回复总结：猫咪耳朵边缘有黑色的点点，是毛囊炎的症状。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。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？
刘文飞
执业兽医师
根据您讲到的详细症状，我初步分析猫咪是皮肤病的症状，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，猫咪多久做一次驱虫，最近一次体外驱虫是什么时间，猫咪有没有洗过澡，洗澡用的是不是宠物专用沐浴液，猫咪其他部位有没有黑色的点点，猫咪有没有抓挠舔舐的症状
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，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。
猫咪一岁半，平时身体很好，上窜下跳的，精神不错，13斤左右，从来没洗过澡，最近想给他洗，上个月刚驱完虫，从小就开始养，几个月前吐过两次，应该是没消化的食物，什么药都没吃过，就小的时候打疫苗蔫过半天。他哪里都待。
刘文飞
执业兽医师
您好，猫咪主人，猫咪内外一体的驱虫药每月用一次，结合猫咪的具体症状来看，猫咪皮肤的症状是毛囊炎的症状，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、耳朵，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。
可以用棉签蘸酒精蹭到耳尖上的黑点吗，最近半年几乎天天都是猫条罐头，是不是吃的有点油腻了，最近是不是最好不要洗澡啊
刘文飞
执业兽医师
您好，猫咪主人，最近不要给猫咪洗澡，您用湿巾沾上温水，把猫咪耳廓边缘的黑点儿擦拭掉，看看皮肤有没有发红的症状，如果比较严重，需要给猫咪用药，猫咪每天的主食建议以猫粮为主，猫粮里面含有的均衡的维生素、矿物质、微量元素等，能够满足猫咪日常所需的营养成分，是猫条所不能代替的
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消炎抑菌效果比较好，您可以根据需求自行选择购买
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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