咨询描述:咳嗽 打喷嚏 感觉像被什么东西呛着卡着了 流清水鼻涕 不流眼泪 食欲精神很好
回复总结:猫咪出现咳嗽、打喷嚏等症状时,建议先带去宠物医院做鼻腔CT检查,查看猫咪的鼻腔内是否有异物、化脓、感染等症状。其次,还需要给猫咪做呼吸道5项传染病的核酸检查,排除常见的病毒性疾病,然后再针对性用药治疗。如果暂时不方便就诊,建议先停止在猫咪生活环境中使用具有刺激性气味的东西,同时注意给猫咪保暖,配合使用呼吸道用药以及提高免疫力的药品治疗观察。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的糯米的情况以及视频看
我初步判断糯米这是逆向喷嚏,是鼻腔受刺激以后导致的,有可能是呼吸道感染,也可能是空气里的气味刺激,花粉过敏,还有可能是鼻腔异物等情况。
但仅仅根据目前您描述的情况,还不能做出进一步的判断。
我还有几个问题需要向你核实一下:
1. 宝贝您养了多久?是何时发病的?家里还有其他动物吗?
2. 宝贝日常饮食主要喂什么吃?宝贝发病之前(最近几天)都给吃了什么食物;有没有吃过骨头冻干鹌鹑等食物?
3.您掰开他的嘴巴,看一下牙龈,舌头上有没有发红,溃疡得情况呢?排便排尿都正常吗?
4.宝贝最近有没有洗过澡受凉,或者通风受凉等情况?家里环境温度多少度?(理想温度22-25度左右)
5.发病前有没有受过应激刺激?比如说换环境,冷空气,家里的香薰,香水,消毒液气味等?
6.您可以给宝贝测个体温,水银体温计顶在大腿根内侧,顶紧点测5分钟。告诉我宝贝的体温。
7.家里有什么猫咪专用的药,有的话把包装,规格发上来我看一下。
8.还有宝贝的体重以及过往病史(是否有药物过敏史),疫苗以及驱虫情况。
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。
1.养了两个月了,是10天前发病的,家里还有一只快1岁的大猫
2.平时吃猫粮,一直吃的都是一样的猫粮,前一段时间加了点羊奶,没有吃过骨头冻干鹌鹑
3.没有发红、溃疡的情况,排便排尿都正常
4.没有受过凉,但发病前因为小猫那段时间长了猫藓,把它关在阳台上晒太阳晒了半天,那天天气很热。
5.没有应激刺激,但发现它得猫藓后会用**消毒液拖地
6.39.3度
7.暂时没有。之前去宠物医院医生给开了****还有一个玫红色片状的,还有一包粉状的长条的药,还有一个滴鼻子的,一共用了一周,没有明显好转。
8.打了一针疫苗,进行了体外驱虫。之前得了猫藓和耳螨。
猫咪4个月大,大概2.6kg
王园龙
执业兽医师
感谢您的回复。
1.根据您提供的信息,猫咪已经生病10多天了,并且也有用过药物治疗,没有好转,那建议您带猫咪去就近的宠物医院给他做一下鼻腔CT检查,看一下鼻腔内是否有异物,化脓,感染的情况,还需要给猫咪做一些呼吸道5项传染病的核酸检查,排除一下常见的(疱疹病毒,杯状病毒,支原体,衣原体,败血波氏杆菌等疾病感染。)然后再针对性的用药。
2.如果您暂时没有时间带猫咪去做这些检查的话,那建议您
2.1 停止使用**消毒液,因为这个消毒液对猫咪刺激性很大,很容易造成鼻腔粘膜的损伤。
2.2 要注意被猫咪保暖,饮食都正常的情况下可以正常饮食饮水,
2.3 配合使用呼吸道用药以及提高免疫力的药品,稍后我会帮您具体腿脚用药。
3.用药有效果并且猫咪一切都正常的话你可以坚持用药7-14天,让后回来找我复诊,再帮您制定下一步方案。
王园龙
执业兽医师
根据糯米的情况,我给它开个处方。
处方里面的
1. *********片,这个是呼吸道消炎的药,口服每天两次,每次半粒,连用7天。
2.**片,这个也是呼吸道消炎的药,配合****一起吃效果更好。口服每天两次每次1片,连用7天。
3.******,这个是补充营养提高免疫力,在猫咪呼吸道疾病是起到辅助治疗的作用。
口服每天3次,每次1.5ml,连用7天。
4.****猫鼻支特效滴眼液,这个药虽然是滴眼睛的,也可以用来滴鼻子,可以对鼻腔起到杀菌消炎的作用。每天3次,每次每个鼻孔1滴。连用7天。
您可以根据需求自行选择购买
如果用药3-5天有好转,可以坚持用药7天后归来复诊,我再帮您制定下一步治疗方案。如果用药没有效果,还是需要即使就医,以免当误病情。
现在能初步判断是什么病吗?因为我看猫鼻支的话小猫的眼睛会肿还会流黄鼻涕。我家小猫流的是清水鼻涕呢,而且也没有眼泪。
王园龙
执业兽医师
初步真多就是上呼吸道感染,具体是不是呼吸道传染病这个就需要具体检查了,不是只看症状就可以确诊的额,临床上很多轻微的猫鼻支也都没有眼部的病变的。
如果想确诊的话您可以去具体检查一下比较高。或者可以先用药看看情况呢。
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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