咨询描述：你好，我昨天刚领养的8个月小猫今天晚上多次呕吐并且精神萎靡。昨天很活泼，到家之后我喂了他收容中心喂的相同猫粮（喂了5.60g），晚上喂了两根猫条，半个罐头大概3.40g，因为他看起来食欲很好我就喂得比较多。他晚上也大小便了。今天早上分两次间隔几个小时喂了40g罐头，30g干粮。中午只喂了几小颗零食。下午他状态还可以，但大部分时间是睡着躺着的。下午五点多准备喂他晚饭，他明显食欲不好，吃了两三颗零食，舔了一下猫条就什么都没有吃了。昨天喝水也比较多，今天中午之后完全没有喝水。晚上八点多他上完厕所，躲在桌子下面呕吐了，吐的是部分消化的食物，大概有成年人手掌大小那么多；半个小时不到又吐了液体，也上了两次大便，但没有腹泻；晚上10.11.12点干呕吐了一点白色粘稠液体，3-4次，干呕得很严重，吐得不多。我自己现在的几个猜测是1. 昨天换食太剧烈，喂得也太多 2. 受凉了，他趴在比较冷的阳台上和蹲在窗户旁边比较久 3. 因为怕他咬电线和上饭桌，家里放了比较多橘子皮，但是看起来没有吃，不知道是不是气味太浓。
收容所显示的体检情况，最近都还不错，10月底绝育的。
问题大致一样，细节不同？
陈奕达
执业兽医师
根据你讲到的信息，我初步分析猫咪出现了胃肠炎问题，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. 猫咪吃的罐头，猫条，是否是以前经常吃的牌子？
2. 猫咪阳台，窗户边上有多少度温度？环境内是否有昼夜温差？
3. 猫咪发病之后，是否有检查？是否有用药治疗？
4.猫咪是否长途运输？
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. 猫条罐头是新吃的，之前在收容所没有吃过，但是干粮是和以前吃的一样；2. 阳台窗边10度左右，家里全天开着暖气20度左右； 3. 发病之后还没有来得及检查，（不好意思，我现在在国外，有时差，所以事件描述是按照我的当地时间，现在是凌晨两点）目前从第一次呕吐开始约6小时了。 4 猫咪没有长途运输
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胃肠炎问题，从而导致了一系列症状。跟在阳台，冷的地方着凉，吃以前没有喂过的食物，发病前暴饮暴食，消化不良，都有一定的关系。
同时如果猫咪发病之后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。
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，调整消化道菌群，促进消化）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。
猫咪以前是否有什么用药过敏史？
关于既往病史，猫咪8月份检测过猫瘟病毒是阴性；当时因为腿部受伤做过治疗，9月也有过呼吸道感染。目前不知道他有没有过敏史。 请问您的意思是他可能本身胃肠道状况就不好吗？我现在也比较担心他脱水，因为超过12小时没有喝水了，又多次呕吐，关于这一点我需要做什么吗？
陈奕达
执业兽医师
你好，
1.是的，有可能猫咪消化道本身就不好，然后出现了以上疾病因素，从而引发了疾病问题。
2.猫咪24小时内不吃不喝，一般问题不大。如果超过24小时不吃不喝，需要考虑静脉输液治疗，补充能量以及体液。
3.然后以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.***，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。
**我可以买到差不多的药，但另外两个我就买不到了。可以买到一个宠物的抗呕吐药，请问可以用吗？除了喂药关于饮食或者别的方面我还有什么能做的吗？ 也想请问，如果猫咪本身胃肠道不好，未来照顾他的时候有哪些能做的或者改善治好他的情况吗
陈奕达
执业兽医师
你好，
1.可以尝试使用，观察一下猫咪后续状态如何。
2.绝对禁止着凉。
3.猫咪消化道不好，未来需要注意饮食，不要暴饮暴食，注意食物新鲜度，禁止吃生冷食物，禁止吃油腻食物。更换新的饮食，需要进行过渡性换食。
好的，谢谢您。买了两种药，但是要后天才能收到。现在猫咪渴了也喝了一点水，可以一直保持水碗里有水的状态吗？还是喝水也需要控制呢？他现在大约1个半小时没有呕吐了。如果再过几个小时他有食欲的话可以喂一点他之前吃过的干粮吗？还是喂湿粮罐头更好呢？ 在等待药的期间，是不是主要就是根据他的情况少量喂水喂饭，让他远离冷的地方
陈奕达
执业兽医师
你好，
1.喝水需要控制一下，以少量多次给予。
2.12小时之后，没有呕吐症状，可以尝试以少吃多餐为原则，喂食一些猫粮糊糊。
3.对，等待药物期间，禁止着凉，根据情况适量饮食，这个是必须做到的。千万不能暴饮暴食以及着凉。
医生，今天小猫都没有吐了。没有第一天那么活泼，但是食欲不错，喝了水也吃了猫粮糊糊。我们不敢喂多了，一次1-2小勺，他看起来老是饿。 //还想问一下对猫咪的清洁该做到什么程度呢，小猫咪这两天老有一点深色眼屎，会黏在脸上的毛上，必须我手动清理下来，不知道正不正常；但身上不需要湿巾擦吧，可以经常帮他擦一下屁股和脚丫子吗？ 关于猫猫保健品，像他胃肠道不好的话，还能吃鱼油吗，想让他毛发状态更好（可能是这两天不舒服，今天给他梳毛的时候掉毛比昨天，前天多了不少），还有什么保健品您建议他恢复一些之后吃呢？谢谢您
陈奕达
执业兽医师
你好，
1.眼屎跟猫咪生病有很大关系。需要每天人为清理。
2.身上就不要擦了，整不好再着凉。可以使用针梳梳理毛发，能够起到清洁效果。
3.爪子之类的，可以擦拭，但是尽可能不要太潮湿。
4.所有的保健品，等到猫咪完全康复之后可以给予。短期内暂时不要给予了。消化道有问题，吃这些东西也不一定能够吸收。
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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