狗狗指间炎总是反复怎么办

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患宠信息:柴犬/弟弟/1岁6个月

咨询描述:症状描述:指间炎 但是已经几乎要好 我给他断了甲 可能之前指甲的长度有点影响走路了 脚的毛剃光了。但是我要问的是:它带头套舔不到脚 就像有强迫症一样 舔头套 疯狂舔 以前小时候就舔我床单 舔一片湿乎乎 患病时长:半年指间炎持续复发 医院检查:指间炎 用药情况:消炎药两周 摸的喷的都涂了 ****也吃了 还有啥办法了 折磨死了

问题大致一样,细节不同?

点击获取针对性解答

徐灿

执业兽医师

你好,家长,对于这种情况来说,能不能拍摄几张爪子的照片,让我看一下,另外就是能不能让我看一下所用过的药物?我需要知道更多的信息,尤其是用过的药物,还有爪子的情况。 通常来说,指间炎比较难治疗,主要是治疗时间太长了,当然,一般正确用药的话,还是可以恢复的。

您好医生 指间炎我在当地医院看了四个宠物医院 现在就是泛红 不知道因为我断甲还是剃毛还是指间炎痒痒的原因?他才这么舔?我主要想让您帮我分析一下他这个舔的行为 谢谢 指间炎用过肛炎脂康 ***喷剂 还有金白灵吃的药片 摸的药膏 ****溶液 **消炎

能用的都用了 都怕他抗药了已经 特别用心的上药 按时摸两次 抹完还用手掰开晾凉 用嘴吹吹 实在不行用吹风机吹 感觉越上越厉害 不上药 光带头套了 主要他舔 无所谓 因为指间炎还是别有什么心理问题?我们家人都很爱他 每天抱抱亲亲的 还会很抑郁吗他

徐灿

执业兽医师

你好,家长,实际上,从你的药物使用上来看,大部分都是针对于细菌性的,但是有极少数案例是以真菌感染为主导,这一点必须被考虑,因为如果长时间使用抗生素,尤其是消炎类的药物,或者是激素药物,但是效果不理想的,就要考虑真菌。 能不能让我看一下涂抹的药膏?另外就是,能不能让我看一下它的爪子?

一共十个八脚趾每个都大大小小这样红

为保护用户隐私不显示图片/视频

18个

徐灿

执业兽医师

我已经看到了照片,首先就是现在所用的所有药物,都是主要针对细菌性感染,或者是外伤的,但是恰恰忽略了真菌感染,一般来说,指头之间稍微发红是正常的,但是第五张照片不太正常,有一点鳞状或发红,这种情况实际上要考虑真菌。 所以说总体建议是,可以换一个思路,因为第五张照片的原因,还有结合上之前用了好久的抗生素无效,再有就是他的行为,他总是舔,说明很痒,这比较符合真菌的特性,因为普通的发炎不会有明显的瘙痒感。 所以总体建议是,建议更改为抗真菌药物,并且口服抗真菌药剂。一般来说,可能会有更好的效果,因为结合用药历史和症状来说,应该是以真菌感染为主导。

好的医生请您开药 太感谢了神医希望可以治好指间炎 原来指间炎不是什么药都管事

这次真菌是最后一种可能性 应该可以治好了吧 另外 他没用过真菌的药 也不存在抗药性 是不是肯定有药效。然后您仔细教我一下怎么吃 然后 真菌是由于什么啊 家里人的脚气还是什么原因 谢谢

徐灿

执业兽医师

实际上,人的脚气就是真菌,而且人畜共患,他的体型太大了,所以说吃药的成本有点大,再加上感染的地方不多,所以说最好是抹药膏或者是外喷药物。这个是目前来说比较推荐的,因为结合历史和临床症状来说,真菌确实是最大的可能性。 然后短时间之内先别让它洗澡,尽量避免让它的爪子沾上水,还有就是一定要核查家里面的人是否有脚气。当然,真菌感染的治疗周期很长,要坚持用药,一般来说,得治疗15到25天左右,当然得看具体情况。

吃药贵好得快 就吃药不怕贵医生

徐灿

执业兽医师

不是这个意思,贵只是一方面,另外就是他感染的地方比较少,所以说一般用外用喷剂就行,再加上要药膏,目前来说,主要的猜测还是集中在真菌上,因为你之前已经用了相当长一段时间的抗细菌性的药物,还有就是所有的药都有副作用,该不用的时候就尽量不用口服的,或者大剂量的用药。 不过我需要问一下,家里面有没有人有脚气的?另外就是最近别让他上床上沙发,因为真菌人畜共患。

