咨询描述：症状描述：兔兔，布偶猫，8.5个月，4.8kg。是个特别活泼会咆哮着上蹿下跳的男孩，已绝育。从几天前起，突然跳不上沙发，慢慢地也不爱动了，吃喝也越来越少。现在每走两步就要坐下然后趴下，特别爱斜躺。如厕pp都很难抬起，所以pp上总沾bb，每次拉完都需要洗pp。昨天24小时没排便，一放进猫砂盆就憋不住全拉了，前大半是干的，后小半有点液体状拉稀。无呕吐。仅吃正规猫粮，遵医嘱每天1/3杯干粮+半个猫罐头。
患病时长：2个月前出现过一样的状况，看过医生却并没查出病因。当时做了X光、验血等等，最后注射了B12、Taurine、地塞米松，然后开了点Gabapentin每天吃1mL，另外就是换了猫粮，让少吃点。（猫咪当时6.5个月，体重4.4kg，体温38.6，脉搏212，呼吸20，CRT: pk 2s secs. BCS: 5/5. 回家后1周无好转，我给喂了些猫奶、复合维B，又过了一两周慢慢康复到复原。过了一个半月现在又复发了。）
可能病因：之前医生说胖（现在瘦了，所以我觉得不是）、营养不均衡（我以前喂很多，可能是现在的两倍）。但我觉得这两次生病的共同点：1.发病前的好几天我陪他比较少，经常把他自己留在家大半天；2.我给了一点猫薄荷小玩具；3.猫咪见了两个以上的陌生人（可是他看起来不像怕生的样子）；4.基因病（上次检查后说没有这个问题，见化验单）
检查结果都是2个月前检查的结果，在国外所以花了很多钱，既然找不出病因暂时不想再做相同的检查。猫咪照片是今天的，尾巴下垂摇摆。坐着不爱动。
回复总结：幼猫四肢无力不爱动，有可能是由于脊椎关节的问题，出现了疼痛或者是神经方面的异常。如果条件允许的情况下，建议给猫咪进行一定的CT或者是核磁共振扫描检查，神经定位学检查，进一步确诊病因以及发病程度，然后进行针对性治疗。如果是脊椎方面的问题引发的一系列症状，那么，治疗需要从广谱消炎，以及抗炎，营养神经进行，需要使用激素冲击疗法，配合针灸治疗。
问题大致一样，细节不同？
陈奕达
执业兽医师
您好，非常感谢您的信任，谢谢。根据您的描述，个人初步分析猫咪很有可能是由于脊椎神经方面的问题，从而引发了一系列症状。然后我还有几个问题询问您一下，以进一步了解猫咪的病情，
一，猫咪表现的无力状态，是后肢无力，还是四肢无力？
二，主治医生是否给猫咪进行了神经病为学检查？是否做过脊椎的CT或者是核磁共振扫描检查？
三，猫咪在发病之前，是否受过惊吓？是否着凉？
四，您可以录制一个猫咪现在行走的小视频，发送过来，这样我可以初步的了解一下猫咪活动的状态。
开始是后肢无力，最近好像有点四肢无力了。拿逗猫棒在他眼前晃，他之前会后肢躺平，前爪还努力够一够；现在他只会头跟着转一下，且眼神有点呆滞。
还没有做CT或者核磁共振，如果检查出问题有没有什么治疗方法呢？如果没法治，那好像也不用检查…
猫咪受的惊讶，不知道陌生人来访算不算？可是客人来的时候，猫猫也表现得很乖很好客。我昨天给他洗完pp用吹风机吹了他，他开始挣扎了一下后来也乖乖让我吹了。着凉有可能，上个礼拜睡午觉的时候，毛孩的鼻涕口水把我毛衣袖子都打湿了一块。还看到他流清鼻涕。
见附件视频。有点短，但是真的难让他动，食物也勾动不了他。我之前以为是缺钙，但是最近他也不咋喝牛奶了。需要的话我再努力给他拍。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，感谢您的等待，谢谢。真的很抱歉，回复不及时，还请您见谅🙏 🙏 🙏 🙏 🙏 🙏 。
