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Hi there, this is Dr Linda, a UK based vet.
I'm sorry to hear Lulu has recently developed these issues and appreciate your concern.
Were the vets able to look inside her ears to rule out an infection, foreign body, polyp or ruptured ear drum?
Did they swab any wax / discharge that was present?
Could you please send a clear photo of the skin around her mouth?
Ok, that's great an infection has been ruled out.
If it was just a wax build up, the cleaner should help clear the wax and reduce any irritation.
With regards ***** ***** around the lips; is a photo possible?
Were all the trips for her ears?
Please ignore any phone call requests as the website sends these automaticaly and I cannot make calls.
Thank you, ***** ***** help.
With regards ***** ***** she has had a few infections, have the vets run a blood test to check her white blood cell levels, protein levels and thyroid hormone levels? This would be to ensure her immune system is working well and she does not have an underactive thyroid
Oh, I'm sorry it's tricky to upload the photo.
You can email me directly at***@******.***
With regards ***** ***** tests, I'd be more inclined to run them if Lulu has any other signs such as sluggishness, weight gain or a cough.
Great, one moment please.
We do find, naturally, as a dog's immunity declines with age they can be more prone to infections.
Ensuring they're on a high quality senior diet, are getting plenty of rest and are taking skin supplements can help.
If this continues, I do think a blood panel is the next step.
Similarly, as your vet suggests, a swab may be sensible in case of a resistant infection.
I'll let you know once the photo has come through.
Thank you, ***** ***** moment as I type my reply please
Around the skin, this may be lip fold dermatitis. This can be associated with excess slobber due to dental disease, so do ensure the teeth are in good health.
The ear looks pale, calm and healthy (though the canal is not visible).
The skin lesions could be fungal or bacterial so I do agree a swab is best if the lesions don't resolve with this treatment. I might also consider scraping for mites.
I'd want to ensure she is up to date with a good quality parasite prevention such as Advocate.
Fingers crossed her skin improves shortly. I do understand your worry , it's never nice to see our pets uncomfortable.