咨询描述：医生您好，我家小猫7个月大，是从救助机构3个月大领养回来的。做过驱虫疫苗全齐。刚回家时粑粑恶臭无比，换粮**之后没有那么臭了，但是开始软便便血，去医院做了PCR检查一切正常。没有检查出来有寄生虫，但每次吃过驱虫后软便会有好转，但一周左右又开始软便。现在已经持续2个多月便血软便了，医生建议换粮，现在换成了**，软便的状态稍有好转，但还是便血。从来没有吃过处方粮。小猫精神很好，能吃能喝能玩。现在会比较经常看见小猫母鸡蹲，无法判断是不舒服还是在和另一只猫玩。
回复总结：猫咪出现软便带血的现象可能是摄入不容易消化的食物，从而造成的肠胃损伤。如果猫咪的症状不严重且精神状态很好，建议主人先改善猫咪的饮食，选择蛋白质含量高的肠道处方粮以避免肠道出现负担或者过劳。另外，建议主人给猫咪喂食一些宠物专用益生菌以调理肠胃。
问题大致一样，细节不同？
孙嘉辰
执业兽医师
您好，解释这个问题，我需要从一些猫的常识说起。首先猫的大便出现很臭的味道，是非常正常的情况，因为我们要知道大便为什么会是臭味的？其中三个最重要的原因分别是氨气，硫化氢和粪臭素，那么这三种物质是如何产生的？很简单，就是分解蛋白质尤其是动物性蛋白质产生的。那么这里需要设计另外一个常识，猫是什么动物？猫是猫科动物，所以这种动物与老虎，狮子，豹子一样，属于纯肉食动物。为身体提供能量的物质就是蛋白质。因此无论是简单的动物性蛋白，肉蛋奶还是经过深度加工的动物性蛋白质食物，比如说像猫粮或者罐头，所提供的主要营养物质就是蛋白质，因此粪便出现很臭的味道就是一个正常现象。但是为什么养猫会给我们猫并不是一种很臭的动物的感觉？只有涉及到另外一个常识，就是猫在自然界中既是捕食者，又是被捕食者，因此隐藏气味，比如说像用猫砂掩盖，或者分泌一些掩盖臭味的化学物质，就是猫赖以生存，并且在基因里的东西，没有任何人可以轻易改变。所以结合这3点，您说的第一个问题粪便的气味，到底是否浓郁取决于蛋白质含量和，猫砂以及猫所分泌的化学物质。
第二个问题，现在这种情况根本不能叫做便血，只能叫做粪便带血，这种程度的出血只有一个原因，那就是后段肠粘膜溃疡。如果查过没有滴虫或者球虫感染，那么只能说当前猫咪出现了，临床上30%的猫都会出现的慢性结肠炎，那么这里又要科普一个常识，所有前面带慢性两个字的疾病，都是不可治愈的，只能缓解或者通过调理，尽量减少发生概率。同时针对猫慢性结肠炎这种疾病，以目前的医疗科技没有找到具体的发病原因，只能找到发病原理也就是上面我所说的那些。
所以说，如果想要缓解这个问题，我可以给您一些用药建议。当然也有一部分猫，在年龄逐渐增大大概是1.5到2岁之后，这种症状逐渐消退。总体来说，这个情况不会对猫造成什么太大的影响和伤害。所以如果想要药物推荐的话，我可以推荐一下，如果想要继续观察的话也可以，选择权在您自己手上。
谢谢医生您的耐心解答，如果要调理的话我应该做些什么呢？因为我在国外，这边兽医经验比国内差太多了… 而且极其难预约，医生您的建议是什么呢？我想听医生您的建议来治疗我的小猫。
孙嘉辰
执业兽医师
您好，调理分为两个部分，一个部分是日常的饮食另外一个部分是肠道的保健。这里我一项项的说。首先来说一下日常的饮食，刚才已经说了，猫咪是一种纯肉食动物，所以说饮食过程中最重要的一点就是蛋白质的摄入，那么这里我们要知道蛋白质是一种分子结构非常复杂的化合物，所以说有一些蛋白质对于猫咪来说是比较容易消化的，有一些蛋白质对于猫咪来说是不容易消化，甚至有可能会对肠道造成损伤的。因此我们在对待患有肠道问题的猫咪时，就需要考虑到这一点，一定要选择一些蛋白质容易被消化的食物，这样才能尽量避免肠道出现负担或者过劳。那么这个时候就有一种叫做肠道处方粮的猫粮，可以给猫咪长期使用。因为处方粮和非处方粮的主要区别就在于处方粮可以用来缓解一些疾病，而非处方粮大多针对的是健康的动物。
那么说完处方量，再来说一下针对肠道的调理，这一点又分为两个部分，一个是肠道菌群的平衡，另外一方面就是肠道粘膜的保护，因为对于所有动物来说肠道都是一个大的菌群库，而我们平时经常听到的一个词，也就是益生菌这一类微生物，主要就生活在动物体的肠道中，所以如果能够保证菌群平衡，就能够保证猫咪的肠道免疫力，以及肠道部分功能。那么另外一个方面就是猫咪既然粪便中已经带有血了，那么就证明猫咪的肠道中一定有肠粘膜溃疡的地方，那么让这些溃疡灶，能够尽快的长好，就是我们需要做的另外一件事情。
所以说基于这个原理，这里我给您推荐一些这种情况下可以使用的调理型产品。
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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