回复总结：猫咪便血常见于寄生虫感染、饮食变化、肛门破溃以及直肠破溃。因此，平常需要常规驱虫，而且建议体内外都要驱虫。尤其现在马上天气回温，更是寄生虫活跃的时候。然后，建议给猫咪服用宠物专用益生菌调理。如果猫咪持续不见好转，建议及时带猫咪宠物医院就诊治疗。
问题大致一样，细节不同？
闻晓敏
执业兽医师
猫咪便血常见于寄生虫感染，饮食变化，肛门破溃，直肠破溃。
为了更好诊治，我需要进一步了解宝贝情况：
1，猫咪便血时间多长了，大便形状正常吗？
2，猫咪年龄、性别、体重、疫苗、驱虫情况，包括上次什么时候驱虫，用的什么驱虫药？
3，目前猫咪吃喝、精神状态如何？
除此之外，从宝贝目前的症状来讲，您提供给我的 信息有限，暂时我还无法给您一些保守治疗建议，所以，另外我需要和您再了解一下宝贝的情况，希望您能提供给我，方便我更好分析宝贝情况，并给出更准确的诊断和保守治疗建议。
今天第一次发现便血，持续时间未知。发现便血时，便便成型末端稠稀带血，血色鲜红。
猫咪是救助站收养流浪猫，年龄不确定大致两岁，公猫未绝育，不知道做没做过驱虫，没打疫苗，家里购买了八牧伊维菌素溶液还未使用。
精神状态很好，喝水多吃粮很少。
接回来时很健康，只是有泪痕耳螨，一月底感冒过没有喂药，就在换粮时开始不爱吃粮，出现过软便尿频。
闻晓敏
执业兽医师
那根据您目前提供的信息，结合临床经验，推测猫咪大概是寄生虫感染，这种情况下，需要考虑给猫咪进行驱虫，尤其是体内驱虫，您购买的这个驱虫药，按说明给猫咪使用（请仔细阅读使用说明书）。
当然也不排除是直肠破溃，这种临床少见。
还有肛门问题，这个您可以拎起尾巴看看具体情况，看看肛门是否有破溃什么的，这个可以自行排查
好的谢谢医生，刚检查了肛门没看出破裂，那是不是只要使用这个驱虫药就可以了，和换粮有没有关系呢？
闻晓敏
执业兽医师
和换粮可能有一定关系的，因此你现在除了驱虫，建议可以搭配益生菌一起口服调理肠胃。
闻晓敏
执业兽医师
我给他开个处方，处方里面主要是：
1，益生菌，搭配使用调理肠胃，前三天早晚各1袋，后四天一天1袋。
2，口服内驱虫药，一粒适合4公斤，常规驱虫可三个月服用一次。
我也给您推荐了专用的体内驱虫药，您可以通过处方自主选择购买。
好的好的谢谢医生，麻烦您我想再问一下就是这个寄生虫的病因可能在哪，什么原因会造成？因为接猫咪回来时他的食欲和排便都很好，期间也没有带出去过。
闻晓敏
执业兽医师
他平常吃的食物，喝的水，都有可能有寄生虫卵，或者寄生虫包囊，或者在外面舔舐到一些东西包含有虫卵或者寄生虫包囊，这些东西在体内发育，成成虫，就导致他寄生虫感染。
再有，即便在家不出门的猫咪，也有可能感染寄生虫，因为人出门可能会带回来虫卵，寄生虫包囊，再接触猫，猫咪就被感染了。
因此，平常需要常规驱虫，而且建议体内外都要驱虫。
尤其现在马上天气回温，更是寄生虫活跃的时候。
这以后可以使用体内外同驱的驱虫药，比如爱沃克，博来恩，大宠爱，使用方便效果又好
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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