January 2nd, 2011, 02:35 PM
Maybe you could give me your opinion about a problem I'm having with Lester. He's a rescue that I've had for six years and is about 12 years old. He'd been treated for ear mites which now the vet says is not ear mites, it's an ear infection which I guess could have come from ear mites if he had them. However, six months ago when he was checked out I was told by the same vet it's NOT ear mites but just debris in his ear.
Anyway, he's been losing weight and because of scratching at his ear, developed an nasty sore between his ear and his right eye. This was treated with an ear wash, ointment for the wound (Endtederm), a shot of depo, and a "long lasting antibiotic" shot. The vet said he probably lost weight because his ear was making him not feel good.
Didn't seem to do much good because then his eye got infected, and then he got a giant ulcer and his eye was all red with pus coming out. So I took him to the vet again two weeks ago and he washed out his ears again and gave me ointment for his eye (Neo/Poly/Bac Ointment) and Amoxicillin.
The wound got better but his eye got worse. I took him back to the vet on Thursday. He washed both ears out, and gave me Clavomox and more ointment for his ears, a collar, and told me to continue with the eye ointment.
Now he doesn't want to eat, is totally depressed and his eye looks horrible.
He also sometimes gags when he eats and drinks water. Before all this started he at times was licking his lips and shaking his head like he was trying to get a hair out of his mouth or something.
Any ideas? I'm really concerned about him.
January 2nd, 2011, 03:42 PM
gave me Clavomox and more ointment for his ears, a collar, and told me to continue with the eye ointment.
Now he doesn't want to eat, is totally depressed and his eye looks horrible.
Right now, your major concern is the not eating. Clavamox can make cats feel nauseous, especially if it's not given with food. I would call the vet and tell them you're stopping the antibiotics and that you may need an appetite stimulant if Lester doesn't start eating today. Try offering him anything and everything to get his appetite back: Temptations treats, cheese, plain yogurt, plain chicken baby food, sardines, low-sodium canned salmon or tuna, boiled chicken breast..... whatever it takes. He must eat, or he's going to get sicker (and could develop fatty liver).
When he's back to eating, we can figure out where to go from there.
January 2nd, 2011, 05:58 PM
Welcome to pets.ca judypopcorn :highfive:
Sorry to hear about Lester. :( I don't have any advice for you but just wanted to say that sugarcatmom is one of our cat gurus here. She has a vast amount of knowledge and has helped many members with their kitty problems. :thumbs up
January 2nd, 2011, 07:43 PM
Thank you so much for your advice. It makes a lot of sense. He was eating pretty well until I started the Clavamox this week. I left a message for my vet that I'm not going to give him any more doses of Clavamox. But I'm sure he does need an antibiotic for the eye infection and I'm sure that the painful ulcer in his eye is affecting his appetite to some extent even without the Clavamox.
Two years ago he had a very severe reaction to Buprenex, a pain medication he was given after a urinary tract infection, so we have to careful about which medications he takes. (I reported the reaction to the FDA)
He took Amoxicillin a couple of weeks ago and didn't have an adverse reaction - but it also didn't stop the infection from progressing either. Do you recommend any other antibiotics? What's your feeling about depomedrol for appetite stimulation and pain relief?
I bought some turkey and tuna, which he likes. Hopefull he'll begin eating once the Clavamox effects are out of his system. I can't tell you how appreciative I am that you wrote to me. I love this cat dearly.
I'll let you know how he's doing tomorrow.
Judy (and Lester)
January 2nd, 2011, 07:52 PM
Dear Rainbow - Thanks so much for writing back to me so quickly. It's very comforting to know there are wonderful people like you and Sugarcatmom who are willing to take the time to help others with their animals. Sugarcatmom's advice made a whole lot of sense. Lester stopped eating after starting Clavamox. I've told my vet that I'm not giving him any additional doses and will ask him for an appetite stimulate if he doesn't start eating by tomorrow. In the meantime I went to the store to buy his favorite things - turkey and tuna. I'll keep you and Sugarcatmom informed as to how he's doing tomorrow. Thanks again so very much.
Judy and Lester
January 2nd, 2011, 10:37 PM
He took Amoxicillin a couple of weeks ago and didn't have an adverse reaction - but it also didn't stop the infection from progressing either. Do you recommend any other antibiotics?
It could very well be a virus (rhinotracheitis or calicivirus are likely) that is causing Lester's issues, in which case antibiotics are mostly useless. If it were me, I would think about adding something like L-lysine to my cat's diet (250-500mg twice a day), as well as feeding species-appropriate wet food (raw is ideal, but there are some decent canned foods like Wellness or Nature's Variety which may be easier and more readily accepted if Lester has never had raw meat before). Daily eye drops of colloidal silver and/or alcohol-free goldenseal might also be helpful. Does Lester have any nasal congestion?
What's your feeling about depomedrol for appetite stimulation and pain relief?
There are times when steroids are useful, but this is not one of them. In fact, it could do more harm than good. There are much better options for both pain-relief and appetite stimulation.
Good luck! Keep us updated on Lester's progress. :fingerscr
January 3rd, 2011, 11:31 AM
After stopping the Clavamox, Lester has regained his appetite and is no longer acting depressed. It's an amazing difference. A virus makes perfect sense, especially since the antibiotics he's taken haven't seemed to halt the progress of the inflamation. Still, there was green pus coming out of his eye at one point. So I'm sure he did need the antibiotic for the secondary infection. The pus has stopped, but his eye is still red with mucus coming out.
Also, when he eats he seems to hit a spot that causes him pain or discomfort because he cries out, but keeps eating - thank goodness. Maybe it could be a bad tooth, but my vet checked his teeth the last time we were there (last Thursday) and didn't see any that looked like a problem. I'm thinking that the inflamation in his ear and eye are causing post nasal drip, making his throat sore as well.
He seems to be pretty hungry since he has eaten in a few days. I'm so thankful for that.
I'm picking up more Neo/Poly/Bac for his eye today, but I'll also try the natural eye drops you suggested. Thanks again for your advice and concern.
I'll keep you posted.
January 3rd, 2011, 12:45 PM
First off welcome to the forum,,now i'm not a cat expert by any means but one comment you made has me wondering,,,throughout all of your vets fumbling around for a sollution did they check your kitties teeth just visually or with an xray. If the cat has an abcessed tooth it could affect his ears and eyes..I hope your furbaby feels better soon.
January 3rd, 2011, 04:48 PM
Some quick thoughts...
1) Ear mites. It is true that you can have an ear mite infection that comes and then goes, leaving behind a bacterial or yeast infection. However some things to consider - a) they are hard to miss and b) mites must come from another ear mite infected cat. Regardless, once the infection is gone then it is the remaining infection that must be addressed.
2) During the ear flush, was the vet able to clearly visualize the canal? Do we know there are no ear polyps present???
3) If it is just an external ear infection, then culture of the bacteria may help in case there is resistance.
4) Finally, we may have more going on - like internal ear inflammation. If this is the case, then based upon the therapies tried, I would recommend an internal medicine specialist. We may need to run some diagnostics beyond the ear drum. CT scan may be helpful or evaluation beyond the ear drum - the specialist can guide you.
January 3rd, 2011, 05:11 PM
Thanks Dr Lee for answering so quickly. I am sure judypopcorn appreciates the additional information. Sounds like there may not be an easy answer to this kitty's health issue. I am keeping my fingers crossed. :fingerscr:pray: