咨询描述:家里有大猫患有杯状一年左右,现在有只小猫3个月左右,最近眼睛眼屎多,有泪痕一周多了,刚开始滴眼液。近两天有鼻塞,刚吃了两天****,有好转的迹象。需要加点别的吗?需要打针吗?
回复总结:小猫咪眼屎多时如果家里有猫咪患杯状病毒,可能是由于被传染杯状病毒引起,同时不排除感染其他呼吸道疾病的可能性。如果小猫吃喝排便排尿以及精神状态都正常,可以在家给小猫口服药调里7-14天,需要给猫咪口服抗生素,同时还需要添加消炎抗病毒以及治疗呼吸道感染的药品。如果猫咪出现食欲下降以及嗜睡等症状,建议及时送医检查血常规以及saa,查看猫咪炎症的高低,根据检查结果对症采取治疗措施。
问题大致一样,细节不同?
王园龙
执业兽医师
据您讲到的小猫咪的情况
我初步判断应该是被家里大猫传染了杯状病毒,但是小猫咪还小,免疫力也低,也可能同时感染其他呼吸道疾病,比如疱疹病毒,支原体,衣原体等。
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. 这个小猫咪您养了多久?是何时发病的?家里除了这个大猫和这个小猫咪还有其他动物吗?
2. 小猫咪的饮食,排便,排尿以及精神状态都正常吗?大猫有没有眼口鼻的症状呢?他们俩有没有隔离喂养?
3.您掰开小猫咪的嘴巴,看一下口腔粘膜,牙龈,舌头上有没有发红,溃疡得情况呢?有没有打喷嚏流鼻涕,咳嗽的情况,您可以拍一个小猫咪的眼口鼻位置的照片发给我,我具体看一下严重程度?
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,陌生人或者陌生成员的应激?或者噪音刺激?
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.家里都有哪些猫咪用的药,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。另外,把您家爱宠的『年龄、体重』提供一下,待会儿咱们沟通后如果涉及用药建议,方便为宝贝开具处方。
1. 4月4日,养了刚好一个月。发病应该是在13天前,大概是4月21日,当时是开始眼睛有东西,只有眼屎。家里除了大猫,还有别人一起住养的小猫。那只小猫先开始眼睛有症状,接着两只小猫一起玩了两天,发现我的开始有眼睛分泌物。另一只小猫他们拿去医院看说可能是尘什么的,所以就一起滴了几天的滴眼液,一直没好。后面这两天才给它吃的****。
2. 小猫一开始来吃喝拉撒都正常。一直都很活跃到现在都是。大猫一年前测出杯状,有过鼻塞鼻涕和咳嗽,眼睛没有症状,天冷的时候会有点鼻涕。刚开始有隔离一段时间喂养,后面都基本吃自己的盆,我的小猫一直爱叫,也就放出来了。另一只小猫出现症状后已经隔离喂养了。
3. 牙龈有发红,像血。其他没有。眼睛有经常擦,我发第一张是刚开始出现症状不久眼睛没擦的样子,现在的眼睛样子(一直有擦),还有现在的牙齿照片。吃了****这两天泪少一点,但是还有眼屎分泌物。鼻子有干掉的鼻涕痕迹,这是这两天才有的,也能偶尔听到有点哼唧的声音,小鼻子有点塞。
4. 最近没有洗澡。刚开始来的时候,4月7号左右简单洗了一次,并且没有问题。受凉可能有时候它趴地板,前两天下雨后比较凉。很多时候也是在床上其他有东西垫着睡觉。家里温度不知道,在广东深圳,不冷。
5. 发病前没有刺激吧。我的小猫从一开始来就不怕生,一直活泼。和大猫也是非常和睦,大猫很温顺。早些时候和另一只小猫会一起玩耍,有眼睛分泌物后就隔开了两只小猫。
6. 1点多测的:39.1度
