咨询描述:2岁缅因猫,有点喷气,鼻子稍微有分泌物,眼睛感觉有结膜炎,应该是上呼吸道感染,引起的结膜炎吧,耳朵里面点有黑色分泌物,应该猫咪感觉养,经常用爪子挠耳朵根,没有螨虫,牙齿有一侧牙龈有点红,请问应该用什么药治疗。
症状描述:呼吸问题,眼部问题,耳部问题。
用药情况:刚用完内外一体驱虫
回复总结:猫咪出现流鼻涕眼睛有分泌物时如果没有注射疫苗,考虑是呼吸道感染或者有疱疹病毒、杯状病毒、支原体或者衣原体感染导致。此外,猫咪出现经常抓挠耳朵时需要检查耳朵内是否有耳螨、真菌或者细菌感染。建议及时送医进行相关的疾病筛查,确诊病因后再对症治疗。如果暂时不方便就诊,可以先给猫咪喂食物专用广谱消炎以及针对呼吸道感染和增加病毒抗性的口服药,配合宠物专用广谱消炎杀菌滴眼液以及耳道用药来进行治疗观察5-7天。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据您讲到的信息,我暂时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. 猫咪您养了多久?发病多久了?
2. 猫咪发病以后,是否做过检查?是否用药治疗过?
3. 猫咪生活环境温度能达到多少度?是否有昼夜温差?环境是否整洁?
4. 猫咪现在吃喝,精神,排便状态如何?
5.猫咪的疫苗,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。
猫咪刚从猫咖接到,疫情原因,店铺无法好好喂养,和很多母猫在一起,发情原因等等,导致猫咪身形消瘦,2岁半的年龄,目前体重在10——11斤之间,目前在我家第三天,目前生活环境整洁,今天带去做了外观基础检查,询问得知,耳朵没有耳螨,但有很多黑色分泌物,需要耳部清洗和上药,一侧牙龈有点红肿,需要刷牙,呼吸音重,伴有鼻子分泌物,但是并不严重,需要进一步分析导致呼吸道问题的原因,眼部有结膜炎,需要上药,今天刚在店里做了驱虫,用的好像是叫***的内外一体驱虫药,抹在了脖子后面。睡觉容易打呼噜,就像人在打呼噜。自行查询,询问应该是呼吸道感染,引起的眼部结膜炎和牙龈红。目前环境温度适宜,昼夜温差大点在8——9度之间。便便成型,不过味道有点大,尿尿今天两次,体温正常,猫咪现在很瘦,感觉皮包骨头,背部脊柱感觉骨缝很大,肋骨感觉扁平。
为保护用户隐私不显示图片/视频
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有呼吸道,耳部,以及眼睛位置的疾病问题,从而导致了一系列症状。但是由于猫咪没有注射过疫苗。以及之前生活环境比较不好,在没有进一步检查的情况下,需要考虑,1.猫咪的呼吸道感染,以及眼睛问题,是否有疱疹病毒,杯状病毒,支原体,衣原体问题,引发的。2.猫咪耳朵内是否有耳螨,或者真菌,或者细菌感染问题。(上述这些疾病病因,是没有办法通过肉眼观察,来进行确诊的。需要经过一系列的化验,有证据的情况下,才能确诊)。
如果暂时不方便就诊检查的情况下,可以在家先给宝贝吃一些宠物专用广谱消炎,针对呼吸道感染,清热解毒,止咳平喘,提高免疫力,增加病毒抗性的口服药,配合宠物专用广谱消炎杀菌滴眼液,以及耳道用药来进行治疗,观察5-7天的时间。如果效果不错,可以持续用药2-3周左右,直到疾病康复为止即可。
然后稍后给您提供一些在家的用药方案,供您采纳参考一下。
陈奕达
执业兽医师
呼吸道,以及眼睛治疗方案。根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. **,宠物专用广谱消炎,控制呼吸道感染。
2. ***,宠物专用呼吸道清热解毒,止咳平喘口服液。关节流鼻涕,打喷嚏症状。
3. ***,宠物专用呼吸道抗生素,止咳平喘,缓解呼吸道症状。
4.*****滴眼液,宠物专用广谱消炎杀菌滴眼液。
5.因子口服液,提高免疫力,增加病毒抗性。
您可以根据需求自行选择购买。
陈奕达
执业兽医师
耳道用药,根据猫咪的情况,我给宝贝开个处方。
处方里面的
1. **,宠物专用洗耳液,清理耳道。
2. ***,宠物专用耳道广谱消炎杀菌药膏。
用药方法
1.**使用前摇匀。旋转白色的滴嘴使其打开,把足够量的**滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的**,可以用蘸取**的棉球清洗耳朵外面的部分。然后间隔10分钟之后,上耳***膏即可。
2.耳道疾病期间,每天使用2-3次,直至症状消失。
麻烦您宝贵时间,帮我听一下最后猫咪打呼的声音正常吗,感觉是有点鼻涕的声音。检查说是耳部没有耳螨。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好,小视频上听,以及看,并没有发现异常的咕噜声音(听不到)。如果经过耳道分泌物的显微镜检查,猫咪没有耳螨,那么也可以使用上述耳道用药,来帮助猫咪耳道清洁以及治疗。只不过耳肤灵使用次数可以改变成一天一次即可。
陈奕达
执业兽医师
不用客气,非常感谢您对蘑菇宠医的信任🙏。如果没有其它疑问的情况下,您可以在咨询结束后留下5星评价✨以及评论(点击左下角评论按钮),祝您的爱宠早日康复!您可以关注我,或者后续宝贝有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
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
{"286932":{"id":286932,"case_id":34126,"user_id":1249218,"to_user_id":1952113,"type":3,"content":"耳道用药,根据猫咪的情况,我给宝贝开个处方。\n处方里面的\n1. **,宠物专用洗耳液,清理耳道。\n2. ***,宠物专用耳道广谱消炎杀菌药膏。\n\n用药方法\n1.**使用前摇匀。旋转白色的滴嘴使其打开,把足够量的**滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的**,可以用蘸取**的棉球清洗耳朵外面的部分。然后间隔10分钟之后,上耳***膏即可。\n2.耳道疾病期间,每天使用2-3次,直至症状消失。","media":{"images":{},"videos":{},"business_params":{"prescription_id":109113}},"is_doctor":1,"status":1,"created_at":"2022-04-20 20:38:34","show_rx":true,"rx_info":{"id":109113,"rx_no":2.0220420203800502e+24,"user_id":1952113,"doctor_user_id":1249218,"is_independent":0,"case_id":2704671,"pet_info":{"pet_id":287722,"pet_name":"缅因猫","pet_nickname":"大哥","pet_gender":1,"pet_birth":"2-3","pet_weight":6,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"2岁3个月"},"diagnose":"耳道用药。