咨询描述：你好，我家是只布偶弟弟，7.13 买的同城家里猫生的猫崽子，它快三个月了。刚到家它就有点打喷嚏就问它前主人说可能是热的有点小感冒，她拿了点药感冒药。吃了三四天也不见好。它就只干打喷嚏也不是持续性的打，鼻涕也没有眼部分泌物也没有，也不软便，吃饭也狂狂吃，喝水也是，上厕所也完全正常 精神很好每天在家跑酷。让它适应了一个星期发现还是会打，先做了驱虫。到今天两个星期了还是会打，这种情况是正常的吗？如果去检查需要检查哪项？该打疫苗了，这种情况下能打吗？会不会打了有抗体后就没事了？
问题大致一样，细节不同？
陈奕达
执业兽医师
根据您讲到的信息，我初步分析，
1.猫咪这种情况，属于上呼吸道感染问题，发病未知在鼻腔部分。是不正常的疾病发作期。
2.检查，需要进行支原体，衣原体，疱疹病毒，杯状病毒，血液常规，saa，检查。费用大概需要600-700左右。
3.疫苗，在猫咪现在的状态下，禁止注射。因为处于生病期间，疫苗免疫会失败，甚至容易引发猫咪生病。
我买了测猫鼻支和猫杯状的试剂，取了它的唾液，没有问题，那我去检查是不是可以不检查这两项？可是它的精神很好需要去医院做检查吗？因为问我附近的一个宠物医院那个人说就是有点小感冒直接打一针就可以了。
陈奕达
执业兽医师
您好，
1.试纸准确率只有70-80%，并没有那么准确，如果有条件，还是建议专业宠物医院测试，更加精准一些。避免出现漏诊误诊的情况。
2.精神状态好，不能说明没有生病。精神状态良好，只能说明猫咪现在不难受，其它问题没有代表性。
3.如果打算就诊，建议还是找个靠谱的宠物医院，这样对于猫咪来讲，更加稳妥一些。
4.如果还是考虑在家保守治疗，您可以告诉我，然后这边可以帮您开具一套用药，并且帮您计算好用法用量，供您采纳参考一下。（保守治疗需要时间观察，效果不一定能够达到预期，慎重考虑）
5.疾病期间，绝对禁止猫咪着凉，不然疾病问题会越来越严重。
主要是它太小了，怕去医院不小心感染到什么病，它暂时也只是打喷嚏，我给医生您发的视频图片您也看到了，它眼部也没什么问题，就只是打喷嚏也不流鼻涕也不喷口水，您可以指导我在家先怎么治疗，然后我观察几天，还是打喷嚏不管用的话那就去医院做检查，需要检查那么多项吗？还要抽血还要支原体检查？
陈奕达
执业兽医师
您好，1.猫咪患病之后，症状越多，说明疾病问题越严重。症状少，反而是好事儿。2.上述的检查，是最基础针对呼吸道感染检查了。缺少项目，可能会出现漏诊误诊的情况。3.这边根据猫咪的情况，我给宝贝开个处方。供您采纳一下，以备您不时之需。
处方里面的
1.****，宠物专用广谱消炎，控制呼吸道感染。
2. ***，宠物专用呼吸道清热解毒，止咳平喘口服液。缓解流鼻涕，打喷嚏症状
3. ***，宠物专用呼吸道抗生素，止咳平喘，缓解呼吸道症状。
您可以根据需求自行选择购买。
那医生我可以先买点**环素片让它吃点，观察有没有用，没用的话那我再去医院做个检查，疫苗等不打喷嚏了再打是吧。做个抽血检查和呼吸五项吗？还是做个抽血检查和 pcr
陈奕达
执业兽医师
您好，可以的。然后上述的化验，都是需要做的，缺一不可。
疫苗需要疾病完全康复之后才能打。
它刚到家的时候不是也打喷嚏吗，家里还有个室友的布偶弟弟，七个月了，他俩刚见面就玩的很好，所以就没隔离，玩了一个星期左右吧。它还是打喷嚏，别的症状没有但是大布偶完全事没有，所以也才一直没给它去医院看
陈奕达
执业兽医师
您好，猫咪现在患有的疾病，不一定会有很强的传染性。并且猫咪个体差异不同，并不一定会百分之百患病的。所以大猫虽然跟猫咪接触，但是也不一定生病。
啊好的谢谢医生，那我就是先给它买点**环素片，每天喂点 观察个三四天，还是打喷嚏的话就去医院做个检查，等好了再打疫苗
陈奕达
执业兽医师
嗯嗯，可以的，切记，禁止着凉。
感谢您的信任以及好评，谢谢🙏🙏🙏🙏🙏🙏
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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