3947. A pug has thick mucoid right eye discharge (Part 1) and abnormal waking up at 3 am (Part 2)

PART 1

Tuesday, 22 Dec 2020. Consultation

PUG, MALE NOT NEUTERED, 7.5 kg, 38.1 degrees C

Right eye had a gluey discharge with a brown spot. The worried owner phoned me today as she had not seen me since last year. I treated her pug for corneal ulcerations of the right eye some 9 years ago in 2011.

Her father would buy the Hills R/D food from us. The pug had a trim weight of 7.5kg. Had serous discharge from both nostrils.

Visual examinations from her handphone were not very clear.

On 22 Dec 2020, I saw the pug at the clinic. 

1. Thick gluey mass on right eye with a brown spherical lump of 3 mm across. Totally dry eye. 

2. Bad breath. R U Premolar 3 was loose and dead, at Periodontal Disease stage 4.

Had groomer do the dentistry every 3 monthly as no anaesthesia was required but the groomer did not inform her about the 2 loose and dead lower incisor teeth which also needed extraction. 

3. Hard spherical lump at about 80% of the golf ball in the bladder area or benign prostate hypertrophy. No pain on palpation. Urine is said to be normal.  

TREATMENT

Under anaesthesia, I irrigated the eyeball, cleared the sticky matted cornea of hairs and debris. I applied fluorescein eye stain and saw four superficial cornea ulcers. These ulcers caused pain in the pug.  Then I extracted 3 loose and dead teeth.

The owner is happy to see the eyeball is now clear of junk and matted hair. She will apply artificial tears a few times a day. Antibiotic drops for 7 days.

CONCLUSION

9 YEARS ago, if the owner had accepted my advice to do a cosmetic surgery called right facial fold resection, the pug would not have had eye irritation from the hairs of the corneal fold. 

After years of irritation and infection, the tear glands dry up. Hence, now the right eye is a dry eye and needs daily care.

 

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PART 2

Dec 29, 2020 consultation with Dr Sing Kong Yuen

3 days after the dental extraction and eye cleaning, the dog exhibited agitated behaviour early at 3 am - barking loudly, wandering and not wanting to sleep. Some sneezing heard by owner a this time. 

For the next 2 days, also the same waking up early at 4 am and barking.

As at 3 Jan 2021, still wake up early at 4 am but not so restless and little barking. The owner is tired out. 

This behaviour from 25 Dec to 29 Dec 2020  of early rising tired out the owner. The owner sent me a video on 29 Dec 2020 as follows:

I examined the dog on 29 Dec 2020. No heart murmurs but irregular heart beats. Serous mucous discharge from both nostrils. 

My consultation video with the owner on 29 Dec is as follows:

 


X-rays - enlarged heart

       - lungs with fluid?  

Blood and urine test results pending.    

Dr Daniel prescribed:
Rimadyl, doxycline, Iron capsule, neurobion, 500 ml normal saline bottle for dry eye flushing and Hyaline eye drops to keep eye moist. 

To stop wearing e-collar, chloramphenicol eye drops and owner's dry eye drops for people. 

  

4 Jan 2021. The owner reported that the pug did wake up at 5 am yesterday but then went back to sleep without being agitated or barking. The owner reported that the Hyaline eye drops were excellent as it was oily and the dry eye did not dry so fast as before.

CONCLUSION. It is hard to know what caused this abnormal behaviour 3 days after anaesthesia, dental extraction and eye cleaning. The pug still eats and is otherwise normal. Could it be pain somewhere and/or the wearing of the e-collar affecting his sleep?

 

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