回复总结：猫咪突然吐白沫时如果有更换猫粮，考虑是由于消化不良引起。猫咪换猫粮需要过渡性更换，还可以在更换猫粮时添加益生菌调理肠胃。其次，如果猫咪疫苗未接种齐全，还需要考虑患有传染病的可能性，需要带猫咪去宠物医院进行相关的疾病筛查。最后，如果猫咪还没有进行驱虫处理，考虑可能是由于体内寄生虫感染引起，需要带猫咪去宠物医院进行粪便检查，确诊寄生虫感染类型后对症使用驱虫药。
问题大致一样，细节不同？
刘文飞
执业兽医师
根据您讲到的详细症状，我初步分析猫咪是消化不良引起的胃肠炎。但仅仅根据目前信息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.您家猫咪多大了，体重大概是多少;
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西，骨头之类的坚硬物，导致猫咪出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
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，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
猫咪一岁，6斤，养了一年啦，猫咪平时主要吃猫粮，偶尔会喂一些煮的鸡胸肉，蛋黄，冻干
最近就给猫咪换了一种猫粮吃了有三四天了，吐的都是一些白色粘液还流眼泪，不让人抱，靠近它就挠人，猫咪最近吃喝拉撒都挺正常的
前两个星期刚做完绝育，猫咪就接种过三联疫苗，有做过体内外的那种滴的驱虫，
最近天气有点变凉，猫咪平时喜欢爬地上
刘文飞
执业兽医师
您好，猫咪主人，根据您的详细描述，进一步分析得出，目前猫咪呕吐有三种原因，第一种是由于消化不良引起的呕吐，猫咪换猫粮需要过渡性的换，不能一下子突然换掉，需要每一次1/4的量逐渐换，换七到十天左右，再给猫咪全部换掉，要是猫咪没有出现呕吐、腹泻的症状，就可以给猫咪换新的猫粮，说明新换的猫粮适应猫咪的胃肠道，要是出现呕吐、腹泻的症状，就不能给猫咪换，说明新换的猫粮并不适应猫咪的胃肠道，要吃之前吃的猫粮。正常可以给猫咪吃止吐的药，还有消炎药，大概坚持用药五到七天左右，猫咪就会正常恢复，还可以给猫咪吃益生菌，益生菌可以促进猫咪食欲，调节猫咪胃肠道消化菌群，具有收敛止吐的作用，正常用37度的温水化开效果会比较好。第二种是猫咪有可能感染猫瘟病毒，导致出现呕吐的症状，正常猫瘟病毒感染，需要领猫咪去宠物医院做进一步的临床检查才可以确诊。第三种有可能是体内寄生虫感染的情况，导致猫咪出现呕吐，您观察一下他呕吐里有没有虫体，如果呕吐物里有虫的，就说明是体内寄生虫感染的症状，正常需要每三个月给猫咪做一次体内驱虫，每个月给猫咪做一次体外驱虫。以上是根据您的详细描述，结合猫咪的那种症状给您做出的分析和建议，您可以参考一下。
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.益生菌对猫咪呕吐的作用比较好，具有收敛止吐的作用，使用时用37度温水化开，效果比较好，您可以根据需求自行选择购买（建议服用两到三天观察症状，要是有好转就继续吃，没有好转就需要做临床检查）
好的，我这边买了那个益生菌，现在就是给它喂喂看看情况怎么样是吧？
刘文飞
执业兽医师
您好，是的，您给猫咪禁食两顿，然后喂益生菌观察症状，要是有好转就继续喂，要是没有好转建议做临床检查
它刚刚流完就流了，现在又开始吐口水了，它现在时不时就流口水，这算严重么？
刘文飞
执业兽医师
您先给猫咪吃药观察，明天有好转就继续吃药，要是没有好转建议及时就医。流口水，猫咪有没有吃到让他中毒的东西
我房间也没有放别的东西，就水和它的猫粮呀，而且它从小时候开始就一直吃的这种猫粮，因为上上个星期绝育，检测显示它免疫力有点低，就询问后成同一牌子的其他不同类型（对肠胃友好型）的猫粮
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.****对提高猫咪抵抗力和免疫力效果比较好，您可以根据需求自行选择购买
配合益生菌一起吃，两个间隔半小时，猫粮可以过渡性的换
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
{"301550":{"id":301550,"case_id":35676,"user_id":1345841,"to_user_id":1968033,"type":3,"content":"根据猫咪的情况，我给它开个处方。处方里面的1.益生菌对猫咪呕吐的作用比较好，具有收敛止吐的作用，使用时用37度温水化开，效果比较好，您可以根据需求自行选择购买（建议服用两到三天观察症状，要是有好转就继续吃，没有好转就需要做临床检查）","media":{"images":{},"videos":{},"business_params":{"prescription_id":110386}},"is_doctor":1,"status":1,"created_at":"2022-05-02 21:36:29","show_rx":true,"rx_info":{"id":110386,"rx_no":2.02205022134315e+24,"user_id":1968033,"doctor_user_id":1345841,"is_independent":0,"case_id":2721681,"pet_info":{"pet_id":290929,"pet_name":"蓝白","pet_nickname":"糯糯","pet_gender":4,"pet_birth":"1-1","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁1个月"},"diagnose":"消化不良（呕吐）","signature":"","deadline":null,"status":1,"send_status":1,"use_status":1,"created_at":"2022-05-02 21:34:31","updated_at":"2022-05-02 21:43:37","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":23023,"prescription_id":110386,"doctor_user_id":1345841,"product_id":836,"product_sku_id":878,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-02 