或是抓挠?
4.除了您说的这些地方,宝贝背部毛也有变红?宝贝平时是否比较多次的抓挠耳朵或是腋下?
以上这些情况建议您仔细回忆后并尽量详细的描述给我,对我给宝贝目前情况的判断以及制定治疗方案有非常大的帮助,感谢您的配和。
1皮肤无损伤无脱毛
2平时有吃点点人吃的骨或肉
3变红地方有舔舐
4背部毛无变红,平时有抓挠耳朵
为保护用户隐私不显示图片/视频
每天我都煮点鸡胸肉或鸭胸肉加胡萝卜青菜给它吃,吃狗粮只吃一次
唐潮
执业兽医师
您好家长,首先宝贝眼睛下方变红,是因为宝贝流眼泪后,眼泪附着在毛上,然后被空气中物质氧化所以变红的,而泪痕重多与人用食物,尤其是肉质品引起的,也不排除鼻泪管阻塞的原因等。而宝贝舔舐的地方毛变红也是口水被氧化这个原因。嘴巴周围,是因为吃饭喝水后,口水附着在嘴部周围毛上,没有及时清理引起的。
其次,宝贝之所以抓挠耳部,频繁舔舐爪,肛周等。是因为瘙痒的原因导致,也就是异位性皮炎,异位性皮炎多见于食源性过敏,所以这个问题又称过敏性皮肤病。
然后,自制犬粮有几个问题,一个是营养配比不一定准确,毕竟宠物主人并不是宠物营养学专家;一个是你无法确定你自制的原料不会对宝贝造成过敏,宝贝虽然是杂食,但是吃的食物血复杂,造成过敏概率越高,如果要自制犬粮,最好先带宝贝进行过敏源测试。
最后,根据您的描述,初步判断是食源性过敏(异位性皮炎),引起的瘙痒,导致频繁舔舐导致的。建议去医院进行抗瘙痒抗炎治疗。
唐潮
执业兽医师
您好家长,异位性皮炎早期症状并不伴随皮肤损伤,而且最重要的治疗是食疗,就是吃犬粮,尤其是低敏处方粮,然后口服抗瘙痒药,比如****,或是皮下注射塞脱敏等,这些都是很好的止痒药。
但是在用药前,最好去医院检查一下排除其他问题,因为目前只是高度怀疑,异位性皮炎是需要排除了其它引起皮肤瘙痒的皮肤病后再确诊的。
唐潮
执业兽医师
您好家长,所开具处方如下,仅供您参考:
1.****3.6毫克:止痒,抗过敏,一天两次,一次半片,连用14天。
2.****犬低敏处方粮:减少过敏,降低过敏率,饲喂方式可以和犬粮同时饲喂,一半一半两掺,但是可能适口性不太好。
上述药物,您可以考虑后自行购买,但是购买前,建议先去医院排除其他原因并确诊。
唐潮
执业兽医师
你好家长,鼻泪管堵塞的话是需要通鼻泪管的,把管道疏通即可。但是鼻泪管很小很细,所以需要去医院进行疏通。
医生你好 我想再问一下狗狗的泪痕和口水变红是狗狗上火么,要是上火吃什么药,狗狗要是皮炎是不是不能吃鸭胸肉
唐潮
执业兽医师
您好家长,其实宝贝眼睛下方和频繁舔舐过得地方的毛变红,是典型的异位性皮炎的症状。这是因为宝贝眼泪和口水中某种成分与空气中某个物质反应,氧化导致的毛变红,这个和上火没多大关系。
鸭胸肉是否可以吃,这个不好说,如果宝贝经过过敏源测试发现鸭肉会造成过敏,那确实不能吃,如果不会造成过敏是可以吃的。
针对上火的问题,其实就是肝火旺盛,中兽医上讲,肝开窍于目,肝火旺盛,会引起结膜发红,流眼泪,眼角分泌物增多等,这种可以平时品清理眼部周围,多喝水,少食人用食物,远离过敏源。
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
{"514597":{"id":514597,"case_id":57379,"user_id":1503263,"to_user_id":2411038,"type":3,"content":"您好家长,所开具处方如下,仅供您参考:\n1.****3.6毫克:止痒,抗过敏,一天两次,一次半片,连用14天。\n2.****犬低敏处方粮:减少过敏,降低过敏率,饲喂方式可以和犬粮同时饲喂,一半一半两掺,但是可能适口性不太好。\n上述药物,您可以考虑后自行购买,但是购买前,建议先去医院排除其他原因并确诊。","media":{"images":{},"videos":{},"business_params":{"prescription_id":152689}},"is_doctor":1,"status":1,"created_at":"2023-09-13 23:49:35","show_rx":true,"rx_info":{"id":152689,"rx_no":2.02309132345405e+24,"user_id":2411038,"doctor_user_id":1503263,"is_independent":0,"case_id":3164585,"pet_info":{"pet_id":402612,"pet_name":"斑点犬","pet_nickname":"布丁","pet_gender":1,"pet_birth":"2-2","pet_weight":4,"pet_vaccination_status":0,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2岁2个月"},"diagnose":"拟异位性皮炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-09-13 23:45:40","updated_at":"2023-09-13 23:49:35","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":114724,"prescription_id":152689,"doctor_user_id":1503263,"product_id":925,"product_sku_id":966,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-13 23:45:40","updated_at":"2023-09-13 23:45:40","product_info":{"id":925,"hash_id":"z9y32wx7VMgROl16","class_ids":{"0":1},"category_ids":{"11":172},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":229,"sell_point":"爱波克马来酸奥拉替尼片3.6mg×10片","title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","recommend_reason":{"0":"用于控制过敏性皮炎引发的瘙痒","1":"控制1岁以上犬只的异位性皮炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏性皮炎,瘙痒,异位性皮炎,爱波克,奥拉替尼","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10粒拆装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/ab42b2486a52db337db578205092b124.