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Monika | 6 years ago
Hi There, I Guess It Will Be Long. Anamnesis My Cat Is An Adopted Cat From …

Hi there,

I guess it will be long.

Anamnesis
My cat is an adopted cat from shelter. He was 1.5 yrs old when I adopted him and 9 months old when he got into the shelter. He is 7.5 yrs old now.
He suffered from catflu. He lost his left eye because of it. He had polyp in his left nasal cavity having spread to his left earcanal also, so he had to undergo a surgery at the age of 1.5.

The problem
Every season changes– fall, spring — makes him sneeze so I always administer him Vetri-DMG and Flumax to strenght his immune system.
This fall he was sneezing a lot sounded some discharge up, but didn’t see anything then he started snoring didn’t matter if he was sleeping or awaken. He vomited brownish, greenish, and yellowish fluid. Later on he tried to vomit, but nothing came up. On the top of these he seemed to be gasping for breath or being out of breath.
Since having administered Vetri-DMG and Flumax for 3 or 4 weeks I took him to a vet. He administered him eyedrops (3×2 for 7-10 days) Tobradex — corticosteroid and antibiotics — as he found nothing, but his teary eye and conjunctivitis, which is of course tearing all the time as he has epiphora thanks to catflu. He also administered Moxiclear spot on when the next deworming time comes (he is given dewormer each month, Fenbendazole and Praziquantel — guess you know it as Panacur) to make sure that he has no heartworm or lungworm…

Eardrops have been used for 8 days and he has started snoring again. He snores sometimes even he is awaken when breathing in or out.

QUESTION
His RIGHT side nostril seems to be swollen inside, so as far as I can see ti and narrower on this side. And that’s what makes me be so worried. I am afraid of… nasal cancer. He is a ginger cat and has lentigo on his nose, in on his lips, on his pows… How can I find out what the problem is? Unfortunately, in my country vets doesn’t know anything except giving injections… If an illness is not well-seen yet they do nothing.

Help us please!

Thank you so much in advance!

1 Response

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  1. Krista Magnifico

    Hello,
    When I see oronasal or facial cancer it usually causes displacement of the eye outward. It can also cause swelling or enlargement of the facial area (bridge of nose and cheek area). I haven’t seen one to cause widening or narrowing of the nose. My suspicion would be more inflammatory than cancer. Unfortunately the only way to diagnose is with either tissue samples (usually from traumatic sampling which only a specialist should do), or a CT scan (which is expensive and not available everywhere). The things I have tried in my clinic have been anti inflammatory nasal drops, nebulizer treatments, courses of antibiotics and blood work testing to include a cbc, chem panel and FeLV/FIV status. Also warm humid air like in a hot shower room can help. Also it is super important to assess the living environment for any allergens (no powers, sprays, potpourri, and good ventilation (no mold or dark areas where dust or mold could settle). I hope this helps. Good luck!

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Amanda | 6 years ago
I Have The Sweetest Siamese Mix, Goldie, Adopted From Our Local Humane Society. Unfortunately, She Has …

I have the sweetest Siamese mix, Goldie, adopted from our local humane society. Unfortunately, she has been a sick kitty and she’s had 4 URIs in her two years of life. She did take the full course of antibiotics for all of them and healed successfully.

Recently, she’s been making low snoring noises periodically when awake and sleeping and it seems to be only when inhaling. She’s a talkative girl and sometimes her voice changes when meowing. She has no other symptoms and is eating, drinking and playing normally and there has been no mouth breathing while making the noises. Her breathing rate has been normal. Sometimes it seems like she is making the noises and then stretches out real long in the first picture to get comfortable.

Below is a link to her video around 24 seconds you can hear it, you might have to put it at full volume:

If this is difficult to hear it sounds very similar to this:

I have a vet appointment next week and am concerned she has stertor from an oropharyngeal polyp from my online research and her symptoms. Is this something that a vet would be able to see without putting them under sedation? Are there any other suggestions you have as to what I could have them test for if it’s not a polyp? I wasn’t sure if she could have asthma or another breathing related issue.

Finally, do you by chance have any recommendations for vets in Phoenix, Arizona? I am just getting myself prepared if needed for a second opinion or if surgery is necessary.

Appreciate it and all your tips and videos online! You are doing incredible work!

