Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

This answer was rated:

My poodle has chronic ear infections diagnosed with rod

shaped cocci and after ear...
My poodle has chronic ear infections diagnosed with rod shaped cocci and after ear flush under anesthetics, was treated with Gentamycin Otic and Batril Otic as well oral Ciprofloxacin which have not worked. she also has eye discharge and a runny nose. Her discomfort seems to be all through her face but mostly in her ears. She shakes her head and loves me to massage her ears and her entire snout and face. The vet prescribed Neomycin and Polymycin and Neopolydex Opt for her eyes but didn't cure her eyes either. I have spent $500 in the past months with no resolution. I realize her ears are primary, but I can't help thinking these symptoms are related. Please help me, I love her so much. also, I should add that she is not around water. I would appreciate your input as soon as possible. Thank you, Karen (and Izzi)
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 7 minutes by:
9/19/2013
Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30,497
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Verified
Welcome! My name is***** am a 2003 graduate, and currently a Medical Director of a veterinary hospital.
I am sorry to hear about this concern for Izzi.
A few things to think about.
1. The ear infection (otitis externa).
The vet mentioned rods. These are possibly psenudomonas, which is often resistance to a lot of medications. I don't know if they did this, but what the vet needed to do or ask you is a culture of the infection!
Any time rods are seen or there is a severe infection, a vet should request the extra funds from you to do a culture and sensitivity test. This test tells the vet what bacteria (often multiple) are present and which antibiotics will kill it. Often, in this case, there are only 1 or 2 that will work!
The eyes. May not be directly related, although if related, it could be because:
1. The eyes were injured from scratching at the ears
2. Possible environmental allergies, a common cause for ear problems as well.
I know you have spent a bit, but this may still be a bit more costly to get some resolution.
Also, NEVER EVER hesitate to simply go directly to a dermatologist to get on the right track.
Find a Dermatologist
--> Then select "find dermatologist"
In addition, sometimes a special ear cleaner should be used in combination with the right ear medication.
For example, TrizEDTA cleaner. It actually helps to weaken the bacteria making ear medicine more effective!
Also, the eyes should have a simple eye stain test performed to ensure there is no active ulcers on them.
Eye Stain Test for Ulcers
Another point. STarting an antihistamine might help out a bit. In fact, some benadryl can have a sedating effect which may be useful in this case.
Benadryl can be given at a dose of 1mg per pound of body weight. Keep in mind, Benadryl tablets and liquids come in different sizes. So, an approximately 25 pound dog can get a full 25mg tablet or a half of a 50mg tablet. I usually avoid the liquid Benadryl in larger dogs (you would have to give too much of it). You can give Benadryl every 8-12 hours.
Lastly, if the ears are inflamed or swollen, a steroid would be nice to help the irritation and provide some comfort.
I hope that information has been helpful.
Please remember to select Reply to Expert, if for any reason you need further clarification, have more questions, or were expecting a different type of answer. Prior to leaving a feedback rating, which I greatly appreciate, my goal is to provide you the best answer possible.
Dr. Andy
Ask Your Own Dog Veterinary Question
Customer reply replied 4 years ago

Hello Dr Andy

I have the culture results that I wish to send you. I am writing this on my TV so I can't attach them. I will go to my PC to send them but I don't know this url or how to get back to this page in order to send to you. Will you please let me know; I hope to hear from you soon.

thank you and,

Best regards,

Karen

Hello Karen,
I cannot prescribe any medication but I can offer some suggestions based on the results to ask your vet about.
You can email them to***@******.***
Ask the moderator to send the information to the following question:
http://www.justanswer.com/dog-health/80acm-poodle-ear-infections-diagnosed-rod-shaped.html
Ask Your Own Dog Veterinary Question
Customer reply replied 4 years ago

I just emailed the culture results to***@******.*** and asked the moderator to forward it to the address you gave me. Please let me know when you receive it (the file is a PDF file).

Thank you,

karen

Hi Karen,
Okay. It can take a few hours, so I may not get back to you until this evening, pacific time.
Dr. Andy
Ask Your Own Dog Veterinary Question
Customer reply replied 4 years ago

Hi again

This evening is fine; however, there is no link that I can see on my TV screen ... any advice would be helpful.

Karen

Customer reply replied 4 years ago

Will you please email me when you respond in case I'm not by the TV?

Thank you.

Hi Karen,
I do not know if that email came through correctly, but I am not permitted to send information outside of this forum. It's for your protection, my protection, and I would also not be credited for responding to your questions if I send to your email. So, I can only send answers here. Sorry for inconvenience.
Dr. Andy
Ask Your Own Dog Veterinary Question
Customer reply replied 4 years ago

Hi Andy

i want to know what the terminology means - no one has explained it to me. I can resend it if you would like in jpg file.

