咨询描述：布偶猫，雌性，3岁，体重4公斤左右，有过敏史，主要对白色念珠菌和啤酒酵母过敏，过敏症状主要是眼睛上方红肿，耳朵边缘痒，爆皮。近一周眼眶有些红，有褐色分泌物，耳朵内部长了一些小红点，下巴和脖子连接处也发现两个小红疙瘩，有一个脚趾指甲和肉垫连接处破皮红肿。期间有使用过红霉素眼膏擦眼睛，麦高臣神仙水擦耳朵，稍有好转，但脖子上的是新发现，不知道是不是在蔓延，应该怎么用药。
回复总结：针对猫咪过敏眼睛上方红肿的情况，最好先给他吃一周的抗过敏的药物，观察猫咪的情况。然后猫咪一一般需要每个月给猫咪做一次驱虫，虽然猫咪不怎么出门，但是也是有必要一个月做一次的，两到三个月做一次，有可能出现体外寄生虫感染的情况，如果说正常给猫咪做了驱虫，吃了抗过敏的药物不好，还要考虑脓皮症。
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，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3岁一个月大了，体重大概是4千克，猫咪有过敏史，期间有没有吃过抗过敏的药物，日常生活环境中有没有出现导致猫咪过敏的东西，猫咪平时多久做一次驱虫，最近一次驱虫是什么时间。
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
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。
1，猫咪平时不会用抗过敏药物，家里也很注意没有导致她过敏的东西，也注意消毒，但据说白色念珠菌是人类会经常携带的细菌，所以不能保证完全接触不到，驱虫的话因为完全不出门，大概是2-3个月一次大宠爱内外同驱。
2，猫咪自从8个月就跟我们在一起，期间没换过居住环境，食物的话一直吃的是vital essentials的鸡肉冻干，零食会吃一些但马鸡胸肉冻干，偶尔会给一点点酸奶，别的都不会吃，她对人类食物也没兴趣，不会偷吃，偶尔会有呕吐的情况，吐的有毛，也有白泡的液体，但近期没有，便便最近也正常，以前偶尔会有软便的情况，会吃一点now的益生菌。
3，猫咪整个状态挺正常的，吃喝还有上厕所，也挺活跃。
4，猫咪没有出现过这类症状。
5，猫的吃喝都很正常，之前接种过疫苗，但没有每年都接种。
6，最近换季确实气温下降，但她还是经常在地板上躺着，也会上床，感觉一半一半吧。
刘文飞
执业兽医师
您好，猫咪主人，收到您的详细描述，再结合我个人在临床中的接诊经验来看，您家猫咪目前最好先给他吃一周的抗过敏的药物，观察他的情况，然后猫咪一直是用的大宠爱做的驱虫，大宠爱是体内体外一体的驱虫药，一般需要每个月给猫咪做一次驱虫，虽然猫咪不怎么出门，但是也是有必要一个月做一次的，两到三个月做一次，有可能出现体外寄生虫感染的情况，如果说正常给猫咪做了驱虫，吃了抗过敏的药物，猫咪皮肤的症状仍然未见好转，这种情况就要考虑猫咪可能患有脓皮症。猫咪如果出现呕吐，而且呕吐，物里有毛毛的这种情况，您需要日常生活中给猫咪吃化毛膏，每周吃两到三次，一般成年猫咪都会吃化毛膏或者化毛片，任意的都可以。
猫咪早期一直在吃绿十字，但近半年死都不吃化毛产品了，坚决抵制，这种有其他化毛产品可以考虑吗？抗过敏药请问有什么呢？我这边可以去购买。需不需要外用神仙水和皮特芬和红霉素眼膏呢呢？另外脓皮症又是什么疾病呢？
刘文飞
执业兽医师
您好，猫咪主人，如果不用绿十字化毛片，可以用其他的化毛膏 ，抗过敏的药吃马来酸氯苯那敏片，要吃兽用的或者宠物专用的，人用的不能给猫咪吃，皮特芬、神仙水这些都是治疗皮肤病的，暂时停掉，红霉素眼膏（宠物专用）可以用，猫咪皮肤如果是细菌感染的症状，也就是脓皮症，需要给猫咪口服治疗脓皮症的药，外喷治疗脓皮症的喷剂，猫咪毛毛比较长，加上感染时间比较久了，建议给猫咪把患部毛毛剃掉，用药效果比较好，脓皮症感染治疗周期比较长，一般需要用药一个月左右才会逐渐恢复，期间需要坚持用药，不能停药，如果断断续续用药会使猫咪产生耐药性，延长治疗周期，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猫咪脓皮症感染的风险。脓皮症感染周期比较长，用药期间最好给猫咪除了吃饭喝水戴上伊丽莎白圈，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，您自己照顾完狗狗也需要洗手、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.头孢氨苄片对猫咪脓皮症引起的炎症作用效果比较好，按猫咪的体重用药；2.***对猫咪皮肤消炎抑菌效果比较好，3.化毛膏促进猫咪消化，化毛毛作用比较好，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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