咨询描述:猫咪精神正常食欲正常排便正常,不流鼻涕但是会流眼泪和打喷嚏,打喷嚏时会有浓黄的鼻涕,偶尔还会咳嗽。这种是猫鼻支吗
回复总结:猫咪出现流眼泪打喷嚏但是食欲精神很好,考虑有呼吸道感染。如果还伴随偶尔咳嗽的症状,可能是有疱疹病毒、支原体或者衣原体感染引起。此外,也可能是由于过敏性鼻炎引起慢性鼻炎,或者是鼻窦炎导致。建议最好先带猫咪去宠物医院做病毒筛查确诊,根据检查结果对症用药治疗。
问题大致一样,细节不同?
王广龙
执业兽医师
根据您的描述,现在这个猫是有呼吸道感染的,出现了呼吸道感染的脓黄鼻涕情况,偶尔咳嗽,这种情况有可能是有疱疹病毒和支原体和衣原体感染比较常见,这种做病毒筛查确诊的,大部分是出现这种感染。还有一些猫没有病毒感染的,有些是过敏性鼻炎引起慢性鼻炎情况也是碰到过敏原就会打喷嚏情况。还有鼻窦炎情况都会可能出现这样情况。
我是接它回来的时候到现在已经四个月了,回来的时候情况比现在严重,但是经过吃药比之前好很多很多,但是现在还是有呼吸音也有点重,像鼻塞那样子,但是我给过各种抗生素,吃的时候感觉好了,但是一停药就会复发,吃药雾化都做过可能因为小时候打疫苗没有按时打,导致的吧
王广龙
执业兽医师
这种反复性呼吸道感染,严重怀疑有病毒感染引起的,有时候测疱疹病毒时候是没有的,现在已经用了很多抗生素没有作用,现在可以考虑用一下抗病毒的药,主要治疗疱疹病毒感染引起鼻窦炎情况,按照每公斤30mg使用,一天2次,连续用21天看看效果,配合使用抗生素****治疗21天看看。
****,****,****,各种的药都吃过了,但是吃的时候是有用的,停药就过一两天又复发,还有,吃过的药后面再吃第二次就没有用了
王广龙
执业兽医师
频繁换抗生素也是出现耐药问题的,一般这种呼吸道使用一个疗程抗生素都是要21天的,除了****以外,其他抗生素都是这样用来治疗呼吸道感染情况。
****跟****是最开始用的药,也吃了差不多一个月,后面看没什么用就不给吃了,那现在用什么药好
王广龙
执业兽医师
现在建议采呼吸道深部分泌物做药敏试验来选抗生素了,没有药敏试验支持,只能联合用药***和***配合使用两周以上,加****抗病毒治疗。在没有效果的话考虑是过敏性鼻炎问题,去查过敏原问题。
王广龙
执业兽医师
根据呼吸道感染的情况,我给它开个处方。处方里面的1. ***,5mg每公斤,一天一次,连续14天。2. ***,一天2次,15mg每公斤,连续喂14天。3. ****,30mg每公斤,一天2次,连续喂21天。
会有治愈的可能吗,还是说会终身携带,像这种状态好的情况可以做绝育手术吗,会有可能是免疫力差的原因吗
王广龙
执业兽医师
有可能是治愈不了,慢性鼻炎这种可能是治愈不了的。有病毒感染就可能是终身带毒的。状态不好最好是不要绝育,治疗稳定后再去绝育。复发原因还有可能是免疫力低和没有免疫抗体都有关系的,营养品也要吃,如*****和维生素和营养膏和补血膏都要吃的。
打疫苗的问题,它到我手上的时候是一岁半了只打过一针妙三多,后面我给它打了一针妙三多,一针狂犬,相当于它一共只打了两针疫苗加一针狂犬,小时候的三针没有按时打,现在能补上吗,加上它一直是右边眼睛会流眼泪,用纸巾擦是粉红色的,是氧化了还是什么,滴眼药水也没有用,打喷嚏的时候鼻涕也是右边比左边多
王广龙
执业兽医师
去测猫三联抗体决定需不需要补打还要补打几针,有些打完疫苗,体抗力好了,自然也有好的。流眼泪问题跟打喷嚏流鼻涕那个也是一样的,伴随着呼吸道感染症状,后面没有严重脓性分泌物,按照这个口服药先治疗,不用滴眼药水。
还有我跟你说
就是它呼出来的气是有点腥臭腥臭的,咳嗽的时候感觉像是有痰,咳出来又吞下去了,那个呼吸音有时候很大有时候又没有,有一次打喷嚏喷出来的鼻涕有一点带血
王广龙
执业兽医师
现在这种情况就是需要做病毒筛查或者药敏去看看哪一种抗生素比较有效的,没有做就按照我说方法去操作,看看有没有效果。
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
{"254347":{"id":254347,"case_id":30521,"user_id":1179411,"to_user_id":1718493,"type":3,"content":"根据呼吸道感染的情况,我给它开个处方。处方里面的1. ***,5mg每公斤,一天一次,连续14天。2. ***,一天2次,15mg每公斤,连续喂14天。3. ****,30mg每公斤,一天2次,连续喂21天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":103415}},"is_doctor":1,"status":1,"created_at":"2022-02-15 01:35:02","show_rx":true,"rx_info":{"id":103415,"rx_no":2.0220215013148502e+24,"user_id":1718493,"doctor_user_id":1179411,"is_independent":0,"case_id":2624262,"pet_info":{"pet_id":0,"pet_name":"猫咪","pet_nickname":"猫咪","pet_gender":1,"pet_birth":"0-11","pet_weight":3,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"11个月"},"diagnose":"呼吸道感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-15 01:31:48","updated_at":"2022-02-15 01:35:02","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":7571,"prescription_id":103415,"doctor_user_id":1179411,"product_id":705,"product_sku_id":748,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-02-15 01:31:48","updated_at":"2022-02-15 01:31:48","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":401,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-17 11:36:45","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":416,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-17 