咨询描述:断断续续有一年多了 有时候一个月半个月都不会这样 有时候连续一个星期天天固定一个时间点这样 小县城的医院体检又没问题 有杯状病毒 这是咳嗽还是哮喘?
问题大致一样,细节不同?
曹航
执业兽医师
首先他表现的这个症状,一个可能就是逆向的喷嚏,一个就是轻微的咳嗽,这个哮喘的概率还是不大的 还有一个就是可能是鼻腔或者是气管的问题 这种情况如果想确诊的话,可能就得做一个基础的筛查,比如说x线片,还有就是呼吸道的病毒,再有就是血常规这类的
有没有尝试用过药物
不确定是哮喘咳嗽还是喷嚏 我观察除了这个毛病 其他都没问题 能吃能喝 就没有用过药 会不会是杯状引起的 血常规做过医生也没说过有问题 我朋友有个猫 和我的猫症状差不多 确诊的是哮喘
曹航
执业兽医师
这个是不是杯状病毒,就是像我刚才讲的那样,需要做一个病毒筛查,还有一个就是做一个x线片,看一下气管和鼻腔有没有问题
再就是可以改善一下环境,看看就是环境可以做一个加湿,看看是不是环境干燥或者是环境中是不是有什么过敏原
还有一个就是可能要用药物了,比如说用一些脱敏的
它四个月的时候就查出来有杯状病毒了 我带去宠物医院做x线片就行了是吗 有没有推荐用什么药
曹航
执业兽医师
如果说之前有杯状病毒的历史,那这种情况不排除是终身带毒了,因为这个杯状病毒有25%的猫是终身带毒 有的时候环境温度一改变了,可能就会复发 比如说像是打喷嚏或者是眼睛症状,症状有轻有重
这种情况直接给他吃一些提高免疫力的,配合点口服的抗生素就可以了
那基本上就可以排除哮喘 有百分之八十的可能是杯状引起的是吧 它开始确诊杯状是因为打喷嚏 但是只有那一次 后面再也没打过 偶尔也就打一声 现在基本上就是咳 会不会是杯状引起的呼吸道感染 我还需要带去宠物医院检查吗 还是直接买药回来给它吃 因为我们这个小县城的宠物医院 我带去检查好多次了 医生都不知道是什么问题 也没有给我开药 只说能吃能喝就行
曹航
执业兽医师
这种情况大部分的可能性都是杯状病毒导致的,因为他之前有过这个病毒,所以说现在的话你可以吃提高免疫力的,配合上抗生素之类的,这种情况可以先尝试给他用一些提高免疫力的配合上抗生素,然后看看有没有效果
要吃一些提高免疫力的,然后配合上抗生素,如果需要的话可以帮你开一个处方,然后观察看看之后怎么样
曹航
执业兽医师
如果用药可以用这个**环素配合**** 按照说明按照体重用多心环素可以用7~14天,这个****平时可以保健 一般用的时间要长一些,它主要相当于是补品,一般用一个月以上
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
{"600811":{"id":600811,"case_id":66695,"user_id":1972513,"to_user_id":2451971,"type":3,"content":"如果用药可以用这个**环素配合**** 按照说明按照体重用多心环素可以用7~14天,这个****平时可以保健 一般用的时间要长一些,它主要相当于是补品,一般用一个月以上","media":{"images":{},"videos":{},"business_params":{"prescription_id":160046}},"is_doctor":1,"status":1,"created_at":"2023-11-28 03:41:54","show_rx":true,"rx_info":{"id":160046,"rx_no":2.0231128034127502e+24,"user_id":2451971,"doctor_user_id":1972513,"is_independent":0,"case_id":3199102,"pet_info":{"pet_id":420184,"pet_name":"暹罗猫","pet_nickname":"coco","pet_gender":2,"pet_birth":"3-7","pet_weight":5,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"3岁7个月"},"diagnose":"疑似杯状病毒感染","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-28 03:41:27","updated_at":"2023-11-28 03:41:54","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":131207,"prescription_id":160046,"doctor_user_id":1972513,"product_id":716,"product_sku_id":758,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-11-28 03:41:27","updated_at":"2023-11-28 03:41:27","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":115,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2025-06-23 16:47:19","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":63,"stock":12,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":124,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2025-07-06 14:14:48"}},"1":{"id":131208,"prescription_id":160046,"doctor_user_id":1972513,"product_id":822,"product_sku_id":864,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-11-28 03:41:27","updated_at":"2023-11-28 03:41:27","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"本产品在猫咪发生以下情况时使","1":"用:1.免疫力下降;2.疫苗免疫前后。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/ac1625b666d56fd3072022fe3938f6fe.