咨询描述:刘医生您好,我的猫牙齿有问题,大概是几年前出现的问题,就是一侧腮帮子一个位置,手一碰到那里它就疼的一激灵,就是嘴巴吓得一下就张开然后开始蹭牙,最近有点加重,以前只是手碰那里才有症状,不碰什么问题都没有,现在吃饭喝水都感觉不舒服,边吃边磨牙,头还一转一转的,我多次掰开它的嘴巴看,牙齿外侧没发现异物、结石也不多、没发现出血,牙齿内侧不太好观察嘴巴不肯张大,磨牙时候嘴张开后很快就闭合了,但是如果牙齿内侧卡到异物舌头应该能把它剔出来呀。。。现在就是吃饭喝水时觉得不舒服磨牙,其他时间都正常。。。到宠物医院检查的话怕麻醉影响身体,您能推断一下它的牙到底是怎么回事呢?(前几年和去年做过手术,术前检查指标都还可以;前几个月由于喂了很多鱼和虾导致VB1缺乏症很严重,当时一侧后腿无力走路不稳流口水尿失禁弓背头架弯曲,因为在那之前刚做过体检,我知道不是其他问题就是VB1缺乏,所以我就没去医院,自己处理的,吃了1个月vb1还有****1 vb12,感觉也就是那个时期牙齿情况加重的,现在别的都好了就是一侧后腿还不大利索,这几天我又开始给他补充这些补剂再观察观察),括号里说的这些是想让你参考下和牙齿有没有关系,麻烦你解答下这两个问题:
第一个问题是请您判断下它的牙齿是怎么回事?
第二个问题是请您看下我的VB1缺乏症的治疗方式对不对?
(发病时前3天,每天3顿,每顿1颗VB1,其中有一顿是用****,每天1颗vb12)
(后面1周是逐渐减量到每天1颗VB1,半颗vb12)
(再后面大概每天半颗vb1或者1颗****,1/4片 vb12)
(1个月疗程后我感觉好些了,就很少给它吃药了,半个月才吃一次)
(最近几天感觉它腿还不是很利索,我又给他吃了1周,每天半颗****和1/8 ***片,以前用的是vb12药品还像是氰**(瓶身上没具体写))
问题大致一样,细节不同?
刘文飞
执业兽医师
您好,猫咪主人,收到您的详细描述,您家猫咪目前年龄已经非常大了,出现牙齿的问题,根据我个人的临床接诊经验判断,您家猫咪可能是牙齿的牙根处有发炎。导致牙根坏掉,引起脸肿的这个情况,目前最好的治疗方法是给猫咪把牙齿拔掉。牙龈以及牙根的位置需要消毒,消完毒里面再上药,然后给猫咪拔牙的位置如果伤口比较大,需要进行缝合,您家猫咪吃的药也比较复杂不建议在给猫咪喂药了,建议给猫咪做一个临床检查,查一下各的指标情况,再给猫咪对症用药,主要查一下血液生化,看一下器官的功能,如果口腔的情况保守治疗只能喷口腔喷剂,然后口服消炎药,观察猫咪口腔的症状
刘文飞
执业兽医师
您好,说明目前牙龈、牙根发炎,还没有到压根坏掉的情况。随着年龄的增长,口腔问题多半是牙齿,牙根问题
腮帮子那里轻轻接触没事的,就是往里按压会疼,我是想隔着腮帮子给他按摩按摩牙齿的;吃点阿莫西**以吗
刘文飞
执业兽医师
炎症的症状就是轻轻触碰没有疼痛,按压会疼,可以先吃点消炎药(****),在喷点口腔喷剂,止痛药,观察症状
刘文飞
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的
1.********钾,对猫咪牙齿的炎症作用效果比较好,按猫咪的体重用药;2.口腔喷剂对口腔消炎抑菌效果比较好,3.****止痛效果比较好好,您可以根据需求自行选择购买
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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