咨询描述:大夫好,我家狗狗今天下午3:30突然出现抽搐现象,晚上8:30再次出现抽搐,是什么原因
问题大致一样,细节不同?
徐灿
执业兽医师
你好家长,对于这种情况来说,我需要问一下,当时有没有拍摄视频呢?是四肢僵直的那种抽搐吗?还有就是瞳孔有没有放大?当时有没有流哈喇子?有没有小便失禁?请详细的说一下当时的情况,因为突然抽搐的话,首先要考虑的是癫痫,现在是不是都恢复正常了呢?是不是和正常的状态一致?
徐灿
执业兽医师
当然可以呀,还有就是现在他的状态是不是恢复了呢?录的不全不要紧,我顺带看一下他现在的状态就行,因为根据你的描述来看,很大的可能性是癫痫。
流哈喇子,小便失禁,眼镜瞪得直勾勾的,四肢僵硬,整个身体僵硬
徐灿
执业兽医师
然后后续是不是就恢复正常了?现在的状态是不是和正常的狗狗是不是一样的?如果是的话,那么基本上能确定应该是癫痫的问题。我需要先看一下现在的视频。
大夫,您看到视频了吗
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看到视频了,但是这个视频应该是发病后期的一个状态,当时是不是发病了一阵子,然后后续末尾的时候才录了这个视频?现在的状态是不是正常的?
徐灿
执业兽医师
如果是这种情况的话,那么基本上能确定是癫痫了,后续的话得口服抗癫痫药物,先口服一个月,然后看一下是否持续性发,后续的话再考虑是否长时间服药即可。
他已经九岁了,所以说发生癫痫这些问题都很正常的,一般临床上都是以口服药物去控制。
他的体重很大,所以说用药量比较,一天是吃两次,早一次,晚一次,然后按照每公斤三毫克先用药,然后后续再考虑是否缩减。
这是晚上到医院拍的片子,麻烦看一下,还有就是回家后感觉焦躁不安,屋子里面到处走,之前没有这个现象,这会趴下不动了,晚上发作时也是扒着突然发作的,如果在出现我应该做什么急救措施
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我需要问一下,为什么拍了X光片子呢?当时是的目的是什么呢?因为太远了,看不太清,只能是看到没有骨刺。
如果说发作的话,抽搐的比较厉害,那个时候需要掰开嘴巴,防止他咬舌头,然后后续的话,主要还是建议尽快用药进行预防。
当时着急朋友介绍到医院化验的血和拍片子,说是再发作就吃5片药,要名字也忘拍了,这种症状严重吗,
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
生化结果基本上是没问题的,但是基本上能确定是癫痫和其他的问题,相关性不大,后续的话,建议持续性的服药,而不是说发病之后再服药,这种情况最好是预防,让他不要再发病,就是每天服药,然后用一个月,然后看一下是否仍然发病。
吃您发的那种药是吧,平时饮食什么方面还需注意什么,心脏病的药用吃吗
徐灿
执业兽医师
?我需要问一下他还有心脏病吗?是什么心脏病?心肌肥厚,又或者是其他的?
平时吃喝的话都是正常的,帮你开的药物是抗癫痫的,然后用药一个月以后,记得回来复诊,每公斤三毫克,这个剂量不多,有可能服药之后,还有可能会发作,但是建议是从小剂量开始尝试,找到一个临界点,一般并不是特别推荐大剂量直接口服,所以先从三毫克进行尝试。
从开始到家到现在这么长时间从来没有得过什么病,每年按时做疫苗注射,这么突然真是没有想到,我也不知道问什么,急,这个和岁数有关系吗
徐灿
执业兽医师
有关系的,在上面我有提到,就是说老年的犬,一般五岁之后,就有更高的发病概率,所以说后续的话主要还是以预防为主,而不是说发病之后再用药,这种都是脑部异常放电造成的,心脏没问题的话,后续正常服药就行
徐灿
执业兽医师
是这样的,现在它的状态挺正常的,一般来说,发病之后就恢复正常了,这个就是癫痫的一个典型的变化,正常情况下,没有任何症状,然后突然发病,食欲和状态一般都是正常状态,还是挺典型的。
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!
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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