咨询描述:您好,曹医生,咨询下狗腿长了个小硬块,它老是舔,这个是什么病
症状描述:就是如图有点深色的硬块,它也不痛,上周还没这么大,现在变大了些
患病时长:大概一周了
没有用药,另外,狗如果有癫痫,大概每25调发作一次,如果不吃药会不会有什么问题,我现在一直简单的补充营养之类,不敢吃那个治疗癫痫,怕有药物依赖了,如果那天没按时吃,会有更严重么
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,请问这个颜色是怎么回事?是自己上的药还是皮肤本身就成这种蓝紫色?触摸温度有没有比别的地方温度偏高?
另外您说的癫痫是25周发作一次吗
紫色应该是原来的颜色,带点蓝,可能是我涂了碘伏会这样,温度感觉不出差别,正常体温,癫痫是平均25天一次,有时发作会有大小便,有时没
曹元钊
执业兽医师
蓝紫色就证明他可能皮下有部分毛细血管破裂,并且导致的一个色素异常沉积。目前来讲几乎不太可能是肿瘤,所以我觉得你先戴上脖圈别让他舔,然后用点抗菌的药膏别用碘伏了,先试试看
另外每25天就是相当于每小一个月癫痫发作一次,我觉得不算频繁,但是仍然应该考虑用点抗癫痫药,免得长久的发作,对他神经系统造成不可逆转的损伤,只要你用的剂量合适,低低的剂量对他没有害处。
曹元钊
执业兽医师
我个人觉得你要是不方便把那个皮肤切下来送个病理分析的话,咱们就往前对症治疗就够了,不用特别担心。
家里有那个**金方抑菌,这个是否可用,需要其他药么另外癫痫用什么药,现在大概30斤左右
曹元钊
执业兽医师
那个**金方膏是可以用的,用的时候就不要用碘伏了
癫痫的话,用这个就可以了一天两次 一次一片 这个剂量是比较低的
好的,谢谢了,那这个药,要吃多久,必须每天吃么,还是发作时吃几天
曹元钊
执业兽医师
这个我觉得你先吃一个月 看看这个月会不会发作 如果不发作 就一直吃一段时间
癫痫不比其他 真的大发作对神经的损伤极大 补不回来的所以还是应该用药
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
{"572081":{"id":572081,"case_id":63545,"user_id":1048813,"to_user_id":2155978,"type":3,"content":"那个**金方膏是可以用的,用的时候就不要用碘伏了\n癫痫的话,用这个就可以了一天两次 一次一片 这个剂量是比较低的","media":{"images":{},"videos":{},"business_params":{"prescription_id":157286}},"is_doctor":1,"status":1,"created_at":"2023-10-30 16:18:26","show_rx":true,"rx_info":{"id":157286,"rx_no":2.0231030161755502e+24,"user_id":2155978,"doctor_user_id":1048813,"is_independent":0,"case_id":3188523,"pet_info":{"pet_id":333817,"pet_name":"田园犬","pet_nickname":"小宝","pet_gender":4,"pet_birth":"7-3","pet_weight":14,"pet_vaccination_status":1,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"7岁3个月"},"diagnose":"癫痫","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-10-30 16:17:55","updated_at":"2023-10-30 16:18:26","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":125016,"prescription_id":157286,"doctor_user_id":1048813,"product_id":903,"product_sku_id":944,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":2,"remark":"","created_at":"2023-10-30 16:17:55","updated_at":"2023-10-30 16:17:55","product_info":{"id":903,"hash_id":"yZ893BxE2zpE2mkO","class_ids":{"0":2},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":208,"sell_point":"拜维安苯巴比妥片 30mg","title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","recommend_reason":{"0":"具有镇静、抗惊厥抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/9d9b0af67cc19392cd6943afe5e82a0a.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":1537,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 14:26:23","ins":{"id":208,"hash_id":"ekz3bB4vX6xdKJMv","class_ids":"{\u00221\u0022:2}","title":"拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2022\/01\/643dfa4475b613f3c9df415d1cd500bd.JPG","specification":"30mg×8片×2板\/盒","reference_price":110,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041224","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2022-01-14 11:40:13","updated_at":"2024-10-10 