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Mia's red bump and swollen red around her eye hasn't seemed…

Customer Question
Hey Paul,Mia's red bump and...
Hey Paul,Mia's red bump and swollen red around her eye hasn't seemed to stop growing. it is getting bigger and redder. What do we do?
Submitted: 4 months ago.Category: Dog Veterinary
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Answered in 4 hours by:
3/9/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 4 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,792
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

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Customer reply replied 4 months ago
Thanks
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 4 months ago

I'm sorry that your question wasn't answered in a timely manner. I reviewed your previous conversation with DocPaul.

The photo is excellent and reveals a marginal blepharitis - inflammation of the eyelids that may be due to a primary bacterial infection or may be secondary to an underlying condition such as a parasitic, allergic, autoimmune skin disease, or leishmaniasis (rare in the United States). Here are the basics for treatment and prognosis:

1) Any underlying cause should be identified and addressed.

2) Any topical medications should be discontinued if contact dermatitis is suspected.

3) If pruritic (itchy), an Elizabethan collar should be used to prevent self trauma.

4) Warm water compresses should be applied to affected areas 2-3 times daily to decrease swelling and remove exudate (discharge).

5) If bacterial infection is present, a topical antibiotic-glucocorticoid ophthalmic preparation should be applied to the affected eye every 8-12 hours for 2-3 weeks. Effective preparations include those containing the following: bacitracin-neomycin-polymyxin-hydrocortisone; neomycin-prednisone; gentamicin-betamethasone. Don't use if contact dermatitis is suspected.

6) For bacterial blepharitis, appropriate systemic antibiotics should be administered for at least 3 weeks.

7) For autoimmune blepharitis, treatment with immunosuppressive medications should be provided.

Please continue our conversation if you wish. I have to leave my computer for a few hours but promise to reply as soon as I return if need be.

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Customer reply replied 4 months ago
Thank you for your input. It doesn’t seem to bother her or itch. Is this worth a trip to the vet?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 4 months ago

Yes, because it's likely to only worsen if not treated. I would expect the vet to skin scrape looking for the mange mite Demodex and perform a cytology (microscopic exam of a small sample of skin surface) looking for abnormal numbers of either bacteria or yeast. I'll speak to you in a few hours.

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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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