咨询描述：症状描述：3岁中华田园母猫3岁（和一只田园犬养在一起，狗子正常），以前几乎没出过门，自三月起疫情封控在家，从阳台散养改成笼子养。五月断了猫粮，自制猫粮她不怎么吃，后来精神越来越差。6月恢复以往的猫粮喂养，但不吃不喝的症状越来越严重，7月初开始出现呕吐有泡沫的黄水，呕吐物没发现有毛发，不吃不喝，牛奶、猫条、罐头都不吃，极少尿尿大便，精神萎靡，有气无力，一整天都呆在角落不怎么动，也肉眼可见的瘦了一大圈。高度怀疑是肠胃炎，上个星期买了这两款药来喂，喂过两天后没有再吐过，后面陆陆续续也喂过几次，但依然精神萎靡不吃不喝不拉（即使拉大便也是一点点非常粘稠比较硬的黑糊块），近两天发现她开始走路不稳，不知道是不是没有补充营养导致的。目前没有发现眼屎多流泪腹胀等症状。另外也买了猫瘟试纸回来检测，阴性。6月以来阳台经常会点蚊香，不是很通风，不知道会不会有影响。还没有去过医院检查。请问医生这是胃炎的症状吗？她不吃不喝我如何给她快速补充营养？喂葡萄糖水是否可以？站不稳是因为营养不良吗？这两款药要继续吃吗？
回复总结：猫咪呕吐带泡沫的黄水，考虑是胃肠炎引发的问题。如果猫咪还不吃不喝，而且精神状态很差，很有可能还有其它并发症，需要考虑有肝脏、肾脏代谢的问题。处理办法上，建议最好带猫咪去宠物医院确诊病因以及发病程度，然后对症进行输液打针治疗。如果暂时不方便去宠物医院就诊，建议先给猫咪口服宠物专用广谱消炎药，以及抑制胃酸分泌的药物。饮食上，可以给猫咪灌服泡软的猫粮糊糊和葡萄糖水，避免出现低血糖。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您的描述，1.猫咪确实有胃肠炎的症状，呕吐，腹泻。2.但是个人认为猫咪这种情况可能不是单一的胃肠炎问题，很有可能还有其它并发症（除了胃肠炎，还需要考虑猫咪是否有肝脏，肾脏代谢问题）。3.猫咪如果不吃不喝，在没有持续性呕吐的情况下，除了输液，还可以给予猫咪人为以少吃多餐为原则灌喂流质型食物，例如营养膏，营养液，泡开的猫粮糊糊，肉泥罐头等，来进行营养补充。4.喂食葡萄糖水可以，能够达到补充能量以及体液的效果。5.猫咪站立不稳，确实有可能由于营养不良，能量不足，低血糖问题导致。还有一个因素是由于身体难受，不舒服导致。6.图片上的药物，属于广谱消炎，以及抑制胃酸分泌，治疗胃肠炎问题的用药。可以继续给予猫咪服用。但是由于猫咪病程比较长，并且用药之后效果不是很理想。如果条件允许，个人还是更加建议去附近宠物医院就诊，进一步检查一下，确诊病因以及发病程度。然后针对性给予治疗，效果更好，更为安全稳妥一些。
宠物医院做了以下诊断（见图片），请问该如何经济的进行治疗？医院的费用太高了负担不起
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.根据您上传的结果，猫咪有肝脏，胰腺，以及肝胆管疾病问题，这个说实话，没有经济实惠的治疗方法，因为疾病是比较严重的。如果不积极治疗，死亡率高达80-70%。而膀胱结石问题的如果暂时没有尿血，尿尿费劲方面症状，可以暂时不用治疗。2.根据猫咪现在的化验结果以及疾病程度，平均每天治疗费用在***-***左右，地区差异不一样，用药品质不同，费用也会有一定浮动。3.如果实在想自行治疗，您可以告诉我猫咪体重信息，然后这边可以帮您开具一套用药，并且帮您计算好用法用量，供您采纳参考一下。（效果不一定能够达到您的预期）
小猫体重2.6kg ,三岁母猫，希望尽可能的自行治疗，希望医生开具药方，谢谢！另外，在家如何给小猫喂流食？有家用的喂食用具可以购买的吗吗？
陈奕达
执业兽医师
您好，1.猫咪可以使用针管灌喂猫粮糊糊，每次2-3毫升，每天5-6次喂食。2.然后这边根据猫咪的情况，我给宝贝开个处方。供您采纳参考一下。
处方里面的
1. ***，宠物专用广谱消炎，控制炎症感染。
2. ***，宠物专用补血保护肝脏口服液，
3. ***，宠物专用保护肝脏，保护肝胆管用药。
4.消化酵素，宠物专用减轻胰腺负担用药，用于治疗胰腺炎问题。
请问我自己前面买的药还需要和处方里的药一起吃吗？另外这些药需要和喂食错开吗？
陈奕达
执业兽医师
您好，使用上述处方内用药，之前买的药物就不用使用了。处方内用药，可以跟食物一同喂服。没有什么禁忌。
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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