Eye Gunk

rockitorknockit

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Hello, everyone.

Yesterday morning my Oscar - who some of you know has had some other major health things going on for a while - woke me up like he normally does for breakfast. A little while after his morning meds and meal, I noticed he suddenly looked weak, was trembling, was not purring or wanting to move much, and generally looked very suddenly not good. My wife and I put him in a warmer spot of the apartment and he slept for a bit. We had no idea if he was just cold, having a sudden issue related to one of his illnesses, or something entirely else. I sat with him for a few hours watching him closely and he eventually got up and started walking around and eating like normal, but it was at this time that I noticed he had yellowy goo coming out of the corners of both eyes. I ended up NOT taking him to the emergency vet for two reasons - 1, once he started getting up and eating, he started acting way more normal again. Trembling stopped, he purred, he ate more, he enjoyed the balcony. He looked a little under the weather but was better than during the sudden morning dip and seemed stable at this level for the rest of the day. 2, Oscar does very poorly with traveling. Riding in cars makes him feel horrible and visiting vet offices can take him days to recover from (I swear he's gotten sick the last three times we've taken him somewhere), so I was trying to avoid taking him to an emergency vet he's never been to half an hour away. Since he seemed to stabilize a bit, we got through yesterday.

He tends to have clear water eyes now and then, so I found some erythromycin we had lying around for him. It's still within date and my wife and I put a line on each eye last night and this morning.

Naturally this is happening on Memorial Day weekend, which means both his normal general vet and the specialist vet he visits for internal medicine were closed yesterday and are today as well. My only options are to take him to the ER vet we've never met 30 minutes away later today, or wait it out and take him to his normal vet tomorrow morning (assuming they'll see him... I hope... they are literally only a 10 minute drive, so at least they're much closer and have his history).

Today he's eating, had his meds, and is walking around normally (and woke me in the night as he usually does). He's sitting upright and mostly seems okay. there is no sneezing or coughing, and his breathing has remained at a normal rate. But he's now squinting a LOT. He's clearly uncomfortable in his eyes, really wanting to keep them closed. That said, I'm noticing less goo. For the most part they look normal. They don't appear red. Maybe slightly puffy but I really can't tell. His face is otherwise not too pain-stricken. It seems obvious that he's just dealing with some sort of herpes flare or something, a sudden eye infection of some kind. Other than obviously not wanting him to be miserable, I am concerned about whether or not I should consider this urgent since he is on chemo and steroids and likely has a weaker immune system. His last dosage of chemo was last Thursday.

I called the emergency vet to ask their opinion on whether or not this was emergent. After saying she'd offer her opinion, the woman listened to my whole diatribe on what was going on and then would only say, "It's up to you!" followed by a rehearsed speech on their pricing. Which was completely unhelpful and very frustrating.

I guess I am wondering this - would you consider this an emergency and get him in somewhere today? Could it wait until a phone call to a vet who knows him tomorrow morning? I'm guessing that whoever sees him will just prescribe oral antibiotics. How often should I apply the erythromycin while we do wait to speak to a real vet?

Thanks for any insight. You guys are awesome, as always.
 
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rockitorknockit

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Hi

Because of this and now he's squinting, I personally wouldn't do any more of the erythromycin. Do you have plain saline/tears-type eye drops?
I do not, but could surely get some. Wondering why no erythromycin? To clarify, I did not give him any until last night after he'd recovered from the bad dip. He's only had it last night and this morning.
 

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Sorry for the double post, but by the way, have you asked your vet for something for his car sickness and stress?

Also, do you have any housecall vets in your area?
 
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rockitorknockit

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Sorry for the double post, but by the way, have you asked your vet for something for his car sickness and stress?

Also, do you have any housecall vets in your area?
I have not asked about anything for car sickness/stress, but that's a good (and probably obvious) idea. I think it had been offered to me once a while before and I declined because he was doing poorly at the time and I was afraid to add in another medication, but he's been generally stable for the last month (other than this new eye thing). I can definitely ask.

Housecall vets in my area has been a whole ordeal. There are very few. After extensive research, I've only been able to find two who might service my location. One of them has not returned ANY of my attempts to contact her. The other I simply have not gotten around to trying to call yet. Something I am obviously kicking myself for now. She doesn't do appointments on weekends so I doubt she would be available today with the holiday either, but I might try just to get the ball rolling.

