咨询描述：症状描述：走路一瘸一拐，脑袋有一点抖，睡觉时抽搐，平时能正常尿，猫砂正常结团，但它屁股每天都有尿，睡觉会漏尿，今天发现有肛门附近有白色线状体的软体颗粒，偶尔给它擦屁股时，还感觉尿液有点粉红色，但有时有时正常的尿液
患病时长：猫咪是捡的流浪猫，捡的时候小只，带它去医院拍片了，DR显示骨头正常，医生说从它的牙齿来看应该有6个多月了，现在养了8个多月了，应该有一岁半左右了，捡到它后就一直有一瘸一拐的情况和漏尿的情况
用药情况：未用药
医院检查：
回复总结：猫咪走路跛行、睡觉时抖动并且有漏尿的情况，在拍片确认骨头无异常的情况下，主要考虑是因为神经损伤导致的。其次，低血钙也可能会引起猫咪抽搐。如果猫咪精神食欲都正常，可以暂时先给猫咪补充一些维生素B1、维生素B12用于营养神经，以及补充一些猫咪专用的钙制剂，然后观察一段时间看猫咪情况有无好转。如果没有好转，建议带猫咪去宠物医院做核磁共振，并且找个中兽医做针灸理疗。
问题大致一样，细节不同？
文茂桂
执业兽医师
您好，猫咪走路跛行、睡觉时抖动并且有漏尿的情况，在拍片确认骨头无异常的情况，主要考虑是因为神经损伤导致的。有可能是因为在流浪的时候受伤导致的神经损伤，比如高处坠落、挨打、被什么东西撞到等，其次，低血钙也是可能引起猫咪抽搐的。目前若是精神食欲正常的话，可以暂时补充一些维生素B1（5毫克规格的每天喂一片）、维生素B12（25微克规格的每天一片）用于营养神经以及补充一些猫专用钙制剂观察一段时间，看看有无好转，如果没有好转的话，以后可以抽时间带它去有条件的医院做个核磁共振并且找个中兽医做针灸理疗。
其次，平时排尿没有看到红色的情况可以再观察一下，如果能肉眼看到排出来尿液中有红色的话，那就要考虑膀胱炎、膀胱结晶或结石、尿路感染等情况，到时需要做腹部B超、尿检等来确诊，后续要根据检查结果来拟订治疗方案才行。
另外，图片中那个应该是绦虫，是体内寄生虫的一种，这种情况需要给猫咪做体内驱虫才行，可以使用海乐妙或者猫用拜宠清，每周喂一次，连续喂三次，后面改为1到三个月喂一次。
如果需要我这边开具体内驱虫药和钙制剂，可在下一条追问中提出并且告知我猫咪的准确体重。
猫咪日常的排尿是正常的，看不到红色。目前精神和食欲都非常好，需要钙的牌子，驱虫的我买的是***，关于漏尿的这个问题，能否开处方？
文茂桂
执业兽医师
日常排尿正常的情况暂时就先不管。
只有睡觉时漏尿一般很少有药物可以解决，目前除了补充维生素**、**、钙等，可以另外口服一些修复膀胱粘膜的药物看看能否改善。这边我开个钙制剂和泌尿安给您参考。
10mg的B1维生素片可以吗？一天一片会不会有问题？
刚刚看了一下，猫咪现在生殖器官附近的情况，还需要补开什么药不？
为保护用户隐私不显示图片/视频
文茂桂
执业兽医师
这种情况考虑尿中有结晶或者尿中蛋白含量较多引起的，建议尽快抽时间带它去医院做个腹部B超和尿检，看看有没有膀胱结晶、尿液ph以及有无尿路感染的情况。目前主要就还是吃泌尿安，然后多喝水（每天每公斤体重需摄入50毫升水分）促进排尿。后续要根据检查结果才能拟订下一步处理方案，比如尿液偏碱性、有细菌、有鸟粪石结晶的话，那就要口服抗菌药（速诺，每公斤体重25毫克，每天两次，连用两周）、尿液酸化剂（比如咪尿通或者优泌可等）、猫泌尿道处方粮等，如果尿液偏酸性且含有草酸钙结晶的话，那就要限制钙摄入等，因此后续用药及饮食调整方案需要根据检查结果才能制定，盲目用药反而可能导致症状加重
文茂桂
执业兽医师
另外，有些公猫发情期会有一些分泌物在尿道口蓄积，如果是发情导致分泌物过多的这种情况大多数通过做绝育可以改善
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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