咨询描述：你好，医生。我的小猫是11月5号捡回家的，估计当时不到两个月。当时它腹泻，拉稀，排除了猫瘟，按着肠胃炎治疗后好了。但是12月3号又拉稀，吃了一天药好转，现在有点软便。只是这几天我测它大腿根体温都是39点几，摸着热热的。是不是在发烧啊？麻烦你看一下它肚子，会不会是猫传腹。我看网上说这个病多，紧张的很。需要去做哪些检查呢？
问题大致一样，细节不同？
陈奕达
执业兽医师
你好，猫咪正常体温是37.5-39.0度之间。超过就是属于发烧症状了。
从小视频来看，并不太像是猫传腹的症状。
如果检查，建议进行一下大便常规，血液常规，saa，白球比，消化道冠状病毒化验。
猫咪现在腹泻，有可能是属于胃肠炎问题。不过进一步诊断，还是需要通过化验之后，才能判断。一般能够引发腹泻症状的常见病因有，病毒性感染，消化道寄生虫感染，着凉，饮食不当消化不良等。
小视频上看，猫咪精神状态良好，应该暂时并不是太大问题。
陈奕达
执业兽医师
你好，可以尝试使用宠物专用冠状病毒试纸检查，不过准确率只有70-80%左右。
如果有病毒感染，体温确实会升高，发烧。
医生，你好。我现在根据猫咪的状态还是更倾向于肠炎的可能大些，但是不知道它有没有乳糖不耐受，不知道给它吃什么益生菌调理肠胃。现在就是发现软便了给它一粒***。不知道医生你的建议是什么，现在它肠胃弱我也不敢给驱虫，疫苗也没有打。还有它的体温39点几算不算发烧呢？
陈奕达
执业兽医师
你好，超过正常体温，就算发烧。
综合现在所有信息分析，以我多年的经验判断宝贝是有肠炎问题，从而导致了一系列症状。跟着凉，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（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，配合益生菌，调理消化道菌群，促进消化，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？
当时腹泻吃过***感觉拉的更厉害，就换成***了。消炎药当时吃的**一个星期，后来有点腹泻吃了一天硫酸***，都没有过敏，现在没有腹泻都要吃些什么药？
陈奕达
执业兽医师
好的，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。）
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。
第一个是调理肠胃的吗？另外两种药家里还有，如果有乳糖不耐受可以吃第一个吗？还有没有腹泻消炎药吃多少天合适，怕引起耐药性。
陈奕达
执业兽医师
你好，***是属于促进消化道粘膜恢复用药，治疗胃肠炎问题。
乳糖不耐受，可以服用。
药物建议一周一个疗程，如果没有问题，连续服用5-7天即可停药观察。
我现在纠结的就是抗生素的使用问题，其他没有什么了。益生菌我准备给它吃。
陈奕达
执业兽医师
你好，如果纠结，可以暂时先不使用抗生素，然后其它用药观察一下。
后续有什么情况，可以随时联系我，我会根据猫咪当时状态，提供方案，供你采纳参考。
好的，谢谢！先看看它肠炎恢复了，体温能不能正常吧。
陈奕达
执业兽医师
不用客气，非常感谢你对蘑菇宠医的信任，如果对我的解答满意，请帮我点亮五星哦！祝爱宠早日康复！
后续宝贝有其它问题，可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问，有问题随时联系。
希望我的建议可以帮到宝贝，如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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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