The vet options around me are piss poor. It's been really difficult to find a good vet.
 
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rockitorknockit

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Started to get too anxious and called the ER vet to see if they'd see us after all. She said they won't even have a hope of seeing him for at least 5-6 hours. So now it seems like I might as well wait until morning! He just had a big purr and lunch, and he is now snoozing in the balcony. I think I'm just panicking.
 
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rockitorknockit

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Let us know what they say tomorrow :vibes::crossfingers::heartshape:
Thanks so much for being responsive and supportive yesterday. Just wanted to take a moment to say that to you specifically. It's nice to know my anxiety is not just disappearing into a void.

Happy update: Oscar is much better today. Squinting magically resolved over night - when he woke me for food this morning they were bright and wide and I felt a wave of joy. I got him into a quick appointment at the local vet this morning just to cover bases. He hated every second but they're only 10 minutes away and the vet was actually very helpful and patient. She said his eyes look fine now and he's otherwise stable, all of his conditions considered. Very relieved. Had a big cry in the car afterward because good news appointments are getting harder to come by with him these days. Relief relief relief... for now. Thanks for being here.
 

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rockitorknockit

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Update. Things are not fine anymore.

After the vet visit Tuesday morning, Oscar seemed completely fine until about 4pm yesterday (Wednesday). At that time he had a very abrupt and bizarre behavior change that I have never seen. He was sort of acting hungry but chattering and keep distance from my wife and I. We observed him and tried to interact with him for a few hours and began to suspect something wrong with his mouth. Several hours and hundreds of dollars later, I left the emergency vet with a cat high on Buprenorphine and no answers. Since getting home around 11pm, nothing has changed much. He let's me touch him but is acting strange. He's definitely drugged up, which I'm sure is part of it. He keeps acting like he wants to eat but then sort of sniffs the food for a while and then moves away. Does a weird sort of smack with his mouth. He has gotten a little dry food in but far less has been eaten than what he normally eats during this time, and strangely refusing to touch the wet food he usually prefers.

The ER vet said she ran something along all his gums but his teeth seemed fine. She had no answers, seemed stumped. Gave the pain meds hoping he was just having pain somewhere. But it seems like it has to be his mouth or throat?

I'm burned out. I havent eaten or slept and am broke. I don't know what to do other than to beg his regular vet office to see have someone work him in again tomorrow.
 

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O poor Oscar! Just catching up on this thread now. I think every decision you’ve been making is the right one…whatever’s going on w/ him is something I think only a vet can answer. Do keep us posted. Probably being drugged up has to do w/ no immediate appetite. The vet had no idea about the eye gunk? Try to rest and eat…being there for yourself will help Oscar. Good luck!!
 

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He keeps acting like he wants to eat but then sort of sniffs the food for a while and then moves away. Does a weird sort of smack with his mouth.
This made me think nausea.

Many medications cause dry mouth/eyes and the side effects sometimes don't show up until longer use. Look up the human version of his regular meds. Since cats can't speak I think they often have more side effects than are listed for feline meds. Some cats also develop seasonal allergies that can cause eye/nasal drip and nausea. The type of meds the er gave him can also cause nausea. Try the saline drops they will flush his eye, nose area.

Put the events of the past few days in a list and email to your regular vet.

I hope you find a solution for Oscar.
 
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rockitorknockit

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This made me think nausea.

Many medications cause dry mouth/eyes and the side effects sometimes don't show up until longer use. Look up the human version of his regular meds. Since cats can't speak I think they often have more side effects than are listed for feline meds. Some cats also develop seasonal allergies that can cause eye/nasal drip and nausea. The type of meds the er gave him can also cause nausea. Try the saline drops they will flush his eye, nose area.

Put the events of the past few days in a list and email to your regular vet.

I hope you find a solution for Oscar.
We are so used to dealing with nausea with him and this has just been so bizarre and different than his other behaviors that I thought it was unlikely. Did not consider that this could be a late side effect, though. I don't know.

Today, the horrible bupe has worn off some. He's puny. But he's eaten. He's getting water all over his chin and neck when he drinks. We have a vet follow up in a couple of hours. I don't have high hopes for answers but I'm going to insist they check his mouth, ears, etc extra well.

Its been a tough day for me. Lots of tears and fearing the worst. Glad he has eaten a bit more though.
 
