咨询描述：您好，家里到了一只两个月左右的小猫，一开始用羊奶粉泡的猫粮一天两顿吃了一天左右，排便是正常成型的，从第二天半夜开始拉稀，拉了两次，第三天中午吃完饭下午拉了一次。晚上就一直没敢喂，一直到晚上12点左右怕它饿，稍微吃了一点点没泡过的粮，怕它是着凉也给铺上了厚的垫子，第四天白天有好转，便便是稍微有点稀但是成型的，中午和晚上就给正常喂的千粮没再泡了，结果昨天中午吃完饭下午一下拉了两次都是稀的，给吃了益生菌没有太大效果明显感觉到从第四天下午开始基本大部分时间都在睡觉，喝水也很频繁所以经常尿尿，排尿是正常的，今天给他吃了一点好消化的鸡蛋黄吃完就吐了，我观察到它进猫砂盆的时候稍微蹭了一下屁股，是不是感染了什么寄生虫？
回复总结：幼犬吃完就吐还拉稀，有三种原因。第一种是由于消化不良引起的，可以给猫咪吃止吐止泻的药，还有消炎药，还可以给猫咪吃益生菌。第二种是猫咪有可能感染猫瘟病毒，需要领猫咪去宠物医院做进一步的临床检查才可以确诊。第三种有可能是体内寄生虫感染的情况，建议每三个月给猫咪做一次体内驱虫，每个月给猫咪做一次体外驱虫。
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，我初步分析猫咪是消化不良引起的胃肠炎。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.您家猫咪两个月大了，体重大概一千克
2.您养猫咪大概多长时间了，猫咪平时都吃哪种食物，吃的是以前的食物还是新换的，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
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，有没有吹空调、风扇
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。
小猫是上周日刚接到的，吃的就是宠物店一直给他吃的猫粮其他的什么也没有吃，就今天吐了这一次是黄色的可能是喂的鸡蛋黄，现在已经不吃东西了，还在正常喝水正常排尿，一直在拉稀，特别没有精神，咳嗽打喷嚏什么的都没有，只拉稀，卖猫的说这个月月初体内驱过一次虫，打了第一针疫苗，猫是从广东过来的，现在在北京，前两天天热家里开了空调，图片是它吃的猫粮用的驱虫药和刚刚拉的
为保护用户隐私不显示图片/视频
刘文飞
执业兽医师
您好，猫咪主人，刚来家的猫咪不能换猫粮，换猫粮会引起呕吐、腹泻的症状，但是您家猫咪没有换猫粮，所以排除换猫粮引起的消化不良，根据您的详细描述，进一步分析得出，目前猫咪呕吐腹泻有三种原因，第一种是由于消化不良引起的腹泻呕吐，正常可以给猫咪吃止吐止泻的药，还有消炎药，大概坚持用药五到七天左右，猫咪就会正常恢复，还可以给猫咪吃益生菌，益生菌可以促进猫咪食欲，调节猫咪胃肠道消化菌群，具有收敛止吐的作用，正常用37度的温水化开效果会比较好。第二种是猫咪有可能感染猫瘟病毒，导致出现呕吐腹泻的症状，正常猫瘟病毒感染，需要领猫咪去宠物医院做进一步的临床检查才可以确诊。第三种有可能是体内寄生虫感染的情况，导致猫咪出现呕吐、腹泻，您观察一下他呕吐腹泻物里有没有虫体，如果呕吐物腹泻物里有虫的，就说明是体内寄生虫感染的症状，正常需要每三个月给猫咪做一次体内驱虫，每个月给猫咪做一次体外驱虫。您家猫咪目前已经正常做了驱虫，然后喂过益生菌了，还是出现食欲不佳的症状，这种情况建议您及时领猫咪去宠物医院做临床检查，担心猫咪有可能感染猫瘟病毒，引起呕吐腹泻的症状。以上是根据您的详细描述，结合猫咪的那种症状给您做出的分析和建议，您可以参考一下。
刘文飞
执业兽医师
您这边要是距离宠物医院比较远，可以先给猫咪吃消炎药和益生菌，观察猫咪的症状，担心猫咪有可能感染猫瘟病毒，引起呕吐腹泻的症状，也有可能也有地域差异引起猫咪应激反应，导致出现呕吐，腹泻的症状，应激反应会在五到七天之内逐渐恢复，但是猫瘟病毒感染猫咪会越来越严重。
我们小区现在是封控的状态，出不去门，在网上给买了猫瘟的试纸回来测一下，小猫在宠物店吃的是同款猫粮的不同味道，在店里吃的是海洋鱼味道的，送来的时候也给带了一小袋，前两天吃的都是海洋鱼的，第三天吃完了就换成奶糕的了，益生菌那天吃了一天没什么效果我就给停了
小猫除了一直拉稀，前两天精神状态还可以，今天就不太好了，吐也就今天吐了这一次，其他猫瘟的症状倒是没有
我刚刚看了它吐出来的，除了我喂进去的鸡蛋黄就只有水，别的什么都没有
刘文飞
执业兽医师
您好，猫咪主人，建议目前先把猫粮换回之前的味道让猫咪吃，观察猫咪的情况，等猫咪适应您家环境之后，您要是想换猫粮，在给猫咪换，每次以1/4的量逐渐换，换七到十天左右。猫咪要是没有出现呕吐、腹泻的症状就正常可以给猫咪换，要是出现呕吐腹泻的症状。就不能换，需要给猫咪吃回之前的猫粮。您家猫咪目前的情况，益生菌和消炎药需要坚持给猫咪吃，吃三顿左右，观察情况，要是有好转就继续吃，要是没有好转，需要给猫咪做猫瘟病毒的检查。
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.阿莫西林克拉维酸钾，对猫咪消化不良引起的炎症作用效果比较好，按猫咪的体重用药；2.益生菌对猫咪呕吐，腹泻的作用比较好，具有收敛止泻，止吐的作用，使用时用37度温水化开，效果比较好，您可以根据需求自行选择购买
家里有速诺和益生菌，吃的的话先给他点好消化的鸡蛋黄什么的可以吗？速诺是口服的我怕他会吐出来，您看我可以买点什么注射的那种消炎药吗？我自己能给它打针，您告诉我剂量就可以
刘文飞
执业兽医师
您好，猫咪主人，您要是想买针剂的消炎药，也可以买阿莫西林克拉维酸钾的注射剂，每公斤体重0.1毫升给猫咪打，蛋黄先不要给猫咪吃了，给猫咪先吃益生菌，吃完之后半小时再给猫咪喂点营养膏，观察猫咪的症状，要是没有出现呕吐，可以用温水或者羊奶粉把猫粮泡一下，让猫咪吃。
刘文飞
执业兽医师
家长你好！考虑到目前的问诊暂未沟通出结论，我额外赠送你1次追问次数，以顺利完成本次问诊咨询。
家里现在没有给小猫的营养膏什么的，您看除了营养膏能给吃点什么？
刘文飞
执业兽医师
您好，家里边儿没有营养膏，有没有葡萄糖可以给猫咪每天喂三次，每次喂一到两毫升。
刘文飞
执业兽医师
家长你好！考虑到目前的问诊暂未沟通出结论，我额外赠送你1次追问次数，以顺利完成本次问诊咨询。
刘文飞
执业兽医师
感谢您对蘑菇宠医的信任，如果我的回答能够帮助到您，请您在咨询结束后留下5星评论。
后续宠物有其它问题，您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励，祝您的爱宠早日康复！
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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