咨询描述：刚刚一岁的银渐层，图中左眼昨天晚上眼睑有些红肿还有很多鼻涕状的眼屎，眼睛还有些睁不开。今天早晨（图2 3）稍微看起来好一些但是眼白还是很红。之前三个月大的时候没打疫苗之前左眼也有过睁不开 去医院说是细菌感染导致的差不多喂了一个星期要和眼药水就好了。现在疫情出不去，看看需不需要开些药之类的！平时猫咪眼白就是稍微有些红红的。
回复总结：猫咪出现流眼泪的情况主要考虑两种原因，第一种是由于猫咪眼部细菌感染引起的炎症，需要给猫咪口服消炎药，再滴眼药水，大概坚持用药5-7天左右，猫咪的症状就会逐渐好转，两周左右就会完全康复。第二种是如果猫咪比较小，有可能感染猫鼻支，属于呼吸道感染的疾病，常见咳嗽、打喷嚏、流鼻涕、眼睛分泌物增多、体温升高等临床症状，需要带猫咪去宠物医院做进一步的临床检查方可确诊。
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，我初步分析猫咪是结膜炎的症状，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11个月大了，体重大概是7千克，眼睛的症状之前也有发生过，用药眼药水康复了，目前又复发了，之前有没有流鼻涕，流眼泪眼屎多的症状，家里多久给猫咪住的环境消一次毒
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。
没有过流鼻涕流眼泪 眼屎还好偶尔会有。之前是一直养在宿舍里，前一个星期带回家了，家里卫生很干净。养猫咪9个多月了，平时都是固定的猫粮和罐头，近期换了罐头品牌但都是三文鱼和鸡肉的，没有过呕吐腹泻，就只有几个月前吐过一次毛后来就再也没有过了。吃饭喝水都正常他平时就不怎么爱喝水，状态也可以。近一个月内倒是有三四次听到过打喷嚏，没有咳嗽。
刘文飞
执业兽医师
您好，猫咪主人，收到您的消息描述，结合图片来看猫咪有偶尔流眼泪的情况，目前出现眼屎增多，流鼻涕的症状，这种情况有两种原因，第一种是由于猫咪眼部细菌感染引起的炎症，正常需要喂猫咪口服消炎药，再滴眼药水，大概坚持用药五到七天左右。猫咪的症状就会逐渐好转，两周左右就会完全康复。第二种就是猫咪比较小，担心有可能感染猫鼻支，猫鼻支全称猫传染性鼻气管炎，属于呼吸道感染的疾病，临床症状常见咳嗽、打喷嚏、流鼻涕、眼睛分泌物增多、体温升高，正常体温38-39度，超过39度就是发烧，猫鼻支需要领猫咪去宠物医院做进一步的临床检查方可确诊。
那需要服用什么眼药水和消炎药呢？可以给个具体品牌么
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.*********对猫咪眼部的炎症作用效果比较好，按猫咪的体重用药；2.***对猫咪眼睛炎症消炎抑菌效果比较好
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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