咨询描述：症状描述：偶尔打喷嚏，声音哑了，右眼红肿流泪，精神不好
患病时长：两天
用药情况：用了生理盐水沾湿棉签擦拭眼周，硫酸新霉素滴眼液滴右眼
回复总结：猫咪出现打喷嚏的症状，并且眼睛红肿流眼泪，考虑是猫鼻支，也就是疱疹病毒感染导致的上呼吸道感染。如果要确诊，需要去医院检测疱疹病毒是否是阳性。如果暂时不方便去宠物医院就诊，建议给猫咪口服阿莫西林克拉维酸钾，抗菌消炎。同时，使用针对疱疹病毒引起的眼炎的滴眼药物滴眼，一天3-4次。
问题大致一样，细节不同？
陆文健
执业兽医师
根据您讲到的猫咪偶尔打喷嚏、声音嘶哑，右眼红肿、精神不佳，我初步判断可能是疱疹病毒感染，也就是猫鼻支的可能。但仅仅根据您目前提供的信息，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、猫咪年龄是1个月？体重1公斤？发病多长时间了？
2、麻烦您把猫咪的右眼情况拍个照片发给我看一下；
3、有没有流鼻涕的症状？猫咪有没有测量体温（有没有发烧）？
4、除使用硫酸新霉素滴眼外，有没有使用其他药物？使用硫酸新霉素几天？效果怎么样？
5、有没有去医院检测疱疹病毒和杯状病毒？或者其他化验？
以上这些情况您仔细回忆后详细的描述给我，对我给猫咪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。
猫咪年龄58天，体重1kg~1.5kg，发病两天。
没有流鼻涕症状，没有测量体温，摸起来是正常体温范围。
没有使用其他药物，用生理盐水清理了眼下分泌物和耳朵。硫酸新霉素10月7日晚使用一次，10月8日早使用一次，昨晚滴了之后眼睛可以睁开，但今早起来看又变回红肿流泪模样，可能是宠物自己擦眼睛，遂早上又使用了一次。
检测和化验均无。
为保护用户隐私不显示图片/视频
10月5日刚到家，开了两晚空调，10月7日开始就出现这种症状。
宠物有食欲降低症状，吃得比前几天少。
活跃度下降，经常在打盹。
粪便正常条状。
陆文健
执业兽医师
根据您的描述所提供的信息，以及您提供的猫咪眼睛的照片，您的猫咪猫鼻支（疱疹病毒感染），导致的上呼吸道感染，以及眼睛感染引起右眼肿胀的可能性比较大，如果要确诊，需要去医院检测疱疹病毒是否是阳性。
给您的猫咪的治疗建议如下：
1、口服阿莫西林克拉维酸钾，抗菌消炎；
2、使用针对疱疹病毒引起的眼炎的滴眼药物滴眼，比如博莱得利猫鼻支特效滴眼液，一天3-4次；
3、同时使用您目前的硫酸新霉素滴眼炎滴眼，一天3-4次。
下面我给您的猫咪开个处方，供您参考。
陆文健
执业兽医师
根据猫咪疱疹病毒感染引起的上呼吸道感染以及右眼感染的情况，下面我给它开个处方。处方里面的：
1、***，抗菌消炎；
2、***猫鼻支特效滴眼液，用于猫疱疹病毒、杯状病毒感染引起的眼部症状的治疗，有效减少眼分泌物，减轻结膜炎；
3、硫酸新霉素滴眼液，眼睛局部抗菌消炎。
您可以根据需求自行选择购买。
建议处方：
1、***（阿莫西林克拉维酸钾片），50mg×10片/板，一次口服0.5片，一天2次，连用7天；
2、***猫鼻支特效滴眼液，10ml/支/盒，一次滴眼2滴，一天4次，连用7天，开启后2-8℃冷藏保存，15日内用完；
3、硫酸新霉素滴眼液（您家里有的），一次滴眼2滴，一天4次，连用7天。
请用药5天左右复诊，根据您的猫咪恢复的情况再来考虑是否需要调整治疗方案，有问题可随时在线联系。
陆文健
执业兽医师
另外需要注意的是，目前气温不是很高，建议不需要给猫咪开空调，如果猫咪环境温度太低，可能会加剧呼吸道感染。
硫酸新霉素和猫鼻支滴眼液是先滴完一个再滴另外一个吗？
口服药需要塞入猫咪口腔里还是混入粮或水中服用呢？
陆文健
执业兽医师
1、先滴硫酸新霉素，大概30分钟左右再滴博莱得利猫鼻支特效滴眼液；
2、***（口服药物）可以塞入猫咪口腔深处，也可以和食物混合在一起喂服。
好的医生，我还想问一下，我买的硫酸新霉素是昨晚在药店买来应急的人用滴眼液，现在需要换成宠物专用的吗？
陆文健
执业兽医师
最好使用宠物专用的硫酸新霉素滴眼液，但人用的也是可以的，成分是一样的。所以我没有给您开宠物用的硫酸新霉素滴眼液。
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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