咨询描述：症状描述：两个多月大的猫咪，从别人家抱来两周左右，平时吃猫粮加一些熟鸡蛋（捣碎与猫粮拌在一起），胃口很好。上周末蒸了虾肉、以及牛肉末和鸡蛋黄搅拌在一起的，蒸熟后分不同时间段投喂，吃了不少，虾肉的话前后两天吃了有三四支的样子。然后在前两天的时候发现大便偏软（成型，但是埋猫砂后，就被踩扁了），于是就在猫粮中加入了一些益生菌，有所好转。但在今天发现大便中有血，但不像是血裹着大便，而是最后才排出的血。
特向您请教。
猫咪精神状态、吃喝、玩耍、睡眠，都很正常。
目前未做过驱虫，没打疫苗
回复总结：猫咪出现大便正常但是带血的现象，可能是因为寄生虫、肠胃炎或者动物蛋白不耐受引起。建议主人先观察猫咪的精神状态，如果猫咪的的精神状态不错，主人需要对猫咪进行体内驱虫，然后配合吃一点宠物专用抗生素即可，后续再观察一段时间。如果不放心，建议主人将猫咪带去宠物医院进行检查，如果确诊肠胃炎需要对症治疗。
问题大致一样，细节不同？
徐灿
执业兽医师
因为没有做过驱虫，而且它的粪便状态是没有太大问题的，同时，她之前吃过大量的高动物蛋白食物，所以对于这种情况来说，一般主要怀疑的方向就是寄生虫，肠胃炎或者是动物蛋白不耐受，而且他的精神状态不错，对于这种情况来说，一般建议是进行一次体内驱虫，然后吃一点抗生素即可，后续观察一段时间就行。
相关药物这方面，您有什么推荐的吗？然后，我还想问下，如果是寄生虫的话，也不属于人畜相关的吧？谢谢
徐灿
执业兽医师
我帮你开一个常规用药方案，你可以参考使用，寄生虫方面有可能是人畜共患的，因为目前没有确定是否有寄生虫，也不确定是什么类型的，但是一般的只要不触摸粪便也不误食，就没有太大问题。但是仍然建议进行一次体内驱虫，然后用一点抗生素，然后观察一下，一般的问题不是特别大，不过后续也要观察用药后的症状。毕竟年龄比较小，而且没打疫苗。
不好意思，忘了咨询另一个事儿，由于大便偏软，还买了些儿童用的止泻药，能给猫咪吃吗？
再补充个信息：刚刚猫咪在我旁边舔毛，我听到他肚子里面有一阵儿一阵儿的滋～、或咕～的叫声，就像人闹肚子时肚子叫的情形。然后猫咪进行了排便，大便还是偏软，相对照片里面规整了一些，但由于没关注到排便的过程，不能十分确定是否带血，只是感觉像是没有了。
徐灿
执业兽医师
这种咕噜噜的是肠鸣音，基本上大部分都是肠道里有气体，或者肠鸣音。
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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50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9249,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1808,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:50:13","updated_at":"2024-11-21 22:49:09"}},"1":{"id":3569,"prescription_id":101599,"doctor_user_id":1296147,"product_id":870,"product_sku_id":911,"dose":0.1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":1,"number":1,"remark":"每公斤0.1片","created_at":"2022-01-27 00:29:57","updated_at":"2022-01-27 00:29:57","product_info":{"id":870,"hash_id":"ZXn76zg9o6p9boBN","class_ids":{"0":1},"category_ids":{"0":179},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":1,"sell_point":"拜宠清复方非班太尔片","title":"拜耳拜宠清复方非班太尔片 2片\/拆零","recommend_reason":{"0":"用于治疗犬的线虫和绦虫感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"体内驱虫药,蛔虫,钩虫,绦虫,鞭虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"2片拆零装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/e7feb0e630c04bfba7ad743f4ffa6f09.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":52,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:59:01","ins":{"id":1,"hash_id":"","class_ids":"[\u00221\u0022]","title":"拜耳拜宠清复方非班太尔片","common_name":"复方非班太尔片","trade_name":"拜宠清","en_name":"Compound Febantel Pian","brand_name":"拜耳","is_prescription":0,"cover":"\/drug\/2022\/01\/5eafc201d2bd023e992c4024c533c93d.JPG","specification":"6片×1板\/盒","reference_price":229,"component":"0.7765g\/片（含非班太尔0.15g，吡喹酮0.05g，双羟萘酸噻嘧啶0.144g）","indication":"用于治疗犬的线虫和绦虫感染。如犬弓首蛔虫、犬狮蛔虫、犬窄头钩虫、犬钩口线虫、毛首线虫、棘球绦虫、带绦虫、复孔绦虫等。","usage_dosage":"内服片剂。\n1.限2周龄以上犬服用，每10kg体重使用1片每次，不足10kg的犬可以等比例掰开药片用药。\n2.可直接吞服或包于肉或食物中给药，无需禁食。\n3.成年犬例行驱虫，每3个月1次。\n4.用于控制犬弓首虫时，哺乳的母犬应在产后2周投药，且每2周给药1次至断奶。幼犬也应在2周龄时给药，且每2周给药1次至12周龄，随后每3个月给药1次，建议在给母犬投药的同时也给幼犬投药。\n5.对于线虫感染严重的犬，应在首次投药14天后再重复给药1次。","contraindication":"禁止2周龄以下犬服用。","adverse_reaction":"有少部分的犬服用拜宠清后可能呕吐，腹泻或产生蛔虫逆流现象。这些现象与肠道内寄生虫的数量有关系，属于正常范围内的不良反应，一般维持1到2天。","attention":"1.本品仅用于宠物犬。\n2.妊娠母犬可用，须严格按照推荐剂量使用。\n3.勿让儿童接触本品。\n4.工作人员给狗狗投药后应洗手，药片使用后的剩余部分勿留用。\n5.新到家的犬，刚打完疫苗的犬，以及精神状态不好的犬建议观察15天左右再进行驱虫。\n6.出现严重不良反应的情况请及时联系宠物医生。","interaction":"勿与哌嗪类药物同时使用。","approval_no":"（2019）外兽药证字41号","storage_method":"密封，25℃以下保存。","validity":"5年","manufacturer":"KVP Kiel有限责任公司","status":1,"created_at":"2019-12-27 17:35:40","updated_at":"2022-01-11 15:29:08"}},"product_sku_info":{"id":911,"product_id":870,"title":"拜耳拜宠清复方非班太尔片 2片\/拆零","advword":null,"price":58,"market_price":88,"cost_price":0,"stock":82,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"2片拆零装"}},"cover":null,"thumb":"","sale_count":54,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-11 15:31:35","updated_at":"2024-11-14 16:48:29"}}}}}}
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