猫咪舌尖上长了凸起,左边犬齿好像肿了
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咨询描述:猫是一岁左右的长毛狸花母猫,四个月前领养的,已绝育打完疫苗了。
今天发现舌尖上长了凸起,左边犬齿好像肿了,精神进食都没有异常。之前有点牙龈红肿,刷牙后情况改善就没有吃药治疗。
问题大致一样,细节不同?
周亭宇
执业兽医师
您好家长,它以前口腔仅仅只是出现过牙龈肿的情况吗?舌尖这种情况出现多久了?
刚翻相册发现昨天晚上11点多有轻微的印,还没开始变立体,今天下午变成凸起了,这是我领养的小猫,从我领养后只有出现过牙龈红并且刷牙后就改善了。(张嘴的是昨天晚上的 ,闭嘴的是今天下午的)
为保护用户隐私不显示图片/视频
周亭宇
执业兽医师
收到照片,它舌头的这个组织出现的比较急,这提示它很可能并非正常组织,而且猫舌头的倒刺也不会长成这样,根据出现的这种斑块的状态来看,它很有可能是嗜酸性肉芽肿,这是猫咪免疫系统对自身组织细胞错误攻击形成的,大量嗜酸性粒细胞在舌尖这里堆积导致,可以取样做细胞学检查看看。牙龈现在出现的红肿有可能也和这个有关系,只要舌头的这种情况控制住了,牙龈应该也会恢复。
她的肉垫外缘确实有角质,前段时间发现大腿内侧有非常轻微的红还有少量皮屑,现在没了,但是嗜酸性肉芽肿的病变位置不是在下巴嘛,我们这个在舌头,如果是嗜酸性肉芽肿的话,怎么治疗呢,需要买什么药?我在山里,去医院至少得后天了,我第一次养猫,她有一点问题我都非常焦虑,这个病严重吗?
周亭宇
执业兽医师
嗜酸性肉芽肿在整个嘴部、口腔都是有可能出现的,推测这个结果也只是我个人经验,治疗主要还是通过一些激素来进行,我这边可以开处方,给它吃一段时间看看,如果有恢复就继续吃直到恢复正常为止,如果半个月还是没有恢复建议您还是需要抽时间去医院做一下细胞学检查。如果是单纯的嗜酸性肉芽肿,并不需要太担心,不会对它的健康导致太明显的影响,但是需要及时服药控制。推荐用药如下:
***龙头5天每天一次,每次1.5片,后5天每天一次,每次1片,再往后五天每天一次,每次半片,最后隔天一次,每次半片,连续五天。
口腔喷剂每天喷三次,直接喷在口腔和牙龈上即可,连续一周到10天。
她的肿的犬牙对应的嘴皮上也有症状,但是没有溃烂,这个我们领养的时候就有,我以前一直以为是她断牙磨的,(牙齿在我们领养的时候就断了)因为没有溃烂也就没当回事。我刚问了我们这的宠物医院,做不了细胞检查,要做的话得去更远的医院。那她现在的症状加起来,是不是更加确定一点是嗜酸性肉芽肿啊医生
为保护用户隐私不显示图片/视频
周亭宇
执业兽医师
这个上嘴唇的病灶也很类似嗜酸性肉芽肿病灶,建议按照我的处方进行治疗看看,半个月复查一次。脚垫有轻微过度角质化,可以用一些润肤的乳液每天多涂几次看看能不能缓解。
嗜酸性肉芽肿的病因会不会对食物过敏啊?上周刚给他换了**高的猫粮,(按七天换粮法换的)之前吃**无谷鸡都没有问题,而且换完猫粮后她就便秘,一直拉的都是羊屎蛋。此外饮食什么的没有发生变化。这个猫粮还能吃吗?
周亭宇
执业兽医师
食物过敏和嗜酸性肉芽肿没有太大联系,如果它换了猫粮以后长期便秘,建议及时更换猫粮,而且它这种便秘也不算过敏,仅仅只是消化道对这一款猫粮不适应,不容易消化,换一款试试就可以。
周医生,我们这个有医生看了说是菜花样增生,说肿瘤的概率比较大,我们这没条件给猫咪做检查,麻烦您看看有没有这个可能,如果有的话我就带去市里检查,如果是肿瘤的话严重吗?猫咪目前吃喝精神都很正常,也没有忍痛表现什么的。是肿瘤的话需要做什么检查呢?吃什么药吗?
周亭宇
执业兽医师
肿瘤仅仅通过目测是很难确定的,需要采集舌头异常组织的样本送去做活检才能知道,建议还是先按照我的处方使用激素进行治疗,如果半个月后没有恢复,再去有条件的医院做进一步的组织活检来做一个最终的定性。
周亭宇
执业兽医师
如果是肿瘤的话,有可能是恶性的,这种还需要确定具体是什么类型的恶性肿瘤才能制定相应的治疗方案,不过这种位置的恶性肿瘤一般都很难控制,治愈率会比较低。
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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