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":87,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-22 09:14:32","ins":{"id":229,"hash_id":"7REJ0W4A5w4PBVAK","class_ids":"[\u00221\u0022]","title":"爱波克马来酸奥拉替尼片3.6mg×10片","common_name":"马来酸奥拉替尼片","trade_name":"爱波克","en_name":"apoquel(oclacitinibtablet)","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2022\/05\/4d1f18cdf3682ebf6a407f300aa2a499.jpeg","specification":"3.6mg×10片","reference_price":250,"component":"马来酸奥拉替尼","indication":"用于控制过敏性皮炎引发的瘙痒以及控制1岁以上犬只的异位性皮炎。","usage_dosage":"以奥拉替尼计,0.4-0.6mg\/kg体重,口服,每日2次,连用14天,然后每日1次维持治疗,可拌食或直接喂食。","contraindication":"1.十二月龄以下犬只禁用;\n2.严重感染的犬只禁用;\n3.繁殖用种公犬及妊娠期、哺乳期的母犬禁用;","adverse_reaction":"1.用于治疗异位性皮炎,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡等不良反应。会导致白细胞系和血清球蛋白数量下降,胆固醇和脂肪酶含量有所升高但均值仍在正常范围内,在使用本品的第14天,平均淋巴细胞数量会短暂升高。\n2.用于治疗过敏性皮炎引发的瘙痒,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡、烦渴等不良反应。白细胞系数量会有轻微上升,但仍在正常范围之内。在使用本品的第7天,平均淋巴细胞数量升高,但在无间断使用本品的临床试验结束之时又恢复到预处理水平。临床试验的30天内,没有发生任何致死和不良反应。","attention":"1.本品与糖皮质激素、环孢菌素或者其他免疫抑制剂的联用未经评估\n2.本品可能会增加传染病的易感性,包括蠕形螨以及恶性肿瘤。\n3.本品不可人用,请将本品放到儿童接触不到的地方,只能用于犬。\n4.接触过药片后请立即洗手。万一发生意外的眼睛接触,应立即用大量的清水或盐水冲洗至少15分钟,然后就医。\n5.如果不慎吞下,请立即就医。","interaction":"","approval_no":"(2019)外兽药证字25号","storage_method":"20℃-25℃室温下储存,可允许偏差范围为15℃-40℃。","validity":"2年","manufacturer":"辉瑞意大利阿斯科利制药厂","status":1,"created_at":"2022-05-13 17:07:24","updated_at":"2022-05-13 17:07:24"}},"product_sku_info":{"id":966,"product_id":925,"title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","advword":null,"price":188,"market_price":229,"cost_price":0,"stock":962,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10粒拆装"}},"cover":null,"thumb":"","sale_count":91,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-21 21:26:59"}},"1":{"id":114725,"prescription_id":152689,"doctor_user_id":1503263,"product_id":682,"product_sku_id":726,"dose":1,"dose_unit":"次","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-09-13 23:45:40","updated_at":"2023-09-13 23:45:40","product_info":{"id":682,"hash_id":"bEoKq1xnyngMNkRy","class_ids":{"0":1},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":142,"sell_point":"皇家成犬低过敏性全价处方粮","title":"皇家成犬低过敏性全价处方粮 DR21","recommend_reason":{"0":"用于狗狗食物过敏:致敏源通常是动物蛋白质(牛肉,鸡肉)","1":"用于狗狗过敏性皮炎:体外寄生虫、环境过敏等","2":"用于狗狗癣菌性过敏:小型犬易感染,尤其是幼年期和多宠物家庭"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏,皮炎,皮肤病,过敏性皮炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/f161249b53e6144b194c3ae9d42260c1.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":268,"max_price":268,"sale_count":2,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:03:08","updated_at":"2024-06-04 17:11:06","ins":{"id":142,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"皇家成犬低过敏性全价处方粮","trade_name":"DR21","en_name":"HYPOALLERGENIC","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2021\/03\/9b7872851cf1e6db12c733d1ccf17b35.png","specification":"2kg\/袋","reference_price":288,"component":"原料组成:大米、大豆酶解蛋白牛油、鸡油、甜菜粕、宠物饲料复合调味料、矿物质、大豆油、鱼油。","indication":"1.