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I paid for an answer but havnt spoke to a vet, rodent ulcer

Customer Question
I paid for an answer...
I paid for an answer but havnt spoke to a vet
JA: I'll do all I can to help. What is wrong with the cat?
Customer: rodent ulcer questions
JA: Where does the cat seem to hurt?
Customer: lips
JA: Can you see anything that looks wrong or different?
Customer: my cat gets steroids for the ulcers but i want to use a more holistic approach
JA: What is the cat's name and age?
Customer: mamba 4
JA: Is there anything else the Veterinarian should be aware of about mamba?
Customer: no i did this already
Submitted: 1 year ago.Category: Cat Veterinary
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Answered in 3 minutes by:
11/25/2016
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 year ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 31,727
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
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Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 year ago

I'm sorry to hear of this with Mamba. There are quite a few therapeutic considerations forr the feline eosinophilic dermatitis/granuloma complex which can take the form of “rodent ulcer” or “fat chin disease" in addition to steroids and so I'll post my complete synopsis of them for you. Please take your time perusing it and then return to our conversation with further questions or concerns...

1) Any secondary pyoderma (bacterial skin infection) is treated with antibiotics for 2-4 weeks.

2) Any underlying allergies should be identified and managed - especially flea allergy dermatitis. A month long oral nitenpyram (Capstar) trial may be the only manner in which to prove a link to flea saliva allergy in some cats.

3) Systemic antihistamines may reduce clinical symptoms in 40-70% of atopic (allergies to environmental allergens such as pollens, molds, dust, dust mites, etc.) cats. A beneficial effect should be seen within 2 weeks of initiation of therapy.

4) Cyclosporin – an immunosuppressive drug – can be administered every 24 hours until beneficial effects are seen (approximately 4 weeks and then the dose is tapered down).

5) Systemic glucocorticosteroids (prednisolone, dexamethasone, triamcinolone, e.g.) may produce a rapid reduction in lesion severity and pruritis (itchiness).

6) Alternative medical therapies that may be effective include the antibiotics doxycycline or trimethoprim sulfa, oral essential fatty acids, surgical excision, and laser and radiation therapy. The prognosis is variable. Cats with underlying allergies that are managed successfully have an excellent prognosis. Cats with recurring lesions for which no underlying cause can be found usually require lifelong therapy to keep lesions in remission. These cats have a poorer prognosis as they may become refractory to therapy.

(Plastic bowls – although often incriminated – haven’t been shown to be a common offending allergen in cats.)

Please respond with further questions or concerns if you wish.

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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 31,727
31,727 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience.

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