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Thread: Psom

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    Oz was at the neurologist last week and he thinks that most of his pain is due to PSOM. He is going to take a look in his ears under sedation on Wednesday and if he finds anything, he'll drain it. I've read that the procedure may have to be repeated multiple times so some don't recommend even doing it. But Oz truly seems miserable if anyone even touches his ears. He shrieks in pain. I have to be really careful taking his snood off after he eats or I'll set off a screaming fit. He rubs his ears after every meal and when he scratches, its his ears, not his neck. He's on 100 mg gabapentin 3 times a day, 10 mg omeprazole, and 5 mg famotidine (for his IBD). He doesn't seem to have lost any hearing. Has anyone else had a dog be so miserable because of PSOM? His MRI (years ago)showed CM, no SM. Maybe it's a combination of CM and PSOM? He does scratch less since he's been on gabapentin, but the shrieking when his ears are touched has not eased up. Has anyone had a dog that's gotten relief from draining the ears? Thanks!
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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    I'm sorry Oz is having problems. I hope they can give him some relief after his procedure on Wednesday. Keep us posted.
    Joyce - Proudly owned & loved by

    BellaMia (Aug. 30, 2012) My Beautiful Ruby Milo (Jan. 20, 2014) My Handsome Tri
    Sydney (
    April 16, 2000~April 4, 2012) Always and Forever In My Heart

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    Quote Originally Posted by Love my Cavaliers View Post
    Oz was at the neurologist last week and he thinks that most of his pain is due to PSOM. He is going to take a look in his ears under sedation on Wednesday and if he finds anything, he'll drain it. I've read that the procedure may have to be repeated multiple times so some don't recommend even doing it. ...
    None of our cavaliers have had PSOM, but I've read a lot about it. I cannot imagine not doing the procedure, called a myringotomy. The disorder is progressive. The wad of mucus very likely will keep getting larger. At some point, it can do serious damage to the inner ear plus eliminate the ability to hear. The myringotomy procedure is not as complicated as it sounds. There is a YouTube video of it here: http://www.youtube.com/watch?v=nu0i2...ature=youtu.be

    I have read comments of several owners of cavaliers which have had this procedure, and the only negative comments I recall were that for some dogs doing a myringotomy once does not prevent the mucus plug from growing back again. But most commenters wrote that their dogs only needed it done once.

    If any of our cavaliers is diagnosed with PSOM, I would not hesitate to have a myringotomy performed (as long as the dog is otherwise healthy enough for the procedure) by an experienced and board certified veterinary specialist.
    Rod Russell

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    Thanks Rod. That makes me feel better about doing it. I was going to have it done anyway as he is in so much pain whenever his ears are touched, but seeing the video helped a lot.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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    Oz had his myringotomy today and did just fine. He had two huge grape size gobs of thick mucus in his right ear but only a minimal amount in his left ear. He is home sleeping like a baby now. Time will tell whether it has made a difference. Hopefully! I asked his neurologist about the chances of it recurring and he smiled and said "He is a cavalier!" Although he did add that because there was minimal mucus in his left ear, that might bode well for it not recurring.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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    Poor Oz, I'm sure he'll be back to his old self in no time. Hope the myringotomy did the trick.
    Joyce - Proudly owned & loved by

    BellaMia (Aug. 30, 2012) My Beautiful Ruby Milo (Jan. 20, 2014) My Handsome Tri
    Sydney (
    April 16, 2000~April 4, 2012) Always and Forever In My Heart

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    I hope he does well. I'm going to be interested in the outcome as our Bentley has PSOM, as well, and I think it gives him more trouble than the other issues. Unlike many, though, he absolutely LOVES having his head area massaged. I suspect that his hearing has diminished somewhat. When we had him MRI'd in Feb they said the ear surgery isn't always successful and the mucous sometimes returns. Since we had just spent $1600 on the MRI we weren't willing to take on the surgery. He's doing OK with Gabapentin and a small amount of Prednisone.

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    Oz has still been sleeping, sleeping, sleeping since the myringotomy! I will keep you informed about whether it makes a difference for him. I sure hope so. The shrieking when his ears are touched is horrible. He's on pain meds for the next five days, but after that I'll let you know.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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    This is so timely, BB has been having major head rubbing and pain that seemed to be ear related but no infection could be found. We just went to the neurologist this AM to be looked at for SM and the MRI showed PSOM in both ears but much worse in the right ear. She is on pain medication (Gabapentin and Tramadol) until she can be seen by the Dermatologist/Ear specialist but the Doctor spoke highly of the procedure and prospects for relief/recovery. It is so nice to have the information provided by this group and the site that Ron mentions above to reference - thanks to everyone and my family is happy to know what has been causing the discomfort along with the next steps for our sweet baby!
    Noelle, B.B., & Tucker

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    Oz has been doing great since his myringotomy -although it's only been two days, but no shrieking so far and almost no scratching. He is still on pain meds though. One thing though is that his hearing is diminished since the procedure. His neurologist told me that might happen before the procedure; he said that for Oz everything sounds like he's underwater. It should only be temporary. I sure hope so as I already have one almost totally deaf cavalier (Maddie). She's a dream though, never causing trouble. Oz on the other hand likes to go out in the yard and bark at anything and everything. He stops when I tell him to, but if he can't hear me .....
    Let us know how BB gets along if you decide to do it.
    Bev
    Oliver (blenheim, born 3/2001), Riley (black & tan, born 8/2002,), Madison (ruby, born 9/2003), and Oz (tri-color, born 7/2007)

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