狗狗有较严重的骨刺 腰椎间盘突出

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患宠信息:贵宾/弟弟/16岁3个月

咨询描述:症状描述:我家小狗十六岁了 有比较严重的骨刺 腰椎间盘突出 可能也已经引起神经炎了 近期打喷嚏的时候会流出黄色鼻涕 从昨晚开始突然不吃饭 脖子变得很弯直不起来 眼睛也不想睁开 医院检查:下面是最近的体检报告 还有一个无法上传的项目报告 犬CRP荧光定量检测0321 检验结果是121.41mg/L 说是大于一百就是重度感染了 代表的就是炎症 但最近感觉好很多了 因为前一段时间长期侧卧导致** 现在已经痊愈了 我了解到的症状是心脏肥大 肝不好 有些胆汁淤积 骨刺神经炎 贫血 炎症 用药情况:我给他用的药是补血的 *** ***** ***胆酸 维b **** 和****

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于博

执业兽医师

好的,狗狗胆汁淤积酶指标还可以,肝脏指标还好,主要是胆囊问题。 贫血这种比较严重,是需要复查看一下回升程度的,如果持续下降就会引起身体无力,没有精神食欲的情况,炎症很高,口服药物后一周需要复查的,如果消炎效果不好就要是用更好的抗生素抗炎药物才行。 狗狗会惨叫吗?是不能正常走路了吗?心脏影像也还好

1.胆囊具体是哪些问题呢 现在要复查的是贫血和炎症对吗 2.不会惨叫这也是我担心的 他会不会很难受叫不出来 不太能正常走路了 昨天还好今天才不行的 脖子弯曲很厉害 不吃东西 还可以再附加图片上去吗我可以具体让您看一下

于博

执业兽医师

好的。1.因为狗狗生化指标都是胆汁淤积酶升高,说明是胆囊有问题,比如胆汁淤积,胆囊炎,胆泥,胆结石这些,具体需要做超声检查 是的我看报告是2月份做的,需要再次复查一下贫血和炎症的指标了 2.如果有很强烈的疼痛,它会有惨叫的,没有叫说明疼痛感还可以承受 因为像贫血,炎症之前就已经很高了,如果控制不住,自己就会继续发展恶化,到一定程度,临床表现就突然很差了。 可以再传图片的在追问里面

1.超声检查是b超吗 已经做过了大夫没说这些问题 只说了心脏肥大 还需要复查吗 2.主要他现在不吃东西这一点我很担心 以前不舒服从来没有说不吃东西过 药都喂不进去 我想了解为啥他现在不吃饭 我可以喂他健胃消食片吗 3.老年犬体检的话您这边还有哪些建议吗 比如哪些项目还要检查 有什么方式可以优惠一点或者在家自查的吗 4.炎症和贫血严重的表现是什么呢 5.他现在的症状就是视频的样子 感觉他脖子歪着像是落枕一样 一抱起来还会漏尿 腿乱蹬感觉很不舒服 6.还有鼻子喷黄鼻涕是最近才有的症状 我现在主要想了解的问题是喷黄鼻涕和脖子突然歪了 还有体检的项目问题

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于博

执业兽医师

好的, 1.好的,如果胆囊之间检查过没有严重问题就不用复查。 2.狗狗不吃东西我感觉应该是高炎症没有控制住引起的,健胃消食片是治疗积食促进胃肠蠕动的没有意义。要解决或者缓解疾病才会有食欲,或者用针筒先人工强饲流食,保证营养摄入。 3.现在首要是复查贫血和炎症,一般老年犬是一年一次体检,像这种内科病严重的3-6个月一次,一般是检查血常规、生化,片子、超声、内分泌这几项 4.贫血会引起黏膜苍白、身体无力、发热、张嘴呼吸、缺氧;炎症会引起身体败血症或者菌血症,器官衰竭、神经症状等 5.我考虑是前庭综合症,炎症侵入脑神经引起的共济失调 6.老年犬会有流鼻涕的情况,一般是心脏或者天气变化引起的呼吸道感染。

1.就是他现在的心脏状态有希望手术吗 我好怕他难受也怕我出去工作后家里人没精力照顾会导致病情恶化 2.现在照顾老年犬的话有哪些一定要注意的事项吗 3.为什么脖子会歪的那么严重 可能是哪些原因引起的 4.鼻子喷黄鼻涕的问题有可能是口鼻瘘或者什么的吗 怎么缓解呢 5.那我现在给他吃补血药和阿莫西**以吗 6.您说的前厅综合症这个我都没有听说过 可以具体说一下吗 这个具体要在医院体检的是哪个项目呢 共济失调又是什么意思 会很严重危害到生命吗

于博

执业兽医师

好的 1.狗狗综合考虑就不要手术了这状态肯定下不来手术台,只能人为照顾 2.首先就是保证营养摄入,每天饲喂够需要的食物,可以用针筒每天分4-5顿饲喂流食罐头;清理干净眼鼻分泌物保证气孔畅通,注意保暖,每天监测体温,正常温度是37.5-39.2;如果自己不能站立要两个小时翻一次身,防止**;注意排便排尿情况和量 3.脖子歪一般是颈椎或者脑部问题(前庭神经综合症),都会引起角弓反张。 4.口鼻喽您可以看一下口腔内上颚有没有破溃的地方,可以用眼药水滴鼻腔,一天4-6次滴鼻腔 5.可以继续口服药物 6.前庭综合症是脑神经损伤发炎引起的,会出现身体不协调、头部歪斜,走路转圈这些症状。共济失调就是运动不协调,站立不稳。不会影响生命,但是会影响身体运动

1.那这个脖子歪怎么才能确定是脊柱问题还是影响到脑部了呢 是要做哪项检查呢 2.我还想问您一下小狗要做的体检项目 每一项大概的价格区间 3.刚刚我用针管喂了药粉和流食 如果明天小狗依旧不吃不喝脖子歪的话我该怎么做呢

于博

执业兽医师

好的.1.如果要确诊需要做核磁共振,需要麻醉,但是狗狗这状态不建议操作。 2.目前医院都有体检团购,全面一点那些应该是360-600之间就够了(包括刚才提到的检查项目) 3.不吃东西就需要人工继续饲喂,这种就和伺候瘫痪的人一样,有的一辈子都需要人照顾的,毕竟年纪太大了,人也有这样情况。

1.那他现在的状态不适合打麻药的话有什么打针或者输液针灸的方式吗 不然岂不是除了喂药和悉心照顾根本束手无策了 2.老年犬不需要做额外的体检了吗 你说的脖子歪是哪个体检项目可以确定到底是脖子的问题还是脑部前厅综合症等等的问题呢 因为我想确定一下这两个问题先检查这两个

于博

执业兽医师

好的.1.可以使用激素、抗生素加神经药物喝针灸理疗尝试治疗 2.这个只能做核磁能检查,如果您需要诊断只能冒较大风险做这个检查。老年犬需要做体检的,就是刚才上面提到的那些基础检查 稍后给您开个口服神经药物处方

于博

执业兽医师

1.** 一天两次 一次一片 2.***龙 一天两次 一次一片 3.*** 一天两次 一次2毫升 4.针灸理疗 先尝试2-3周治疗看有无好转

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