徐灿
执业兽医师
你好,对于这种情况来说,我需要问一下,最近一段时间,他的肚子有没有越来越大?能不能捏一下他的后腿上?他的后腿上的肉有没有越来越少?还有就是按压的时候有没有疼痛?这两天是不是食欲和精神状态都非常好?有没有做过什么测试或者检查?是否用过某些药物呢?
还有就是回顾一下有没有外伤的历史,我需要知道更多的情况,以便于后续的分析和判断。
肚子没有越来越大,吃喝拉撒都是正常的,可以摸后腿,后腿的肉也没有少,最近有点嗜睡懒洋洋的,但是现在天气转凉了,之前没有外伤过,就是突然一晚上过后才发现她走路有点瘸的,但是前一晚也没干什么,但是最近她舔毛很频繁,猫藓复发了
徐灿
执业兽医师
因为它的毛发太长了,所以从直观上我看不出是否有肌肉萎缩,如果说按压没有疼痛感的话,而且爪子和指尖没有问题,那么主要考虑的方向就是可能有关节炎或者是钙质缺乏,当然,这个并不是绝对的,如果说有消耗性疾病,比如说传染性腹膜炎造成的肌肉萎缩,那么也有可能会造成瘸腿,或者是后腿无力。
如果说他吃喝正常的话,那么可以尝试着用一些恢复软组织的药物去尝试,并且加一些钙质剂,当然,如果经济能力允许的话,而且没有按压疼痛,那么最好是能看一下白球比,还有炎症数值。
恢复软组织的药物有哪些呢,还是需要去医院检查一下呢,因为她很抗拒去医院和出门,皮肤病会影响她后腿无力吗,是缺微量元素或者维生素吗
徐灿
执业兽医师
一般来说,皮肤病和后腿的无力关联性不强,因为它是一个长毛的英短,有些时候可能会掩盖肌肉含量,有条件的话,最好是做一个炎症反应测试和生化检查,看一下是否有高炎症以及白球比比较低。
至于说用药物逆向诊断的话,一般来说就是用一些钙制剂和***,我帮你开了个方案,你也可以参考,但是最好是优先做生化和炎症测试。
如果说后续有测试结果的话,也可以发回来做复诊。
徐灿
执业兽医师
实际上,做生化还有炎症反应测试的主要目的,主要是担心可能有传染性腹膜炎,如果说想要减少一定花费的话,那么可以先只做一个炎症反应测试,看一下是否有极高的炎症,如果有极高的炎症的话,再去考虑可能存在传染性腹膜炎,一般来说saa测试,也就是炎症反应测试,价格大概在150到200元左右,而生化检查一般在400到500元左右。
如果经济能力不是特别好,个人建议是先做炎症测试,然后如果说有问题的话,再去排除是否为传染性腹膜炎,如果说炎症并没有,那么可以使用上面的方案口服1到2个星期,看一下情况,但是前提是食欲良好,精神状态正常。
她的屁屁最近也很臭,屁股上也没有粘上大便,擦了也有味道,是肛门腺的原因吗
徐灿
执业兽医师
这个并不一定,你可以尝试着挤压一下肛门腺,看一下是否有分泌物或者是脓汁出来,如果说有的话,再去考虑肛门腺炎就行,他有没有用屁股蹭地板的行为?这是都要考虑的,建议是先去做个炎症反应测试,然后顺带让医生帮你挤一下肛门腺,顺带检查一下,而且这种长毛的英短,要把屁股周遭的毛发去除,会好一些。
我家猫正常跑步跳跃好像没有问题,它为了追虫子跳到了厨房灶台和桌子上,有可能是炎症吗
徐灿
执业兽医师
这里说的炎症,考虑的是传染性腹膜炎,是一种病毒性疾病,如果说是由于病毒性疾病引起的肌肉萎缩,然后再去考虑这方面的问题就可以,并不是说普通的细菌性感染。
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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