咨询描述:狗腿掉毛,得有一年了,然后最近半年严重了。掉了一大块,腿还肿了瘸了,总是舔,还流脓。
患病时长:1年
用药情况:外喷***素,消炎药
问题大致一样,细节不同?
徐灿
执业兽医师
你好,家长,最开始的时候是什么样子的呢?因为他总是在舔,所以会有红肿的迹象,不过我需要问一下,他有没有用过抗真菌药呢?身体其他地方有没有类似的症状?
一般来说,局部增生的话,确实容易引起瘸腿,但是能不能拍摄几张更为清晰的照片?还有就是身体其他地方有没有皮屑和结痂?因为总是舔的话,证明非常瘙痒,但是用了除螨的药物和消炎药,没有效果,那么基本上主要考虑的方向是真菌。
没有皮屑和结痂,这个前腿一大块本来没有的,这半年刚有,本来就后腿有一小块,现在还有,但是后腿不瘸腿,真菌的药还没用过
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
他总是在舔,所以说后续的话,可能就确实看不到结痂和皮屑了。对于这种情况来说,实际上最好的办法,就是你可以尝试着逆向诊断,因为他总是在舔。就算是去做刮片检查,可能也无法看到菌丝或者细菌。
个人建议是,可以尝试着口服一些消炎的抗生素,然后喷涂一些抗真菌药物,并且佩戴伊丽莎白圈,和常规的激素,然后看一下是否会有消肿,如果你需要的话,可以帮你开一个常用的方案,建议是用药两周左右,看一下是否有所缓解
徐灿
执业兽医师
对于这种情况来说,首先,后续你必须给他带上伊丽莎白圈,防止继续舔,造成症状加重
然后它的患病时间已经很长了,所以说短时间之内肯定无法恢复,建议是先用药两星期,然后看一下效果,并且后续回来复诊。
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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