21:34:31","updated_at":"2022-05-02 21:34:31","product_info":{"id":836,"hash_id":"OXnE9P4VLexq3e6a","class_ids":{"0":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":117,"sell_point":"麦德氏猫用双专利益生菌","title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","recommend_reason":{"0":"调理肠胃，建立肠道菌群平衡","1":"解决腹泻问题，增强食欲"},"baike_guide_text":"","baike_article_hash_id":"","advword":"调理肠胃,肠道菌群平衡,腹泻,食欲差","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12小袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/1ef29b18347e76f31769cc3204072065.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":54,"max_price":54,"sale_count":168,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-05 10:28:11","updated_at":"2024-11-22 09:18:58","ins":{"id":117,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","common_name":"宠物营养补充剂","trade_name":"猫双专利益生菌","en_name":"PATENTED PROBIOTIC","brand_name":"麦德氏","is_prescription":0,"cover":"\/drug\/2022\/01\/3c3d6972161c5c144923d55f4e6996da.jpeg","specification":"2g×12袋\/盒","reference_price":55,"component":"美国双专利益生菌PA-5051，活性乳酸菌，左旋谷氨酰胺，果寡糖，甘露寡糖，精氨酸等。","indication":"调理肠胃，建立肠道菌群平衡。解决腹泻问题，增强食欲。","usage_dosage":"1.可混合于饲粮或罐头中给予，并请适当搅拌，使粉体均匀黏附在食物表面，以确保爱猫完全摄取，为保证产品效果，请尽早食用完毕。\n2.亦可溶解于37°C以下饮水中给予。","contraindication":"","adverse_reaction":"","attention":"若使用后症状继续，需要及时联系宠物医师。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"1.5年","manufacturer":"美国 ALC INovators, lnc.","status":1,"created_at":"2020-11-24 17:17:58","updated_at":"2022-01-05 10:23:30"}},"product_sku_info":{"id":878,"product_id":836,"title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","advword":null,"price":54,"market_price":65,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12小袋盒装"}},"cover":null,"thumb":"","sale_count":174,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-05 10:28:11","updated_at":"2024-11-21 21:11:26"}}},"drug_data_bak":{"0":{"id":23023,"prescription_id":110386,"doctor_user_id":1345841,"product_id":836,"product_sku_id":878,"dose":1,"dose_unit":"包","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2022-05-02 21:34:31","updated_at":"2022-05-02 21:34:31","product_info":{"id":836,"hash_id":"OXnE9P4VLexq3e6a","class_ids":{"0":2},"category_ids":{"0":185},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":117,"sell_point":"麦德氏猫用双专利益生菌","title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","recommend_reason":{"0":"调理肠胃，建立肠道菌群平衡","1":"解决腹泻问题，增强食欲"},"baike_guide_text":"","baike_article_hash_id":"","advword":"调理肠胃,肠道菌群平衡,腹泻,食欲差","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12小袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/1ef29b18347e76f31769cc3204072065.