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":110,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2025-07-13 18:37:42","ins":{"id":113,"hash_id":"","class_ids":"[2]","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","common_name":"猫免疫因子口服液","trade_name":"博利壮","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2024\/12\/91cf9f30fbf59ff202d13d6c0312827f.jpg","specification":"40ml\/瓶\/盒","reference_price":198,"component":"动物脾脏水解物、动物胸腺水解物、黄芪粗提物、维生素Bn2","indication":"本产品在猫咪发生以下情况时使\n用:1.免疫力下降;2.疫苗免疫前后。","usage_dosage":"使用前请将本品摇匀,直接口服;也可拌在食物或饮水中食用。一次量0.5ml\/kg体重,1-2次\/天。如果拌在食物或饮水中食用,须在4小时内食用完。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预(2023)12015","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"泰州博莱得利生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2024-12-18 13:58:02"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":82.4,"stock":968,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":112,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2025-07-13 16:23:05"}}},"drug_data_bak":{"0":{"id":131207,"prescription_id":160046,"doctor_user_id":1972513,"product_id":716,"product_sku_id":758,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天1次","days":14,"number":1,"remark":"","created_at":"2023-11-28 03:41:27","updated_at":"2023-11-28 03:41:27","product_info":{"id":716,"hash_id":"O2PrEVxdDvx1e6Wk","class_ids":{"0":1,"1":2,"4":5},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":47,"sell_point":"咳喘宁 复方盐酸多西环素片50mg","title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","recommend_reason":{"0":"用于治疗犬猫由于细菌、支原体等感染引起的炎症","1":"用于辅助治疗钩端螺旋体、巴贝斯焦虫等病原引起的疾病","2":"用于治疗鹦鹉热衣原体引起的鹦鹉热病"},"baike_guide_text":"","baike_article_hash_id":"","advword":"细菌感染,支原体感染,传染性支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"50mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/d518055c9ce51d408e8c8525fe4cdffc.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":158,"max_price":158,"sale_count":115,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 16:04:56","updated_at":"2025-06-23 16:47:19","ins":{"id":47,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方盐酸多西环素片","trade_name":"咳喘宁(大)","en_name":"Doxycycline Hyclate Tablets","brand_name":"保灵","is_prescription":1,"cover":"\/drug\/2020\/11\/51a35fa12af0c9c09360e95753289e48.JPG","specification":"50mg×8片×3板\/盒","reference_price":290,"component":"盐酸多西环素、鱼腥草提取物","indication":"1. 用于治疗犬猫由于细菌(败血液氏杆菌)感染、支原体等感染引起的呼则直炎症或者由真他疾病(犬瘟热、流感等)继发感染引起的传染性支气管炎。\n2. 用于辅助治疗钩端螺旋体、巴贝斯焦虫、伯氏疏螺旋体等病原引起的疾病。\n3. 用于治疗鹦鹉热衣原体引起的鹦鹉热病。","usage_dosage":"1. 犬窝咳及真他细菌感染引发的较为严重的呼吸道症状及喉气管炎等,每日2次,每次5mg\/kg,7-10天为一疗程。\n2. 支原体、衣原体感染,每日2次,每次5mg\/kg, 7-10 天为一疗程。\n3. 莱姆病、钩端螺旋体病、巴贝斯焦虫病等,每日2次,每次5mg\/kg ,连续2周为一个疗程。\n4. 治疗鹦鹉热衣原体引起的鸟类鹦鹉热病,按每升水溶解800mg多西环素(即50mg每片溶入约62.5ml水中)饮水给药。","contraindication":"有报道称体重小于15kg的犬禁用多西环素,妊娠动物禁用。但从多年临床验证来看,两个月龄以上的犬猫均可安全使用。","adverse_reaction":"1.常见不良反应主要是胃肠道刺激性反应,如恶心、呕吐、腹泻。\n2.