咨询描述:公狗16岁,最近开始张嘴低头一直甩头,有时候会持续半小时以上,还会发出尖锐刺耳的声音。甩累了趴着睡觉很安静正常,一般可以睡2-3小时。
以前也有过这样的情况,他会甩出松动的牙齿就会恢复正常,这一次有10来天了还不见停。
前天去医院做了洁牙和松动牙齿拔牙。但是还是没有好。除抑制不住的甩头外,没有其他的异常。拔牙后这几天在吃***。
前2年得了神经炎,一直在吃钾**和B12,日常会补充液体钙。
现在也不能确定是因为口腔牙齿不舒服还是其他原因引起,请陈医生帮忙看看,谢谢!
问题大致一样,细节不同?
陈奕达
执业兽医师
根据上述的信息,我暂时还不能做出进一步的判断。我还有一些问题需要向你了解一下:
1. 狗狗洗牙的时候,医生是否有观察狗狗牙齿是否有松动,脱落情况?牙龈的整体状态如何?
2. 狗狗是否有用前爪扒嘴巴的症状?
3. 狗狗是否还有其它症状?
4. 狗狗出现小视频中频率大概是什么程度?
以上这些情况需要你详细的描述给我,我好进一步了解宝贝病情,然后帮你进行分析。
1.因为狗狗年纪大,牙齿本身就没剩多少,医生将松动的牙齿拔掉了,目前嘴巴里剩还5颗完好的牙齿,检查过牙龈没有异常。2.狗狗没有用前爪扒嘴巴。也没有用嘴巴去蹭东西。3.除甩头外,其他跟平时一样,无异常,出去玩、吃、喝、拉都正常。4.小狗每天基本有三分之一的时间是像视频里这样甩头,甩累了就趴地睡觉,醒了就开始这样甩。
陈奕达
执业兽医师
好的,收到回复,谢谢。根据您的描述,狗狗这种情况我认为还是神经异常问题,导致了现在症状。
狗狗现在的情况,如果暂时不方便就诊治疗,可以尝试口服一些宠物专用广谱消炎,抗炎止疼用药,来观察一下后续状态如何。(家里营养神经用药可以继续使用)
如果考虑在家保守治疗,您可以告诉我,然后这边可以帮您开具一套用药,并且帮您计算好用法用量,供您采纳参考一下。(保守治疗,需要时间观察,期间随时保持联系,我会根据宝贝当时的情况,进行分析,制定方案)
请帮我开具一套在家保守治疗用药。 另外如果去医院治疗一般是使用什么治疗方法,治疗效果如何?
陈奕达
执业兽医师
疗效,需要用药之后观察才能判断,现在无法预估。
如果真的是神经问题,根据不同程度的情况,会使用不同程度的激素冲击疗法以及广谱消炎,营养神经治疗。
然后这边根据宝贝的情况,我给宝贝开个处方。以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. **,宠物专用广谱消炎,控制宝贝炎症问题。
2. ***龙片,宠物专用抗炎用药,能够起到缓解神经水肿问题,缓解炎症加重,同时有一定止疼效果,可以起到一定治疗口腔疾病问题。
可以根据需求自行选择购买。
发病期间,禁止宝贝剧烈,长时间运动。尽可能静养。注意不能着凉,尤其是趴在地上休息。
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续有什么疑问或者需要,可以随时到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,平时有什么问题随时联系。
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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22:24:18","product_info":{"id":709,"hash_id":"lazo6rxWXWpOqD9E","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":5,"sell_point":"速诺(阿莫西林克拉维酸钾片)250mg","title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","recommend_reason":{"0":"适用于宠物由敏感细菌引起的皮肤及软组织感染、呼吸道感染","1":"治疗宠物革兰氏阴性和革兰氏阳性敏感细菌的感染","2":"用于肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,肠炎,腹泻,便血,真菌感染,猫癣,脓皮症","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"250mg规格1板"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0c5606ffe97cfdbe080e7c31980a047d.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":677,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 10:15:11","ins":{"id":5,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"阿莫西林克拉维酸钾片","trade_name":"速诺","en_name":"Synulox Palatable Tablets","brand_name":"辉瑞","is_prescription":1,"cover":"\/drug\/2020\/10\/b4e16954b19120b0d777543dde23b1da.JPG","specification":"250mg×10片×10板\/盒","reference_price":2200,"component":"阿莫西林和克拉维酸钾","indication":"适用于犬由敏感细菌引起的各种感染,及治疗犬革兰氏阴性和革兰氏阳性敏感细菌的感染。\n1、如皮肤及软组织感染脓性皮炎、脓肿和肛腺炎、蜂窝组织炎、伤口感染、腹内脓毒症等。\n2、牙感染(牙龈炎)。\n3、尿道感染,如膀胱炎、尿道炎、肾盂肾炎、前列腺炎、盆腔炎、淋病奈瑟菌尿路感染及软性下疳等。\n4、呼吸道感染,如鼻窦炎、扁桃体炎、咽炎、急慢性支气管炎、慢性支气管炎急性发作、肺炎、肺脓肿和支气管合并感染。\n5、肠炎及其他感染,如中耳炎、骨髓炎、败血症、腹膜炎和手术后感染等。","usage_dosage":"口服。每天吃2次,连用5-7天。每次用量如下:\n体重9-12kg,吃0.5片;\n体重13-15kg,吃0.75片;\n体重16-22kg,吃1片;\n体重23-30kg,吃1.5片;\n体重31-40kg,吃2片;\n体重41kg及以上请购买同品500mg规格的产品。\n\n注:一些慢性感染(慢性皮炎、慢性膀胱炎和慢性呼吸道感染)的治疗可连用10-28天。","contraindication":"1. 仓鼠、豚鼠、沙鼠、灰鼠和家兔禁用。\n2. 其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物,若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素,因其胃肠道吸收可能不可靠,这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹,给药前不要取出。\n4.对青霉素过敏者如果不慎接触,应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性,与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"(2018)外兽药证字11号","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-23 12:09:57","updated_at":"2020-10-23 16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":726,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":715,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-24 19:59:41"}}}}}}
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