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07-14-2014, 07:22 AM | #1 |
Yorkie Talker Join Date: Jul 2014 Location: Concord
Posts: 21
| Terrible Ear Infection, Maybe Leather Ear? Need Help!! My Yorkie (Name-Bear) has been to the Vet 4 times in one month. He was acting very lazy and didn't seem to feel well. So, the first time I went Vet(#1) said that he has an ear infection {yeast & bacteria} prescribed him Gentizol to cure it. He said that if it wasn't better that Bear may need an antihistamine (Prednisone) because of his allergies & that he probably has a low immune system from being sick. A few days later I took him back & saw Vet(#2) because I noticed that after applying Gentizol to his ears (inner) that the bottom outside of his ears were balding. This vet said that he needed to be on Prednisone so that his body could heal. I took his advice & Bear orally took Prednisone over the course of about 2 weeks as well as applying Gentizol to his ear. A week later Bear's ears were looking TERRIBLE! Inside on the tips and around the sides (inside & out) were Red, Peeling, flaky, dry, scaly- and his hair was coming off with it. As well as the base of the outside ears were balding. So, I took him back to the vet. Vet(#3) looked at him for 1 minute and concluded that he was allergic to Gentizol (ear ointment) & told me to go across the road to buy Cortizone cream & apply it to his ears for a couple of days and it will be cured. He also said it was very common. My initial thought was why didn't the other Vet(#2) even THINK of an allergic reaction. [If you ask me, I think this Vet(#3) was in a rush to get home- It was closing time- & wasn't putting much effort into looking at it.] A couple of days passed & I had done everything as each doctor had asked with no results. Bear had become VERY bloated in his belly, eating & drinking a LOT more than normal, and acted lethargic. So, once again, I became very concerned and took him back to the vet. This time, I saw Vet(#1) again. Vet(#1) said that his ears looked better (inside- no more infection). But the tips of his ears & outside were no better off. He had not seen anything like his case. He took his temperature (normal), weighed him (5.02 lbs)- which was one pound more than a month ago, He did not appear bloated at that time, and checked his ears. This doctor was very thorough and had a conference call with Vet #2 & Vet #3. They collaborated together & narrowed down the options to the possibility of 1 out of 4 things. 1.) Parasite or Mites of ears 2.) Fungal infection that spread upwards of ears 3.) Autoimmune Disease 4.) Allergic to Gentizol He & Vet #2 automatically ruled out Possibility #4- that he was allergic to Gentizol because Bear wasn't in pain in his ears, they weren't swollen or blistery, he didn't have a fever, etc. There would be many more obvious factors if he was allergic to it. In fact, they said the Cortizone could have made it worse. So, to narrow the options down They did a cytology of the ears (Test results were negative for parasites or mites.) Bear had a blood panel done & over all he is in excellent health & nothing points to him having anything wrong. The only concerning things were 1 test showed that he was stressed (which is common in yorkies, & he has had a lot going on), the other showing his Liver enzymes were in the higher normal range- we've known this for a while & concluded that it is normal for Bear. So, overall there were not much signs pointing to anything was wrong with him. The doctors were very happy with his blood work. It just didn't get us any farther to figuring out what has been going on with his ears. The only way to know if it is an autoimmune disease is to have a biopsy done. And we do NOT want Bear to be under anesthesia because he is so small and with an elevated liver enzyme levels- it concerns us. All the doctors say it would be perfectly fine for him to go under- we just don't feel comfortable with it. After all this, we decided to keep an eye on Bear & try the Gentizol ointment on the tips of his ears and any where else that was peeling. When I went to pick up the paper blood work results, Vet(#2) was in the office and wanted to talk in great detail about Bear. He discussed all the blood work that had been done, cytology, his behaviors, etc. This vet said He really thinks that it's a fungal infection that spread upwards. We've been applying the Gentizol to his ears for a few weeks now. They DO look better, but still not the same. He started some new behaviors since seeing the Vet for the Fourth time. He acts SO jumpy- scared for us to pick him up. He literally JUMPS when we try to pick him up but he isn't in any pain. He also shakes ALL the time now. There's no His balance is way off. If he jumps off of the couch he falls. He's scared to jump up. Maybe he was traumatized from the cytology? We are with Bear 99.99% of the time. We work from home & one of us is usually with him. We take him just about everywhere with us. We do not have kids & he is an only dog. I know this is a long post. I just can't seem to find any answers. Bear's ears still aren't healed & his behaviors are NOT normal. I asked the doctors about leather ear- they ruled it out because they've never heard of it. But, his ears do have a leathery, scaly look. They're just dry and not wet. Also, his nose is now looking dry and leathery on the top. I'm just hoping that someone can help us figure out what is going on with Bear without traumatizing him anymore with the vet. Thanks for reading & I would appreciate any advice! |
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07-14-2014, 09:13 AM | #2 |
YT 2000 Club Donating Member | After all this testing and 4 general vet consults (I am assuming the 4 vets were general vets and not specialists) did they not suggest a specialist consult? For me that is where I would want to go next. Either a dermatologist and or an internal medicine specialist. Ideally if you have a teaching hospital nearby or a fully staffed Veterinary Hospital that is where I want a consult from. If distance is a factor many specialists will do phone consults with your vet, and your vet can fax email test results etc to the specialist. Some thoughts and notes you might want to make, has there been a change in appetite, water drinking, bowel movement etc. When he becomes shakey or jittery is there a certain event that precedes the shakiness or time of day etc. Steroids can increase appetite and thirst - so it could be the bloating was a result of the steroids. Leather ear if he has this does not usually induce shakiness etc. But inner ear infections can. Now onto blood work, was a Bile Acid Test ever done? This is a test specific to liver function, and if his liver values were high even before he got this ear infection, I would have liked to see a BATs done. I can see you are quite worried about your boy, and sure hope with some help your boy gets on the road to health. Let us know how you both are doing.
