咨询描述：您好孙医生，我家比熊犬快十岁了，二月抽搐频繁送医院做各种检查化验近上万元，医生说是脑炎，但是诊断书上一直写着癫痫。吃了****龙和****、****近半年了，狗狗的副作用很大，肚子大，行动反应迟缓，最近走路都晃厌食。我想了解下，癫痫和脑炎用什么化验指标来鉴定？脑脊液检查均为阴性。 近期病情一个月大概发作一次轻微的癫痫，倒地抽搐四支划水，口吐少量白沫，一分钟内能缓过来了。
患病时长：6个月
医院检查：医生跟我说癫痫只是脑炎发作的表现，但是书面诊断只字不提脑炎。
用药情况：这是开的用药量：**** 一天一次，一次一片；****一天两次，一次1/3片；****一天三次，一次1/2片。
问题大致一样，细节不同？
孙厚福
执业兽医师
您好，我已收到你的咨询，为了更好诊治，我需要近一步了解宝贝情况。
1.是否做过核磁共振检查
2.激素药物副作用比较大，正常情况激素可以减量或者停掉
3.目前喝水量和排尿量是否增多？
4.脑炎正常做核磁共振就可以检查出来的
5.目前癫痫发作频率？
除此之外，宝贝目前的症状来讲，希望主人你仔细提供给我。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。感谢你的配合。
喝水及排尿用药后明显频繁，癫痫发作频率一个月一次左右，轻微的一小时倒地四肢划水、口吐少量白沫，然后自己能缓过来。
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
检查结果有多灶脑膜病变，考虑还是脑炎引起癫痫，需要配合修复神经药物，同时可以定期查一下****含量看看是否可以减量，同时配合保肝和保肾药物，定期复查一下肝脏和肾脏指标，调整一下用药
****激素药是否可以停药？还是脑炎药坚持一直吃？保肝保肾药的名称和用量多少呢？之前的医生没有开
孙厚福
执业兽医师
1.****龙可以减量看看不能完全停了之后再看看是否可以停药
家长你好，考虑宝贝的情况，我给宝贝开具了一个处方，你可以根据实际需求自行选择购买。
1.****一天一粒
2.****一天一粒
你可以点击查看详情按钮，进入处方页面查看药物使用说明。
还有就是激素药您建议吃 ****龙 还是 左**** 哪种比较好副作用相对少些？
孙厚福
执业兽医师
1.****龙可以降低剂量口服的不建议停药
2.左****和****同类药物，如果控制癫痫效果不好可以换药，如果比较稳定暂时不推荐换药的
好的谢谢孙医生，听说脑炎没有办法治愈的，我们只能做到坚持配合治疗，减轻病痛
孙厚福
执业兽医师
是的很难痊愈的，需要长期用药控制，提高生活质量。避免刺激同时需要精心照顾。可以按照我说的增加保肝保肾药物，同时****龙减量看一下。
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你，请你在咨询结束后留下5星评论。
后续宠物有其它问题，你可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢你的支持和鼓励，祝你的爱宠早日康复！🙂🙂🙂
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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