咨询描述：于医生，上次跟你问诊过，就之后换了纯生骨肉狗粮，用了几天止疼药，现在还剩了一些，我放在冰箱。每天有给他喂骨维素，慢慢好转了一些。今天忽然他又开始弓腰尖叫了。你之前说过他有可能是神经炎，你帮忙看下。我拿到化验单了，就看上去一切正常。现在我该怎么办？我这边买到了保健品类的***片，不知道用量，还没敢给他开始吃。
问题大致一样，细节不同？
于博
执业兽医师
好的，血液指标各项都没有异常，片子上半身也没有见明显的异常。
但是有发现两个异常，一个是第5-6腰椎狭窄，
还有尾巴，正常尾骨是越来越细小，但是尾骨是增大的。但不知道是先天性大，还是后天生成的。
***一般是脑神经有损伤时补充局部神经补充维生B1、B12就可以。
为保护用户隐私不显示图片/视频
于博
执业兽医师
1.关节*** 一天呢两次 一次2粒
2.*** 一天两次 一次3毫升
长期维护
3.如果疼痛明显时配合止痛药物
谢谢医生，他的尾巴不是像一般的比熊那样背在背上的，从小就这样，不知道是不是你说的这个。腰椎狭窄要治疗还是保养？我在国外，开的药我年底回国才能买到。我现在手里的药是这样的：b12是Costco买的保健品，人用的，一片是2500mcg（绿色瓶子），我需要您给Damon个用量指示，给人用指示是一天一片含化。止痛药是医生开的*********和**********（2个在封口袋里），是不是他不痛我就可以不给他用。我能买到的******成分我贴在图片里了（紫色瓶子），这个暂时可以吗？
为保护用户隐私不显示图片/视频
于博
执业兽医师
这个病如果严重到瘫痪就要考虑手术
目前可以保守尝试治疗。
您那个***里面就包含B12了。如果单独饲喂应该是口服三分之一每天一次
主要是抗炎止痛。
那个b12刚才没传上去，图1绿色瓶子。 图2是我给他吃的每天一颗，现在再吃的。
于博
执业兽医师
看到了，这个绿色的事2.5毫克的，正常是每只狗狗吃0.25-1毫克的量。您就给它吃三分之一
好的，谢谢🙏。橙色袋子的那个我还是可以每天给他吃一颗的吧，是养皮肤毛发关节的。问问就是怕给他这段时间补的太杂了。还有那两个止痛药，液体的。一个是***康，一个是****，是不是只要不痛我就可以不给他吃。指示上给的量是***康一次0.8每24小时，****一次1L每12个小时。还有量能减低吗？我怕药力太强了伤肝脏。
于博
执业兽医师
可以吃的，没有影响。
止痛药要按体重计量吃的，要不没有效果。
如果不痛可以不吃，痛的话连用三天
短期服用不会损伤肝肾，而且目前长期3个月饲喂内是没有见有内脏损伤的案例
嗯好，我今天给的是****1L。明天后天我就继续喂这个了。这个B12***需要长期吃吗？那个综合****我明天去买回来，我的理解是可以一直吃的对吧。 谢谢于医生。
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
{"565402":{"id":565402,"case_id":62799,"user_id":1734397,"to_user_id":2428051,"type":3,"content":"1.关节*** 一天呢两次 一次2粒\n2.*** 一天两次 一次3毫升\n长期维护\n3.如果疼痛明显时配合止痛药物","media":{"images":{},"videos":{},"business_params":{"prescription_id":157472}},"is_doctor":1,"status":1,"created_at":"2023-11-01 13:07:26","show_rx":true,"rx_info":{"id":157472,"rx_no":2.02311011306245e+24,"user_id":2428051,"doctor_user_id":1734397,"is_independent":0,"case_id":3189368,"pet_info":{"pet_id":408570,"pet_name":"比熊","pet_nickname":"Damon","pet_gender":3,"pet_birth":"9-2","pet_weight":9,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"9岁2个月"},"diagnose":"椎体狭窄","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-01 13:06:24","updated_at":"2023-11-01 13:07:26","deleted_at":null,"from_source":"online","template_id":264,"drug_data":{"0":{"id":125449,"prescription_id":157472,"doctor_user_id":1734397,"product_id":717,"product_sku_id":759,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-01 13:06:24","updated_at":"2023-11-01 13:06:24","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":586,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-22 09:22:26","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏，加强红细胞的发育和成熟，使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞，减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分，铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg，喂服1ml\/次或遵医嘱。