咨询描述：今天凌晨第一次呕吐，吐黄水。早晨又吐了两次，颜色变淡并带有红色血丝。还没有用药，不知道是什么情况。
1.前天新换的猫粮
2.因为过年原因从男友家接到我这里。担心家里没有打扫干净的蟑螂药被猫咪误食。
回复总结：猫咪吐黄水带红色血丝，有可能是中毒了。如果猫咪误食了蟑螂药之类的东西，建议及时输液体治疗。如果排出中毒的情况，有可能是消化不良导致的呕吐。建议给猫咪换猫粮需要过渡性的换，不能突然直接换掉，会引起消化不良呕吐、腹泻的症状，建议新粮停掉，吃之前的。然后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。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10个月大了，体重大概是8千克还是八斤，您确定猫咪误食蟑螂药了吗
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，换粮是过渡性换的还是直接换的，骨头之类的坚硬物，导致猫咪出现呕吐的症状，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，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。
1.体重是八斤多，不确定是否误食蟑螂药
2.换粮两天了，是直接换的，没有腹泻症状
3.昨晚吐之前状态正常，现在感觉猫咪状态有点发蔫，没有精神
4.没有咳嗽打喷嚏流鼻涕现象，无用药
5.现在没什么精神，只接种过狂犬，做过一次体外驱虫
6.环境应该变暖和了，在垫子地板和床上都有睡过，和之前一样
刘文飞
执业兽医师
您好，猫咪主人，您问问家里人残留蟑螂药的可能性大不大，如果大，猫咪就是中毒，及时输液体治疗，如果残留可能性不大，您家猫咪目前的症状有可能是消化不良导致的呕吐，换猫粮需要过渡性的换，不能突然直接换掉，会引起消化不良呕吐、腹泻的症状，建议新粮停掉，吃之前的，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。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，正常可以给猫咪吃止吐的药，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。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。
如果需要去宠物医院检查是否误食蟑螂药，或者检查是否是消化不良引起的，都需要做哪些检查，大概的费用是多少。消炎药和益生菌需要吃哪一种呢
刘文飞
执业兽医师
是的，去医院查是否误食蟑螂药，再有就是做一下血常规猫瘟病毒的检查，检查费在三四百左右，具体全国收费标准不一致，我只能告诉您大概的情况，具体的以当地宠物医院收费标准为准
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，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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