根据您的描述以及上传的小视频上看，个人初步分析，猫咪很有可能是由于脊椎关节的问题，出现了疼痛或者是神经方面的异常，从而引发了一系列症状。然后从小视频上看，猫咪整体行走的状态还是不错的。所有的疾病都是可以进行治疗的，但是能治疗到什么程度，这个就需要进一步的确诊疾病的病因，以及发病程度，才能对疾病的诊治程度进行分析。所以如果条件允许的情况下，个人建议给猫咪进行一定的CT或者是核磁共振扫描检查，神经定位学检查，进一步确诊病因以及发病程度，然后进行针对性治疗。
如果是脊椎方面的问题引发的一系列症状，那么，治疗需要从广谱消炎，以及抗炎，营养神经进行，需要使用激素冲击疗法，配合针灸治疗。
谢谢回复。我家猫猫年龄还很小，不到9个月，是什么原因会有这种问题呢？有没有保守治疗的方式？有没有什么建议的药品呢？
两个月前，猫猫有一样的症状，慢慢地自己也好了，不知道是怎么好的…有没有可能是因为我最近总把他自己放在家里，他过于孤独所以情绪不好引起的呢？或者是因为每天吃饭没有像以前那样三餐按时吃？或者平常自己在家运动量不够呢？又或者是因为遇到生人，或者猫薄荷的原因？
陈奕达
执业兽医师
您好，1.保守治疗方案，只能对症，例如给予一些抗炎，营养神经，广谱消炎等用药，效果不一定能达到您的预期。2.发病原因有很多，有可能跟着凉，运动不当，惊吓，甚至猫咪自体免疫力低下，都有可能诱发。3.跟孤单没有关系。4.这边给您推荐一套用用药，供您采纳。您需要用到的部分药品是处方药，处方开出后，您可以自主选择购买。 点击处方详情，打开处方，里面有详细的用法用量。
然后您可以用药7天后找我复诊，我会根据宝贝恢复的情况来帮您重新制定或者调整治疗方案。
收到。我在加拿大所以没办法直接买这些药，邮寄也会有问题。是否可以用人类吃的药替代呢？用量如何？谢谢。
陈奕达
执业兽医师
您好，您可以购买上述药物同成分的药物，给予猫咪使用。但是说实话，个人不太建议给猫咪使用人类用药，因为人用药物是针对人类设计的，并不适合给猫咪服用，效果不一定理想，同时可能会有未知性副作用，所以还请您慎重考虑后使用。
阿莫西林，可以按照每公斤10毫克，一天两次服用。维他昔布，可以按照每公斤1毫克，一天一次服用。软骨素，可以每天2次，每次1-2片。维生素口液，一天两次，每次1-2毫升。
好的！阿莫西林/维他昔布/地塞米松/加巴喷丁是不是都是消炎药呢？有什么区别呢？是否用一种就可以？谢谢。
陈奕达
执业兽医师
您好，建议使用给您推荐的用药。这四种药物并不是同一种类型用药。阿莫西林，抗生素。加巴喷丁，抗惊厥用药。维他昔布以及地塞米松，属于抗炎用药。
感谢解答！最后一个问题：猫咪这种状况是否有可能是缺乏牛磺酸或者赖氨酸引起的呢？如果需补充，补充多少合适？谢谢
陈奕达
执业兽医师
您好，1.猫咪现在的症状，不太怀疑缺乏牛磺酸以及赖氨酸的问题。2.因为缺乏牛磺酸，会引发心脏方面的问题。而缺乏赖氨酸，容易患有呼吸道疾病。3.可以适当进行补充，按照正常说明书进行饲喂即可，没有特殊用量。
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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