Hi Morgan, Well I went to the ENT and he believed that this was a cyst in the parotid gland. He did mention surgery, but not now. The swelling had come down quite a bit in the 5 days I was on the Keflex, but hurt like you know what, if it was touched. So he wanted to drain the cyst and I said fine. A couple of injections of novacaine and a big syringe to pull out the fluid. Thing is there was no fluid coming out. All they got was a very small amount of pus that was sent off to the lab. He was very surprised. told me that if the pain got worse, the swelling got worse or I started to run a fever again to call right away. Went home and by the time I got home it was hurting like crazy again. The pain was worse where the needles went in for the novacaine and the drainage and it was hard as a rock again. Took more keflex and some tylenol and crawled back to bed. Next day seemed to be a bit better and continued on the antibiotic. By Wednesday night the pain was horrible and the swelling was getting worse. Didn't sleep all night and called the docs office the next morning and told them what was happening and could taste some drainage into my mouth again. They called me back in about 20 minutes and changed the antibiotic to Augmentum, which is worse on the stomach than the Keflex. told me to start it that evening and take it twice a day. Then find out the doc is away this week, but if it doesn't get better in a few days or gets worse or something to call and I can talk to the doc that is covering. Well the Augmentum is killing my stomach. I'm either nauseas most of the day or running to the bathroom and you have to take this med after eating a meal or it won't work. You need the food to help absorb the medicine. The good news is the swelling is almost gone in my neck and that part of me is feeling much better. The rest of me with the med is feeling horrible, but as long as I can finish the bottle, I'll be happy. Have 7 more days to go to finish as he gave me 14 days worth to take. I just hope that I can continue to finish the meds. I did have some swelling go into my cheek but that was from the swelling in my neck. I have not had any pain go into my ear though. The ENT did try to see if pressure on the swelling would cause drainage into my mouth. It didn't at the time I saw him but it did the next day. It was off and on. If I where you, I would get another opinion with another ENT doc. The one you are using doesn't seem to know what is going on. It sure wouldn't hurt to have another opinion since this has been going on for so long for you. As for surgery, I feel the same way and before I ever consented to surgery I would get at least one other opinion. Made that mistake a few years ago and had surgery on my arm and have suffered permenent disabilities since and should never have had the surgery. Long story but it was incorrect diagnosis. Would never make the same mistake twice. Let us...

60mg of what? Three times a day seems like an unusual dose for any Cushings meds. Huge dog? Lysodren, also known as OPDDD or mitotane, is a medication that targets the adrenal gland and is actually toxic for it, slowly killing certain portions of it. If the balance is right, the idea is to kill the cells producing too much cortisone slowly, but not to wipe out then entire adrenal gland (resulting in a somewhat 'opposite' condition known as Addisons). It is a pretty effective drug, and is usually given far less often (not daily long term) than Trilostane is, but should be taken carefully and with close monitoring. However, for huge dogs, it can pretty costly, too, perhaps even more than Trilostane. TRilostane can be compounded and sometimes the compounded forms (depending on which pharmacy one chooses) can be far less costly than Vetaryl (the drug name for this product in the US).

The liquid at the end doesn't sound normal to me and he shouldn't be gassy all the time. People food won't hurt him unless it's of a type that's inappropriate for dogs. They shouldn't eat citrus or other acidic foods, onions, garlic, white potatoes, chocolate, raisins, or grapes, to name a few. Especially since he's a puppy, he may have eaten an indigestible object that is causing a blockage. Whatever the problem is, he should be taken to a vet right away.

I found out today I have an infected saliva gland. My ENT put me on a strong antibiotic and told me to buy lemon drops to suck on to increase my saliva production. I had two lemon drops this afternoon. Saliva production is unreal now.