狗狗打架后惊叫没精神
患宠信息：泰迪/弟弟/4岁2个月
咨询描述：你好！我家狗狗前天晚上和其他狗狗打架，回来后精神不好，没有以前那么活跃，偶尔还惊叫，昨天明显感觉前面右脚脚不舒服，
回复总结：狗狗打架后出现惊叫和没精神的现象，考虑是由于外力因素，引发的骨骼关节异常，然后出现了局部疼痛。如果狗狗还能行走活动，建议给狗狗口服宠物专用广谱消炎药，同时配合服用止疼药以及营养骨骼关节的口服药。用药后观察3-4天的时间，如果有效果，可以持续用药2-3周左右，直到疾病康复为止即可。如果用药后持续不见好转，建议带狗狗去宠物医院进行拍片检查，判断骨骼损伤程度再进行对症治疗。
问题大致一样，细节不同？
陈奕达 执业兽医师 根据您讲到的信息，我暂时还不能做出进一步的判断。我还有几个问题需要向您核实一下： 1. 狗狗您养了多久？ 2. 狗狗是否有坡脚，局部外伤症状？ 3. 狗狗现在吃喝，精神状态如何？ 4. 狗狗发病之后，是否有检查？是否有用药治疗？ 5.狗狗的疫苗，以及驱虫情况如何？ 以上这些情况您仔细回忆后详细的描述给我，对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助，感谢您的配合。
狗狗是流浪狗，应该有4 5岁的样子，我是从去年十月开始养的，平时都很正常，有按期驱虫，体内外都有用，不过还没给它打疫苗。今天早上起来就有点点坡脚，一会给你拍视频看看，今天没吃饭，给它吃了些零食。喝水还是正常的，一开始以为只是受惊了，还没有看医生，昨天晚上我妈给它为了***，没有明显外伤，
陈奕达 执业兽医师 根据您描述的症状以及提供的信息，以个人的经验判断宝贝是由于外力因素，引发的骨骼关节异常，让后出现了局部疼痛，从而导致了一系列症状。跟打架，剧烈运动有一定的关系。 如果暂时不方便就诊，可以在家先给宝贝吃一些宠物专用广谱消炎，止疼，营养骨骼关节的口服药来进行治疗，观察3-4天的时间。如果有效果，可以持续用药2-3周左右，直到疾病康复为止即可。 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。
这两天格外粘人走那跟那，以前虽然粘人，但是没有这两天这样，看到人在一步不离 ，保守治疗吧，如果是去医院是要动手术吗？
陈奕达 执业兽医师 好的，1.狗狗之所以粘人，跟难受不舒服有关系。2.然后这边根据狗狗的情况，我给宝贝开个处方。供您采纳参考一下。 处方里面的 1. ***，宠物专用广谱消炎，控制炎症。 2. ***，宠物专用营养关节用药，促进关节骨骼疾病恢复。 3. ***，宠物专用抗炎止疼用药，缓解关节骨骼疼痛。 狗狗这种情况不一定需要手术，因为从小视频上看，骨头应该没有骨折，或者骨头损伤不是那么严重。去附近宠物医院的目的，需要先进行局部影像学检查，然后针对性给予治疗。（如果影像学检查之后，确实比较严重，那么可能需要考虑手术治疗）。
那是啥原因让它一天比一天看着严重？第一天看着都还好， 是不是和它昨天自己下了次楼有关？
陈奕达 执业兽医师 您好，1.狗狗这种情况还是建议给予一定用药，来帮助恢复。2.狗狗之所以越来越严重，是由于疾病正常逐渐严重发展。3.而狗狗现在的疾病诱发因素，跟大家有关系。并且自行上下楼梯，也有可能是疾病加重的因素。
狗狗习惯户外上厕所什么的，不让他上下楼梯，保守治疗两三天，如果没有改善 就带去照片 看医生是这样不？
陈奕达 执业兽医师 您好，1.发病期间可以人为抱着上下楼梯，这样有利于狗狗的患肢恢复。等到完全康复之后，狗狗就可以自行上下楼梯了。2.可以先保守治疗3天左右，然后观察狗狗的恢复状态，然后再决定是否需要就诊检查。3.然后治疗期间，狗狗要尽可能静养。
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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