咨询描述：你好，猫咪不到3个月，打了两针疫苗，接到新家2周左右，最近猫咪打喷嚏，有时候一直打，给猫咪吃了**好了没一两天又开始打。昨天一天很正常，猫咪也正常拉 和吃喝，今天早上醒来发现吐了，请问是什么情况呢
症状描述：
回复总结：猫咪早上起来有呕吐的症状，首先考虑是由于饮食不当、消化不良、着凉引发的急性胃肠炎问题。处理办法上，建议给猫咪服用宠物专用广谱消炎药，减轻消化道炎症，以及口服促进消化道粘膜恢复的药物，同时还需要配合服用抑制胃酸分泌的药物来进行治疗。其次，需要考虑是否有病毒感染以及支原体、衣原体感染的问题，建议带猫咪去宠物医院做病毒筛查。最后，不排除存在消化道寄生虫感染的问题，建议给猫咪做好体内驱虫。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的信息，我初步分析猫咪有呼吸道感染以及胃肠炎问题，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. 猫咪除了上述症状，是否还有其它症状？
2. 猫咪发病之后，是否做过检查？是否还有使用其它药物治疗？
3. 猫咪生活环境温度能达到多少度？是否有昼夜温差？
4. 猫咪最近都喂了什么食物？是否新鲜？最近是否有换粮，或者喂了以前没有吃过的食物？
5.猫咪的疫苗，以及驱虫情况如何？
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，把您家爱宠具体的『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、出了打喷嚏多其他症状没有，打喷嚏比较反复，会稍微有点状态不好
2、发病后没做过检查， 给他吃了速诺，一天吃半片，但是不是连续吃的，吃了两天好了我就没给吃了
3、生活温度人在家的时候开空调23-25度。不在家就关空调，最近广州的气温26-33度。所以晚上我没睡觉的时候猫咪在客厅就是没开空调的
4、喂的食物有主食罐头，猫粮，（水煮鸡胸肉丝，猫条，猫草）这三个是偶尔喂会放到猫粮里面一起。猫条2-3天喂一个。上周开始换粮，现在吃的全都是***这个牌子
5、打了两针疫苗，内外驱虫一次
陈奕达
执业兽医师
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饮食不当，消化不良，着凉引发了急性胃肠炎问题，从而导致了一系列症状。跟最近换粮，以及生活环境温度有温差，着凉有一定的关系。同时如果猫咪没有进一步检查的情况下，需要考虑是否有病毒（猫瘟病毒，杯状病毒，疱疹病毒感染），和支原体，衣原体。以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。（即使进行预防驱虫以及疫苗，也不能百分之百预防这些疾病问题）。
如果暂时不方便就诊检查的情况下，可以在家先给宝贝吃一些宠物专用广谱胃肠炎（消炎，提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复，抑制胃酸分泌，保护消化道粘膜）的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药1-2周左右，直到疾病康复为止即可。
然后您可以提供一下猫咪的体重信息，我可以帮您开具一些用药，并且帮您计算好用法用量，供您采纳参考一下。
陈奕达
执业兽医师
这边根据现有信息以及宝贝的症状，帮您开具一些用药，供您采纳参考，然后如果您有什么疑问，可以继续提问，我会一一为您解答。
（由于没有宝贝的详细体重信息，然后预估宝贝体重为2公斤体重计算用药量，如果预估不准确，您可以根据宝贝实际体重，结合药物说明书，重新计算用量）
处方里面的
1. **，宠物专用广谱消炎，控制炎症。（如果家里有，那么可以不用购买）。
2. ***，提供消化道营养，促进消化道粘膜恢复，减轻消化道炎症
3. ***，宠物专用呼吸道感染，清热解毒，止咳平喘，缓解流鼻涕，打喷嚏症状口服液。
4.***，保护胃肠道粘膜，治疗消化道溃疡。
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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