咨询描述：猫咪2个月大，现在患有耳螨和猫藓（已经在用药治疗，药：***，洗耳液和***），昨天出现拉肚子现象，刚开始拉软便，后面拉果冻状，带点血，拉了一天，后面我给他吃了益生菌，断食3小时，（这期间：出现呕吐黄色液体粘稠，便给他吃了一点猫粮）1个小时后又拉软便，夜里也拉了，今天早上用益生菌拌猫粮，便断食，水没有断。没有打疫苗，也没有做过驱虫，接到家中才5天，没有带去医院检查，已经买了****水和***体内外一体，想问问能不能一起给猫用，精神状况良好，吃喝正常（猫粮：**）
问题大致一样，细节不同？
陈奕达
执业兽医师
你好，驱虫，使用***即可，其它驱虫药物暂时用不上，不适合猫咪现在的状态。
根据你讲到的信息，我初步分析猫咪是有胃肠炎问题，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你了解一下：
1. 猫咪生活环境温度能达到多少度？是否有昼夜温差？
2. 猫咪发病之前，都喂了什么食物？是否新鲜？
3. 猫咪是否还有其它症状？
4. 猫咪最近是否有换粮？是否有喂了以前没有吃过的食物？
以上这些情况需要你详细的描述给我，我好进一步了解宝贝情况，帮你进行分析。
1.温度23度左右，无温差。2.发病前吃了2根主食猫条，是新鲜的。3.无 4.没有换过猫粮，吃的**猫粮（温水泡发）和**湿粮，拌在一起吃
陈奕达
执业兽医师
好的，非常感谢你的回复，谢谢。综合现在所有信息分析，以我多年的经验判断宝贝是有急性胃肠炎问题，从而导致了一系列症状。跟生活环境温度偏低，着凉，消化道抵抗力低下，消化不良，都有一定的关系。
同时如果猫咪没有进一步检查的情况下，需要考虑是否有病毒（猫瘟病毒，冠状病毒），以及消化道寄生虫（蛔虫，绦虫，滴虫，球虫）感染的问题。
由于猫咪比较幼小，最佳方案是去附近靠谱宠物医院就诊，进一步确诊病因以及发病程度，然后针对性给予治疗，效果最好，最为安全稳妥。
如果暂时不方便就诊检查治疗的情况下，可以先尝试一下我的方案，在家先给宝贝吃一些宠物专用广谱胃肠炎（消炎，提供消化道营养，减轻消化道炎症，促进消化道粘膜恢复，吸附性止泻）的口服药来进行治疗，观察2-3天的时间。如果效果不错，可以持续用药2-3周左右，直到疾病康复为止即可。
稍后会根据猫咪症状开具一套用药，供你采纳参考一下。（耳道，皮肤用药可以继续，不耽误）
猫咪以前是否有什么用药过敏史？
猫咪用药过敏我也不太清楚，刚买回来没多久。***今天可以用吗？还有他的饮食是否控制呢？
陈奕达
执业兽医师
你好，***可以使用，不过禁止舔舐，口服。
暂时性需要禁食禁水10-12小时，然后试探性吃喝猫粮糊糊。
然后这边根据宝贝的情况，我给宝贝开个处方。供你采纳参考一下，以备不时之需。
药物具体用法用量已经帮你计算妥当，可以点击查看详情按钮，进入处方页面查看。
处方里面的
1. **，宠物专用广谱消炎，可以起到控制消化道炎症效果。
2. ***，提供消化道营养，能够起到促进消化道粘膜恢复，减轻消化道炎症的功效。
3. ***，宠物专用吸附性止泻用药。能够起到止泻缓解大便稀软症状。（大便成型之后立刻停药，吃多了容易便秘。）
4.***，保护胃肠道粘膜用药，有治疗消化道溃疡效果。
可以根据需求自行选择购买。
疾病期间，需要注意宝贝不能着凉，饮食不能过于杂乱，最好以猫粮糊糊为主，以少吃多餐为原则喂食。
上面的用药量是根据他的体重写的吧，正常的猫粮泡软吃不行吗？还是说必须要糊状好消化，用药方式是跟猫粮拌在一起吃还是硬喂药片，禁食禁水是现在就开始吗，10个小时后喂糊糊，还是说这期间可以少量喂点，不喂的话会不会低血糖
陈奕达
执业兽医师
你好，是的，药物用法用量是根据现有提供猫咪体重信息计算的，可以点击查看详情按钮，进入处方页面查看。
猫粮泡发，搅拌成糊糊即可。糊糊更好消化一些。
药物可以单独投喂，可以化水灌喂，可以放在食物中服用，只要保证用量即可。
