咨询描述：猫咪呕吐拉稀，一个月前第一次呕吐出白色泡沫粘液，后拉稀呈现黄褐色粘液状，一个小时后又拉出带血丝的黄褐色粘液状屎。喂了兽用********钾和益生菌，持续三天有改善，不呕吐了，但一段时间段时间软便。后断断续续软便。一个星期前两个小时内三次呕吐，第一次白色泡沫，第二次带草叶有血丝的粉色泡沫，第三次血色加深的泡沫。拉出黄色的稀屎，以及软不成条的屎，尾端有血丝，喂********钾和益生菌，不呕吐了，但持续拉稀软便。今天早上，吐出淡黄色液体。
问题大致一样，细节不同？
邓薄鸿
执业兽医师
你好，根据你讲到的目前宠物的情况，为了进一步判断宝贝的情况我还有几个问题需要向你核实一下：1. 猫咪的年龄，品种，体重，疫苗打过几针。2.这一段时间除了猫粮还有没有吃其余食物，有没有换猫粮，自己有没有乱捡东西。3.体内驱虫什么时候做的，做的什么品牌的。4.目前精神状态怎么样，还能否正常吃喝。以上情况你回忆后详细的描述给我，感谢你的配合。
1.六个月，中华田园猫狸白，2.5kg，目前还未接种疫苗（在农村不便准备这个月接种，但是因为他呕吐拉稀，不敢带着长途跋涉）。2.平时除了吃了猫粮，还有平时时不时的喂水煮鸡胸肉，猪心肺，很少量猪肝，一个星期两次鸡心，偶尔鸡胸肉冻干，偶尔化毛的猫草棒。换了粮，同一品牌的两种款式（喵梵思），旧粮掺着新粮喂了一个星期，他自己会去吃外面的草叶，品种主要是狗尾巴草嫩叶，还有其他长得类似狗尾巴草的，因为从他三个月开始他就会去吃草，就没有阻止他。3.体内驱虫是十月一号做的，上个月九月一号驱过一次，服用的****片，兽药店开出单科品牌不祥。4.目前精神状态好，之前的状态是特别活泼，目前这段时间间歇性的萎靡成普通活泼（不似之前那样横冲直撞，但是还是会跑跳），能吃能喝食量比至少少了三分之一。
邓薄鸿
执业兽医师
你好，就是目前根据您描述的情况这个初步怀疑有两方面的可能。一种的话，可能考虑食物不耐受消化不良导致的一个急性胃肠炎。第二种的话，就是考虑寄生虫感染，尤其是滴虫.球虫这种普通驱虫药无法去除的。目前相对来说，胃肠炎概率更大一些，保守治疗的话就是考虑****配合含****铋成分的止泻药加上家里的消炎药和益生菌连续3天观察恢复了。根据宝贝的情况，我给它开个处方。处方里面的1.****，止吐针对胃肠炎，每天三次，每次四分之一。2.****铋，止泻针对肠炎，每天两次，每次四分之一。. 你可以根据需求自行选择购买
1.自一个月前呕吐拉稀后体重一直没有长，之前以每个月平均一斤的幅度增长。现在这个状态对他的身体影响是不是很大？他的体重一直不长要怎么办。2.他断断续续的拉稀软便，吃药后这种状态段时间如果复发一直按这个药物给他吃吗？3.处方中的药物我全部有用其他品牌的可以吧？（我今天买到的，是兽用的，但是不敢贸然给用药，所以就目前没有给他吃。）还有**素片这个能喂他吗？4.上述的处方单中的药物能跟********钾同时服用吗？还是需要错开时间。
邓薄鸿
执业兽医师
本身六个多月的话生长就会步入缓慢了的，这个不好说就是体重到这了还是说身体有潜在的问题，这种如果说比较担心最后就是需要进一步检查了，血常规，粪便检查，saa ，生化这些了。就是同样成分的可以使用其他品牌的，正常的话一般有效果的话很少会反反复复，反反复复出现你就要考虑是不是日常饮食的问题或者说真的有寄生虫的。**素是不建议使用的。上诉药物可以和****同时使用，只有益生菌需要间隔1到2小时以上。
1.因为自一个星期前出现呕吐拉稀后，我担心是猫粮的问题，没有给他喂食猫粮，都是给他喂的现煮鸡胸肉，猪心肺，鸡心，最近一段时间饮食上是否继续给他吃原来的猫粮？2.给他喂药期间饮食方面有什么需要注意的吗？3.如果是寄生虫感染有什么药物推荐吗？
邓薄鸿
执业兽医师
正常的话是不建议给这些心肺之类的肉食的，你像目前这种建议还是就是单纯的猫粮为主的，如果说你之前一直吃这个品牌猫粮没有问题的话，那么可能说不太考虑猫粮的原因，你要是最近刚刚换的猫粮，那最好是更换上之前吃没有问题的猫粮。目前喂药期间考虑单纯的猫粮其他都不给了，少量多次喂食，4到6小时喂食一次，寄生虫感染的话因为寄生虫种类比较多用药不同，有的可能甚至吃半个月以上的药物，这种在没有具体检查之前一般没有太好的推荐的，都是先考虑按照胃肠炎基础治疗。
1.治疗好转后，可以就在这个月就给他接种疫苗吗？会不会对他身体有影响？
邓薄鸿
执业兽医师
正常打疫苗的话需要在身体完全健康的时候才可以注射，如果说它恢复之后，间隔一周，这一周完全正常，那么后续注射疫苗是不会有太明显的影响的
1.什么时候停药，他不吐不拉稀不软便就停药，还是需要多吃几天？2.喂上处方中的药的时候，需不需要搭配********钾吃（意思是这个是必须还是非必须，我看他状态给他吃，还是必须要给他吃。或者是可以只用你开的处方中这两种药）。最后谢谢，祝你事事顺心
邓薄鸿
执业兽医师
正常需要症状完全消失在继续巩固用药3天，刚刚上面有跟你提到了，西牛**和****铋需要配合家里的****和益生菌配合使用的，这个是必须吃的
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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