咨询描述：医生您好，我家猫咪三个月，从周天开始就不是很精神。我周六给换了新猫粮，但是是新旧猫粮混在一起的，新猫粮比较少。周日我就加的多了一点，当天下午我就觉得不太精神了。但是也能正常吃饭喝水。周一早上发现拉软便，我就没敢再给她混新的猫粮，一直在吃旧的。早上精神很好，下午晚上就一直嗜睡。晚上又拉了一次软便，已经比早上的好一些了。晚上我没敢在饭盆里放吃的。周二早上发现她吐了，黄色的里面有泡沫，但便便已经正常了，尿尿也不黄，一天还是嗜睡没精神。今天早上起来精神很好，玩了一个多小时，但是就是有点不太爱吃东西，不喝水，下午我喂了点湿粮，针管喂了水，又开始嗜睡了。现在的症状就是不吐不拉稀，但是精神不太好，还不爱吃饭喝水。今天就拉了一次，尿了一次。我第一次养猫，不知道这是肠胃炎了，还是猫传腹。很担心。请医生帮忙诊断一下。
回复总结：猫咪出现吐黄水、拉软便的症状，首先考虑是饮食不当、消化不良、着凉引发了急性胃肠炎问题。治疗方面，建议给猫咪口服宠物专用广谱消炎药，减轻消化道炎症，同时配合服用促进消化道粘膜恢复的药物以及吸附性止泻的药物。其次，还需要考虑是否有病毒以及消化道寄生虫感染的问题，建议最好带猫咪去宠物医院做病毒筛查和粪便检测。
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，我初步分析猫咪是有胃肠炎问题，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.猫咪您养了多久？除了换猫粮，是否还喂了其它食物？
2. 猫咪生活环境温度能达到多少度？是否有昼夜温差？
3. 猫咪除了上述症状，是否还有其它症状？
4. 猫咪发病之后，是否有检查，用药治疗？
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。
判断猫传腹，是需要一定的检查分析的，单纯凭借症状，无法判断
猫猫养了一个月了，疫苗，驱虫都做了。除了换猫粮，没给她吃过别的。一直都是干粮和湿粮混着喂。生病前一天晚上，也就是周六晚上，下了一整夜的暴雨，可能会有点冷。猫猫除了我描述的症状，基本没有其他的了，就是总趴在窝里睡觉。生病之后没有治疗过，因为疫情不能出门。感觉每次她拉完屎就能精神很多。玩一会儿就又开始嗜睡了。今天早上非常活跃，各种疯跑，以为她好了，但后来发现她不爱吃，也不喝水，下午就又一直嗜睡。
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。跟换粮，以及生活环境温度下降，着凉有一定的关系。同时如果猫咪没有进一步检查过的情况下，需要考虑是否有病毒（猫瘟病毒），以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。
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，吸附性止泻）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。
她上周四刚打完第二针的疫苗，我刚才给她测体温，也并不发烧，也不吐，刚才就又有点拉软便。急性胃炎需要吃什么药？人吃的猫能少量吃吗？
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，控制消化道炎症
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.***，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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