(病因有待进一步确诊)","signature":"\/signature\/2021\/12\/c9bc3ee36e7e61a8a6b1d241ce0cd612.png","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-04-20 20:38:00","updated_at":"2022-04-20 20:38:34","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":20252,"prescription_id":109113,"doctor_user_id":1249218,"product_id":740,"product_sku_id":782,"dose":0.5,"dose_unit":"ml","use_method":"滴耳","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-20 20:38:00","updated_at":"2022-04-20 20:38:00","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎,可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX(EDTA缓冲液)、维克专利单糖抗附着成分。","indication":"1.抗菌消炎,可彻底溶解耳垢、清洁耳道,同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能,有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的耳漂滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的耳漂,可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间,每天使用2-3次,直至症状消失。\n3.正常情况下,每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前,也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":20253,"prescription_id":109113,"doctor_user_id":1249218,"product_id":719,"product_sku_id":761,"dose":0.3,"dose_unit":"ml","use_method":"滴耳","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-20 20:38:00","updated_at":"2022-04-20 20:38:00","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}},"drug_data_bak":{"0":{"id":20252,"prescription_id":109113,"doctor_user_id":1249218,"product_id":740,"product_sku_id":782,"dose":0.5,"dose_unit":"ml","use_method":"滴耳","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-20 20:38:00","updated_at":"2022-04-20 20:38:00","product_info":{"id":740,"hash_id":"YW7Jkz4R3vglE6M1","class_ids":{"0":1,"1":2,"2":3},"category_ids":{"19":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":83,"sell_point":"耳漂 多库酯钠及水杨酸洗耳液","title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","recommend_reason":{"0":"抗菌消炎,可彻底溶解耳垢、清洁耳道","1":"减低耳疥虫侵袭及耳道感染","2":"对中耳炎、外耳炎、耳疮有很好的辅助治疗作用"},"baike_guide_text":"","baike_article_hash_id":"","advword":"中耳炎,外耳炎,耳疮,干爽耳道,耳疥虫","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/70a71f09c5be5dd4b537b1366b12732c.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":85,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-22 09:13:39","ins":{"id":83,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"多库酯钠及水杨酸洗耳液","trade_name":"耳漂","en_name":"Epiotic","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/90083777f092a2a445872e039427dfb7.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"多库酯钠、水杨酸、PCMX(EDTA缓冲液)、维克专利单糖抗附着成分。","indication":"1.抗菌消炎,可彻底溶解耳垢、清洁耳道,同时产生消毒除臭之功效。\n2.可减低耳疥虫侵袭及耳道感染。\n3.对中耳炎、外耳炎、耳疮有很好的辅助治疗作用。\n4.能有效的溶解耳道内的分泌物及清除耳垢。\n5.