咨询描述：两个月幼猫偶尔打喷嚏，声音沙哑，叫声小，偶尔流眼泪
回复总结：幼猫出现打喷嚏、声音沙哑的症状，可能是呼吸道感染引发的，也不排除有支原体、衣原体、疱疹病毒或者是波士杆菌以及杯状病毒等因素。处理办法上，建议给猫咪口服含有盐酸多西环素成分的药物，对抗炎症感染以及病毒感染。此外，还需要配合服用提高免疫力的药物，促进猫咪快速恢复。
问题大致一样，细节不同？
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执业兽医师
你好家长，对于这种情况来说，能不能拍摄一段视频发过来看一下？我想了解一下具体的情况，一般来说，这种情况主要考虑的就是支原体衣原体的感染，疱疹病毒或者是波士杆菌以及杯状病毒等等，检查一下口腔之中有没有臭味儿？有没有发热和第三眼睑的突出？有没有什么别的不同或者异常？请详细的描述一下。现在她的吃喝是正常的吗？
吃喝正常，玩的比较欢，刚刚又打了一次喷嚏，下午的时候发现有耳螨，还比较严重，就用维克的耳漂清洁涂了***，最近羊奶粉加猫粮，还有些吐奶的症状
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执业兽医师
能不能拍摄一段视频？发过来看一下，我想了解一下具体的症状和表现，后续如果你需要的话，我可以帮你开一个常用的方案，但是需要提出处方申请，因为他的精神状态不错，而且吃东西有逆向诊断的空间。
有滴用这个，家里还有一猫一狗两个原住民，目前没有出现什么症状问题
为保护用户隐私不显示图片/视频
这个症状有三四天了，睡的比较多，声音沙哑着有时还叫不出声，它的前主人给它们洗澡比较勤，抱回来前还洗了一次
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执业兽医师
这个是治疗疱疹病毒的，但是相对来说，关联性不是很强，这种情况建议是增加一些四环素类抗生素的使用，而且建议增加一次体外驱虫，因为有耳螨，同时，需要增加一些提高免疫力的药物进行使用，从精神状态上来说，还是不错的，如果你需要的话，我可以帮你开一个常用方案，但是需要提出处方申请。
另外，建议是把羊奶粉停了，因为羊奶粉很多都会造成乳糖不耐受，她总是吐奶，很大程度上和这个有关。
多西环素每天1/8片吃了三四天了
为保护用户隐私不显示图片/视频
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执业兽医师
一般来说，多西环素是有效的，配合上其他的一些提高免疫力的药物，会更好一些，然后现有方案也可以后续再增加一次体外驱虫即可。
只用再加一次体外驱虫吗？体内需要吗？多西环素还要再吃几天？需要单独隔离吗？
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执业兽医师
体外的驱虫，你可以把耳朵清理干净之后直接点入耳朵里面，这样的话可以有效的治疗耳螨，体内驱虫，如果没有做的话，也可以做一次。
一般来说，多西环素至少也得再吃3到5天，有条件的话，最好是单独隔离。
徐灿
执业兽医师
实际上是可以的，只要正确的用药，那么一般并没有太多的问题，不过驱虫的时候一定要注意用药剂量，用药量错误的话，容易中毒。
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执业兽医师
现在要做的就是进行一次体外驱虫，然后把驱虫药可以点到耳朵里面，然后用一些中药的提高免疫力的配合上多西环素用，如果你需要的话，我可以帮你开一个方案，但是需要提出处方申请。体内驱虫的话也可以安排一下。
徐灿
执业兽医师
没事的，不用谢，我帮你开了一个常用的方案，后续的话，口服液可以多用一段时间，配合着多西环素会有较好的效果。体内驱虫的话，可以共同用药，一般也并没有什么问题。
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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