回复总结：猫咪打喷嚏有血考虑是由于呼吸道感染引起，之所以会有鼻血，与打喷嚏之后鼻腔粘膜有损伤引起出血有关。如果暂时不方便就诊，可以先给猫咪吃宠物专用广谱消炎药，配合针对呼吸道清热解毒以及缓解打喷嚏症状的口服药治疗观察5-7天，如果效果不错可以持续用药2-3周左右。然后猫咪生活环境温度建议保持恒温在25摄氏度左右，避免着凉加重病情。
问题大致一样，细节不同？
陈奕达
执业兽医师
您好，由于您在提问里面没有描述您家宝贝的情况，您现在可以先详细的描述一下。包括但不限于
1.给我讲一下宝贝的基础信息，像是品种、年龄、体重、是否绝育等。
2.宝贝现在都有哪些疾病症状？（若有视频可以上传来我看看）
3.它这样子多久了？
4.是否在线下动物医院就医过？（若有检查报告可以以照片形式传上来我看看）
5.是否用过药？用药的详细情况都讲一下。
陈奕达
执业兽医师
根据您讲到的打喷嚏，鼻血，我初步分析是有呼吸道感染的问题，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. 猫咪您养了多久？发病多久了？；
2.猫咪除了打喷嚏，是否还有其它症状？；
3. 猫咪吃喝玩排便状态如何？；
4. 猫咪生活环境温度能达到多少度？是否有昼夜温差？最近是否着凉？；
5.猫咪的疫苗，以及驱虫情况如何？
6.猫咪打喷嚏的频率是多少？
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。
养六个月，精神情况不佳，感冒十天左右，疫苗刚打完三多，驱虫每个月一次，一个小时左右一次喷嚏，感觉呼吸鼻子有障碍
陈奕达
执业兽医师
好的，感谢您的回复，谢谢。然后我还有几个问题追问您一下，以进一步了解猫咪的病情，
一，猫咪生活环境温度是否可以达到25度恒温？是否有昼夜温差？
二，猫咪发病之后是否去做过检查？
三，猫咪发病之后是否用药治疗过？用的什么药？如何使用？
四，猫咪除了打喷嚏的症状以外，是否还有其他症状？
温差可能十几度，因为放在宠物店，没做过检查，宠物店给它吃了消炎药，除了喷嚏外没其他症状
陈奕达
执业兽医师
好的，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由于着凉，引发了呼吸道感染问题，从而导致了一系列症状。跟生活环境温度偏低，有温差，着凉有一定的关系。（发病位置大概在鼻腔部位）。之所以会有鼻血，跟打喷嚏之后，鼻腔粘膜有损伤，出血有很大关系。
如果暂时不方便就诊，可以在家先给宝贝吃一些宠物专用广谱消炎，呼吸道清热解毒，止咳平喘，缓解打喷嚏流鼻涕症状的口服药来进行治疗，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。然后猫咪生活环境温度建议恒温在25度左右，不要着凉，因为着凉可能会进一步加重猫咪的病情。
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🙏稍后给您开具处方，供您采纳参考。
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。缓解流鼻涕，打喷嚏等症状。
3. ***，宠物专用呼吸道抗生素，止咳平喘，缓解呼吸道症状。
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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