Thanks,

Karen

PS. Your website indicates perhaps a call can be made.

Hi Karen,
That is generally for other types of services.
Please try to resend to
***@******.***
make sure to inform them to give the information to Dr.Andy working on the following question:
http://www.justanswer.com/dog-health/80acm-poodle-ear-infections-diagnosed-rod-shaped.html
Ask Your Own Dog Veterinary Question
Okay, got Izzi's results.
What you are really looking for is only an antibiotic that indicates the bacteria is "sensitive" to the antibiotic. Meaning, in the proper concentration, it can kill it. That is what the numbers off to the side suggestion.
Ciprofloxaxin is a good oral antibiotic in this case and should be continued.
The problem is that some of the options that say sensitivity or not readily available in ear topical form.
But, some are!
If you vet is willing, some vets and specialist will "cocktail" a ear medication for you. Essentially, make a formula with a suitable antibiotic.
Here's a suggestion to ask your vet about trying:
1. Get a bottle of TrizEDTA. A 4 ounce bottle.
2. Remove 4.8ml of the cleaner and throw away
3. Add 4.8ml of 250mg/ml Amikacin injectable. This gives the entire bottle an effective concentration of 10mg/ml.
You'll need to show them this, and they will quickly now.
How is that 10mg/ml. Well, 4 ounces is 120ml. You take away 4.8ml and replace with a total of 1200mg of drug. So, 1200mg of drug divided by 120ml equals 10mg/ml.
Usually, this solution is put into the ear twice a day and sometimes treatment can extend for several weeks.
I really like it because the ear cleaner is very watery and makes it even easier to penetrate deep into the ear canal, moreso the ear ointments.
Hope that answers helps Karen. Good Luck!
Dr. Andy
Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30,497
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Verified
Dr. Andy and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

Dr Andy

Thank you so much for the invaluable advice you have given me. I would like to keep you updated on Izzi's condition. Will you be available when/if I need further assistance?

I received more information from you online regarding this problem than I have received from two vets we saw in person regarding Izzi's infection. PetMD is fortunate to have you on their team. You really became involved in my case and were so quick to respond. I have never sought online help but, at my wits' end, decided to give it a try - and what a pleasant surprise I received; and it is because of your expertise, communication, involvement and care to which I give credit. I felt you were truly engaged in Izzi's issue, to which I say, thank you so much. What an asset you are to PetMD and I hope they value your significant contribution to their success. I am so happy you were the doctor online when I contacted PetMD.

Warm regards,

Izzi and Karen

You are very welcome Karen, and glad to be of assistance. I hope the information can help.
Yes, you can request me for future questions by leading the question with "Dr. Andy"
Also, by clicking my link and saving it:
http://www.justanswer.com/veterinary/expert-drandy/
Ask Your Own Dog Veterinary Question
Customer reply replied 4 years ago

Hi again Dr Andy

I did not mention I have another dog, a GoldenDoodle, Abbi, age 6. No matter how I try to stop her, she has been licking Izzi's ears incessantly; she is the constant groomer. Smile She has not had ear infections previously, but she is now scratching her ears and they are pink (new for her). Is Izzi's bacteria infection contagious and might Abbi contract the infection from her licking Izzi's ears.

I notice TrisEDTA is sold as a flush, crystals, and TrisEDTA Plus so I was wondering what the differences are. Also, does it come in a form to treat skin irritations/rashes which Abbi has on her tummy. I have used Vetericyn for skin but not clearing it up.

Thank you and I look forward to hearing from you.

Best regards,

Karen

Hello Karen,
No, the ear thing would not be contracted by her licking the other dog's ears.
It should also not be contagious unless she was suffering from some type of condition causing suppression of the immune system, which is unlikely.
It is much more likely that she is also a allergy sufferer, with environmental allergies being the cause. One of the #1 complications of atopy (environmental allergies), is ear infections.
The TrisEDTA wouldn't be enough used alone. The vet would be using it to cocktail the ear medication inside of it.
The TrisEdTA Plus also has some chlorhexidene antibiotic.
Ideally, the TrisEDTA is fine, and your vet adds the medication to it.
The skin would likely require oral therapy as well, in the form of antibiotics if a skin infection is present, and definitely, some oral steroids (or an injection) to reduce inflammation.
No, the TrisEDTA is designed for ear issues.
You would have to ask the vet about doing a simple skin test called a "derm impression cytology" just to look for if there is bacteria and/or yeast on the surface of the skin. It helps to pick which topicals and oral medications to use.
Dr. Andy
Ask Your Own Dog Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dog veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Andy Your Own Question
Dr. Andy
Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 30,497
30,497 Satisfied Customers
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr. Andy is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

