咨询描述：您好，猫咪前两天跑出去一天，就在楼道里。晚上回来以后就出现呕吐状况，还不排便
回复总结：猫咪突然呕吐首先考虑是由于消化不良引起，可以给猫咪喂食止吐药以及消炎药，大概坚持用药五到七天左右猫咪就会正常恢复。其次，可能是由于猫咪感染猫瘟病毒导致出现呕吐的症状，需要带猫咪去宠物医院做进一步的临床检查确诊。此外，可能是猫咪体内寄生虫感染导致，正常需要每三个月给猫咪做一次体内驱虫，每个月给猫咪做一次体外驱虫。最后，可能是误食异物导致。建议先带猫咪去宠物医院检查，确诊病因后再对症治疗。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，我初步分析猫咪是消化不良引起的胃肠炎。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.您家猫咪多大了，体重大概是多少，独自出去有没有吃到异物
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致猫咪出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
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。另外，把您家爱宠的信息补充完整，特别是年龄、体重」，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。(若您需要离开本诊室，稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
1，不知道猫咪多大，但是应该是成年猫。捡到有一周左右。雨天捡到，耳朵，毛发都干净，应该是家养的。不确定有没有吃到异物
2.养猫咪大概1周，前几天喂火腿肠和鸡胸肉，前天买的猫粮，没吃。前几天正常排便，就买猫粮那天她也不吃猫粮，也不排便，发生呕吐。一开始是白色粘稠物，昨天开始是黄色液体，嘴巴上会残留。有点泡沫状。
3.现在不吃饭，不排便，也不玩，没精神。也没见排尿，也不叫唤。昨天主动喝了点水，喂得凉白开水
4.鼻子干，没有出现打喷嚏，流鼻涕，腹泻的症状。没有给用药
5.精神状态很差，不吃东西，喝了点水，捡回来是耳朵，毛发很干净，所以应该是刚丢，不确定有没有做过驱虫
6.在一周以内，基本上居住环境没有降温。
刘文飞
执业兽医师
您好，猫咪主人，根据您的详细描述，进一步分析得出，目前猫咪呕吐有四种原因，第一种是由于消化不良引起的呕吐、正常可以给猫咪吃止吐的药，还有消炎药，大概坚持用药五到七天左右，猫咪就会正常恢复，还可以给猫咪吃益生菌，益生菌可以促进猫咪食欲，调节猫咪胃肠道消化菌群，具有收敛止吐的作用，正常用37度的温水化开效果会比较好。第二种是由于猫咪有可能感染猫瘟病毒，导致出现呕吐的症状，正常猫瘟病毒感染，需要领猫咪去宠物医院做进一步的临床检查才可以确诊。第三种有可能是体内寄生虫感染的情况，导致猫咪出现呕吐，您观察一下他呕吐里有没有虫体，如果呕吐物里有虫的，就说明是体内寄生虫感染的症状，正常需要每三个月给猫咪做一次体内驱虫，每个月给猫咪做一次体外驱虫。第四种，担心猫咪吃到异物，出现腹泻，便秘的症状。以上是根据您的详细描述，结合猫咪的那种症状给您做出的分析和建议，您可以参考一下。
消炎药买什么消炎药，益生菌又是什么益生菌？麻烦医生尽量说的全面一些，我好斟酌。因为早晨也打电话咨询了宠物医院，但是治疗费用有点高，所以才选择网上就医。她刚才又吐了，白色偏黄色泡沫。没有看到虫子，呕吐时肚子抽搐，呕吐物干了以后是黄色
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.*********，对猫咪呕吐引起的炎症作用效果比较好，按猫咪的体重用药；2.益生菌对猫咪呕吐的作用比较好，具有收敛止吐的作用，使用时用37度温水化开，效果比较好，您可以根据需求自行选择购买
今天猫咪开始愿意喝水了，但是还是没有吃东西。喝了两次水，很少，但是没有再吐了。这是不是有好转的现象？
刘文飞
执业兽医师
您好，猫咪喝水了。在没有呕吐的症状，就是好转的情况，只是没有食欲，建议给猫咪吃益生菌，益生菌能促进猫咪食欲，调节猫咪胃肠道消化菌群，用37度温水化开让猫咪喝效果比较好
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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