11:15:50"}},"1":{"id":7572,"prescription_id":103415,"doctor_user_id":1179411,"product_id":714,"product_sku_id":756,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-02-15 01:31:48","updated_at":"2022-02-15 01:31:48","product_info":{"id":714,"hash_id":"ZjEadAxNaNgJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":111,"sell_point":"宠立维头孢氨苄片75mg","title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","recommend_reason":{"0":"用于治疗狗狗的皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮病,毛囊炎,蜂窝组织炎,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26856d6b002e611b881077f6d7f6f802.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":27,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 16:03:17","ins":{"id":111,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠立维头孢氨苄片75mg","common_name":"头孢氨苄片","trade_name":"宠立维","en_name":"Cefalexin Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2020\/11\/11e39dd51a5edee939b239decc798f35.PNG","specification":"75mg×7片×10板\/盒","reference_price":500,"component":"头孢氨苄","indication":"用于治疗犬的革兰氏阳性菌和阴性菌感染,如皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)。","usage_dosage":"以头孢氨苄计。内服一次量,每1kg体重犬猫15mg。一日2次,治疗尿路感染连用14天,浅表脓皮病连用7~14天,深层脓皮病连用28天。","contraindication":"1.禁用于对青霉素类药物过敏的动物。\n2.禁用于兔子、豚鼠、沙鼠和仓鼠。","adverse_reaction":"","attention":"1.肾功能受损的动物同时服用其他经肾排泄的药物会加重本药在体内的蓄积,因此在动物肾功能不全时可减少本药的用量。\n2.对青霉素类过敏的人不得接触该产品。\n3.使用该品时要倍加小心以避免直接接触,使用后要洗手。\n4.给药人员皮肤出现红疹时要尽快就医,若嘴唇、眼睑和脸部肿胀、呼吸困难要立即拨打急救电话。","interaction":"","approval_no":"兽药字090242454","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2020-11-23 15:07:48","updated_at":"2022-01-15 14:56:43"}},"product_sku_info":{"id":756,"product_id":714,"title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","advword":null,"price":298,"market_price":358,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7板盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 12:39:59"}}},"drug_data_bak":{"0":{"id":7571,"prescription_id":103415,"doctor_user_id":1179411,"product_id":705,"product_sku_id":748,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-02-15 01:31:48","updated_at":"2022-02-15 01:31:48","product_info":{"id":705,"hash_id":"650KvV4Q3ExWXBEd","class_ids":{"0":1,"1":2},"category_ids":{"0":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":32,"sell_point":"拜有利恩诺沙星风味片 15mg","title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","recommend_reason":{"0":"用于治疗由敏感菌引起的犬和猫消化道","1":"泌尿道和皮肤及伤口感染,以及犬的呼吸道感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"皮肤病,呼吸道问题,腹泻","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"15mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/69539d8ea46e7ab2f6b99019dcc2030f.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":72,"max_price":72,"sale_count":401,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-17 11:36:45","ins":{"id":32,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"拜耳拜有利恩诺沙星风味片","common_name":"恩诺沙星片","trade_name":"拜有利风味片","en_name":"Enrofloxacin Tablets","brand_name":"拜耳","is_prescription":1,"cover":"\/drug\/2020\/10\/330c93234fb1f45075611ee9aa3f8e2e.JPG","specification":"15mg×10片\/盒","reference_price":125,"component":"恩诺沙星","indication":"1.