咨询描述：症状描述：下巴尖有脓肿
患病时长：1周前
医院检查：网上问诊检查
用药情况：服用消炎药和碘甘油涂抹
回复总结：猫下嘴唇红肿是嗜酸性肉芽肿的症状，如果真的是嗜酸性溃疡的话，有两个方面来进行治疗，第一点也是最根本的就是需要找可能的过敏原，可以考虑带猫咪去宠物医院做过敏原的筛查。第二点，如果不方便带猫咪去做检查，也可以考虑给猫咪吃一段时间的激素类药物和消炎药，看会不会有所帮助，或者是直接注射激素类药物。另外，猫咪口腔的症状会引起它食欲下降的情况，可以给猫咪吃营养膏或者温水把猫粮泡软，这样比较好咀嚼一些。
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，我初步分析猫咪是嗜酸性肉芽肿的症状，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.您家猫咪一岁两个月了，体重大概是3千克，出现下嘴唇红肿的症状多久了。
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，有没有呕吐、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，家里几只猫咪
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。
1、出现这个症状大概有1周左右 2、养了大概两年了，平时吃的都是猫粮和一些零食及生骨肉，最近没吃什么坚硬的东西，无呕吐和腹泻的症状 3、平时饮食没有什么问题，排便排尿都是一天一次 4、没有出现这些问题 5、精神有点低落，饮食正常，疫苗和驱虫都是有的 6、宝贝基本上都是睡在床上的，家里有2只猫咪
刘文飞
执业兽医师
您好，猫咪主人，收到您发图片，猫咪这个症状是嗜酸性肉芽肿的症状，猫咪患上嗜酸性肉芽肿是一个很常见的现象常常发生于猫咪的口腔，但是病因尚不明确但是可以肯定的是猫咪嗜酸性肉芽肿是由细菌引起的，如果真的是嗜酸性溃疡的话，有两个方面来进行治疗。第一点也是最根本的就是得找一找可能的过敏原。可以考虑给猫咪做一个过敏原的筛查。第二点，因为过敏原筛查费用较为高昂，如果不太方便去做这个检查的话呢，也可以考虑给猫咪吃一段时间的激素类药物，看看会不会有所帮助。或者是直接注射激素类药物，这个要来的比较快。我推荐了您一款消炎药和激素类药物，两者需要同时服用，然后猫咪目前口腔的症状会引起他食欲下降，您可以给猫咪吃营养膏或者温水把猫粮泡软，这样比较好咀嚼一些，不然干的猫粮比较硬，猫咪咀嚼起来会有困难。我先开了一周的药，您先给猫咪坚持吃一周的时间，观察猫咪的症状。
您好，激素类药物，猫咪服用激素会有什么副作用吗？还有具体的激素药品名和服用的消炎药名都是什么呢？
医生您好，我忘了说这宝贝4月份的时候有过脓皮症，已经治疗好了，会不会有复发性可能呢？或者是更严重的继发性的感染？
刘文飞
执业兽医师
您好，激素类药物长期吃猫咪会出现肥胖，骨质疏松等方面的问题，要是猫咪目前是酸性肉芽肿必须用激素类药物。
根据猫咪的情况，我给它开个处方。处方里面的1.***对猫咪嗜酸性肉芽肿引起的炎症作用效果比较好，按猫咪的体重用药；2.****片对猫咪嗜酸性肉芽肿效果比较好（*******片是治疗猫咪狗狗的激素类药，不是治疗狗狗的，您别看叉了）
医生，我现在家里有**消炎药，和补充维生素的 药物，目前我需要怎么做才能有效缓解肿胀呢？还有就是，医生你开的处方，第一种是消炎的，第二种是消肿的对吗？两个药是一起用对吗？
刘文飞
执业兽医师
您好，猫咪主人，**就是消炎药，然后****片是激素类药物，治疗嗜酸性肉芽肿必须要用到的药物，也是有消炎的作用，维生素可以正常给猫咪吃。您先吃一周观察猫咪的症状。
那医生，按照您的意思是，我家里有**了，就不需要买***了对吗？只需要买***片就行了对吗？然后吃一个疗程看情况是否转好？
刘文飞
执业兽医师
您好，是的，**或者***吃一样就可以了，然后在吃****片，吃一周观察猫咪症状，激素类药物和消炎药不宜吃的太久。
谢谢医生，如果吃了一周，情况还未好转的话，需要采取什么措施呢？
刘文飞
执业兽医师
您好，如果猫咪吃一周没有效果或者没有好转需要给猫咪服用抗组胺药，如果效果还是不明显就需要查过敏源或者手术切除、考虑激光疗法和放射疗法。抗组胺药您可以给猫咪吃****，既有抗组胺药的作用也有抗过敏的作用。
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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