8.体重:1.45kg,比来时重0.5kg。疫苗8号打第三针。驱虫驱过了,过两天就到一个月时件再驱了。过敏史不知道,还小,应该没有。
为保护用户隐私不显示图片/视频
王园龙
执业兽医师
感谢您耐心等待。
1.如果小猫咪现在吃喝排便,排尿精神状态都正常的话,你可以在家给猫咪用口服药调里7-14天。
可以暂时不用打针。
如果您觉得猫咪食量少了,嗜睡的话,建议您带猫咪去就近宠物医院检查一下血常规以及saa看看炎症高低,然后在决定是打针还是口服药。
2.牙龈我看是有些血迹,可能是要换牙导致的,这个需要密切观察。
3.要做好和其他猫咪的隔离工作,避免互相接触,引起交叉感染,禁止猫咪着凉,家里常规消毒,并且要给猫咪增加营养,提高免疫力。
4.除了您给他吃的****以外还需要添加消炎抗病毒以及呼吸道感染的药品,具体用药您可以申请处方,我这边帮您推荐。
好的谢谢你。增强营养和免疫力的药或者东西有推荐吗?我们用的是他们的小猫的滴眼液,这个滴眼液好吗?滴鼻子的需要吗?有没有两用的?有没有其他的比较好的滴液推荐呢?
王园龙
执业兽医师
根据DD的情况,我给它开个处方。
处方里面的
1. *********滴眼液,这个滴眼液可以滴眼睛,也可以滴鼻子,这是滴鼻滴眼两用的,临床上效果还是很好的。
用法用量:滴眼,每天3次,每次1滴,用药7天
滴鼻,每天1-2次,每次每个鼻孔1滴,滴完鼻子可能会打喷嚏,这是刺激鼻腔排出多余分泌物的作用。擦干净就可以,无需再追加用药。
2.********口服液,这个药是免疫增强剂,提高免疫力,并且可以有效抗病毒,
用法用量:口服,每天2次,每次0.5ml,用药14天-30天
3.****,这个是消炎药,需要配合家里****一起联合用药,效果会更好。
用法用量:口服,每天2次,每次0.5片,用药7天
4.******宠物添加剂预.这个药是呼吸道疾病时使用,有补充相应营养,辅助治疗的功效。
用法用量:口服,每天2次,每次0.5ml,用药14天
5.********* 溶液,这个维生素可以增加营养,促进食欲,保肝作用,猫咪很小,所以用药期间需要使用保护肝脏的药品以及促进食欲药品。
用法用量:口服,每天2次,每次2ml,用药15-30天。
您可以根据需求自行选择购买。
以上用药需要配合家里****使用。
家里的****眼部护理液可以当做眼部保湿冲洗液,用来清洁眼睛,把脏东西都清洁干净以后5-10分钟再用眼药。切记要保证眼周毛发清洁干燥。
如果用药有效果,那7天以后回来找我复诊,我在帮您制定下一步治疗方案。如果效果不佳,需要及时就医。
好的好的,非常感谢您。请问我的大猫可以一起用吗?我的大猫也不知道算治愈没有。就是天冷会鼻涕鼻塞几天后就没事了,没给她吃药也能好。可能有时候抵抗力差一点还是什么的。杯状应该很难治愈是吗?
王园龙
执业兽医师
这种呼吸道疾病都和猫咪免疫力有直接关系的。所以平时需要给猫咪提高免疫力为主,有症状了用药及时解决症状,然后在换季期间要多加防范,比如开窗户通风时别着凉,尽量别在换季的时候洗澡等。
家里的大猫如果有呼吸道症状的话,也可以按照上述药品连续用药5-7天。如果没有呼吸道症状那可以用2.4.5的药品提高免疫力增加抵抗力。具体用量可以按照药品说明结合猫咪体重服用就可以。7天一个小疗程。
如果不用药得情况下可以食补提高免疫力。让猫咪多吃些高蛋白食物,鸡胸肉啊,鱼肉罐头啊,高品质的猫粮都可以的。
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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