咨询描述:你好,医生,我的布偶公猫三岁。已绝育。我在南半球现在是冬天,猫一个月之前开始频繁咳嗽,一天3到4次的样子。带去看了医生,开了辉瑞的巧克力膏,含有多西环素,吃了三天症状已经基本消失,用药一周后停了。但是现在停药之后第二天第三天好像又开始有很轻微的咳嗽,还有打喷嚏,一天2次左右,请问要紧吗?需要再吃抗生素吗?还是说可以等一段时间让猫自己免疫力痊愈?谢谢医生
问题大致一样,细节不同?
曹元钊
执业兽医师
你好,请您把这个猫的咳嗽的视频发过来可以吗?一般情况下猫是轻易不咳嗽的,因为猫的大脑的咳嗽中枢非常不发达,如果有咳嗽,一般会怀疑支气管炎或者猫哮喘。
这是他之前咳嗽的视频,吃多西环素一周之后已经基本不这样咳嗽了,只是比较轻的打喷嚏,一天一两个。
为保护用户隐私不显示图片/视频
曹元钊
执业兽医师
如果是这样,那我觉得其实可以先进行观察,不需要说使用什么更多的药物,但是如果发作越来越频繁,那么在不能够做支气管灌洗来去筛查一下,有没有可能有过敏性的问题的时候呢?可以考虑低剂量的口服一段时间的糖皮质激素,试试抗过敏看看,因为它有可能有猫哮喘。
好的,怎么样才算是频繁呢?所以现在不需要做任何操作等到频繁之后再去做支气管灌洗是吗?糖皮质激素是现在吃还是也是等频繁之后再吃呢?这个有推荐的牌子吗?
曹元钊
执业兽医师
所谓频繁呢,就是一天至少有一次到两次。每次的时间至少在30~35秒以上。
其实糖皮质激素和支气管灌洗就目前来说你可以先选择其中一样,如果想确诊那就做灌洗如果想先用药,那就先口服一点糖皮质激素,可以考虑用这种。
一天两次每次一片,先用7天,看看这期间药物的反应如何?
好的,明白了,谢谢医生。1.我上次去宠物医院开多西环素的时候,他们还给我开了一瓶叫Flumax的营养剂,我看了一下主要成分是赖氨酸和维生素B。但是这个我的猫不是很喜欢吃,请问有必要继续给它吃吗?2.同时我看到网上说,猫吃乳铁蛋白对呼吸道疾病也有帮助,这是真的吗?需要吃吗?3.我的猫在吃多西环素的时候会有一天多次的反胃想呕吐但又没呕吐出来的动作,现在停药了偶尔也还是会有,需要补充益生菌吗?
曹元钊
执业兽医师
第一赖氨酸这种其实针对的是鼻支类的一些病毒感染,我个人觉得意义不是很大,因为这个药物有争论,我是持有反对观点的那一方。
第二乳铁蛋白有一定增强免疫力的作用,但是。它也就只是一个所谓的营养药。个人觉得目前来说没什么太大必要性。
第三像猫咪这种情况,如果偶尔有反胃的这种动作,不需要补充益生菌,但是可以考虑给点西米替丁同时改善一下喂食方案,少吃多餐吃糊糊。益生菌是调节肠道菌群,对目前来说没什么太大意义。
好的,非常感谢医生。1.同时还想咨询一下关于猫冬天保暖的知识,因为感觉我的猫是冬天着凉了才开始频繁咳嗽的。所以一般室内温度低于多少,需要给它开暖气呢?
2.我的猫从小时候接来鼻子两边就会有少量黑黑的鼻涕结成硬块,那时候不太懂就给他扣掉了没去检查,后来八个月长大后就没有了。但是偶尔也会有咳嗽的症状,但是不频繁,一两个月一次。一直到今年这一次突然变得频繁一天多次。
3.所以他有没有可能是从小携带什么病毒,猫鼻支之类的呢?需要要带去检查一下或者自己用试纸检查一下这类病毒吗?
曹元钊
执业兽医师
第一呢,冬季的时候,环境中的温度最好保持在二十五六度以上。
另外呢,他确实有可能有猫鼻支之类的问题,但是这个一般不会影响到达到说咳嗽这种程度,因为咳嗽在猫来说是比较特别的,一旦有咳嗽的话,慢性支气管炎或者是猫哮喘就是考虑的低一些可能,性相对来说,猫鼻支这种病毒更有可能会引发一些慢性的结膜炎,慢性的打喷嚏流鼻涕。可以去检测一下,这样心里踏实,但是试纸的话检测的成功率较低,最好是做PCR
好的,明白啦。谢谢医生。
1.
还有想请问一下灰尘和lungworm肺线虫也会引起这种症状吗?需要同时排查一下这两个因素吗?
2.
猫之前每年都接种felocell3 妙三多疫苗唯独今年没有接种,会是因为这个原因导致抵抗力变差咳嗽变频繁吗? 等他这些症状好了之后,要隔多久才可以接种疫苗呢?
3.
2.猫的下巴和鼻子周围有很多黑色的颗粒,经常用清水擦了之后隔天又会有很多。已经换了比较不油的粮食和陶瓷的碗。没有改善。请问这种状况要治疗吗?还是就经常擦洗就可以呢?
曹元钊
执业兽医师
第一这两种可能性相对偏低,灰尘还是有可能的,但是肺线虫相对来说概率偏低,不做优先考虑。
第二跟这个疫苗接种没太大关系,但是好了以后呢,每年还是要接种一次疫苗。等好了以后再过7天。
第三,这是有点黑下巴食物尽可能减少油脂,经常清洗擦就可以了,不需要做太多治疗。
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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