咨询描述:我猫今年2月出现咳嗽,然后去附近医院做了全套体检,没有炎症,指标正常,拍片说肺部有一小点模糊,回家吃了几天多西环素症状好转,4月26日刚轮换猫粮、掺着旧粮,之后吐了一次,随后几天出现了咳嗽的症状,症状时间最长2分钟。食欲有些下降,喝水正常。想问问什么原因。
没有眼泪没有鼻涕。
医院检查:血常规正常,猫saa正常、粪便没有寄生虫、没见炎症症状,免疫力有点低。
回复总结:针对猫咪一直咳嗽的症状,用药治疗方面建议对症给予抗炎抗过敏药物以及止咳的药物。如果咳嗽频繁一直不见好转,建议最好带猫咪做过敏原检测、呼吸道pcr检查和心超检查,排查是否存在哮喘或心脏方面的疾病。如果猫咪没有没有接种过疫苗,还需要进行病毒检测。饮食上,建议少食多餐。
问题大致一样,细节不同?
孙厚福
执业兽医师
我初步诊断肺部感染,可能病毒感染或者哮喘。但仅仅根据目前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.是否做过呼吸道pcr检查?
2.血常规看白细胞下降可能病毒感染
3.平时都吃什么?是否换过粮食?
4.是否接触过其他猫咪?
5.疫苗是否完全?
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。
没做过pcr,最近刚换了个猫粮掺合着,也就两三天吧,平时就是猫粮,酸奶、罐头有是给点水果。没有接触国其他猫咪,每年定期打疫苗
上次看完病之后野买了点哮喘的喷雾,平时咳嗽我就给雾化一下,但是次数不多。这两天咳嗽平次多了些,咳嗽时还有些颤
之前吃喝拉撒玩都正常,前提咳嗽严重了,昨天就吃得少了些,半根火腿肠和一点猫粮,喝了些水,喝了一点酸奶
咳嗽出现在晚上的频率很高,晚上两三点钟,咳嗽时长大约在两到三分钟
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
症状是咳嗽。咳嗽的原因一方面是因为哮喘,第二个是高发的是毛球还有过敏所引发的,所以平时的话如果频繁的话,最好检查一下做一下过敏原检测,同时的话看一下是否有这个心脏的问题,可能需要做心超来确诊一下是否有心脏的问题,目前可以先吃化毛膏看一下它的情况是否有好转。同时饮食少吃多餐,观察看一下,之前是否注射过疫苗,如果没有打过疫苗,也不排除有支原体跟疱疹病毒感染,杯状病毒感染。
每年定期打疫苗,就是咳嗽咳的厉害,鼻子也没有分泌物,眼睛也没有肿也没有分泌物,不过我确实很少喂化毛膏,刚买了还买了猫草。
过敏原是不是很难测试, 拍片子👀心脏大小正常,海需要做心超嚒?
孙厚福
执业兽医师
1.我建议先做呼吸道pcr检查,疱疹病毒、杯状病毒,支原体,衣原体检查
2
如果pcr正常再做心超检查排除是否有心脏病
3
如果心脏没有问题可能会考虑过敏和哮喘
哮喘检查比较麻烦,一般都是先给药看一下
哮喘需要进行支气管肺泡灌洗,诊断是否有哮喘的情况。治疗不只是激素,需要同时结合环境管理,减少环境中的过敏原,并根据情况增加支气管扩张剂,哮喘的猫20%有支原体感染,使用***会非常有效。
如果治疗一直没有效果还要考虑猫的肺纤维化,这和猫哮喘很像,这时需要检查是否有肺动脉高压力。
我这样,需不需要喂点什么止咳的药,或者杀菌的药啊?它咳起来真的感觉很难受,一刻几分钟
孙厚福
执业兽医师
我给它开个处方。处方里面的1. ****抗炎抗过敏药物,每公斤体重1mg一天一次
2.****每公斤体重5mg早晚各一次
3.***止咳药每公斤体重1.0ml早晚各一次
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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