咨询描述:我家7岁的小狗狗前天下午突然发现她的左侧眼眶下方部肿大了(如图),不影响她的吃饭活动。开始以为是她在屋子里面奔跑时候不小心撞到什么东西了或者磕哪里了,拿了一个冰箱里的冷冻物给她隔着毛巾冰敷一下,睡了一晚,一早看好像小了些。
带着出去遛了一圈狗回来发现肿的比出门前大了些,也没看出狗狗有什么其它不舒服的地方。吃饭,运动和睡觉啥的都正常。没看出肿胀处皮肤表面有蚊虫叮咬的痕迹,有也没看到狗要用爪子去挠这里。
也看了下狗狗的牙齿,给她刷了牙,没发现有什么牙齿问题。吃饭和啃小骨头没有问题。
请问这可能是什么问题?是过敏吗?还是哪里有炎症吗?是要再观察几天吗?
问题大致一样,细节不同?
于博
执业兽医师
您好,这种不是过敏,内部应该是脓性或者学样分泌物。初步考虑应该是颜面瘘可能性大,一般是因为,内部牙根或者异物有坏掉病变引起的,化脓感染。之后可能会表皮破掉。建议去医院检查处理。
谢谢于医生。如果是颜面瘘,是不是要全麻做拔牙齿手术?不做手术,吃消炎药和抗生素会有多大的用处?有没有可能是第三泪腺发炎的可能性?
于博
执业兽医师
如果是的话,需要麻醉,拔除坏的牙齿牙根或者异物,然后开创引流。口服消炎药,可能会有好转,但是不解决根本原因,还会复发或者没有效果。可以尝试一下。
您说的是不是第三眼睑发炎呢?第三眼睑发炎增生会长到眼球外面,形成樱桃眼。
具体的需要先去医院,拍口腔X光片看一下牙根,医生检查一下口腔。患部穿刺抽吸里面分泌物化验辨别一下。
于博
执业兽医师
如果排除牙齿异物引起的感染再考虑蚊虫叮咬,外伤引起的皮下发炎感染
谢谢于医生。如果用消炎药的话,一般要多长时间才会看到肿胀消退呢?有没有处理感染的消炎药品牌推荐?消炎药需要到宠物医院去购买吗?
于博
执业兽医师
您可以尝试一周用药,看看有没有消肿好转,如果没有好转或者用药期间越来越重需要及时去医院。稍后我会开个处方用药参考。可以线上购药或者线下够药
但是建议还是先去线下医院检查治疗最好
根据宝贝的情况,我给它开个处方(不需回复)
于博
执业兽医师
1.**一天两次 一次半片 抑菌消炎
2.*** 一天一次,一次一片 抑菌消炎
3.*** 一天一次 一次三分之二片 止痛抗炎
联合用药,尝试治疗
谢谢于医生。用消炎药是否可以根治这个病吗?还是只会延缓,之后一定要做全麻手术来根治?
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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