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
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