__________________ Razzle and Dara. Our clan. RIP Karma Dec 24th 2004-July 14 2013 RIP Zoey Jun9 th 2008-May 12 2012. RIP Magic,Mar 26 2006July 1st 2018 |
07-14-2014, 09:31 AM | #3 |
♥Love My Snuggle Bugs♥ Donating Member Join Date: Jan 2009 Location: Missouri
Posts: 4,290
| Praying for your little one. My experience with our Lolo and leather ear was that the area turned black. When swabbed with a cotton ball and alcohol the black would come off on the cotton. What you are describing doesn't sound like that. I agree with Gemy I would see a specialist.
__________________ CharleneMama to Laddy and Kyra and Always in our hearts Lolita |
07-14-2014, 10:07 AM | #4 | |
Donating YT 10K Club Member Join Date: Aug 2007 Location: S. W. Suburbs of Chicago, IL
Posts: 12,235
| IMO it sounds like you might have more than one thing going on with Bear. Years ago I had a foster that had leather ear and I used Lotrimin on his ears to clear it up. He too started off with a horrible ear infection and decayed teeth. Eventually, the fungal infection was cleared up and the hair on his ears and bridge of his nose cleared up and he regrew hair. What's concerning to me is that he's falling down and jumpy. I agree that you probably need to move on to a specialist instead of your General Vet for a better answer to what is going on with him. Quote:
__________________ “Never argue with a fool, onlookers may not be able to tell the difference.” Mark Twain | |
07-14-2014, 10:16 AM | #5 | |
Donating YT 3000 Club Member Join Date: Dec 2011 Location: USA
Posts: 7,652
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__________________ The Above advice/comments/reviews are my personal opinions based on my own experience/education/investigation and research and you can take them any way you want to......Or NOT!!! | |
07-14-2014, 10:25 AM | #6 |
Senior Yorkie Talker Join Date: Dec 2012 Location: the land of high taxes
Posts: 123
| Hi. I would go to the Animal Medical Center website and email both dermatology and internal medicine and see what they say. I did that last year over Memorial weekend regarding a dental condition my vet thought my Biewer puppy had. I not only got an immediate response, but the dentist (who was the best) called me and had me email all the blood work that was done. I am in NJ, so I ultimately had him see my little guy. I am sure if you emailed them, they would respond and tell you if you are in the right department and if not, direct you to one of the specialists who can help you. The link is: Specialties & Services | Animal Medical Center Good luck with your little guy. There is nothing sadder than a sick puppy. |
07-14-2014, 01:30 PM | #7 |
Yorkie Talker Join Date: Jul 2014 Location: Concord
Posts: 21
| @Gemy I thank you very much for your detailed message. This is my first time setting up a forum & I am trying to learn how it all works. So please forgive me for my lack of experience! I really appreciate each and every reply that all of you have taken the time to read & try to help my Bear get better! I will definitely look into a specialist. They did not recommend one. They want to keep trying different things. I believe Vet #1 & #2 truly do care about Bear's health and want to get him better. But, what they are proposing isn't working. I'm back at square one with no answers. - The doctors said the bacterial & yeast infection were gone in the inner ear. But, maybe it reoccurred? -I checked the paperwork & do NOT see a BAT. His ALT level were on the highest in the normal range. - His shakiness is all throughout the day while he is with us. No rhyme or reason with it. He's not ALWAYS jumping off things, but he is scared to. He's just much more jittery than normal. This is not how he's always been! I know with ear infections, it causes the equilibrium to be off balanced, so maybe that would explain the jumpiness. But, him shaking is what worries me the most. We hold him and love on him to reassure him that he's okay. - Since Gentizol IS a steroid, I do believe that was the result of his bloating. Also, I believe that his bloating & Ears are separate issues. - His appetite has decreased a little. I had to feed him by hand last night to make sure he ate. Once he started eating, he realized he was starving and ate a bowl full. Bloating is not a problem now. He is drinking normal & bowel movements are normal. While I'm researching specialists in the area, is there anything you recommend me to put on his ears? |
