Hello,
I just had this conversation yesterday with a client.
Here’s my thoughts on this situation.
Most cats this age are more likely to have a mass in the nose than a polyp or anything else benign. Age matters in statistical likelihood of a disease. Or, it can be infection or long term inflammation. Both of these have treatment options. I would start with them. I like cerenia nasal drops. Nebulizer treatments and even an inhaler. We also have options like atopica and Solensia.
Next we try rotating antibiotics. Like doxycycline and azithromycin.
The he reality is you will likely spend a lot of money on a diagnostic that leaves you little to no good treatment options. We HAVE to talk about that BEFORE we ask people to spend money (often that they do not have) on expensive diagnostics.
I hope this helps.
Good luck.




To add: This started about 2 years ago but has gotten progressively worse over the past 6 months- 1 year. We have switched his dog food brand to see if that would help but he has always been on lamb and rice as he has a chicken sensitivity. I have tried powders, drops in his water, cleansing wipes, and raw hides with CHG. Nothing even touches the smell. I would describe it as a decaying wound smell.
@kristamagnifico
Hi Allison, Jarrettsville Vet’s dentals are usually about half of that if that’s what’s needed. You can call the clinic and make an appointment for an exam and have one of our vets take a look.