咨询描述：我家的猫咪。皮肤上有红点点我家的猫咪皮肤是很有红点点，最早有呕吐，腹泻的现象，是不是猫瘟呢
回复总结：猫咪出现呕吐、腹泻的症状，有可能是消化不良导致的腹泻、呕吐，建议给猫咪禁食禁水一顿，然后给它吃宠物专用的消炎药和益生菌，观察猫咪的症状，益生菌可以促进猫咪食欲，调节猫咪的肠道消化菌群，具有收敛止吐、止泻的作用，用37度的温水化开效果会比较好，如果有好转就继续巩固用药，如果没有好转，需要给猫咪做进一步的临床检查。
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.您家猫咪多大了，体重大概是多少，皮肤有没有被蚊虫叮咬，您发照片我看看身上大概几处，猫咪多久做一次驱虫
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，最近一次呕吐、腹泻是什么时间，经常呕吐、腹泻吗
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。
关键是我另外一只猫咪和它出现相同的症状，我不知道是不是因为我的另外有一个猫粮是时间比较久的，而且密封的不是太好。被他们咬烂了，但是其他几只猫咪没有现状态，这两只猫咪在一起的时间比较长，我不知道是不是他。传染到另外一只了，然后后面这一只猫咪生病的状态也跟前面那只猫咪生病的状态是一样的，我有喂过第一猫咪阿莫西林胶囊，马丁啉，还有肠胃宝就是没有跟他们去过，从所以身上很多跳蚤，连续有几个月了吧，我也用了一些什么网上买的喷剂呀什么的都没什么用，我家有去虫药，但是我女儿说太小了，不能用，我就是坚持跟他们洗澡，然后找跳蚤，就是要不了多久又有了，不知道我说的这个症状是不是传染到另外一只了，所以我会怀疑他是猫瘟
猫咪大概三个月多月，2斤左右，有跳蚤，我喂猫咪有两三年了，现在这些小猫咪还没有驱虫，最近是有跟他们吃鱼，有吃猪肝，后面这只猫咪我没发现它拉稀，就是有呕吐，明天我再观察一下他有没有拉稀，它吐的是黄色的粘液，今天有两次呕吐了，现在，今天就不吃饭了，精神状态很不好，然后我提他起来看到他的皮肤也和之前的第一只猫的皮是一样的，有出现红色，没有打喷嚏，没有流鼻涕，这只猫我还没有喂过药，之前那只猫我有喂。阿莫西林，马丁啉，还有肠胃宝，昨天他的精神状态开始好了，也在吃饭了，但是走路还有一点偏偏倒倒的，这后面那只猫，我就不知道他和他是不是因为传染
刘文飞
执业兽医师
您好，猫咪主人，根据您的详细描述，进一步分析得出，目前猫咪呕吐有三种原因，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、止泻的作用，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，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。您家猫咪目前的症状有可能是消化不良导致的腹泻、呕吐，建议给猫咪禁食禁水一顿，然后给它吃宠物专用的消炎药和益生菌，观察猫咪的症状，益生菌可以促进猫咪食欲，调节猫咪的肠道消化菌群，具有收敛止吐、止泻的作用，用37度的温水化开效果会比较好，如果有好转就继续巩固用药，如果没有好转，需要给猫咪做进一步的临床检查。猫咪如果满一千克做体外驱虫相对比较安全，可以选择大宠爱驱虫药，使体内体外一体的驱虫药，每月用一次，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。
猫咪是睡在沙发上的也有的时候会趴在地上，猫咪都没有打过疫苗，体内没有做过驱虫，体外做过
其本上情况就是这样，请老师帮我看看，我马上转发一个照片上来
刘文飞
执业兽医师
您好，猫咪主人，收到您发的小视频、zhaopw需要把两只生病的猫咪和其他猫咪隔离开养，家里如果只有一只猫咪您就可以先吃益生菌、消炎药观察，但是目前家里猫咪比较多建议做传染病，的检查，担心有可能是猫瘟病毒感染，导致呕吐，猫瘟病毒传染性极强
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，猫咪三多个月大了，如果确诊是猫瘟病毒确诊了猫瘟病毒确诊之后，需要给猫咪输液体治疗，输的液体有消炎药，止血药，止吐药，止泻药，猫瘟病毒单抗抗体，氨基酸、能量合剂，还需要给猫咪打升白素、促红细胞生长素、干扰素等，根据猫咪的病情增减药物。一般一岁以上接种过疫苗的猫咪，猫瘟病毒治愈率在70%-80%，没有接种过疫苗一岁以下的猫咪治愈率在50%-60%所以您即使给猫咪输液体治疗，医生也不能保证百分百给您家猫咪治愈猫瘟，目前猫瘟病毒没有很好的口服药，只能给猫咪输液体治疗
目前有没有什么药对他这种症状比较有效的，请医生给我推荐一下
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.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（目前只能给猫咪按消化不良开药，猫瘟病毒需要给猫咪做检查确诊，确诊后输液体，药物名称我前面发您了，您参考一下）
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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