本品口服，直接喂服或者兑在水中饮用，一日2次(早晚各1次)，用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":214,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":603,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-21 22:33:29"}},"1":{"id":125450,"prescription_id":157472,"doctor_user_id":1734397,"product_id":806,"product_sku_id":848,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-01 13:06:24","updated_at":"2023-11-01 13:06:24","product_info":{"id":806,"hash_id":"ay8LblpOPj49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":153,"sell_point":"贝里奥关节通消丹 宠物营养补充剂","title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","recommend_reason":{"0":"用于犬猫关节肿胀、变形、疼痛","1":"用于犬猫不明原因跛行、卧地不起、瘫痪","2":"用于犬猫肢体关节疼痛、骨质增生、腰椎骨刺"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节疼痛,关节肿胀,跛行,骨骼,肌肉","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4gx12粒x5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/1d4f6939963f6e26afe6146fd9160ff9.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":86,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 09:26:05","ins":{"id":153,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥关节通消丹 宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"贝里奥关节通消丹","en_name":"CHONGWUYINGYANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/07\/c8483c27c8a30b6c769e86c2ac26cd2a.jpg","specification":"0.4gx12粒x5板\/盒","reference_price":180,"component":"川穹、苍术、首乌藤、香附、白芍、香附。茯苓、泽泻、甘草、糊精。\n添加剂：牛磺酸、淀粉、微晶纤维素。","indication":"1.关节肿胀、变形、疼痛\n2.不明原因跛行\n3.卧地不起、瘫痪\n4.肢体关节疼痛、骨质增生、腰椎骨刺","usage_dosage":"<2.5KG 0.5粒\/次 每日2次\n2.5-5KG 1粒\/次 每日2次\n5-10KG 2粒\/次 每日2次\n10-15KG 3粒\/次 每日2次\n15-20KG 4粒\/次 每日2次\n>20KG 5粒\/次 每日2次","contraindication":"","adverse_reaction":"暂未见不良反应。","attention":"妊娠期动物慎用。\n禁止饲喂反刍动物。","interaction":"","approval_no":"","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2021-03-11 14:03:22","updated_at":"2023-07-24 16:27:02"}},"product_sku_info":{"id":848,"product_id":806,"title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":88,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 07:23:17"}}},"drug_data_bak":{"0":{"id":125449,"prescription_id":157472,"doctor_user_id":1734397,"product_id":717,"product_sku_id":759,"dose":3,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-01 13:06:24","updated_at":"2023-11-01 13:06:24","product_info":{"id":717,"hash_id":"8jZlKwgZ7wxaOQ9y","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":178,"sell_point":"POG复合维生素B溶液","title":"POG复合维生素B溶液 宠物营养补充剂 70ml\/瓶","recommend_reason":{"0":"防治多发性神经炎、消化障碍、癞皮病、口腔炎等","1":"犬猫补血生血、保肝解毒、增强食欲和免疫力、增强机体抵抗力"},"baike_guide_text":"","baike_article_hash_id":"","advword":"B族维生素缺乏,生血,保肝,增强抵抗力","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"70ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/188c431ee66d89012a6328277bf6353c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":88,"max_price":88,"sale_count":586,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-22 09:22:26","ins":{"id":178,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","common_name":"宠物营养补充剂","trade_name":"复合维生素B溶液","en_name":"Compound Vitamin B Solution","brand_name":"POG","is_prescription":0,"cover":"\/drug\/2021\/03\/39f4ff3ed1df89f92164f0a2fb30ccd2.jpg","specification":"70ml\/瓶","reference_price":148,"component":"维生素B1、维生素B2、维生素B6、烟酰胺、 泛酸钙、 维生素B12、锌、铁、芦荟胶、枸杞子。","indication":"养护肝脏，加强红细胞的发育和成熟，使肌体造血机能处于正常状态减少恶性贫血;维护神经系统健康。\n维生素B12:参与制造骨髓红细胞，减少恶性贫血。芦荟:有减少不适情况的发生、加强内脏功能的作用。