10:53:01"}},"product_sku_info":{"id":944,"product_id":903,"title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","advword":null,"price":68,"market_price":110,"cost_price":0,"stock":786,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":1571,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 13:20:05"}}},"drug_data_bak":{"0":{"id":125016,"prescription_id":157286,"doctor_user_id":1048813,"product_id":903,"product_sku_id":944,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":30,"number":2,"remark":"","created_at":"2023-10-30 16:17:55","updated_at":"2023-10-30 16:17:55","product_info":{"id":903,"hash_id":"yZ893BxE2zpE2mkO","class_ids":{"0":2},"category_ids":{"0":199},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":208,"sell_point":"拜维安苯巴比妥片 30mg","title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","recommend_reason":{"0":"具有镇静、抗惊厥抗癫痫的作用","1":"用于缓解脑炎、破伤风、中毒所致的惊厥等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"猫癫痫,脑炎,惊厥,镇静","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"16片盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/9d9b0af67cc19392cd6943afe5e82a0a.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":1537,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 14:26:23","ins":{"id":208,"hash_id":"ekz3bB4vX6xdKJMv","class_ids":"{\u00221\u0022:2}","title":"拜维安苯巴比妥片","common_name":"苯巴比妥片","trade_name":"拜维安","en_name":"phenobarbital tablets","brand_name":"拜卡","is_prescription":1,"cover":"\/drug\/2022\/01\/643dfa4475b613f3c9df415d1cd500bd.JPG","specification":"30mg×8片×2板\/盒","reference_price":110,"component":"苯巴比妥","indication":"1.具有镇静、抗惊厥抗癫痫的作用。\n2.还用于缓解脑炎、破伤风、中毒所致的惊厥等。","usage_dosage":"用于抗癫痫治疗时,犬的口服推荐剂量是2.5-3mg\/kg,每天2次;猫的口服推荐剂量是1-2mg\/kg,每天2次。\n另外:\n1.用于镇静:2.2-6.6mg\/kg 口服,每天2次\n2.治疗肠应激综合征:2.2mg\/kg,口服,每天2次\n3.强迫症的支持治疗:2-20mg\/kg,每12-24小时一次\n4.精神性皮肤病:犬:0.5-2.2mg\/kg 猫:每只15mg,每周2次\n5.控制猫应激时的吼叫(如驾车时):2-3mg\/kg,口服\n6.抗破伤风等导致的惊厥:1-4mg\/kg,口服,每天2次","contraindication":"肝肾功能不全、支气管哮喘或呼吸抑制的患病动物禁用。严重贫血、心脏疾患的患病动物及怀孕动物慎用。","adverse_reaction":"常见的不良反应有镇静、共济失调、多食、多饮、多尿等,相对犬而言,猫的多饮多尿较为少见。体重的增加是服用苯巴比妥药物的常见问题,而且这可能是个无法避免的副作用,要控制饮食,尽管宠物表现的很饿。肝毒性进展是一种罕见的并发症,显着的肝毒性的临床特征包括厌食、沉郁、腹水和偶见的黄疸,偶见肝性皮肤病,极少数病例可引起贫血、血小板减少和中性粒细胞的减少,其它不常见副反应有面部或全身性的瘙痒、免疫介导的超敏反应,如发烧、皮疹和淋巴结增大,引起胰腺炎、猫假性淋巴瘤(罕见),通常这些不良反应在停药和适当的治疗后,是可逆的。","attention":"1.中毒时可用安钠咖、戊四氮、尼可刹米等中枢兴奋药解救。\n2.内服中毒的初期,可先用1:2000的高锰酸钾洗胃,再以硫酸钠(忌用硫酸镁)导泻,并结合用碳酸氢钠碱化尿液以加速药物排泄。","interaction":"","approval_no":"兽药字150041224","storage_method":"常温通风的环境。","validity":"3年","manufacturer":"济宁万禾生物科技有限公司","status":0,"created_at":"2022-01-14 11:40:13","updated_at":"2024-10-10 10:53:01"}},"product_sku_info":{"id":944,"product_id":903,"title":"拜卡拜维安苯巴比妥片 30mg×8片×2板\/盒","advword":null,"price":68,"market_price":110,"cost_price":0,"stock":786,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"16片盒装"}},"cover":null,"thumb":"","sale_count":1571,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-14 11:42:41","updated_at":"2024-10-02 13:20:05"}}}}}}
微信扫一扫
立即问宠医