狗怎么确诊肾上腺衰退

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患宠信息:泰迪/妹妹/1岁8个月

咨询描述:我想问一下 狗怎么确诊肾上腺衰退

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这个是我昨天带去检查的 说患上了艾迪森 我想问问这个是确诊了吗

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徐灿

执业兽医师

化验结果上来说并没有问题,为什么突然会说这个呢?狗狗出现了什么症状呢?我需要重新判断一下,因为这两个是确定不了的。 因为从化验结果上来看,是非常正常的,而且这一个是血常规,一个是看一下是否有炎症感染。这俩都没有问题。

因为狗毛比较稀疏 是因为狗身上长了小红点 挠的特别厉害 才去检查的 说是过敏了 然后说又有艾迪森病 医生给我开了药 我给您拍个照片

这个就是医生开的药 旁边是测验的 当是抽了血 挂了皮 医生说这个胶囊是治这个病的 他问我的狗狗是不是蔫 我之前没怎么注意过 我感觉好像是有一点 今天观察了一下 出去了就正常 但是在车上在家里是比较蔫一点 肚子也有点胖 医生说这个是病的症状 就是光是头胖 他的肚子皮肤有点干燥 有点小黑点 我再给您拍张照片

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徐灿

执业兽医师

首先就是这个病,他这个年纪一般很少出现,再者就是临床上见的很少,能不能给我看一下他给你开的药?皮质醇类的药吗? 然后能不能让我看一下这些小点儿?如果他瘙痒的话那么应该是真菌或者是寄生虫的可能性高,我需要看一下视频,因为之前的诊断大概率有问题。

这个是他的肚子

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徐灿

执业兽医师

它的毛发确实是稀疏,但是我需要问一下,他是不是抓挠的很厉害?而且我发现他给你开的药物里面好像有人用的,虽然我不能确定,但是这个胶囊不太对劲,而且总体来说,化验的结果也是正常的,所以我个人对这个结果是有一定疑问的。 然后能不能拍摄一段狗狗的视频过来?我想看一下他身上其他地方的毛发,还有就是他平时是不是抓到身上其他地方也非常厉害

他的腿下面有点湿 刚刚溜狗 外面有雪 但是大腿跟那里毛就是少 平常她就是挠腿 下把 还有留泪痕的那里 耳朵 挠的是比较厉害 前提遛它的时候遛它就跑一半挠一下 那个医生说是那个测验的显示过敏了 建议我不要给他吃其他吃的 只吃低敏狗粮 我没有敢给他吃胶囊

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徐灿

执业兽医师

对于这种情况来说,我个人认为应该不是,首先就是爱迪森的发病率是非常罕见,虽然贵宾确实是爱迪生的一个常发的品种,但是一般发病之后也不会有瘙痒,而且他的血常规等结果都是正常,也没有那些倾向。 而且他也没有炎症,所以综合考虑,个人认为深层真菌感染或者是过敏的可能性更大一些,所以建议是更改方案,至于说低敏狗粮的话,可以,暂时性先不用,然后建议是使用一些抗真菌药物和激素进行口服,看一下后续是否恢复。 至于说耳朵的话,嗯痒一般是中耳炎或者耳螨的可能性多一些,后续的话也可以使用相关药物,如果你需要的话,我可以帮你开出新的药物方案,因为我的判断和之前的医生并不一样。因为艾迪森不会瘙痒,一般的都是体重减轻,烦渴躁动,呕吐,腹泻,抑郁啥的。他的情况更像是皮肤问题。

好的 谢谢医生 前面检查花了660 药花了330 我不知道这个价格是否正常 我在网上查了一下 心里也是不确定 这个情况还需要检查吗 我想问问她肚子的黑点是什么 我的狗体重是加重了 因为我吃什么总是给他吃一两口 肚子大了一圈 基本上是不是不可能得这个病啊

徐灿

执业兽医师

单纯的一个炎症测试和血常规的话,一般没有这么贵,通常来说,炎症测试加血常规大概在200到300元左右。超一线城市的话,一般也不会这么贵。 这个黑点是正常的,就是色素沉积了,并没有什么太多的问题。而且一般如果真的是爱迪生的话,那么体重应该是减轻的,所以说个人认为与实际情况不符。 建议更改一下方案,当然,最终是否更改的话,看个人意愿。如果你需要,我也可以帮你开出来。

您帮我开一下药单吧 谢谢您了 我在抖音上查了一下 那个胶囊好像是治人的胃病吧 所以我就觉得不太靠谱

徐灿

执业兽医师

我也不知道那个胶囊是治疗什么的,因为我们一般不让用人用药物,但是国内的大部分药物上面刻的都是英文或者是缩写,不会写什么什么药业。 结合他的症状和历史来看,他更大的可能性是深层真菌感染,所以使用了相对应的药物。 至于说它耳道的问题,有对应的药物治疗吗?如果没有的话,后续我也可以帮你开个方案。 建议是先按照我帮你开的药物,然后先吃两周,看一下是否有明显恢复,或者症状减轻。 然后最近一段时间先不要洗澡,避免潮湿。

好的 他是耳朵后面比较痒 张了小红点 跟其他身上都是一样的 狗好像是两岁多三岁了 这个不影响药吧

徐灿

执业兽医师

一般来说,并不影响用药,耳朵后面长了小红点,实际上更接近于真菌的一个迹象,而且它本身的症状也比较符合真菌,同时检查一下耳朵里面干净吗?有没有发红?如果说油脂比较多,或者是有脏东西发红,那么要用其他的药物。 然后后续要坚持用药,治疗的时间会很长,短时间之内可能没有恢复,因为它高度考虑是真菌引起的,治疗时间本身就比较长一些,这个是疾病特性造成的。

好的 谢谢医生了 他耳朵里面是挺正常的 这个治疗正常的话要多久啊

徐灿

执业兽医师

如果正常的话就好,目前来说,建议是先用药两周,然后不要洗澡,看一下后续恢复情况,这种真菌感染一般可能需要20到25天,才能够完全恢复,而且恢复起来都比较慢,因为它是全身性的。 然后建议是两个星期以后回来做个复诊,并且告知一下恢复情况。然后再考虑是否继续用药或者是更改方案。

好的 他的止痒药还需要吃吗 谢谢医生了

徐灿

执业兽医师

知道是什么成分的吗?他这种情况瘙痒是肯定的,如果是***的话,如果买了的话,那就可以吃,毕竟挺贵的,不吃也浪费了,但是如果不明确成分的话,建议不要盲目用。

就是这个药 之前也吃过 之前去一个诊所 他给我开的 让我给他送去洗个药浴 然后恢复恢复再看

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徐灿

执业兽医师

根据上面的标识和形态来说,应该就是***,也就是马来酸奥拉替尼,可以的,没问题,既然有这个药的话,那我帮你把药品方案改一下。 你用新的方案就行,把激素改成营养型药品,这样的话也不浪费,按照新的方案来吧,还便宜些。

好的 谢谢了

徐灿

执业兽医师

没事的,不用谢,短时间之内,记得千万不要洗澡,然后不要沾水,先按照上面的方案用药两周,然后观察一下后续情况,平时的话多晒太阳,两周以后回来复诊。

好的好的 麻烦了 谢谢医生

徐灿

执业兽医师

感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。 后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。 谢谢您的支持和鼓励,祝您的爱宠早日康复!

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