\n构杞子:有减少脂肪的沉积、加强新细胞生长的作用。铁:铁是血红蛋白的重要部分，铁可以加强机体的功能。\n菊花黄酮:加强内脏对有害物的排泄。","usage_dosage":"犬猫体重3-4kg，喂服1ml\/次或遵医嘱。本品口服，直接喂服或者兑在水中饮用，一日2次(早晚各1次)，用前请摇匀。","contraindication":"","adverse_reaction":"","attention":"喂服前,请将本品摇匀。按滴管标准使用剂量。","interaction":"","approval_no":"","storage_method":"贮存在干燥、避光、遮风、清洁的环境","validity":"24个月","manufacturer":"广西雄邦生物工程有限公司","status":1,"created_at":"2021-03-22 15:14:06","updated_at":"2024-03-08 16:37:39"}},"product_sku_info":{"id":759,"product_id":717,"title":"POG复合维生素B溶液 宠物营养补充剂70ml\/瓶","advword":null,"price":88,"market_price":108,"cost_price":0,"stock":214,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"70ml"}},"cover":null,"thumb":"","sale_count":603,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:12:50","updated_at":"2024-11-21 22:33:29"}},"1":{"id":125450,"prescription_id":157472,"doctor_user_id":1734397,"product_id":806,"product_sku_id":848,"dose":2,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-01 13:06:24","updated_at":"2023-11-01 13:06:24","product_info":{"id":806,"hash_id":"ay8LblpOPj49EdBq","class_ids":{"0":1,"1":2},"category_ids":{"37":196},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":153,"sell_point":"贝里奥关节通消丹 宠物营养补充剂","title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","recommend_reason":{"0":"用于犬猫关节肿胀、变形、疼痛","1":"用于犬猫不明原因跛行、卧地不起、瘫痪","2":"用于犬猫肢体关节疼痛、骨质增生、腰椎骨刺"},"baike_guide_text":"","baike_article_hash_id":"","advword":"关节疼痛,关节肿胀,跛行,骨骼,肌肉","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"0.4gx12粒x5板\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2023\/07\/1d4f6939963f6e26afe6146fd9160ff9.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":128,"max_price":128,"sale_count":86,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 09:26:05","ins":{"id":153,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"贝里奥关节通消丹 宠物营养补充剂","common_name":"宠物营养补充剂","trade_name":"贝里奥关节通消丹","en_name":"CHONGWUYINGYANGBUCHONGJI","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2023\/07\/c8483c27c8a30b6c769e86c2ac26cd2a.jpg","specification":"0.4gx12粒x5板\/盒","reference_price":180,"component":"川穹、苍术、首乌藤、香附、白芍、香附。茯苓、泽泻、甘草、糊精。\n添加剂：牛磺酸、淀粉、微晶纤维素。","indication":"1.关节肿胀、变形、疼痛\n2.不明原因跛行\n3.卧地不起、瘫痪\n4.肢体关节疼痛、骨质增生、腰椎骨刺","usage_dosage":"<2.5KG 0.5粒\/次 每日2次\n2.5-5KG 1粒\/次 每日2次\n5-10KG 2粒\/次 每日2次\n10-15KG 3粒\/次 每日2次\n15-20KG 4粒\/次 每日2次\n>20KG 5粒\/次 每日2次","contraindication":"","adverse_reaction":"暂未见不良反应。","attention":"妊娠期动物慎用。\n禁止饲喂反刍动物。","interaction":"","approval_no":"","storage_method":"本品应储存于干燥、清洁、通风处。","validity":"24个月","manufacturer":"河南贝里奥生物科技有限公司","status":1,"created_at":"2021-03-11 14:03:22","updated_at":"2023-07-24 16:27:02"}},"product_sku_info":{"id":848,"product_id":806,"title":"贝里奥关节通消丹 宠物营养补充剂 0.4gx12粒x5板\/盒","advword":null,"price":128,"market_price":180,"cost_price":0,"stock":43,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"0.4gx12粒x5板\/盒"}},"cover":null,"thumb":"","sale_count":88,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:22:42","updated_at":"2024-11-22 07:23:17"}}}}}}
微信扫一扫
立即问宠医