禁食禁水是从猫咪最后一次呕吐的时间段开始计算。
禁食禁水期间，什么都不喂。到时间之后再试探性吃喝。
短期内禁食禁水一般不会出现低血糖问题。但是如果猫咪体质很虚弱，那么有可能会出现低血糖情况。一但出现低血糖，那么需要及时进行输液治疗。
他昨晚8点吐的，早上我6点才给他吃了一点猫粮，刚才看了他一上午都没有拉稀，只撒了一趟尿，昨晚都现在都没有禁水，那我是不是要重新从现在开始算禁食禁水呢
陈奕达
执业兽医师
好的，
如果今天晚上吃喝之后，并且白天没有呕吐，那么现在就不用禁食禁水了。现在可以给予猫咪以少吃多餐为原则，喂食猫粮糊糊了。
然后喂食猫粮糊糊里面已经有水份了，暂时先不要给予猫咪喂水。
看明天状态，如果明天没有出现呕吐症状，那么可以稍微喂一点水了。
医生，他今天早上拉了一趟大便，没有那么稀，我只给他吃了**和益生菌的药，后面要不要继续给他吃你开的药单呢
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好，图片上看，猫咪便便还是有一些软的，建议给予处方内用药，来帮助猫咪恢复。
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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其他草食动物慎用。\n3.对青霉素过敏者禁止接触本品。","adverse_reaction":"1.恶心、腹泻和皮肤丘疹是最常见的不良反应。\n2.本品为青霉素类药物，若出现过敏反应可使用肾上腺素治疗。","attention":"1.不要对病情严重的动物使用口服抗生素，因其胃肠道吸收可能不可靠，这些患病动物可能需要静脉注射剂。\n2.避免在对其他β-内酰胺类抗菌药(包含头孢菌素类)有过敏反应的动物使用。\n3.片剂由防潮箔包裹，给药前不要取出。\n4.对青霉素过敏者如果不慎接触，应该立刻去找医生救助。\n5.孕畜慎用。\n4.使用后请洗手。\n5.不要让小孩接触到此产品。","interaction":"1.避免同时使用抑菌性抗生素(如四环素、红霉素)。\n2.不要给鸟类同时使用别嘌呤醇、β-内酰胺和氨基糖苷类抗菌剂在体内有协同作用。\n3.本品和氨苄西林有完全交叉耐药性，与青霉素类和头孢菌素类有交叉耐药性。","approval_no":"（2018）外兽药证字10号","storage_method":"密封，在凉暗干燥处保存。","validity":"2年","manufacturer":"意大利豪普特制药厂(Haupt Pharma Latina S.R.L)","status":1,"created_at":"2020-10-21 13:48:10","updated_at":"2020-10-23 15:55:39"}},"product_sku_info":{"id":755,"product_id":712,"title":"辉瑞速诺（阿莫西林克拉维酸钾片） 50mg×10片\/板","advword":null,"price":48,"market_price":59,"cost_price":0,"stock":9635,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg规格1板"}},"cover":null,"thumb":"","sale_count":1422,"status":1,"delete_status":0,"created_at":"2021-12-16 15:50:13","updated_at":"2024-05-04 10:29:29"}}}}}}
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