咨询描述：我家猫咪是母猫，去宠物医院说是神经性的漏尿，没办法治疗
回复总结：母猫出现漏尿的症状，可能是泌尿道炎症导致的，比如膀胱炎、尿道炎，也有可能是神经性漏尿。如果是神经性质的问题，建议给猫咪服用营养神经的药物，同时配合针灸等治疗手段。如果是泌尿道炎症引发，建议给猫咪对症使用消炎药以及修复泌尿道的药物进行治疗。如果条件允许，建议带猫咪去宠物医院做相关检查，然后进行针对性治疗。
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，我暂时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. 猫咪现在漏尿症状是什么样子的？是否有规律性？是否还有其它症状？
3. 猫咪都做了什么检查？可以发送过来。
4. 猫咪吃喝，精神，大便状态如何？
5.猫咪发病之前，是否有外力刺激？例如撞击，剧烈运动，惊吓，应激？
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『年龄、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。
我家母猫，做完绝育一个礼拜了，做绝育以前就一直是漏尿，尿血，以为是闹猫的原因，但是做完绝育，医生说，是神经质漏尿，没办法医治，猫咪现在就是伸个懒腰就能尿出来，总是跑厕所，只尿一点点，
陈奕达
执业兽医师
猫咪是否做过泌尿系统疾病的检查？例如膀胱超声，x光片，尿液常规检查。（因为尿道炎，膀胱炎也会引发漏尿症状，同时会有尿频，尿血等症状）
没有，医生说给它做绝育的时候应该是检查了，我说给它做B超看看，他说检查了，没有办法，她说猫咪的控制能力不行
陈奕达
执业兽医师
您好，1.猫咪没有进一步检查确诊的情况下，是不能忘下定论的，看病讲究证据。2.盲目确诊疾病，会出现漏诊，误诊的情况。因为不同的病因，治疗方式不同。3.神经性质的，只能采取一些营养神经，以及针灸等治疗手段。而膀胱炎，尿道炎，需要给予猫咪针对尿路发炎问题，进行输液，打针，口服用药治疗。4.个人建议考虑转院更为靠谱的，更大的宠物医院对猫咪进行诊治，更为稳妥一些。（虽然费用会高一点）。
陈奕达
执业兽医师
您好，是的，不同的疾病问题，治疗方案，用药不同，所以治疗的第一步，我们需要先确诊疾病，不然盲目的给予治疗，可能反而耽误了猫咪的治疗时机。
神经性的没有药可以医治吗？泌尿消炎药已经吃过了，不管用，可以开点神经性的药物呢
陈奕达
执业兽医师
您好，1.神经性漏尿，治疗很困难，需要配合针灸，以及营养神经的用药。可以治，但是治愈率只有30-20%。2.您可以告诉我猫咪体重是多少，这边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
好的，这边根据猫咪的情况，我给宝贝开个处方。
处方里面的
1.维生素口服液，补充维生素，可以起到一定营养神经效果。
2. ***片，宠物专用抗炎用药，缓解炎症，可以起到缓解神经水肿效果。
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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