咨询描述:症状描述:
医生你好,这是我家的猫今年七岁了,是女孩,已经绝育,还没有打疫苗。之前一直在公园生活,去年春天领养回家,平时一直有吐舌头的习惯,口臭和睡觉流口水的情况比较严重,睡觉口水会打湿尾巴。但吃喝基本正常(每天吃30克左右猫粮,能嚼磨牙小饼干),精神状态也挺好的,时不时会跑酷。
附上猫咪口腔的照片,麻烦医生帮忙诊断一下,谢谢!
患病时长:从公园开始有吐舌头的情况,至今已经有三年左右
用药情况:喷过**口喷,但猫猫非常抵触,平时会喂漱口水和洁牙粉
问题大致一样,细节不同?
闻晓敏
执业兽医师
牙龈红肿破溃,之前有流浪病史,考虑杯状病毒感染引起的口炎可能性最大。
需要线下做杯状病毒pcr检查确定。
如果不想做检查,考虑先吃一段时间消炎药,可能会改善它目前口腔状态。
但是如果是病毒引起的口炎,即便有改善后续可能还是会反复发作
好的谢谢医生,下次体检会安排做病毒pcr。
还有如下问题想咨询一下医生:
1.猫咪右边脖子靠近下巴的位置摸上去有一个小疙瘩,直径大概2厘米,肉眼看不太出,摸上去可以轻微滑动,请问是否可能是口炎导致的淋巴结肿大,还是其他方面的问题,是否可以吃药改善?
2.请问除了杯状病毒口炎还会有其他哪些可能性呢?以猫咪现在的情况是否会需要全口拔牙?
3.手头有的消炎药是人用的********钾分散片,每片156.25mg,请问如果要服用的话应该每天吃几次吃多少呢?
麻烦医生,非常感谢您的解答!
闻晓敏
执业兽医师
1,考虑是淋巴结肿大的可能性比较大,因为从图片上看炎症挺严重的,后续吃消炎药看改善情况。
2,病毒引起的口炎可能性最大,其他的可能是口腔溃疡,牙龈红肿。
3,有猫咪专用的消炎药,我给你开个处方,可以按照处方购买。
闻晓敏
执业兽医师
根据它目前的情况,我给他开个处方,处方里面主要是:
1,**,犬猫专用口服消炎药
2,***龙,抗炎
可以按照处方说明的用法用量使用。你可通过处方自主选择购买。咱们药品从成都发货,快递时效,一般三天到,具体看你所在地区。
用药1周后可以来复诊(购买咨询服务包咨询更优惠),届时根据宝贝恢复情况来调整治疗方案,有问题可随时在线联系。
如果你还有什么疑问可以继续提问,我看到会及时回复。
好的,再请问一下医生
1.照片里拍到猫咪很多牙齿被黑灰色的东西包围,这个是牙结石还是蛀牙呢?洗牙可以缓解猫咪现在牙结石以及口腔炎症的状况吗?
2.请问猫咪现在的情况下最近可以打猫三联疫苗吗?会不会加剧口腔炎症?
3.去年在宠物医院体检时,医生提出只有全口拔牙可以治愈口炎,从您的诊断意见来看,是不是保守药物治疗也是可行的?
感谢您的回答!
闻晓敏
执业兽医师
1,考虑牙结石的可能性更大。洗牙可以缓解目前的情况,但是它牙齿状态不怎么好,可能会需要拔牙的情况(排除口炎因素,清洗过程中牙齿松动,需要操作时医生评估)。
2,不可以,还在吃药呢,且身体状态不允许,不建议现在接种。等后续好了,停药一周以上再考虑接种疫苗。实际上猫咪7岁多了,我倒是建议可抽血测抗体,如果抗体合格的话不需要接种疫苗。
3,全口拔牙也只有三分之一的概率能够完全治愈,有三分之一病例在全口拔牙后需要持续用药维持一个良好的症状。以上两种都是比较好的情况。还有剩下三分之一,即便全口拔牙后用药,也比较难恢复,尤其是拔牙之前使用过激素药物治疗,没有好转的。
闻医生您好!感谢您昨天的回复!
想再请问一下:
1.猫咪日常吃喝正常,精神也还不错,但是看照片口腔里炎症挺严重,该怎么判断猫咪的疼痛程度,是不是在忍痛呢?
2.猫咪一直有吐舌头的习惯,有时候碰一下舌头会缩回去,但总是会留一个舌尖尖在外面,是因为口炎疼痛影响吗?
3.睡觉流口水打湿尾巴,也是口炎的症状吗,如果不是口腔有炎症,猫咪睡觉会有流口水的情况吗?
闻晓敏
执业兽医师
1,猫咪很能够忍耐疼痛,很多时候它疼痛你可能看不出来,但是如果它口腔溃烂,伴随出现了流口水,食欲下降,精神较差,说明已经非常疼痛它已经表现出来了。
2,可能是疼痛影响导致的。
3,尾巴打湿了说明口水流得比较多且还有舔舐理毛的习惯,猫咪长期流口水本来就不是正常的,如果不是口炎也是有其他因素
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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