咨询描述:于医生你好,我家泰迪12岁了,今年3月开始肚子中间长了个小疙瘩花生大小软的。长到乒乓球大小去看了,说是脐疝没事,8月就长的鸡蛋还大了硬的了,红发炎了,换了家医院检查,说是乳腺肿瘤,术后病理是乳腺癌2期。现在化疗了2次还好。现在皮肤上又出现了这小疙瘩,发照片您看是什么?
问题大致一样,细节不同?
于博
执业兽医师
您好,这是什么部位?多长时间了?自己会有抓挠啃咬的情况吗?看照片像一块皮肤皮下出血,表面是很密集的很小的疙瘩吗还是像蚊子叮的那种小红疙瘩呢?一共几个部位有?用过药物吗?
左前腿根前面到腋下两个,左前胸近腋下一个。五天了。但是做手术后10天出现皮炎,用药后见好,****。您分析的是对的,有出血。可以电话沟通吗?打字说的不清楚。
为保护用户隐私不显示图片/视频
于博
执业兽医师
您好,平台不允许客户和医生私下沟通哈,只能线上图文咨询。您不用着急问答,把想问的问题和回复的内容每一条整体好统一发给我就好。我也会统一回复给您。一般沟通是没有问题的。是这样的,我从照片上看这个不像是真菌或者螨虫引起的疾病,您那个药物对于没有严重的皮肤病可能会有些刺激作用,所以不建议继续使用。
然后针对患处因为有些毛发遮挡,不能再细致观察。我建议因为皮肤性问题是要患部剃毛的,您可以把患部的毛发剃干净然后再拍照片我帮您看一下是皮肤表面还是皮下出血。
目前您也可以根据我说的看一下情况,如果是皮肤表面发红应该是简单的皮肤损伤可以使用外伤药物涂抹消炎,佩戴好头圈,患部毛剃干净。
如果是皮下像淤血那种,那要考虑是不是有外部原因导致皮下瘀血或者皮下毛细血管凝血不良,需要去医院检测凝血功能。如果是皮下散在的一个个很小的出血点也要考虑凝血问题。还有化疗药物是否会影响。所以您现在可以剃毛干净拍的清晰一些给我,您也自己可以先看一下
昨天晚上拍了个视频,没管好它用舌头舔了,有出血了。
为保护用户隐私不显示图片/视频
于博
执业兽医师
看着不是皮下淤血或者出血点凝血不良,是皮肤表面湿疹那种情况,一般是潮湿引起的。可以使用细菌湿疹的药物。口服抗生素。患部保持干燥卫生。不能让他舔到了,可以带个软脖圈
于博
执业兽医师
1.****金芳喷剂,每天喷患处,一天一次。每次先用碘伏清理干净患处清除结痂等再使用药物
2.****一天两次一次半片 抑制细菌感染
3.配带头圈您可以根据实际需求选择在平台或者其他正规渠道购买即可
上次手术时把子宫和暖巢一起摘除了。好,按照您的医嘱治疗,它吃饭和大小便一直都还正常。左前腿疼不愿意走路,老躺着,饮食和平时运动都注意什么?
于博
执业兽医师
左前腿疼痛,您可以先拍个片子看一下是否有关节炎情况,或者肿瘤转移的情况。
饮食一般还是低碳水化合物,中等蛋白的粮食可以额外饲喂西蓝花,鸡肉,胡萝卜这些。
遛的时间适当,一般10-20分钟每次。如果时间充裕,可以1-2小时留一次老年犬可能有排尿较多情况
不要激动,减少生气,尽量状态平稳。
零食喜欢吃的都可以饲喂,开心
前面视频出血的包块两腿之间,靠左前腿这边发展也有,所以前腿痛,前几天还有水肿,开的利尿的药,好了些,有医生说是乳腺肿瘤转移了。2期乳腺肿瘤转移这么快吗?
于博
执业兽医师
这个有可能的,一般恶性肿瘤生存时间几个月到2年左右,如果疼痛严重,可以吃一些止痛药缓解疼痛。
一天一次,一次一片
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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