07-14-2014, 01:40 PM | #8 |
Yorkie Talker Join Date: Jul 2014 Location: Concord
Posts: 21
| @Nanahas3 I appreciate the prayers! Bear needs them & I too pray he gets back to normal soon! @megansmomma I agree that a specialist is probably the way to go. I've heard of Lotrimin & will do some research on it! Thanks for the reminder. I believe that he does have separate issues going on- my most concerning is his ears. The cytology had to be done with NO pain medication. They wanted to put him under anesthesia to do it, but opted to try without it. So, that's what made me think it traumatized him- he wasn't the same afterwards. I definitely need to have this resolved. There's no need to keep throwing money at the vet & making Bear go through unnecessary treatments. @lynzy420 I agree as well. I will keep y'all posted! Thanks for your help! @seastheday I will certainly look into that! Thank you I should add that Bear does have tooth decay as well. Would that have anything to do with his ears or how he's acting? |
07-14-2014, 04:49 PM | #9 | |
Donating YT 3000 Club Member Join Date: Dec 2011 Location: USA
Posts: 7,652
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Absolutely it would. He needs a dental. These pups NEED dentals if he is showing decay there could be a lot more going on then you can see. Theres no telling but it sounds like he really needs a specialist, dental and a whole new lease on normal. Can you post a pic of the ears?
__________________ The Above advice/comments/reviews are my personal opinions based on my own experience/education/investigation and research and you can take them any way you want to......Or NOT!!! | |
07-14-2014, 05:08 PM | #10 |
Yorkie Talker Join Date: Jul 2014 Location: Concord
Posts: 21
| What effects does tooth decay have on ears or body? I will get some pictures of his ears in the morning. I tried to take some but he has medicine on his ears & you can't fully see the extent of the peeling. |
07-14-2014, 05:13 PM | #11 | |
YT 2000 Club Donating Member | Quote:
Tooth decay, ummm, how old is Bear? Somehow I thought he was a young dog.. BUt young or old, obvious tooth decay for sure can affect their health. If you tell us what State your in, we might be able to help you find a good hospital/specialist. Also it is very okay for you to say to your vet I want a specialist consult who do you recommend and which type of specialty and "why".
__________________ Razzle and Dara. Our clan. RIP Karma Dec 24th 2004-July 14 2013 RIP Zoey Jun9 th 2008-May 12 2012. RIP Magic,Mar 26 2006July 1st 2018 | |
07-14-2014, 06:14 PM | #12 |
YT 1000 Club Member Join Date: Jun 2005
Posts: 1,394
| Could it be the gentizol is affecting his hearing? it happens. If his hearing is affected then all else could be off. Try to test him to see if he can hear. I would probably try to take him off of everything for a day and see if he improves or gets worse. In the meantime I would search for a specialist. I would not go back to vet 1, 2 or 3 for this problem. YES, teeth and ears bothering him could affect his behavior. It would affect mine! |
07-15-2014, 03:32 AM | #13 |
Yorkie Talker Join Date: Jul 2014 Location: Concord
Posts: 21
| Bear is only 4 years old. He is younger, & now weighs about 4 lbs. We live in Concord, NC (United States) I just took some pictures of his ears. How can I post them? |
07-15-2014, 04:27 AM | #14 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| Cytology is not a cause. The dog IMO needs a dermatologist first but ask your general vet who should've already referred.
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07-15-2014, 04:43 AM | #15 | |
Donating YT 3000 Club Member Join Date: Dec 2011 Location: USA
Posts: 7,652
| Quote:
http://www.yorkietalk.com/forums/my-...-pictures.html
__________________ The Above advice/comments/reviews are my personal opinions based on my own experience/education/investigation and research and you can take them any way you want to......Or NOT!!! | |
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