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Linda Simmon
Linda Simmon, Veterinarian
Category: Vet
Satisfied Customers: 8121
Experience:  MVB MRCVS
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He has an eye ulcer, dog - Shih Tzu, yes we saw a vet

Customer Question

Hi. He has an eye ulcer
JA: Hi there. I'll do all I can to help. What type of animal are we talking about?
Customer: dog - Shih Tzu
JA: Have you spoken to a vet about ulcer yet? How long has this been going on with the Shih-Tzu?
Customer: yes we saw a vet yesterday but she gave him eye gel for conjunctivitis
JA: What's the Shih-Tzu's name and age?
Customer: Chewy age 6
JA: Is there anything else the Vet should know?
Customer: no
Submitted: 18 days ago.
Category: Vet
Expert:  Linda Simmon replied 18 days ago.

Hello, you are through to Dr Linda, a UK based vet with 10 years of clinical experience.

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

How can I help today?

Customer: replied 18 days ago.
I feel the vet prescribed the wrong medication for his eye ulcer
Expert:  Linda Simmon replied 18 days ago.
What medicine was prescribed please?
Expert:  Linda Simmon replied 18 days ago.
Please ignore any phone call requests as the website sends these automatically, we can talk via typing).
Customer: replied 18 days ago.
Isathal eye drops
Expert:  Linda Simmon replied 18 days ago.
Ok, sure.These are antibiotic drops we often use for the eye and would be the preferred treatment for an ulcer, especially if it isn't too deep.It is also important to keep the eye clean and to prevent rubbing with a buster collar.Most shallow ulcers heal within 1 to 2 days with this treatment.
Expert:  Linda Simmon replied 18 days ago.
We may also give oral anti inflammatories and pain relief if the patient seems uncomfortable.
Customer: replied 18 days ago.
He had an eye ulcer last year and they gave me medication which didn’t work and then told me they would need to remove his eye. I refused to believe them and requested they change the medication to Exocin and booked to see eye specialist, after this his eye got better in 2 days
Customer: replied 18 days ago.
I asked if he could have the same medication this time but was told by the vet that she knows her job as a vet and she will give me a different medication
Customer: replied 18 days ago.
Does Isathal contain pain relief?
Expert:  Linda Simmon replied 18 days ago.

Exocin is a quinolone and would not be the first-line of treatment used.

As most ulcers respond well to isathal, this is usually what should br trialled at first.

Jumping straight to stronger medicine can cause issues.

Neither Isathal nor Exocin contain pain relief, no.

As he is prone to ulcers, have we ensured he is producing enough tears? Is he also getting an eye lubricant?

Customer: replied 18 days ago.
I use dry eye lubricant usually
Customer: replied 18 days ago.
I asked for pain relief but she said Isathal has a little bit of pain relief in it. Is this correct?
Expert:  Linda Simmon replied 18 days ago.

Good, ok.

So we will likely find we need to be giving more of this than usual.

If he does have 'Dry Eye', Optimmune is the ideal treatment,

Customer: replied 18 days ago.
Isn’t pain relief usually prescribed with the eye drops? He’s clearly suffering
Expert:  Linda Simmon replied 18 days ago.

As I say, we may also give oral anti inflammatories and pain relief (such as Meloxicam) if the patient seems uncomfortable.

If he is squinting, lethargic, off his food etc. then this should be considered.

We sometimes also apply atropine drops if the dog is squinting a lot and the eye is very uncomfortable.

Customer: replied 18 days ago.
He is squinting a lot and is very uncomfortable which was clear for the vet to see
Expert:  Linda Simmon replied 18 days ago.
Understood, sure.So if no pain relief was prescribed, I would request this, yes.
Customer: replied 18 days ago.
Can I give him loxicom
Expert:  Linda Simmon replied 18 days ago.
Loxicom (meloxicam) may be appropriate to give for a few days.It can only be given to well hydrated dogs who are eating well and have no vomiting or diarrhoea. It should be avoided in those with liver or kidney disease.
Customer: replied 18 days ago.
the vet told me Isathal eye drops has some pain relief. Is this incorrect?
Expert:  Linda Simmon replied 18 days ago.
Isathal contains fucidic acid which is an antibiotic, not pain relief.
Customer: replied 18 days ago.
Ok thank you for your help and advice
Expert:  Linda Simmon replied 18 days ago.
No problem and I hope Chewy is feeling better very soon.
Customer: replied 18 days ago.
Thank you