咨询描述:医生您好,我家的猫咪近半年来特别喜欢挠自己,两周前把自己耳道口挠破了(之前也挠破过,带去医院看医生说有点真菌感染,给开了个叫“***”的喷剂),用了碘伏和***后已经恢复了,只是毛还没长出来。但是这两天又发现眼睛下面的皮肤发红,擦了生理盐水,抗真菌喷剂,***软膏,都没有明显的好转,而且耳朵也是,外耳道有明显的红斑,玩耍过后体温上去了尤其明显,我已经搞不清楚是怎么了。为什么老是要挠自己?明明已经戴上了脖套,为什么眼角下面的皮肤还发红?我也查了很多,因为我家猫大概有2年多没有换粮了,是不是猫粮的原因?过敏了?还是咋的了?
症状描述:爱挠自己并挠破,眼角下皮肤发红,摸上去有点肿,外耳道也是,发红部位有点肿
患病时长:挠破自己为两周前,已恢复,破处还未长毛;眼角为一周内,外耳道经常性挠,挠了就红,本次发病没挠也红。
医院检查:第一次把自己挠破的时候去了医院,医生说真菌感染开了***喷雾,效果不错,本次挠破也用这个恢复了。
用药情况:挠破的地方:生理盐水+碘伏+***+******;眼角和外耳道:生理盐水+***\***眼膏,无好转
问题大致一样,细节不同?
彭杰
执业兽医师
根据你所描述的情况,目前还不能做出判断,我还有几个问题需要向你核实一下
1瘙痒的地方是全身还是局部?具体位置
2平时都吃什么东西?(详细)家里有没有啃食植物
3耳道是干净的吗?眼睛分泌物多吗?
4驱虫多久一次?耳朵边缘有增厚吗?
5瘙痒是持续性的,还是间歇性的?瘙痒部位有红肿吗?
以上情况您回忆后详细的描述给我,感谢配合。
1、局部,主要是脖子及以上,有时候会抓挠面部,挠破过眼角;2、平时吃干粮:***鸡肉猫粮,罐头:小李子罐头鸡肉、鸭肉、兔肉,零食:及其偶尔会喂一点地狱厨房咕噜酱和爱立方的冻干(已经很久没喂过了),没有啃食植物。3、耳道干净,眼睛分泌物不多;4、猫咪极少外出,所以选择三月一次体外驱虫,上一次驱虫为两个月前,耳朵边缘无增厚;5、我感觉瘙痒是持续性的,因为它几户每天都有抓挠动作,身上没有发现红肿,面部只要不挠破也看不出来有红肿;抓挠后耳朵会有红肿,就像被蚊子叮的那种包,但是我最担心的是目前眼角处有红肿,然后用生理盐水擦拭能擦下来毛连着像结痂的东西,我用了药也没好转。
彭杰
执业兽医师
头部瘙痒常见于过敏,不排除有内分泌的问题,
有两种方案,
一是控制猫咪饮食,饮食只吃猫粮,或者是吃低敏处方粮,建议吃处方粮,排查猫粮过敏的因素,所有的零食都不要喂,家里昆虫植物,要定期清除,口服用药2至4周,观察瘙痒状态是否有改善
二是,到医院排查过敏源,检查内分泌问题,针对用药
对了还有个细节,因为猫咪会定期排毛球,所以它一开始吐我并没有注意,以为是排毛,但是发现毛不多,但是呕吐的频率比较高,大概一周要吐一次,图的就是水+粮。我觉得可能就是吃的粮不合适了,也打算换粮,但是,我不知道应该换那种粮?
彭杰
执业兽医师
那就直接换成处方粮,其他的东西都不要喂了,根据宝贝的情况,我给宝贝开具了处方,你可以根据实际需求自行选择购买,
1低敏处方粮,正常饮食量服用
2***,止痒
3**抗过敏
你可以点击查看详情按钮,进入处方页面查看使用说明。
治疗期间需要注意
1定期做驱虫,清理环境中的昆虫,防止昆虫引起的过敏性皮炎
2饮食单一只吃处方粮和水其他的都不要吃
3,用药一周后症状有所改善**剂量减半,或找我复诊看情况用药,选择停药剂量减半,口服一周后再停药
4,用药一周,无效果,到医院进行过敏原筛查,内分泌检测
好的,我想问一下,猫咪长期不更换猫粮,确实是会造成过敏吗?我现在喂的猫粮,刚开始吃的时候是没有任何过敏现象的,甚至吃了两年都没问题,而且明显吃完毛发体重都有明显的改善,也很少吐。所以它应该是现在里面某种成分不耐受了,或者是这个粮里缺了什么吗?一旦使用低敏处方粮,后续还要继续换粮吗?
彭杰
执业兽医师
长期更换猫粮不会造成过敏,品牌不变猫粮成分发生改变引起过敏是需要排查,
处方粮可以长期服用,或者症状消失后过度普通的粮食,零食需要单一添加,使用一种零食一周以上没有过敏现象再添加另外一种零食
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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