咨询描述：布偶两岁多公猫。今年疫苗没打，上次驱虫九月初。大概一周前出现打喷嚏，没看到眼睛鼻子有分泌物增多，睡觉时候能听出来呼吸不是很顺畅。三天前软便带血，检查便便有球虫，吃了益生菌之后没看到血，并且也成形。驱球虫的药快递进不来，还没有吃。今天早上出现六次呕吐，有黄水有毛球和猫粮，我很担心是猫瘟，三天前测了试纸显示阴性，今天查了血常规，白细胞也正常。现在我给它断水和粮大概有一个小时了，看它也没有表现的萎靡不振，还会舔毛，还会来粘人，但是它这两天母鸡蹲的动作很多，让我总觉得它肚子难受。
回复总结：针对猫咪打喷嚏呼吸不顺的情况，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，化毛膏，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.您家猫咪两岁五个月大了，体重大概是5千克，猫咪平时吃不吃化毛膏，多久吃一次化毛膏，猫咪目前软便带血已经好转了
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，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.猫咪打喷嚏，有没有出现咳嗽，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，化毛膏不常吃，偶尔拿出来当零食吃两口，猫草片每天吃三粒，便便现在已经看不到血了
2我是去年七月多拿到它的，到现在一年三个月。猫平常吃的是比乐原味鲜成猫粮，主粮没换已经吃好几袋了，它不愿意吃益生菌，所以我给它用罐头拌了益生菌吃，罐头是以前没吃过的牌子。其它东西没给它吃过。呕吐物里没有血丝，第一次吐的有没消化的颗粒粮，第二次吐的和第五次吐的有毛球，其它都是黄色粘液。
3吃饭会正常吃，但是饭量没有以前大了，喝水正常，排便一天一次，通常在早上六七点的时候，吃益生菌后状态也正常了，排尿大概有一天三次左右，每次有鹅蛋大小一团猫砂，玩也会玩儿的，正常。它以前是排便两次的，晚上七八点还会排便一次，最近一周多时间晚上不便便了。
4咳嗽偶尔有，很少，流鼻涕没有，我也没给它吃药。今天早上测体温38.3℃。
5这几天精神状态还好，但是比以前来说没那么活泼了。早上六点左右吃了东西，吐了四次之后喝了水，然后又吐了两次。疫苗就是小的时候三针都打了，去年十一月多因为和其它猫瘟的猫养在一起，打了五天单抗，之后就没有打过疫苗了。
6北方最近天气越来越冷，我们室内是供了暖气的，不冷，我会开窗户通风，会有一点温度变化。它趴衣柜顶上时间最多，第二是喜欢趴在窗台上，剩下的时间就是跟着我，我在床上它就在床上，我在椅子上它就在椅子下边地上，我学习它就在桌子上。
7
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，猫咪体温正常，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呕吐，是毛球症导致的，正常可以给猫咪吃止吐的药，还有消炎药，化毛膏，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，您观察一下他呕吐里有没有虫体，如果呕吐物里有虫的，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毛球症呕吐，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，化毛膏，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。驱虫药如果到了及时给猫咪吃上，猫咪三天前做过猫瘟病毒的检查是正常的，那您先给猫咪吃药观察，猫瘟病毒的潜伏期一般是七到14天，猫咪偶尔出现打喷嚏的情况是正常的生理表现，如果出现频繁的打喷嚏，有可能是生病的表现。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
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，对猫咪消化不良毛球症引起的炎症作用效果比较好，按猫咪的体重用药；2.益生菌对猫咪呕吐的作用比较好，具有收敛止吐的作用，使用时用37度温水化开，效果比较好，3.化毛膏针对于猫咪毛球症效果比较好，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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