咨询描述:症状描述:总是在凌晨两点到五点这个时间段呜呜惨叫。
先后尝试就皮肤病、神经炎、关节痛、中耳炎进行给药治疗。
半年前,头歪向一边。经蘑菇宠医医生诊断,判断为中耳炎引起的前庭神经炎,使用了**和***龙,头歪的症状略有缓解,但凌晨惨叫的现象依旧存在。
患病时长:20天
医院检查:无
用药情况:止痛药、抗生素、***、***、消炎药、***龙、**
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到你的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.之前是否做过检查?
2.目前食欲怎么样?精神状态怎么样?
3.白天状态怎么样?是否白天睡觉?
4.平时走路是否有异常?
除此之外,宝贝目前的症状来讲,希望主人你仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢你的配合。
没有做过检查。目前食欲跟以前一样,比较能吃。精神状态良好。白天睡眠跟以前一样比较多。走路无异常,可以缓慢行走,跟以前一样,偶尔有后腿无力现象。身上一直有皮肤病,驱虫喷药后已经好一些。
孙厚福
执业兽医师
目前考虑认知障碍脑部病变,可能会多巴胺水平下降、大脑萎缩和神经元数量减少等
认知障碍的指征包括遗忘训练指令、焦虑感增加、定向障碍、睡眠和活动水平改变、攻击水平改变和整体警觉性改变。
目前可以通过白天多带它散步保持心情愉悦,同时可以做一下全身按摩一下放松,同时可以配合处方粮,另外配合药物一起治疗,有的会出现改善
好的,谢谢您的解答。目前想解决的问题是,能否让它不在凌晨两点到五点这个时间段惨叫扰民。疑惑的是消炎药止疼药都在吃着,好想并不能解决它的疼痛问题。难道它的惨叫,不是因为身体不适,而是单纯的老年痴呆吗?
孙厚福
执业兽医师
目前考虑脑部病变引起的,可以看看口服神经处方粮,白天尽量有时间出去散步一下,同时配合药物一起治疗。
为保护用户隐私不显示图片/视频
这个脑部病变,请问是脑炎,还是脑中风,或者是脑部肿瘤,抑或是单纯的老年痴呆呢?中耳炎可以继续用**和***龙治疗吗?
孙厚福
执业兽医师
脑部病变都有可能的(核磁共振检查可以确诊但是是否适合麻醉需要评估一下),因为有前庭综合所以目前不排除其他可能性,**可以慢慢停掉,***龙可以再减量巩固一下。
好的,谢谢您,再请教最后一个问题。除了您开的神经修复的药物,还能服用哪些药物让它少痛苦一点儿呢,止痛药或者消炎药可以吗?这么大年纪了,不可能麻醉检查了,只能保守治疗,减轻痛苦。
孙厚福
执业兽医师
可以配合口服***修复一下脑部神经。止痛药和消炎药可以看一下前庭综合症情况之后可以停了
谢谢您,还请麻烦开一下能让它晚上睡觉的药吧,比如安定啥的。它这样总是在夜深人静的时候嚎叫,周围人都没法睡。
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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