3 Responses

Comments

  1. Krista Magnifico

    hello Amanda!
    If you think your kitty has stertor, or what I call upper nasal snoring sounds, I think it is best to start at your vets office. A couple of things are important to discuss early on. One, lots of stertor sounds alike. For the many cases of polyps that I have seen it is important to look at the whole cat, take a very detailed history and do the basics, like ruling out URI (upper respiratory infection) first. Lots of cats get this, as mist have come through rescue/shelter scenarios. So, I always talk to clients about covering the basics first.
    URI should look like infection. Lethargy, fever, ocular and nasal discharge are usually present. Antibiotics are our first stop for these cats. I usually use clavamox, doxycycline, or azithromycin (I’ll even try all three before I move out of the infection suspicion scenario).
    BUT, some cats are instead chronic rhinitis. These are usually a little older, and a little distanced from the rescuing phase of their lives. They are usually the somewhat older cats (like 2-6 years old) and they were probably exposed to a herpes virus early on. They sort of never get over the snoring and sniffles. These guys are life long snifflers. Usually with some degree of nasal and ocular discharge.
    There are also the polyp cats, These are the ones I see often, because, their primary vet doesnt want to go take a look because if they find a polyp they are afraid to remove it. So most of the cats I see are the suspected polyps who cannot afford the $2500 plus estimate the specialists are giving for retroflex endoscopy, and removal with a surgeon.

    I know lots of general practitioners who will sedate (yes this is required to get an adequate look) who will look and will remove but the risks are important to discuss before hand. The risks are; regrowth. I have seen it happen in two cases. Both resolved permanently after the second removal. I have also seen significant bleeding after removal. The cat ultimately did fine, but, I was worried for a few days.

    If you find yourself with a vet who is reluctant to look ask for a referral. If the referral is to a specialisit and this is not affordable call the local cat specialty clinics, rescues and shelters for a referral you can afford.

    I hope this helps. Please let me know what happens.. If you cannot find help let me know and I can reach out to some of the rescue people I know in AZ.

    good luck!

    krista

  2. Amanda Post author

    If it is in fact a polyp and it goes without removal, does this lead to any suffering for the cat throughout their life? Do these polyps continue to grow to the point of full obstruction?

    I really appreciate all your advice and time! Thank you so much and I’ll report out after the appointment either way.

  3. Amanda Post author

    Hello, I just wanted to follow-up on my vet visit. The vet gave Goldie a Kenalog shot and to be honest, the noises she was making went away, but it’s strange as it seems now I’m not hearing her purr as often. Is a steroid shot ok to use on a limited basis? I know that it’s short term use and would not want to continue giving her shots every few months as I know it can suppress her immunity and for a cat that has had several URI’s I’m now second guessing the vet giving it to her.

    Thanks!

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Pam Brooks | 6 years ago
My Cat Was Taken In To The Vet In May To Treat Allergies, Difficulty Breathing…

My cat was taken in to the vet in May to treat allergies, difficulty breathing (snoring sounds) and a head tilt. Was given an anti inflammatory, antibiotic (convenia), vitamin b-12, ear drops, and an X-ray. Diagnosed with asthma brought on by allergies. Lungs ok. Three weeks later breathing and itching had improved, but third eyelid started showing.
Vet would not see him and said to go to a specialist.
Took the cat for a second opinion. That vet said we should check for nasal polyps. Was sedated and had an exam of ears and throat. No polyps were visible. Vet felt a small enlarged area under the soft palate, but could not confirm this was a polyp. Head tilting stopped after first visit. Recurred a few days ago. Not present now. Second vet recommended going to a specialist for ct scan. It is cost prohibitive and I’m not sure it is necessary. Third opinion from an online site recommended we try antibiotics for the respiratory issues. Started on one antibiotic today for ten days. And started on purina fortiflora.
Looking for any other advice or experience with issues like this. I’ve never had a cat with these problems.
Thanks.
#cats #nasal #headtilt #respiratory #polyps

9 Responses

Comments

  1. Krista Magnifico

    Hello,
    This is a tough one. The problem really lies in the inability to localize and identify the lesion causing all of the clinical signs. I would look into Horners Syndrome and see a cat specialist. I also would consider a long discussion with a trusted vet on what is treatable and what isn’t based on most likely diagnosis. That’s really what you need. Help from someone who will talk about your case within your budget and comfort zone. I have to add one more thing. It really bugs the heck out of me to have a vet who won’t talk to you further after you discuss and confide in your inability to see a specialist (who will likely want a ct that you also can’t afford). Sorry. Soapbox moment.
    Keep me posted on your cats status please.

  2. Pam Brooks Post author

    Thank you. I just found your videos on removing nasal polyps on you tube. Was so hopeful yesterday that the second opinion vet who did the exam with Lucas under anesthesia would find a polyp in his throat and remove it. But instead she said she felt something kidney bean size under his soft palate. She wasn’t real confident of what it was. I went for the second opinion and told them I could not do the specialist route due to cost. Then I ended up being told I need to go see a specialist and spend 1-2 thousand for a CT. After that I could not pay for anymore treatment. So I searched around and had a vet online recommend the antibiotics. No one yet has given me options. Although the second vet said well he could live with polyps. I said but he is getting worse. The head tilt went away and came back. She said nothing else. I feel like I’m in an airport being moved through the system in the midst of storms that no on wants to discuss. And when I ask questions like can we give him steroids for inflammation – she says oh no I wouldn’t do that.
    I am scheduled for a consult with a vet from Cornell on Sunday. Maybe that will help.
    The other option I’m considering is just paying for a consult with a specialist – internal medicine I guess. When you call they won’t tell you what anything costs until you beg them. So I am leary of spending more money twith a specialist who may tell me they can’t do anything until I spend even more money on a ct.
    Sorry, frustrating week.