有收敛、除臭、消毒及干爽耳道的功能,有助于耳上皮组织更生。","usage_dosage":"1.使用前摇匀。旋转白色的滴嘴使其打开,把足够量的耳漂滴进耳道内,轻轻按摩耳朵几分钟以利渗透,让犬猫自己甩掉耳朵内多余的耳漂,可以用蘸取耳漂的棉球清洗耳朵外面的部分。\n2.耳道疾病期间,每天使用2-3次,直至症状消失。\n3.正常情况下,每周清洗耳朵1-2次。\n4.在用其他药物治疗外耳炎之前,也可以进行耳道清洗。","contraindication":"","adverse_reaction":"","attention":"1.仅供动物局部使用。\n2.建议不要用棉棒探入耳道擦拭。\n3.勿在鼓膜破裂时使用。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 18:01:29","updated_at":"2020-11-09 18:01:29"}},"product_sku_info":{"id":782,"product_id":740,"title":"维克耳漂 多库酯钠及水杨酸洗耳液 60ml\/瓶\/盒","advword":null,"price":79,"market_price":108,"cost_price":0,"stock":56,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":89,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:46:50","updated_at":"2024-11-21 19:02:43"}},"1":{"id":20253,"prescription_id":109113,"doctor_user_id":1249218,"product_id":719,"product_sku_id":761,"dose":0.3,"dose_unit":"ml","use_method":"滴耳","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-04-20 20:38:00","updated_at":"2022-04-20 20:38:00","product_info":{"id":719,"hash_id":"02EmLAg020po1NwW","class_ids":{"0":1,"1":2},"category_ids":{"0":180},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":81,"sell_point":"耳肤灵 复方制霉菌素软膏","title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","recommend_reason":{"0":"用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓","1":"用于宠物日常护理,除臭去垢,消肿止痒等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓,中耳炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10g"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/0f029a6a91f74b81ebbb12202f072aac.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":98,"max_price":98,"sale_count":139,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-22 09:13:39","ins":{"id":81,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方制霉菌素软膏","trade_name":"耳肤灵","en_name":"Compound Nystatin Ointment","brand_name":"威隆","is_prescription":0,"cover":"\/drug\/2020\/11\/4a3baa3a0e8f0d632c635b1dd6f13ff8.png","specification":"10g\/支\/盒","reference_price":130,"component":"硫酸新霉素,制霉菌素,氯菊酯曲安奈德","indication":"1.用于宠物耳螨,细菌性耳炎,真菌耳炎,耳痒,流脓。\n2.也可用于宠物日常护理,除臭去垢,消肿止痒等。","usage_dosage":"1.外用药每日一次,直至康复。耳螨疗程一般3到4周。如患中耳炎,需搭配抗生素治疗,连续用药两周。\n2.首先应清洁耳朵外部,再取适量豌豆粒大小的药量,挤入耳道内。\n3.轻轻按摩耳朵根部10秒,让液体均匀覆盖在耳道黏膜上。","contraindication":"","adverse_reaction":"","attention":"1.用药前检查耳朵鼓膜完整性,不要让药膏污染被毛,特别是要防止猫舔。\n2.本品仅动物使用。\n3.放置到儿童不能拿到的位置。","interaction":"","approval_no":"(2016)外兽药证字39号","storage_method":"密封保存。","validity":"3年","manufacturer":"法国威隆制药股份有限公司Vetoquinol S.A.","status":1,"created_at":"2020-11-09 16:40:33","updated_at":"2020-11-09 16:40:33"}},"product_sku_info":{"id":761,"product_id":719,"title":"威隆耳肤灵 复方制霉菌素软膏 10g\/支\/盒","advword":null,"price":98,"market_price":120,"cost_price":0,"stock":25,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10g"}},"cover":null,"thumb":"","sale_count":151,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 14:41:10","updated_at":"2024-11-21 19:02:43"}}}}}}
微信扫一扫
立即问宠医