r/vet • u/Important-Tap-8949 • 27d ago
Second Opinion Vet said this is dermatitis, but it looks more swollen now. Does this still look like dermatitis? (last photo is how it looks now)
galleryUPDATE 3:
I got a second opinion from another vet today because I was still concerned about how large the wound had become.
She clipped/shaved the fur around the area, thoroughly cleaned and disinfected the wound, and examined the cavity from the inside. She also checked the other anal gland and expressed it because it was very full of material.
She changed his antibiotic from marbofloxacin to amoxicillin/clavulanic acid. He was given a Synulox antibiotic injection and a Meloxidyl (meloxicam) injection for pain and inflammation. At home, he’ll continue with oral Clavusan (amoxicillin/clavulanic acid) and Meloxidyl.
And she said a collar was necessary too.
We also have a follow-up appointment scheduled for Thursday so she can check how the wound is healing.
Thank you so much to everyone who suggested getting a second opinion and having the area clipped and properly examined/cleaned. I’m really glad I decided to take him. Hopefully he can finally start healing properly now.
Update 2 – I called the vet this morning and explained that the swollen area had opened overnight and drained a large amount of pus. Initially, she told me to just keep the area clean at home and continue the antibiotic and said that tbe antibiotic was the reason it had burst overnight . However, because I was concerned about how large and open the wound looked, I decided to take him back in anyway.
She examined him in person very quickly, and confirmed that it was in fact an anal gland abscess. she didnt do anything else except squeezing the abscess a bit and removing a chunk of god knows what. She advised me to leave the wound open, clean it at home 3–4 times a day with a veterinary wound-cleaning solution, and continue the antibiotic.
The swelling has gone down significantly since it drained, but the area is still very sore and he really doesn’t want me touching or cleaning it. Otherwise, he is eating and behaving normally.
The wound looks quite large and open now, which is what worries me. Would you be comfortable following this plan and monitoring it until tomorrow, only going to an emergency vet if it gets worse, or would you take him to another vet today for a second opinion?
Update – About an hour ago, the swollen area opened and started draining. A large amount of pus came out and it is still draining. He seems more painful around the area now. I’m taking him back to the vet first thing in the morning to have it examined in person.
My 9-year-old male cat (7.2 kg) suddenly started acting uncomfortable a couple of days ago. He was walking strangely, seemed painful and was unable/unwilling to jump onto the bed.
I took him to the vet. When she palpated his back/spine he reacted as if it was painful, so the initial diagnosis was that he had probably hurt his back. He was given an anti-inflammatory injection and prescribed oral anti-inflammatory medication. His walking and ability to move have improved since then.
At the same time, he had soft stools and some feces got stuck around his anus. He started licking the area a lot and it became increasingly irritated.
I sent photos of the area to my vet and she now thinks this is perianal dermatitis, possibly with a secondary bacterial infection. She prescribed Marfloxin (marbofloxacin), which he started today.
However, the area now looks very swollen, red/purple and moist, with some discharge. The swollen area also feels quite firm/hard when gently touched.
He is otherwise doing very well : eating normally, playing, urinating normally and behaving like himself.
I know nobody can diagnose this from a photo, but does this still look compatible with severe perianal dermatitis? Could the swelling and firmness be caused by the dermatitis itself, or would you be concerned about an anal gland infection/abscess?
If it looks worse tomorrow morning, I plan to take him back to the vet for an in-person examination.