咨询描述:狗子14斤贵宾,9岁,病发前没有重视挤肛门腺,在家没挤过,至少有一个多月没带去宠物店洗。前天晚上抱了一下突然痛叫,当时以为只是不小心挤到腿。昨天早上出去溜时发现肛门有点红肿,带去看我们当地唯一的宠物医生。因为精神状况很好,当时是溜着过去的,走了一两公里,到店里的时候才发现狗子肛门一侧肿得有核桃大了,摸起来硬,医生说要么全麻+局麻开刀清创,要么就先打两天消炎针,说是大概就这两天会穿孔。昨天打了两瓶点滴,开了涂的药膏回来,今天早上起来就发现破了,床上都是血,狗子昨天扎了留置针,今天还要去打点滴,但考虑年龄大了,从来没打过麻醉,所以想咨询这种情况是否有不需要麻醉手术的办法。排便正常,没有痛叫,昨晚不太鲜活,晚上狗粮没吃,今天早上发现破溃之后,精神又恢复了,该拉拉,该吠吠,该蹦蹦,拦不住要出去玩。
问题大致一样,细节不同?
图一:昨天早上只是有点红肿的照片
图二:今天早上破溃流血后的照片
昨天走去宠物医院后一侧肿成核桃大且摸起来硬的照片因为太慌忘记拍了。医生说肿得更大跟走路没关系,但确实是一路走,排便两次之后,就更肿了。打完点滴之后没那么硬那么肿了,但晚上要出去溜屎,回来又稍微肿了一丢丢。
为保护用户隐私不显示图片/视频
没有挤。昨天早上发现红肿,立马就带去医院了,我们当地只有这么一家挂牌的半宠物店半医疗的店,只有店老板一个人能治,他说要么全麻+局麻清创,要么先打几天消炎针+涂药膏,没有给挤肛门腺。说是狗子会非常痛,刚开始还想打止痛针,但我们看着排便特别顺畅,没有痛叫,就没让打。除了昨天晚上表现出疼痛,转圈圈磨屁股之外,其他时候行为都非常正常,进食排便出去玩,精神状态都很好。
周亭宇
执业兽医师
肛门腺需要及时挤的,疼是会有一点疼,但是没有更好的办法,只要能挤出大部分分泌物,它这种伤口是不需要手术的,只需要通过外部消毒和口服抗生素治疗就可以。您可以自己戴个手套去挤一下看看。
周亭宇
执业兽医师
另外您需要把患处周围一圈的毛尽量剪短一点,然后用双氧水反复冲洗干净,再给我看看伤口。
上图是用双氧水冲洗后的伤口照片。
今天中午去打了第二天的点滴,打算明天再打一天,就把留置针取了,开口服消炎药回来观察,可以吗?
本地宠物医生让我们回来用碘伏冲洗,给了一根针管,我们担心碘伏冲洗伤口颜色太深看不清,所以还是按医生交代用双氧水冲洗,之后用生理盐水再冲了一遍,之后拍了这张照片。
有两个创口,没有挤肛门腺,就只冲洗了,我妈不敢挤,请问后续还需要做什么处理?
为保护用户隐私不显示图片/视频
周亭宇
执业兽医师
可以不需要手术,外部您用抗生素软膏每天涂抹三次消毒,消毒以前先用双氧水充分消毒,用生理盐水冲洗后再上药。肛门腺一定要挤,就是因为它堵塞了所以才发炎的,如果不及时挤出,您做的这一切可能都只是徒劳,最后还是会继续肿大溃破而不得不手术。治疗就是外用消炎药,加连续一周的口服消炎药治疗就可以。
处方如下:
马波**每天一次,每次一片,连续一周。
消毒凝胶在涂抹抗生素软膏以前使用,每天三次,直到彻底恢复。
上图是今天早上拍下的照片,看起来好像比昨天小了一点。
昨天晚上用双氧水冲洗后,用生理盐水洗了,最后涂了碘伏。上手挤了,但是出来东西不多,感觉里面还有但挤不出,怕手法不对对他造成伤害,就没有强行挤,打算今天看这边本地医生能不能帮我们挤一下以及冲洗伤口。这边前两天是只愿意打针,其他操作都让我们家长自己回来做。
药物方面,今天打算打完针之后让他把留置针取了,请问有什么建议吃的口服药物吗?
为保护用户隐私不显示图片/视频
周亭宇
执业兽医师
恢复的不错,留置针可以取了,以口服消炎药为主,最好让医生再尝试挤一下肛门腺,如果实在挤不出继续服用五天消炎药,配合外用消炎软膏治疗即可,同时每天需要多揉捏几次肛门腺,刺激分泌物的排出。
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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