食物过敏:致敏源通常是动物蛋白质(牛肉,鸡肉)。\n2.犬过敏性皮炎:体外寄生虫,(蠕形螨,跳蚤等)。\n3.环境过敏:致敏源多为花粉,动物皮屑,植物,昆虫,灰粉等。\n4.癣菌性过敏:小型犬易感染,尤其是幼年期和多宠物家庭。","usage_dosage":"食用剂量参见产品包装。兽医师在确诊您的犬是因为食物蛋白质过敏时,会建议饲喂“无过敏原食物”约持续2个月,如果您的宠物过敏,且症状在本试验中得到改善建议终身饲喂。","contraindication":"","adverse_reaction":"","attention":"温馨提示:颜色颗粒颜色的差异源于不同批次原料本身的颜色差异产品颜色若有差异属于正常现象;敬请放心给您的宠物饲喂。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2021-03-09 10:19:02","updated_at":"2021-03-09 10:19:02"}},"product_sku_info":{"id":726,"product_id":682,"title":"皇家成犬低过敏性全价处方粮 DR21\/2KG","advword":null,"price":268,"market_price":273,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2KG"}},"cover":null,"thumb":"","sale_count":2,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:03:08","updated_at":"2024-06-04 17:11:06"}}},"drug_data_bak":{"0":{"id":114724,"prescription_id":152689,"doctor_user_id":1503263,"product_id":925,"product_sku_id":966,"dose":0.5,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-09-13 23:45:40","updated_at":"2023-09-13 23:45:40","product_info":{"id":925,"hash_id":"z9y32wx7VMgROl16","class_ids":{"0":1},"category_ids":{"11":172},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":229,"sell_point":"爱波克马来酸奥拉替尼片3.6mg×10片","title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","recommend_reason":{"0":"用于控制过敏性皮炎引发的瘙痒","1":"控制1岁以上犬只的异位性皮炎"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏性皮炎,瘙痒,异位性皮炎,爱波克,奥拉替尼","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10粒拆装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/ab42b2486a52db337db578205092b124.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":188,"max_price":188,"sale_count":87,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-22 09:14:32","ins":{"id":229,"hash_id":"7REJ0W4A5w4PBVAK","class_ids":"[\u00221\u0022]","title":"爱波克马来酸奥拉替尼片3.6mg×10片","common_name":"马来酸奥拉替尼片","trade_name":"爱波克","en_name":"apoquel(oclacitinibtablet)","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2022\/05\/4d1f18cdf3682ebf6a407f300aa2a499.jpeg","specification":"3.6mg×10片","reference_price":250,"component":"马来酸奥拉替尼","indication":"用于控制过敏性皮炎引发的瘙痒以及控制1岁以上犬只的异位性皮炎。","usage_dosage":"以奥拉替尼计,0.4-0.6mg\/kg体重,口服,每日2次,连用14天,然后每日1次维持治疗,可拌食或直接喂食。","contraindication":"1.十二月龄以下犬只禁用;\n2.严重感染的犬只禁用;\n3.繁殖用种公犬及妊娠期、哺乳期的母犬禁用;","adverse_reaction":"1.用于治疗异位性皮炎,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡等不良反应。会导致白细胞系和血清球蛋白数量下降,胆固醇和脂肪酶含量有所升高但均值仍在正常范围内,在使用本品的第14天,平均淋巴细胞数量会短暂升高。\n2.用于治疗过敏性皮炎引发的瘙痒,长期持续给药可能发生腹泻、呕吐、厌食、嗜睡、烦渴等不良反应。白细胞系数量会有轻微上升,但仍在正常范围之内。在使用本品的第7天,平均淋巴细胞数量升高,但在无间断使用本品的临床试验结束之时又恢复到预处理水平。临床试验的30天内,没有发生任何致死和不良反应。","attention":"1.本品与糖皮质激素、环孢菌素或者其他免疫抑制剂的联用未经评估\n2.本品可能会增加传染病的易感性,包括蠕形螨以及恶性肿瘤。\n3.本品不可人用,请将本品放到儿童接触不到的地方,只能用于犬。\n4.