狗狗经常舔咬后腰位置皮肤红掉毛怎么回事

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患宠信息:中华田园犬/妹妹/3岁2个月

咨询描述:症状描述: 大概一个多月前,狗狗经常舔咬后腰位置,但是扒开毛皮肤没有变化,然后突然有些掉毛变多,出现了图二,我用次****喷雾消毒然后****软膏,感觉有些变好,因为不红了结痂也掉了,但是有天它挣脱伊丽莎白圈舔了,然后又红了掉毛面积扩大了如图三,现在换了****乳膏,患处变得发黄褐色,请问医生狗狗是哪种皮肤病?现在是有好转还是更严重了?后续如何用药治疗? 患病时长: 8月下半个月频繁舔毛,九月初掉毛出现红点点,之后后腿和尾巴跟两处较小面积出现掉毛和发红,9.24舔毛之后掉毛面积扩大,无红点但是大面积变红 用药情况: 9.5-9.20次****喷雾一日三次 9.20-9.25 ****+次****喷雾一日两次 9.26至今喷雾+****乳膏一日两次

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吕健

执业兽医师

1.根据你的描述,小家伙大概率真菌和细菌混合感染。 2.现在是严重的表现。 3.我是建议是,口服抗真菌药和消炎药,以及止痒的药物,同时使用外用药,综合治疗。

吕健

执业兽医师

由于您在提问里面,对您家宝贝的信息描述比较少,需要详细的描述一下咱家宝贝目前的状况。 1.吃喝排便怎么样?疫苗是否齐全,有没有做抗体检测?多久做一次驱虫,用的是什么牌子? 2.宝贝现在都有哪些疾病症状?(若有视频可以上传来我看看) 3.宝贝这样子多久了? 4.是否在线下动物医院就医过?(若有检查报告可以以照片形式传上来我看看) 5.是否用过药?用药的详细情况都讲一下。

谢谢医生! 其他基本情况 1.吃喝排便正常,精神状态良好,疫苗齐全,驱虫几个月一次,最近是9.18内驱9.28外驱药品如图 2.现在就是局部掉毛发红换了****乳膏之后皮肤变黄褐色 3.九月初出现症状描述里面有 4.没就医在国外不方便 5.症状描述里面写了用药情况,其他就是在给它补充鱼油和****6 请问, 1. 现在使用的****乳膏和次****喷雾有用吗,一天两次用法是否正确需要换药吗,****软膏停用了,还要继续使用吗 2.想尽量外用避免内服,医生能推荐其他几种外用药吗, 3.狗狗现在情况是否严重到必须内服药,需要准备什么药 4. 皮肤变黄褐色是正常用药反应还是不正常? 5. 在用对药情况下狗狗几天可以变好并开始长毛 其他情况:别的地方它也痒,摘下来伊丽莎白圈左挠右挠,后腿挠肚子,脖子,想啃另一面后腰的毛,但是现在秃的地方它不怎么想舔了

为保护用户隐私不显示图片/视频

吕健

执业兽医师

1.皮肤有黄褐色,是感染的表现。 2.其他的外用药,可以使****喷剂。 3.如果是真菌感染,超过三块,就需要使用口服药了。 4.皮肤变黑和变红肿,是正常的表现,黄褐色是细菌滋生了,由于使用了激素类的药物,后续用药可能比较麻烦。 5.全身性的皮肤瘙痒,可能是异位性皮炎,需要吃止痒药。

谢谢医生 1****喷雾听说里面也有激素,使用安全吗 2目前的外用药是否需要换,****有激素要停用吗?现在情况请推荐用药方案. 3内服抗真菌,消炎,止痒药求推荐 谢谢医生,现在好焦虑不知道怎么办才好了

吕健

执业兽医师

主要的治疗方案是, 1.止痒,****2片,抗过敏,每天2次。 2.消炎,****氨苄,每天2片,每次1片。 3.皮肤喷剂,对真菌,细菌螨虫都有一定效果。 可以在国外购买,同类型的药物,皮肤病治疗周期长。 真菌治疗周期长,至少6~8周。需要同时口服B族维生素,提高狗狗的皮肤抵抗力,狗狗多晒太阳。如果真菌多于三块,就要用口服****唑了。用一周,停一周,为一个疗程,一般要三个疗程。家庭环境也很重要,可以用吸尘器吸尘土,并用紫外线消毒灯消毒30min(避免直接照狗狗。)

吕健

执业兽医师

1.****一般是没有激素的。 2.****建议停用,不然后续会很麻烦,可能要做药敏试验。 3.实在不方便,可以洗药浴,每周2~3次。 4.抗真菌药,****唑,用一周停一周,连用3个疗程。同时,口服****。一般情况下,真菌感染不是很痒,怀疑是继发了球菌感染,或是有异位性皮炎。

吕健

执业兽医师

您还有什么疑问吗?

谢谢医生,我想到要补充一些情况 狗狗是来大姨妈我给穿了绿十字的纸尿裤,虽然只穿了三四天,但是之后它就啃后腰一圈和尾巴根,发现的时候总是湿湿的,我觉得就是纸尿裤跟皮肤接触多的地方,然后持续了半个月左右有一处就开始掉毛破了,就各种上药变成了现在的样子 不知道这个情况能不能帮助医生诊断,现在感觉要用的药很杂,又要治真菌又要治细菌,还有过敏的原因?? 我现在有点懵不知道重点应该在哪里,用药针对性有先后吗?

吕健

执业兽医师

1.主要是怀疑是细菌感染和异位性皮炎,时间长了,狗狗总是啃咬,可能会有真菌感染。 2.由于,国外医院预约不太方便,所以就建议全面性的治疗。 3.如果国外购买伍德氏灯方便,可以初步自己初步筛查一下,是否有真菌感染?第一套方案里面,皮肤喷剂是针对真菌。

吕健

执业兽医师

第二套方案,更针对真菌,但也是全面性的治疗。

吕健

执业兽医师

伍德氏灯阳性,也就是苹果绿色,说明是有真菌感染,可以使用第二套方案治疗。

谢谢医生,那我现在主要杀细菌+吃过敏药止痒,然后伍德氏灯诊断后决定要不要抗真菌,这个思路对吗,我现在在国内9号回去,所以药品国内国外的都能买到,我可以带回去

吕健

执业兽医师

1.是的,就是您描述的思路。 2.除了皮肤喷剂,其他的都可以购买到类似的,或替代品。您可以看一下成分,然后购买就可以了。 3.消炎药,可以买****鲜等,皮肤喷剂就买一个比较全面的,或真菌和细菌各买一种,交替使用,大多数都是国外的药物,或着是仿造的。

好的!谢谢医生!

吕健

执业兽医师

非常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 星评价,您的评价是我工作最大的支持,感谢。 后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号继续向我提问

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17:34:38"}},"product_sku_info":{"id":960,"product_id":919,"title":"汉维宠仕汉肤欣伊曲康唑内服溶液52ml\/瓶","advword":null,"price":398,"market_price":660,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"52ml"}},"cover":null,"thumb":"","sale_count":2,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-02-12 17:53:30","updated_at":"2024-01-26 09:30:09"}}}}}}

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