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Linda Simmon
Linda Simmon, Veterinarian
Category: Vet
Satisfied Customers: 7535
Experience:  MVB MRCVS
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I have an almost one-year-old cat. she is a female cat and

Customer Question

hello!
JA: Hi there. What type of animal are we talking about?
Customer: I have an almost one-year-old cat.
JA: I'll do all I can to help. Can you tell me a little more about the cat's situation? How long has this been a concern?
Customer: she is a female cat and almost two weeks ago out of nowhere she started scratching her ear very vigorously. We visited many vets and gave her lots of medication and she gradually got better, over the course of 1 and half weeks
JA: The Expert will know how to help with the scratching. Does she ever go outside?
Customer: They could not figure out the cause of her disease, what was causing the scratching. she has been doing alright the past few weeks, but the last two days she has not been eating well and she has started having spams and lightly scratching her ear again she is only an indoor cat and she very rarely goes to the balcony for a few minutes
JA: What's the cat's name and age?
Customer: Bobbie she is 11 months old
JA: Is there anything else the Vet should know about Bobbie?
Customer: she had been taking antibiotics and she regularly takes CBD oil with her food
Submitted: 8 days ago.
Category: Vet
Expert:  Linda Simmon replied 8 days ago.

Hi there, this is Dr Linda, a UK based vet.

I'm sorry to hear this and understand your concern for Bobbie.

Did the vet swab the ear and, if so, what were the results?

Which medicine was she given?

Customer: replied 8 days ago.
he did. she had a minor ear infection
Expert:  Linda Simmon replied 8 days ago.

Was it fungal or bacterial?

Which medicine was used?

Customer: replied 8 days ago.
she was given the equivalent of the antibiotic augementine
Expert:  Linda Simmon replied 8 days ago.

This was an oral tablet?

Expert:  Linda Simmon replied 8 days ago.

And she had no anti inflammatories or steroids?

Customer: replied 8 days ago.
cortisol. ever since the accident she is taking CBD with her food.
Customer: replied 8 days ago.
in the form of an oral tablet she took with food
Customer: replied 8 days ago.
the vet said it could be a neurological problem as well something similar to allodynia or hyperalgesia
Customer: replied 8 days ago.
but he could not tell so he let us go
Expert:  Linda Simmon replied 8 days ago.

Unfortunately tablets are not usually effective for ear infections as they don't reach high enough concentrations within the canal.

We need to ensure the vet has swabbed the ear and sent the culture to a lab for analysis. You should have a report telling you which bacteria or fungi are present.

We also want to check for ear mites under the microscope.

Once results are back, the vet should prescribe the most appropriate drops to instil directly into the ear canal.

We should also clean the canal well 30 minutes before applying drops with an ear cleaner.

The majority of ear infections are improved within 5-7 days.

Customer: replied 8 days ago.
I also have videos and pics if you would like for me to attach
Customer: replied 8 days ago.
she needn't take any drops the swab test was almost completley clear, thus he did not prescribe any other medication
Expert:  Linda Simmon replied 8 days ago.

Yes, please send anything you have.

Customer: replied 8 days ago.
File attached (PMVTV1P)
Customer: replied 8 days ago.
this is her today a few minutes ago
Customer: replied 8 days ago.
she has not eaten much the past two days
Customer: replied 8 days ago.
please let me know if the video works
Expert:  Linda Simmon replied 8 days ago.

Bless her, yes, I can see she is very distressed.

Is the skin above her ears bald and inflamed?

Customer: replied 8 days ago.
it is bald not very inflamed
Expert:  Linda Simmon replied 8 days ago.

Does she have any stomatitis / mouth inflammation?

Customer: replied 8 days ago.
I do not think so
Customer: replied 8 days ago.
File attached (7L1LT76)
Customer: replied 8 days ago.
this is her at her very worst almost two weeks ago
Expert:  Linda Simmon replied 8 days ago.

Thank you, ok.

I am just typing my reply.

Expert:  Linda Simmon replied 8 days ago.

We can see she is in a lot of discomfort and is distressed with it.

I'd want to ensure we have ruled out any of the 'obvious' things by examining her under sedation for e.g. a painful back tooth (checking for any FORLs in the mouth), an inner ear infection, mites etc.

I'd consider starting a trial of strong pain relief such as an opioid based one and/or Gabapentin.

It may also be worth taking a CT scan of her head.

If we are no further along with our diagnosis, I'd consider referral to a neurologist.

Customer: replied 8 days ago.
thank you for your reply. Is there specifically cat neurologist? is it easy to take a CT scan of her brain we live in Greece
Customer: replied 8 days ago.
do you know approx the cost and how easy it is to book an appointment ...
Expert:  Linda Simmon replied 8 days ago.

Unfortunately I am not familiar with the veterinary care in Greece, I am UK based.

If there is a veterinary university, they are often the best place to go.

In the UK, it is very straightforward to book prompt referrals.

A CT scan costs about £800 and should be covered by insurance.

Please speak to your vet about local options and costs.

Customer: replied 8 days ago.
thank you so much for your help! would I be able to contact you again possibly?
Expert:  Linda Simmon replied 8 days ago.

Absolutely.

This window will remain open.

I'm sorry she is going through this but hopefully we can get some answers soon.

Customer: replied 8 days ago.
Thank you so much again!
Expert:  Linda Simmon replied 8 days ago.

Of course!