A day after I finished treatment on Mocha's reputured anal sac, it became impacted again. It was weird because Wednesday everything looked great and when I checked her behind Thursday before bed, it looked like the picture. Naturally, I was horrified and I could tell she was in pain too. The next day I went to work but left an hour early and got Mocha to the vet as a walk-in. I did not see the same vet (even though he was there) but saw the COS. I didn't mind actually because a second opinion is a smart choice even though I did not doubt the other vet's course of care. Anyway, the vet suggested two plans - one was to drain and keep treating but add extra antibiotics (Zeniquin and Clavamox) or do the first plan plus run a culture test to see what bacteria is growing. That test is expensive and takes about a week, but it will tell us what is going on in there and why it did not originally clear up with just Zeniquin. The combo Z & C may work, but just in case it does not, our next step is to treat based on culture results. I really would like to avoid surgery if at all possible but if it came to that, then that's what I have to do. Anyway, I feel bad for Mocha as I know she does not like it when I clean her behind several times a day or force medicine down her throat (she doesn't like pill pockets and can eat around the pill if I mush it in food). In five days we go back to the vet for a recheck and make sure it's healing well and possibly get the culture results.
Mocha also has asteroid hyalosis which is where it looks like she has stars/asteroids in her eyes. It's a phenonemon in older dogs and humans too. No treatment for it and not sure how bad it affects her vision.

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