咨询描述：蓝猫 2岁快5个月 5.7公斤
近期咳嗽 上周有一次 周日一次 周一两次（凌晨2-3点；晚上快12点）
咳嗽时母鸡蹲姿势，嗓子干咳的感觉 肚子抽搐比较严重
食欲正常 排便正常 精神状态正常 不流鼻涕 眼睛分泌物正常
暂未去医院进行检查，未服用过药物
5月15日有打过加强疫苗
无法上传视频
之前也有过呕吐 帮忙一起看下是什么情况
比较干的是之前5月初 呕吐物里面好像有毛球
油状呕吐物是打完疫苗后早上发现，后续未再呕吐
回复总结：猫咪出现干咳嗽的症状，可能是环境中气味或灰尘刺激导致的，建议保持猫咪生活环境清洁干净。另外，不排除呼吸道感染的可能，建议给猫咪看服宠物专用消炎药，同时配合服用清热解毒、止咳平喘的药物。如果猫咪还有呕吐的症状，考虑是消化不良引发的胃肠炎，建议给猫咪增加服用宠物专益生菌调理肠胃。
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或者呼吸道感染问题，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？猫咪现在（今天）都有什么症状？
2. 猫咪现在吃喝，精神状态，排便状态如何？
3. 猫咪发病之前，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？
4. 猫咪生活环境温度能达到多少度？是否有昼夜温差？
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。
您好医生猫咪情况如下：
目前症状是咳嗽
1、猫咪我已经养了两年多了，3个月开始养到现在，猫咪今天暂时没有咳嗽的症状 但是家人有在凌晨4点左右发现猫咪有鼻涕 量不是很多 刚才查看目前无鼻涕
2、目前食欲 精神状态 排便均正常
3、猫咪咳嗽之前，只是正常喂食猫粮（***），保鲜袋密封状态（保存方式详见图片）。去年1月份开始一直食用渴望鸡，未换粮。咳嗽前后这段时间未给猫咪喂食新食物。一直都是猫粮+少量零食方式【鸡胸肉+****（拌、水骗水喝）】
猫咪呕吐是5月15日疫苗后的事情，疫苗接种回家后后有喂食猫咪鸡肉冻干、地狱厨房咕噜酱（拌稀释用食）目前已无呕吐症状 发您是想让您判断现在咳嗽情况和欧体是否有关，且之前呕吐是否正常
4、温差不是很大。目前温度较高，近期室内需要开空调。目前室内温度30度。昼夜温差应该也不是很大，晚上也需要开空调（详细可看温度截图）
另外室内有养殖绿萝 均放在猫咪无法触及区域 电视柜只有 小部分绿萝绿叶 偶尔会啃食 之前啃食后无咳嗽症状
近期5月20日有香槟玫瑰 详见图片 另外花束非短期新增植物 此前未发现猫咪异常
家里有香水 酒精但并未喷洒
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
根据您的描述，1.猫咪呕吐很有可能是短暂的消化不良问题的导致的症状。如果没有后续持续性呕吐，那么是没有问题的。2.然后猫咪现在这种流鼻涕，咳嗽症状，很有可能是出现了呼吸道感染问题。如果晚上温度在25度一下，那么很有可能跟着凉有一定关系。3.如果猫咪现在吃喝玩排便状态没有任何异常，并且现在没有持续性咳嗽以及流鼻涕之类的症状，那么可以暂时先注意一下猫咪的生活环境温度不要过低，然后再观察一下是否还有流鼻涕，咳嗽等症状。如果没有再次出现，或者出现的不频繁，那么问题不大。但是如果每天都咳嗽，流鼻涕，那么就可以判断猫咪出现了生病问题（呼吸道感染），这种情况就一定要及时就诊或者给予猫咪用药，来帮助猫咪，以免耽误猫咪的治疗时机。
医生，您好，感谢您的回复，下面还有有几个问题想要继续咨询一下，辛苦您解答
1、根据您描述第2点，推断有可能是因为昼夜温差大，导致的猫咪流鼻涕的症状，不知我理解是否正确。
刚才详细查看了下温度，晚上确实有可能温度在25度以下，但是目前也都在20度以上。但是猫咪一直生活在同一个城市，去年夏天的温度也是这样的状态。
那如果是这种情况导致的，应当如何解决？
2、您目前的意见是我这边先观察猫咪状态，后续如果未好转，再去检查对吗？31秒视频为周日拍摄，辛苦查看判断情况
如果去医院检查，需要检查哪几个项目，检查费用的大概区间是多少？
如果检查是呼吸道感染的情况，一般推荐用药都有哪些，价位区间大致是多少？平时喂养有哪些注意事项？
还有一个情况就是去年1月猫咪绝育后 有不小心挣脱脖圈 舔舐到碘伏。导致呼吸有呼噜声 咳嗽的症状 后续线下医院 开药喂食就好了 具体问诊及药方详见图片，辛苦判断
3、另外，家中养殖植物需要您帮忙判断下，是否会有影响？
4、关于猫平时养护也有一些问题想要一并咨询，
一、猫咪有毛球，您这边是否有推荐产品，猫草片哪个品牌比较安全；
二、护毛方面有一些问题，家里有***鱼油，平时采取拌***方式食用，但是猫咪比较排斥，有没有好的方式；
三、猫咪洗澡比较排斥，你这边建议最长多久给猫咪洗一次澡
刷牙也是一样的情况，一般多久一次，平时主要吃干粮。
四、猫咪舒缓情绪喷雾，您这边是否建议使用？哪个品牌会安全一些？
五 图片所示咕噜酱是否有必要日常喂食猫咪
六 猫咪不是很爱喝水，有什么比较好的办法可以让猫咪多喝水？羊奶粉冲泡可以吗？哪个品牌比较推荐？
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，1.是的，如果昼夜温差超过5度，那么着凉的可能性很大。2.猫咪的身体状态，并不是一直都会保持好抵抗力状态的，也会有抵抗力低下，容易生病的时候。3.是的，猫咪这种情况还是可以再观察一下的。4.基础检查，①上呼吸道四项，②呼吸道影像学检查，③血液常规，④saa。费用***-***左右，地区差异不一样，费用也会有一定差异。5.药物现在暂时无法预估，需要根据后续的检查，以及当时猫咪的状态来判断。6.碘伏不会持续对猫咪产生刺激。个人认为现在的问题跟碘伏没有关系。7.个人比较建议使用化毛膏，效果更好一些。8.养护毛发没有其它方法，都是喂食美毛产品。如果猫咪不喜欢吃现在这个牌子，可以更换其它牌子试一试。9.猫咪洗澡建议2-3个月一次即可。10.舒缓情绪后续可以给您推荐。11.零食之类不是必须品，不过也可以每天都喂。12.可以喂食泡开的猫粮，或者汤罐罐头，能够增加饮水量。13.羊奶粉也可以。14.然后我给宝贝开个处方。
处方里面的
1. ***，猫咪专用舒缓情绪挥发剂。
2. 羊奶粉，按照说明书稀释给予猫咪即可，可以增加饮水量。
3. 化毛膏，软化毛球，通便润肠的效果。
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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