咨询描述：四岁母猫，未绝育，今早和家里新来的猫有点打起来，可能是她被打了。然后开始尿血（不确定是不是因为被打才这样），在屋里角落很多小摊，都是图片那样的，之前从没这样的情况！这是她第一次尿液不正常，尿尿的姿势也和以前不一样
回复总结：猫咪打架后尿血考虑是由于打架以及强应激，从而引发膀胱炎或者尿道炎问题。如果暂时不方便就诊，可以先给猫咪喂食宠物专用广谱消炎以及治疗下泌尿道综合症的口服药来进行治疗观察2-3天。如果效果不错可以持续用药1-2周左右，直到疾病康复为止即可。治疗期间需要把两只猫咪再次隔离饲养，最少2周不要接触。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的症状，我初步分析猫咪是有膀胱，或者尿道问题，但仅仅根据目前信息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. 猫咪打架是否剧烈？
2. 打架之前，是否出现尿尿异常？
3. 猫咪现在吃喝，精神状态如何？
4. 家里的新猫咪，什么时候来到家里的？
5.猫咪的疫苗，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。待会儿咱们沟通后如果涉及用药建议，方便为宝贝开具处方。
1 不算剧烈，两个猫用爪子互相拍两下就结束
2之前没有异常，就是她从来不太爱喝水，最近两天又换水盆不习惯可能喝的更少了
3精神有点紧张，不让摸，没有吃饭，只喝了罐头里的汤
4 来了快一个月了，隔离新猫一星期，两猫相见半个月了
5 三月一内驱，没有打过疫苗，从来没有出过门，家里没有过其他猫
医生，我早上发现之后给它喂了一片**
陈奕达
执业兽医师
好的，非常感谢您的回复，谢谢。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打架，强应激，引发了膀胱炎或者尿道炎问题，从而导致了一系列症状。跟打架有一定的关系。
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(**)，以及治疗下泌尿道综合症(膀胱炎，尿道炎)的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药1-2周左右，直到疾病康复为止即可。然后一定要把两个猫咪再次隔离饲养，最少2周的时间不要接触。
好的知道了，已经把新猫隔离起来了，医生您说的治疗泌尿的药叫什么名字啊？是和**一起吃，还是只吃它
陈奕达
执业兽医师
根据猫咪的情况，我给宝贝开个处方。(需要配合您手上的**一同使用)
处方里面的
1. ***，主要用于猫下泌尿道感染、膀胱炎以及泌尿系统术后修复期，协助降低细菌感染，减少炎症发生，预防膀胱炎，增强抵抗力。
2.***，主治1.宠物尿路结石。2.膀胱炎。3.泌尿道炎症。4.泌尿道综合症等。
好的感谢医生，我在**上看到宠物用的******，那个可以吃吗？我今天早上一着急下单了好多
陈奕达
执业兽医师
您好，***可以替代图片上我画圈的这个药物。可以给予猫咪服用。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，是需要给予**的(互相配合使用)。因为**主要的作用是广谱消炎，控制炎症。而上述两种用药主要是针对泌尿系统粘膜，促进粘膜恢复，减缓炎症的效果。
陈奕达
执业兽医师
不用客气，非常感谢您对我以及蘑菇宠医的信任🙏。如果没有其它的疑问，不要忘记动动小手，点击左下角评论按钮，给我一个五星好评呦😁 。（您的评论是对我的督促，让我精益求精，帮助更多的宝贝，谢谢💪）。
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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