卢凤
执业兽医师
你好，狗狗的耳边缘之前有用过什么药吗？是只有一个耳朵有吗？如果只有一个耳朵，有的话就不太像是全身性的过敏，但是有可能是局部对药物的过敏或者寄生虫等之类的过敏，这个就是要看一下他最近有没有用药，或者是有没有有过寄生虫之类的问题了，
另外一个就是如果耳朵里面有分泌物或者是有瘙痒，有可能是这个地方，他自己挠出来的，这个就是要仔细观察一下，耳朵里面有没有黑色分泌物了，如果有的话，我们要检查一下是不是寄生虫或者是呃耳朵里面有真菌引起来的
目前只有这一只耳朵，他刚接回来的时候眼周有过敏掉毛的问题，有去医院开药涂好了，耳朵掉毛的时候我用同样的药给他如果两次感觉没有效果。他的耳朵我每周都会清理，挺干净的。也没见他挠耳朵。
他脱毛的这块仔细看还有些像掉头皮屑一样的问题 拍照拍不出来
卢凤
执业兽医师
嗯，好的，如果他眼周也出现过问题，我们还是需要怀一下有寄生虫的问题，比如说腱螨和乳型螨都有可，比如说腱螨和乳型螨都有可能会导致眼周脱毛和耳边脱毛，嗯，如果已经治好了，并且也是在一直口服相对应的驱虫药，我们可以把这个问题暂时不考虑，
过敏这个问题嗯，比较难排查，主要还是从食物和用品方面去排查，比如说，耳朵出现这个问题之前吃了一些，他平时不常吃的食物，有可能出现这种问题，但是大部分的食物过敏都不是单出现在一块区域，而是大面积或者有多处出现过敏的临床表现，
嗯，现在只要不是有寄生虫类的，那么单侧耳朵小面积脱毛，还是可以去用外用药的，但是外用药不能含有激素，普通消炎药，并且用药时间需要把控一下，不然皮肤因为药物刺激也很难痊愈
可以推荐一些能尝试用的外用药吗？ 现在耳朵能用的 或者以后眼周又出现脱毛情况也可以一起用的。 因为他的眼周问题也是反复出现 ，这边的医生说是季节性的。我常居泰国，天气一直比较湿热。
卢凤
执业兽医师
嗯嗯，好的，嗯，首先我会从寄生虫这个方面去给他用药，外用的药我们就用常见的消炎药，不含激素类的就可以了，嗯，我们确定是如果你嗯，我们确定是耳朵里面不脏对吧？有的耳朵里面脏，不是说很频繁清洗干净了，他就不脏了，耳朵不脏是指不清理也不脏喔
脱毛的这边耳朵我确定不脏，反而是不脱毛的另一只耳朵每次清理都黄黄的比较多，不知道是不是耳屎。 看到开的药了 ，谢谢医生！
卢凤
执业兽医师
嗯嗯，如果不确定，一定还是要注意这个问题，因为没有办法排除这个原因的，很多猫咪狗狗耳朵里面有问题，导致耳朵外面皮外伤，可能是狗狗瘙痒自己挠或者甩耳朵造成的
拜耳这个外用滴剂跟他每个月内服的驱虫药不会冲突吧？
卢凤
执业兽医师
体内用的什么驱虫药呢，看成分，有作用于体内外的，那么停掉原来的药，使用***，***15天用一次，连续用三次，45天用三次。，后面一个月用一次
这是泰国这边开的驱虫药，不知道医生是否清楚是不是体内体外同时作用的。 那如果停掉这个药，用***，体内的还要单独另外吃吗。
为保护用户隐私不显示图片/视频
卢凤
执业兽医师
你好，这个药就是***，你连续给它口服三次这个驱虫药，按照***的用法给它用
就是把现在在吃的这个药 每个月一次改为每15天一次对吗？第一个45天后再恢复到每月一次？ 那外用抹的还需要配合使用吗
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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