接触过药片后请立即洗手。万一发生意外的眼睛接触,应立即用大量的清水或盐水冲洗至少15分钟,然后就医。\n5.如果不慎吞下,请立即就医。","interaction":"","approval_no":"(2019)外兽药证字25号","storage_method":"20℃-25℃室温下储存,可允许偏差范围为15℃-40℃。","validity":"2年","manufacturer":"辉瑞意大利阿斯科利制药厂","status":1,"created_at":"2022-05-13 17:07:24","updated_at":"2022-05-13 17:07:24"}},"product_sku_info":{"id":966,"product_id":925,"title":"辉瑞爱波克马来酸奥拉替尼片3.6mg×10片","advword":null,"price":188,"market_price":229,"cost_price":0,"stock":962,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10粒拆装"}},"cover":null,"thumb":"","sale_count":91,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-05-13 17:11:16","updated_at":"2024-11-21 21:26:59"}},"1":{"id":114725,"prescription_id":152689,"doctor_user_id":1503263,"product_id":682,"product_sku_id":726,"dose":1,"dose_unit":"次","use_method":"口服","frequency":"每天2次","days":30,"number":1,"remark":"","created_at":"2023-09-13 23:45:40","updated_at":"2023-09-13 23:45:40","product_info":{"id":682,"hash_id":"bEoKq1xnyngMNkRy","class_ids":{"0":1},"category_ids":{"0":161},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":142,"sell_point":"皇家成犬低过敏性全价处方粮","title":"皇家成犬低过敏性全价处方粮 DR21","recommend_reason":{"0":"用于狗狗食物过敏:致敏源通常是动物蛋白质(牛肉,鸡肉)","1":"用于狗狗过敏性皮炎:体外寄生虫、环境过敏等","2":"用于狗狗癣菌性过敏:小型犬易感染,尤其是幼年期和多宠物家庭"},"baike_guide_text":"","baike_article_hash_id":"","advword":"过敏,皮炎,皮肤病,过敏性皮炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2KG"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/f161249b53e6144b194c3ae9d42260c1.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":268,"max_price":268,"sale_count":2,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:03:08","updated_at":"2024-06-04 17:11:06","ins":{"id":142,"hash_id":"","class_ids":"[\u00221\u0022]","title":"","common_name":"皇家成犬低过敏性全价处方粮","trade_name":"DR21","en_name":"HYPOALLERGENIC","brand_name":"皇家","is_prescription":0,"cover":"\/drug\/2021\/03\/9b7872851cf1e6db12c733d1ccf17b35.png","specification":"2kg\/袋","reference_price":288,"component":"原料组成:大米、大豆酶解蛋白牛油、鸡油、甜菜粕、宠物饲料复合调味料、矿物质、大豆油、鱼油。","indication":"1.食物过敏:致敏源通常是动物蛋白质(牛肉,鸡肉)。\n2.犬过敏性皮炎:体外寄生虫,(蠕形螨,跳蚤等)。\n3.环境过敏:致敏源多为花粉,动物皮屑,植物,昆虫,灰粉等。\n4.癣菌性过敏:小型犬易感染,尤其是幼年期和多宠物家庭。","usage_dosage":"食用剂量参见产品包装。兽医师在确诊您的犬是因为食物蛋白质过敏时,会建议饲喂“无过敏原食物”约持续2个月,如果您的宠物过敏,且症状在本试验中得到改善建议终身饲喂。","contraindication":"","adverse_reaction":"","attention":"温馨提示:颜色颗粒颜色的差异源于不同批次原料本身的颜色差异产品颜色若有差异属于正常现象;敬请放心给您的宠物饲喂。","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处保存。","validity":"1.5年","manufacturer":"皇誉宠物食品(上海)有限公司","status":1,"created_at":"2021-03-09 10:19:02","updated_at":"2021-03-09 10:19:02"}},"product_sku_info":{"id":726,"product_id":682,"title":"皇家成犬低过敏性全价处方粮 DR21\/2KG","advword":null,"price":268,"market_price":273,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2KG"}},"cover":null,"thumb":"","sale_count":2,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:03:08","updated_at":"2024-06-04 17:11:06"}}}}}}
微信扫一扫
立即问宠医