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":54,"max_price":54,"sale_count":168,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-05 10:28:11","updated_at":"2024-11-22 09:18:58","ins":{"id":117,"hash_id":"","class_ids":"{\u00221\u0022:\u00222\u0022}","title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","common_name":"宠物营养补充剂","trade_name":"猫双专利益生菌","en_name":"PATENTED PROBIOTIC","brand_name":"麦德氏","is_prescription":0,"cover":"\/drug\/2022\/01\/3c3d6972161c5c144923d55f4e6996da.jpeg","specification":"2g×12袋\/盒","reference_price":55,"component":"美国双专利益生菌PA-5051，活性乳酸菌，左旋谷氨酰胺，果寡糖，甘露寡糖，精氨酸等。","indication":"调理肠胃，建立肠道菌群平衡。解决腹泻问题，增强食欲。","usage_dosage":"1.可混合于饲粮或罐头中给予，并请适当搅拌，使粉体均匀黏附在食物表面，以确保爱猫完全摄取，为保证产品效果，请尽早食用完毕。\n2.亦可溶解于37°C以下饮水中给予。","contraindication":"","adverse_reaction":"","attention":"若使用后症状继续，需要及时联系宠物医师。","interaction":"","approval_no":"","storage_method":"密封，在凉暗干燥处保存。","validity":"1.5年","manufacturer":"美国 ALC INovators, lnc.","status":1,"created_at":"2020-11-24 17:17:58","updated_at":"2022-01-05 10:23:30"}},"product_sku_info":{"id":878,"product_id":836,"title":"麦德氏IN-Kat系列 猫用双专利益生菌 24g\/盒","advword":null,"price":54,"market_price":65,"cost_price":0,"stock":98,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12小袋盒装"}},"cover":null,"thumb":"","sale_count":174,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-05 10:28:11","updated_at":"2024-11-21 21:11:26"}}}}},"301559":{"id":301559,"case_id":35676,"user_id":1345841,"to_user_id":1968033,"type":3,"content":"根据猫咪的情况，我给它开个处方。处方里面的1.****对提高猫咪抵抗力和免疫力效果比较好，您可以根据需求自行选择购买\n配合益生菌一起吃，两个间隔半小时，猫粮可以过渡性的换","media":{"images":{},"videos":{},"business_params":{"prescription_id":110398}},"is_doctor":1,"status":1,"created_at":"2022-05-02 22:50:18","show_rx":true,"rx_info":{"id":110398,"rx_no":2.0220502224753502e+24,"user_id":1968033,"doctor_user_id":1345841,"is_independent":0,"case_id":2721681,"pet_info":{"pet_id":290929,"pet_name":"蓝白","pet_nickname":"糯糯","pet_gender":4,"pet_birth":"1-1","pet_weight":6,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"1岁1个月"},"diagnose":"免疫力低","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-02 22:47:53","updated_at":"2022-05-02 22:50:18","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":23048,"prescription_id":110398,"doctor_user_id":1345841,"product_id":828,"product_sku_id":870,"dose":1,"dose_unit":"条","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-05-02 22:47:53","updated_at":"2022-05-02 22:47:53","product_info":{"id":828,"hash_id":"VNA3DJxLeBpMGaOw","class_ids":{"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":152,"sell_point":"高免因子 猫用营养补充液","title":"岑氏HITF高免因子 猫用营养补充液 12x1g\/盒","recommend_reason":{"0":"用于猫咪的皮肤疾病","1":"用于猫咪肿瘤辅助治疗","2":"用于猫咪免疫力低下"},"baike_guide_text":"","baike_article_hash_id":"","advword":"补充营养,体高免疫力,抗病毒","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d3d643a3a37de1e208fea806f1fb655e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":25,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 18:13:01","updated_at":"2023-09-06 13:03:26","ins":{"id":152,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"猫用营养补充剂","trade_name":"HITF高免因子","en_name":"Nutritional supplement for feline (HITF)","brand_name":"岑氏","is_prescription":0,"cover":"\/drug\/2021\/03\/a4dd860baee8b2a3933ec619326505dc.jpg","specification":"12x1g\/盒","reference_price":110,"component":"乳糖、蜂胶、鳄梨粉、酶解鸡肉粉","indication":"1.