咨询描述:嘴巴下面有一颗黑色痘痘,很早之前没有,今天发现长大了,不是短期长得,从对这个黑痘痘有印象时候有一两个月,一直以为是本来就有的,今天看比较大了,看了之前照片发现没有。
吃喝拉撒正常,精神也很好
问题大致一样,细节不同?
徐灿
执业兽医师
这种情况实际上就要考虑是油脂分泌异常和色素沉积造成的,可以发现,他的黑下巴非常严重,下巴和嘴巴周边,掉毛脱毛,比较厉害,而且油脂分泌异常,平时的话,有没有抓挠。有没有什么别的症状或者不同?
1、没有特别的抓挠、一般都还是只对耳朵后面挠一挠。不怎么对这个位置抓挠。2、也没有其他特别的症状或者不同,吃饭没天大概80ml的猫粮(**猫粮),喝水也正常,大小便也正常
徐灿
执业兽医师
这种情况一般来说就可以把嘴巴周边的毛发剔除,然后用**肥皂多洗一洗,然后吹干擦干。
然后耳朵里面先要检查一下,有没有油脂或者脏东西呢?因为他如果老是挠耳朵,那么大概率,还是有耳螨的,或者是中耳炎的问题。
我见小红书上可能是黑色素瘤,会有这种可能吗?黑色素瘤会是什么症状啊,我见她这个黑点的材质像痘痘一样,跟网上黑色素瘤的很像,很光滑,抠不下来,跟皮肤连着的
徐灿
执业兽医师
有可能,但是没有太大影响,就是说他在不扩张的前提之下,可以不做处置,因为他年龄已经八岁了,出现一些皮肤方面的肿瘤,或者是增生,都是非常正常的,只要是没有影响到她的生活,没有扩张特别快,是可以不做处置的。
1、8岁是我预估的也可能是7岁,因为我不是原主人,然后这个黑点这个是凸起来的,这个的边缘也比较光滑。2、它变大会跟我平常用湿纸巾擦他下巴有关系吗?就是会因为我的摩擦有关吗?3、我后续应该怎么观察它的状态呢?先把黑下巴的问题处理好嘛?
徐灿
执业兽医师
一般来说问题不大,和平时的摩擦关联性不强,这种情况后续的话就是多洗一下,先把毛发去除,然后进行擦洗,后续的话多观察一段时间即可。个人建议是先把黑下巴的问题处理好,然后持续性观察即可
好的,因为这个在最近两周内发现有变大,这个扩张速度算大吗?之前也没有这么凸起,现在凸起的比之前明显也,这个也算是正常吗?2、黑下巴的话用**皂洗洗就行吗?需要用药什么的么?具体用哪些药可以推荐嘛谢谢。3、什么样的扩张速度算快呢,我后续观察一下。谢谢医生
徐灿
执业兽医师
目前来说不算大,属于正常范畴,因为后续都会增长,但是基本上大概率增长到现在这种情况就不增长了。
**肥皂就可以,外用药物因为靠在嘴边,容易吃进去,所以就先不用,而且年龄大了,也不建议弄药膏之类的,弄得很黏糊糊的。
只要是没有超过豌豆粒那么大就可以,后续的话观察一下即可。
好的,谢谢医生!那我现在任务就是1、处理黑下巴的问题2、日常观察呱呱这个痘痘大小、和精神吃喝拉撒3、观察耳朵里,有一些脏东西或者油脂的话用什么清洗会比较好呢?医生有推荐嘛,因为还是新手,一直不敢下手给呱呱清洗什么的
徐灿
执业兽医师
对,是这样的,下巴的问题主要是清洁观察就行,一般来说问题不大。
但是你之前提到了,他耳朵里面有抓挠,证明可能有中耳炎或者是耳螨,就要使用一些药膏和滴眼液,我帮你开了方案,后续的话,坚持用药就行。清洁的话,可以用双氧水,效果挺不错的,但是治疗的话就需要用药物了。
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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