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Hello my name is***** but you can call me Dr. H and I am a licensed veterinarian.
I understand that your poor had a puncture in the paw and it now smells and is swollen. These are signs of an abscess (infected pocket underneath the skin), which is very common in cats in particular because the outer skin layer closes too fast, leaving bacteria to fester underneath the skin surface.
This is not normal and the abscess needs to be drained and/or treated with oral antibiotics. You should also try to remove the crust and flush it thoroughly with an antiseptic. I would recommend either Betadyne diluted 50:50 with warm water or Chlorhexidine solution 3% diluted.
Do you have a picture of the area to share with me?
- Dr. H
I know cleaning it with Hydrogen Peroxide seems like the most logical choice, as many owners do. However Hydrogen Peroxide is actually not a very good antiseptic in pets. It can actually caused dying off of tissue, so I would recommend discontinuing this also.
What is the name of the antibiotic that you just started today?
Oh hello. I was unsure if you were receiving my replies as I have not heard a response from you until now. I last responded to your question on January 6, and since she started antibiotics that day that means your she has been on antibiotics for 10 days duration. Typically I have pet on antibiotics for 10-14 days (sometimes longer), and since she still has a foul odor coming from the paw, I would highly recommend continuing the antibiotics for another 4-7 days. I am unsure what the "dirt in layers" is that you described because I cannot see this in the picture. Have you been cleaning the paw as instructed before in my initial response?
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