30,497 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,315 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,063 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Dr. Bruce

Dr. Bruce

Veterinarian

9,533 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

8,299 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
Excessive licking of paws, shaking and scratching ears.
Excessive licking of paws, shaking and scratching ears. Seems to be worse when comes in from outside … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,689 satisfied customers
I have two Goldendoodles, 45lbs, and 76lbs. One of both of
I have two Goldendoodles, 45lbs, and 76lbs. One of both of them managed to get my son's Concerta 36mg off of the counter and seven pills are missing. I am unsure as to which one or if it was both of t… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My standard poodle has a stubborn bacterial ear infection.
My standard poodle has a stubborn bacterial ear infection. She just finished 2 weeks of treatment, still has it.… read more
Dr. Andy
Dr. Andy
Medical Director
30,497 satisfied customers
My female spayed goldendoodle has a rash around her vulva.
My female spayed goldendoodle has a rash around her vulva. She has been licking and dragging her butt. She loves to swim in our salt water pool. Could this be yeast? … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
I was holding my 8 pound toy poodle, and she licked the
I was holding my 8 pound toy poodle, and she licked the syrup on the end of a stamen of an asiatic lilly! I immediately wiped her tongue with my hand. Will this hurt her? … read more
DocPaul
DocPaul
Doctoral Degree
714 satisfied customers
Standard poodle, 3 dogs in family. One dog is an ear. He
standard poodle, 3 dogs in family. One dog is an ear licker. He licked the big guy who wasn't groomed right and hair was not plucked. He started shaking his head and flapping his ears. I have a dr;s l… read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
He's droolin excessively, runny nose and watery eyes,
He's droolin excessively, runny nose and watery eyes, everything is clear … read more
DocPaul
DocPaul
Doctoral Degree
714 satisfied customers
My German shorthair/standard poodle has scabs in her ears.
My German shorthair/standard poodle has scabs in her ears … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,689 satisfied customers
Our 4.5 month old standard poodle just licked up some
our 4.5 month old standard poodle just licked up some spilled lysol toilet bowl cleaner. About 2 cc's. … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,326 satisfied customers
My poodle has a yeast infection in ears and eyes. What can I
My poodle has a yeast infection in ears and eyes. What can I do for him until I get to the doctor … read more
DakotaSouthFive
DakotaSouthFive
Independent Contractor
High School or GED
19 satisfied customers
My dog and for the past two days keeps licking his nose
My dog and for the past two days keeps licking his nose excessively, why? … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,479 satisfied customers
My poodle appears to have a fox tail in his ear, OR an ear
My poodle appears to have a fox tail weed in his ear, OR an ear infection. It came on suddenly. He helped as if in sharp pain. When I look in his ear, his help becomes more of a hysterical scream. I k… read more
Dr. Leah Hill
Dr. Leah Hill
Veterinarian
Doctor of Veterinary medicine
657 satisfied customers
Constant movement, peeing, licking her nose. She is not
Constant movement, peeing, licking her nose. She is not acting right. She had dead animal this morning which was taken away from her bur she had already eaten part of it. … read more
Lisa
Lisa
Certified Veterinary Technician
Associate Degree
15,482 satisfied customers
My goldendoodle has been licking a small lump near his tail
My goldendoodle has been licking a small lump near his tail and back left leg. Today I noticed that he has rubbed most of the fur away and the lump is angry red with a black hole in the cente. when I … read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
She has extreamly dry nose and will not stop licking
she has extreamly dry nose and will not stop licking petroleum, coconut oil and steroid off can't get it better if she wasn't stop … read more
Expert
Expert
Associate Veterinarian
Doctor of Veterinary Medicine
1,009 satisfied customers
Bentley, a goldendoodle, is always licking his paws. What
Bentley, a goldendoodle, is always licking his paws. What can I do? … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,689 satisfied customers
Question. My goldendoodle (75% poodle; 25% golden) who is a
Hi,question. My goldendoodle (75% poodle; 25% golden) who is a little over 9 years old was diagnosed with ITP over the summer. It was determined that this was caused by the injectable antibiotic Coven… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
Goldendoodle, she started scratching Right ear and shaking
Goldendoodle, she started scratching Right ear and shaking head. Tried ear mite med, did not help. Have been doing a homeopathic remedy of coconut oil and garlic 2x in the last 24 hours. Ear is red, a… read more
divealot1
divealot1
DVM
8 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x