用于治疗由敏感菌引起的犬和猫消化道。\n2.泌尿道和皮肤及伤口感染,以及犬的呼吸道感染。","usage_dosage":"以恩诺沙星计。内服:一次量,每1kg体重,犬、猫5mg,每日一次。连用5-10天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"(2014)外兽药证字46号","storage_method":"遮光、密闭保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2020-10-30 14:48:35","updated_at":"2022-01-14 15:41:28"}},"product_sku_info":{"id":748,"product_id":705,"title":"拜耳拜有利恩诺沙星风味片 15mg×10片\/盒","advword":null,"price":72,"market_price":98,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15mg盒装"}},"cover":null,"thumb":"","sale_count":416,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:24:12","updated_at":"2024-11-17 11:15:50"}},"1":{"id":7572,"prescription_id":103415,"doctor_user_id":1179411,"product_id":714,"product_sku_id":756,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-02-15 01:31:48","updated_at":"2022-02-15 01:31:48","product_info":{"id":714,"hash_id":"ZjEadAxNaNgJl2L9","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":111,"sell_point":"宠立维头孢氨苄片75mg","title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","recommend_reason":{"0":"用于治疗狗狗的皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"脓皮病,毛囊炎,蜂窝组织炎,细菌感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"7板盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/26856d6b002e611b881077f6d7f6f802.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":298,"max_price":298,"sale_count":27,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 16:03:17","ins":{"id":111,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"宠立维头孢氨苄片75mg","common_name":"头孢氨苄片","trade_name":"宠立维","en_name":"Cefalexin Tablets","brand_name":"汉维宠仕","is_prescription":1,"cover":"\/drug\/2020\/11\/11e39dd51a5edee939b239decc798f35.PNG","specification":"75mg×7片×10板\/盒","reference_price":500,"component":"头孢氨苄","indication":"用于治疗犬的革兰氏阳性菌和阴性菌感染,如皮肤感染(脓皮病、毛囊炎、蜂窝组织炎等)。","usage_dosage":"以头孢氨苄计。内服一次量,每1kg体重犬猫15mg。一日2次,治疗尿路感染连用14天,浅表脓皮病连用7~14天,深层脓皮病连用28天。","contraindication":"1.禁用于对青霉素类药物过敏的动物。\n2.禁用于兔子、豚鼠、沙鼠和仓鼠。","adverse_reaction":"","attention":"1.肾功能受损的动物同时服用其他经肾排泄的药物会加重本药在体内的蓄积,因此在动物肾功能不全时可减少本药的用量。\n2.对青霉素类过敏的人不得接触该产品。\n3.使用该品时要倍加小心以避免直接接触,使用后要洗手。\n4.给药人员皮肤出现红疹时要尽快就医,若嘴唇、眼睑和脸部肿胀、呼吸困难要立即拨打急救电话。","interaction":"","approval_no":"兽药字090242454","storage_method":"遮光,密封保存。","validity":"2年","manufacturer":"上海汉维生物医药科技有限公司","status":1,"created_at":"2020-11-23 15:07:48","updated_at":"2022-01-15 14:56:43"}},"product_sku_info":{"id":756,"product_id":714,"title":"汉维宠仕宠立维头孢氨苄片 75mg×7片×10板\/盒","advword":null,"price":298,"market_price":358,"cost_price":0,"stock":73,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"7板盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:55:47","updated_at":"2024-11-02 12:39:59"}}}}}}
微信扫一扫
立即问宠医