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rockitorknockit

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We got Oscar to the vet for the third time (with a third different vet) this week yesterday afternoon.

I explained everything, insisted something was wrong and that we needed her to examine him yet again, paying special attention to his mouth.

Two seconds into the exam - "Yup, that's it!" Oscar's front right canine is loose and her touching it replicated the chatter/jaw movement I saw at home. !!!!!! I KNEW IT! I'm furious I spent several stressful hours and $175 at the emergency vet and she couldn't see that. This vet showed it to me immediately.

RELIEF because we found the source and have a plan! So many of his conditions are not that straightforward. Plan is antibiotics and gabapentin going forward, and hoping it will just fall out. The what-if/worry - if it doesn't fall out. He is too sick to risk undergoing anesthesia for removal. But trying to accept the relief for now and we will cross that bridge if we come to it.

So I think something hit the tooth on Wednesday and just really made it hurt really badly for a bit. Now that it's settled down some, he's back to eating better. Sometimes when I watch him eating he is fine, but now I can see sometimes it seems to bother him a bit. All of this has helped me have a bit better measure of when he's nauseous vs when he's actually in pain. I will begin the gabapentin this morning.

Side note - little scared of the gaba. I have had to take it myself and it was absolutely horrific. My wife and I swore we'd never allow it in our house again so it's ironic it's what she wants to give him. Wondering how similar it is for cats vs humans?... Will do some research. But obviously bupe is not something he took to well, and it didn't even help.

My poor boy. So many meds. Sometimes doctors act like what I'm doing is an amazing commitment to care, others act like I'm trying to force a dying cat to live longer than it should. I measure his quality of life daily and record it in a journal. Some bad days this week but mostly good for the last month or so. I think I'm doing the right thing for him still. I hope.
 

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I am so glad you finally got a diagnosis for Oscar after so much frustration! You did right by your cat. As for gabapentin, my cat who tends to get all the unusual drug side effects (she went insane as well as very constipated on buprenorphine so she can't have it anymore sadly) does great on gabapentin. It can make the cat very wobbly, which is alarming to see, but starting with a lower dose and working up is away to deal with it. Also, as they get more used to having the gabapentin in their bodies, the wobbly walk goes away and the pain still seems to be managed. If your cat does well on buprenorphine, could you ask your vet if you even need the gabapentin?
 

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We got Oscar to the vet for the third time (with a third different vet) this week yesterday afternoon.

I explained everything, insisted something was wrong and that we needed her to examine him yet again, paying special attention to his mouth.

Two seconds into the exam - "Yup, that's it!" Oscar's front right canine is loose and her touching it replicated the chatter/jaw movement I saw at home. !!!!!! I KNEW IT! I'm furious I spent several stressful hours and $175 at the emergency vet and she couldn't see that. This vet showed it to me immediately.

RELIEF because we found the source and have a plan! So many of his conditions are not that straightforward. Plan is antibiotics and gabapentin going forward, and hoping it will just fall out. The what-if/worry - if it doesn't fall out. He is too sick to risk undergoing anesthesia for removal. But trying to accept the relief for now and we will cross that bridge if we come to it.

So I think something hit the tooth on Wednesday and just really made it hurt really badly for a bit. Now that it's settled down some, he's back to eating better. Sometimes when I watch him eating he is fine, but now I can see sometimes it seems to bother him a bit. All of this has helped me have a bit better measure of when he's nauseous vs when he's actually in pain. I will begin the gabapentin this morning.

Side note - little scared of the gaba. I have had to take it myself and it was absolutely horrific. My wife and I swore we'd never allow it in our house again so it's ironic it's what she wants to give him. Wondering how similar it is for cats vs humans?... Will do some research. But obviously bupe is not something he took to well, and it didn't even help.

My poor boy. So many meds. Sometimes doctors act like what I'm doing is an amazing commitment to care, others act like I'm trying to force a dying cat to live longer than it should. I measure his quality of life daily and record it in a journal. Some bad days this week but mostly good for the last month or so. I think I'm doing the right thing for him still. I hope.
I love that you KNEW what was wrong, stuck to your guns, listened to that tiny voice in your gut. Sometimes when you love a creature so deeply, these instincts kick in. It is worth it to speak up—- vets are stressed, lack time, and don’t always go the distance, even though they act like it. Your voice gives me courage to stand up to a vet, and push them to go that extra mile.
 
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