可能出现食管炎和食道溃疡,与食物或大量水体服用以减少这种风险。\n3.尽管本品比其他四环素类的风险小,但在牙齿发育期间用药仍可能导致牙齿有污点。","attention":"","interaction":"","approval_no":"兽药字020161354","storage_method":"常温,避光,密封保存","validity":"3年","manufacturer":"天津市保灵动物保健品有限公司","status":1,"created_at":"2020-11-04 18:28:06","updated_at":"2020-11-04 18:28:06"}},"product_sku_info":{"id":758,"product_id":716,"title":"保灵咳喘宁(大)复方盐酸多西环素片 50mg×8片×3板\/盒","advword":null,"price":158,"market_price":290,"cost_price":63,"stock":12,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"50mg盒装"}},"cover":null,"thumb":"","sale_count":124,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 16:04:56","updated_at":"2025-07-06 14:14:48"}},"1":{"id":131208,"prescription_id":160046,"doctor_user_id":1972513,"product_id":822,"product_sku_id":864,"dose":1,"dose_unit":"ml","use_method":"口服","frequency":"每天1次","days":30,"number":1,"remark":"","created_at":"2023-11-28 03:41:27","updated_at":"2023-11-28 03:41:27","product_info":{"id":822,"hash_id":"QKNDzP4DKzpewlnv","class_ids":{"0":2},"category_ids":{"0":194},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":113,"sell_point":"博莱宠猫免疫因子口服液","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","recommend_reason":{"0":"本产品在猫咪发生以下情况时使","1":"用:1.免疫力下降;2.疫苗免疫前后。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"免疫因子,转移因子,猫瘟热,猫疱疹,猫杯状病毒,抗感染,免疫抑制","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"40ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2024\/12\/ac1625b666d56fd3072022fe3938f6fe.jpg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":118,"max_price":118,"sale_count":110,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 17:49:15","updated_at":"2025-07-13 18:37:42","ins":{"id":113,"hash_id":"","class_ids":"[2]","title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","common_name":"猫免疫因子口服液","trade_name":"博利壮","en_name":"Feline Transfer Factor Oral Solution","brand_name":"博莱宠","is_prescription":0,"cover":"\/drug\/2024\/12\/91cf9f30fbf59ff202d13d6c0312827f.jpg","specification":"40ml\/瓶\/盒","reference_price":198,"component":"动物脾脏水解物、动物胸腺水解物、黄芪粗提物、维生素Bn2","indication":"本产品在猫咪发生以下情况时使\n用:1.免疫力下降;2.疫苗免疫前后。","usage_dosage":"使用前请将本品摇匀,直接口服;也可拌在食物或饮水中食用。一次量0.5ml\/kg体重,1-2次\/天。如果拌在食物或饮水中食用,须在4小时内食用完。","contraindication":"对转移因子有过敏史的猫禁用。","adverse_reaction":"","attention":"","interaction":"","approval_no":"苏饲预(2023)12015","storage_method":"阴凉干燥处保存,开启后2-8°冷藏保存。30日内用完。","validity":"2年","manufacturer":"泰州博莱得利生物科技有限公司","status":1,"created_at":"2020-11-23 16:15:51","updated_at":"2024-12-18 13:58:02"}},"product_sku_info":{"id":864,"product_id":822,"title":"博莱宠猫免疫因子口服液 40ml\/瓶\/盒","advword":null,"price":118,"market_price":160,"cost_price":82.4,"stock":968,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"40ml"}},"cover":null,"thumb":"","sale_count":112,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 17:49:15","updated_at":"2025-07-13 16:23:05"}}}}}}
微信扫一扫
立即问宠医