皮肤疾病\n2.肿瘤辅助\n3.免疫力低下","usage_dosage":"1.体重＜3kg，每日一次，一次一条共十二天。\n2.体重＞3kg，每日两次，一次一条共六天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处存放","validity":"24个月","manufacturer":"怀来安贝宠物食品有限公司","status":1,"created_at":"2021-03-10 16:11:30","updated_at":"2021-03-10 16:11:30"}},"product_sku_info":{"id":870,"product_id":828,"title":"岑氏HITF高免因子 猫用营养补充液 12x1g\/盒","advword":null,"price":79,"market_price":110,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12袋盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 18:13:01","updated_at":"2023-09-06 13:03:26"}}},"drug_data_bak":{"0":{"id":23048,"prescription_id":110398,"doctor_user_id":1345841,"product_id":828,"product_sku_id":870,"dose":1,"dose_unit":"条","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2022-05-02 22:47:53","updated_at":"2022-05-02 22:47:53","product_info":{"id":828,"hash_id":"VNA3DJxLeBpMGaOw","class_ids":{"1":2},"category_ids":{"35":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":152,"sell_point":"高免因子 猫用营养补充液","title":"岑氏HITF高免因子 猫用营养补充液 12x1g\/盒","recommend_reason":{"0":"用于猫咪的皮肤疾病","1":"用于猫咪肿瘤辅助治疗","2":"用于猫咪免疫力低下"},"baike_guide_text":"","baike_article_hash_id":"","advword":"补充营养,体高免疫力,抗病毒","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"12袋盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d3d643a3a37de1e208fea806f1fb655e.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":79,"max_price":79,"sale_count":25,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 18:13:01","updated_at":"2023-09-06 13:03:26","ins":{"id":152,"hash_id":"","class_ids":"[\u00222\u0022]","title":"","common_name":"猫用营养补充剂","trade_name":"HITF高免因子","en_name":"Nutritional supplement for feline (HITF)","brand_name":"岑氏","is_prescription":0,"cover":"\/drug\/2021\/03\/a4dd860baee8b2a3933ec619326505dc.jpg","specification":"12x1g\/盒","reference_price":110,"component":"乳糖、蜂胶、鳄梨粉、酶解鸡肉粉","indication":"1.皮肤疾病\n2.肿瘤辅助\n3.免疫力低下","usage_dosage":"1.体重＜3kg，每日一次，一次一条共十二天。\n2.体重＞3kg，每日两次，一次一条共六天。","contraindication":"","adverse_reaction":"","attention":"","interaction":"","approval_no":"","storage_method":"置于阴凉干燥处存放","validity":"24个月","manufacturer":"怀来安贝宠物食品有限公司","status":1,"created_at":"2021-03-10 16:11:30","updated_at":"2021-03-10 16:11:30"}},"product_sku_info":{"id":870,"product_id":828,"title":"岑氏HITF高免因子 猫用营养补充液 12x1g\/盒","advword":null,"price":79,"market_price":110,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"12袋盒装"}},"cover":null,"thumb":"","sale_count":27,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 18:13:01","updated_at":"2023-09-06 13:03:26"}}}}}}
微信扫一扫
立即问宠医