您具体告诉我一下怎么用药 比如是不是吃药加上抹药 更快 抹完喷的一起吗每天 需要隔多久 需要晾干吗 还是马上下地 薄薄一层还是多喷多涂 喷的药喷完需要用手摸摸吗

徐灿

执业兽医师

首先就是对于明显有问题的地方,可以交替性用药,比较严重的地方可以涂抹药膏,较为轻微的地方,可以喷一些外用的喷剂,用药的话,尽量少量多次,就是尽量的轻薄,但是涂抹的频次可能要高一点。爪子一般总是接触地面,所以后续一般都会慢慢变干,不需要做过多处置,涂完药物之后即可,主要是爪子,它呈现不规则的外观,所以外用喷剂主要是针对一些不太容易涂抹的地方或者大范围位置。

谢谢医生赠送 。首先家里人有脚气他喜欢舔我们的脚 鞋袜子 我们不怕他传染 只要他好了就行。但是他18个脚趾 全都得了 还不算多吗医生

徐灿

执业兽医师

首先就是真菌感染,是人畜共患的,不光是狗狗会传染给人,人也会反向传染给狗,所以说后续的话你可能真的要买一个鞋柜,然后袜子专门放,否则的话,有可能二次再传染上。 再有就是只有第五照片的那个是明显的有问题,狗狗的爪子之间,稍微有点泛红是正常的,这个得看他是病理性的,还是自身颜色。但是狗狗总是想舔爪子,这个绝对不正常,尤其是舔的那么频繁。就是说后续等到它不舔了,基本上也就快好了,再发现它爪子之间有红,应该也是正常的,因为很多狗狗的爪子之间都是有点发红。

用手摸可以吗 喷的不用摸是吧 可以外出吗 外出回家脚脏 上药会不会感染 如果吃也吃上会不会好的快点 而且他最严重的有增生了呜呜

徐灿

执业兽医师

手掌可以触摸脚趾,但是尽量避免,涂抹的和喷的可以一起用,外出沾染的脏东西,实际上并没有太大问题,沾染上的大部分只是灰尘和土,只是看着脏,并不是有很多的病原微生物。正常的涂抹药膏就行,然后一些不好涂的地方喷一喷。 另外就是他这个程度,再加上他20斤的体重,口服的药物可用,可不用,如果你特别想的话,我就帮你开个方案,你也可以参考着用。但是总体来说成本有点高。 至于说增生的问题,随着药物的使用,真菌的治疗,一般就慢慢消退了。

怎么这么多医生一上来就说指间炎 就给开细菌的药 哎 走了半年弯路。。。。。。真菌再不会不好了吧医生?不会是肿瘤细胞吧。谢谢神医

徐灿

执业兽医师

实际上,这种情况直接使用一些抗细菌的药物是正常的,因为绝大部分的都是用这些药物,也没有问题,主要是结合之前的用药,在大体推断,可能是由于真菌为主导,其实也不算是弯路,因为很多时候有的是混合发作,就是混合感染,这个也不太好说明,毕竟如果没有做刮片的话,很难直接确定是什么。肿瘤细胞的可能性很低,暂时先不考虑,因为他明显的很痒,再有就是他年龄也不大。

好的谢谢 别让它舔有脚气的脚 我们的拖鞋 还有我们的床单上也有脚气细菌是吧 您还有什么注意事项受累提醒我一点辛苦

徐灿

执业兽医师

一般来说,没什么特别需要注意的,就是短时间之内别洗澡,平时的话,别让他舔,如果后续有外出宠物店洗澡的话,一定要有自己的洗浴用品,短时间之内,避免接触到水,因为如果接触到水或者是其他传染源的话,容易复发。 还有就是症状完全消退之后再多用药3到5天,防止复发。

好的 我看药物对肝有点损害 先摸药也能好吧

徐灿

执业兽医师

是的,这种口服药物对于肝脏的影响比较大,所以一般能不用就不用,慢点就慢点,先用一些药膏或者外用喷剂看一下后续情况。是目前来说比较推荐的。

好滴 出去洗澡主要就是毛巾用自己的对吧 一段时间不洗澡肛门腺没问题吧 谢谢您

徐灿

执业兽医师

对,出去洗澡的话,一定要有自己的洗浴用品,肛门腺的话,一般没有什么问题,后续的话,如果你想给他挤一下也行,但是注意要擦干净,一般可以用卫生纸或者湿巾擦一下。

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