回复总结：猫咪嘴巴下方出现红肿的症状，考虑是真菌感染引发的，也就是猫癣，治疗上，需要给猫咪口服治疗猫癣的药，外喷治疗猫癣的喷剂。然后，建议每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低毛病感染猫癣的风险。注意，用药期间最好给猫咪带上伊丽莎白圈，再把猫咪的指甲修剪平整，防止猫咪出现抓挠，舔舐的症状。
问题大致一样，细节不同？
你看看这个情况怎么回事，下巴和嘴边都是红的，还肿了
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
根据您讲到的详细症状，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.您家猫咪多大了，体重大概是多少，嘴巴边上的症状发照片给我看看，猫咪有没有抓挠舔舐的症状，您发现这个症状多久了，猫咪有没有被蚊虫叮咬。
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，最近有没有给猫咪换过食物或者吃过什么特殊的东西过敏，骨头之类的坚硬物，导致猫咪出现呕吐的症状，呕吐的是未消化的食物，还是白色粘液，或者黄色粘液，有没有血丝，有没有腹泻的症状;
3.猫咪吃饭，喝水，排便，排尿，玩的状态怎么样
4.猫咪有没有出现咳嗽，打喷嚏，流鼻涕的症状，您正常有没有给猫咪用过什么药;
5.猫咪目前精神状态怎么样，有没有吃东西，喝水，猫咪有没有接种过疫苗，做过体内体外的驱虫。
6.猫咪居住的环境有没有突然降温，猫咪趴在垫子上，还是地板上
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，把您家爱宠的信息补充完整，特别是年龄、体重」，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。
照片都给你发了，其他一切正常，大概三岁，体重八斤左右，其他都正常，你看看什么情况，需要开什么药物
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，根据您的描述结合您发的猫咪患部的照片来看，猫咪是真菌感染，也就是猫癣，需要给猫咪口服治疗猫癣的药，外喷治疗猫癣的喷剂，一般需要每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫可以很好的降低毛病感染猫癣的风险。真菌感染周期比较长，一般需要用药一个月左右才会好转，猫咪皮肤病的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈，再把猫咪的指甲修剪平整，防止猫咪出现抓挠，舔舐的症状，会有利于猫咪皮肤的早日康复。猫咪住的环境需要彻底的大消毒，以后每周消一次毒，猫窝拿出去晒晒太阳，有助于杀菌消毒，家里有没有老人和小孩，如果有老人和孩子建议不要让他们接触到猫咪，因为猫癣是真菌感染，会传染给人，老人和小孩皮肤免疫力抵抗力比较差，比较易感，所以不建议接触，您自己照顾完猫咪也需要洗手、消毒，以上建议您可以参考一下。
不确定是黑下巴还是毛囊炎呢，之前一直黑下巴，只是黑而已没有这么红肿，并且这次嘴巴边上都红肿了，确定只是黑下巴吗，那需要开什么药物
刘文飞
执业兽医师
您好，猫咪主人，猫咪其他部位没有，只有嘴唇下巴有红肿疱疹，猫咪皮肤的症状是毛囊炎与猫癣混合感染的症状，图片看不能确诊，最好是做临床检查，毛囊炎和猫癣比较相似，毛囊炎的症状起初为小黑点，后转变为脓疱疹，常出现在下巴以及背部、尾部，猫癣的症状为圆形、不规则形或者全身性的脱毛，伴有皮屑，有些还可能有红斑、丘疹和结痂。可全身性发作。猫咪毛囊炎需要给猫咪患部清创，用生理盐水清洗，然后口服治疗毛囊炎的抗生素，外抹治疗毛囊炎的药膏，一般需要给猫咪清淡饮食，然后每三个月给猫咪做一次体内驱虫，每个月做一次体外驱虫，做体外驱虫，清淡饮食可以很好的降低毛病感染毛囊炎的风险。毛囊炎感染周期比较长，一般需要用药一个月左右才会好转，猫咪皮肤的症状就会有所好转。用药期间最好给猫咪带上伊丽莎白圈，再把猫咪的指甲修剪平整，防止猫咪出现抓挠，舔舐的症状，会有利于猫咪皮肤的早日康复。猫咪住的环境需要保持干燥，然后彻底的大消毒，以后每周消一次毒，猫窝拿出去晒晒太阳，有助于杀菌消毒，也可以让猫咪适当的晒晒太阳，不能晒的时间长，晒的时间长了猫咪患部会出现比较痒的症状，您自己照顾完猫咪也需要洗手、消毒，以上建议您可以参考一下。
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的
1.盐酸特比萘芬片对猫咪猫癣引起的炎症作用效果比较好，按猫咪的体重用药;2.盐酸特比萘芬喷剂对猫咪皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买
刘文飞
执业兽医师
根据猫咪的情况，我给它开个处方。处方里面的1.马坡沙星对猫咪毛囊炎引起的炎症作用效果比较好，按猫咪的体重用药；2.氟苯尼考溶液对猫咪皮肤表面消炎抑菌效果比较好，您可以根据需求自行选择购买（目前眼观无法确诊，我把猫癣、毛囊炎的药全部开了处方，最好给猫咪确诊在用药）
刘文飞
执业兽医师
发的照片来看，既有毛囊炎的症状，也有猫癣的症状，所以我这边通过眼观手无法确诊，需要给猫咪做临床检查才可以确诊。我目前看到的是混合感染的症状，所以我把两个处方都开了，您需要给猫咪做完临床检查确诊以后再对症用药。
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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