  3. Krista Magnifico

    Hello,
    I completely understand your frustration. For al of the reasons you mention we added a storyline section to this site. If you can please add a story of your experience at each vet you went to and include the prices of each visit. I hope it is a way for others to see what the cost of care is and even which bets are affordable and helpful. Stories are entered by service provider. So each visit is entered separately but reference that you added one for each. It is a new feature so let me know if you have any questions or problems. We really are working hard to help people like you. Keep us posted. Good luck. Ps I think Cornell is a great option.

  4. Pam Brooks Post author

    For more information on this subject please see these credible resource pages; ACVS Nasopharyngeal Polyps; https://www.acvs.org/small-animal/nasopharyngeal-polyps

    Dr Magnifico, this is the link you posted. Figure 5 sounds like what Lucas has – a small polyp under his soft palate. Is this a surgery that a general practice cat vet could perform. Or only a surgeon. Cost is an issue for me. But I want to help Lucas before things get worse. Thanks.

  5. Pam Brooks Post author

    It says the mass will regrow with the simple removal shown. But it would be some relief and I’m not sure how fast they grow. Thanks.

  6. Pam Brooks Post author

    Went to a new vet today. What a difference from the others! Quiet, calm environment. Cats only patients. The vet was so thorough. Spent a long time with Lucas. When Lucas got anxious, he allowed him to go back into his carrier and calm down. Then he continued the exam by removing the top of the carrier. Lucas stayed in the corner and was much calmer. Going to try a new antibiotic – to hit what might be a middle ear infection. Onward!

  7. Pam Brooks Post author

    Thanks Dr Magnifico,
    The consulting vet from Cornell recommended I find a good vet interested in pursuing what is going on with Lucas, and listening to me regarding my budget. That was the same advice you gave! By the way the Cornell consult was excellent. The vet was very familiar with nasal polyps – and did not feel like this is the problem.

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Jillian Fouts | 6 years ago
I Have A Senior Cat Who Goes Into Labored Open Mouth Breathing When He Is…

I have a senior cat who goes into labored open mouth breathing when he is in a hard purr and also has wheezing and snoring but otherwise acts normal – eats, drinks, and is active for his age. The snoring is even when he’s not in a deep slumber and it can be an airy rattle if that makes sense and he has a little squeak when he swallows. I saw your video on the cat with a polyp and thought maybe this could be what he has except that he’s almost 17 so the vet suggested it probably isn’t since that’s more of a young cat thing but did suggest a scope and CT which will cost me 2500-3500 and he will have to be put under. In reading about breathing, heart disease can also cause breathing problems and since he has heart disease I would hate to spend all the money and put him through that to be told the scope didn’t show anything. I’ve also been reading about asthma, but my regular vet nor the specialist even mentioned that it could be that and from what I’ve read, it’s hard to diagnose. He’s a flame point Siamese and he has early ckd and some heart disease (stage 3/4 systolic murmur and hypertension), so I’m nervous about putting him under. Aside from these “old man” things, the specialist and my regular vet say his labs are spectacular. The specialist said when she is presented with a cat that has these conditions, they bloodwork and labs never look this good. So I certainly don’t want to put him down if he looks good but I also feel like he can’t be comfortable with these breathing episodes. One thing to note, when they did bloodwork a couple of weeks ago, his eosinophils were elevated which I have read can be linked to upper respiratory and asthma. Im putting the link to videos of the wheezing and purring to see if you’ve ever seen such a thing in a cat. I sure wish I had you closer by. Thank you so much!
Jill

Wheezing https://youtu.be/gaf7WCRzu80

Purr/breathing https://youtu.be/kqnd4YORenY

1 Response

Comments

  1. Krista Magnifico

    hello,

    i reviewed your videos, i think that it is appears as if the wheezing is in the oropharynx area. It also appears to be primarily it the inspiratory phase of the purring/breathing.
    There are internal medicine specialists who focus on this kind of clinical sign. I am not sure if there are any in your area though? I think the best place to start is at a feline specialists office. They tend to be more affordable and accessible. See if they can help start to rule out things before you jump into a scope.
    In my practice for cases like these a typical work up looks like this;
    1. exam,,, use your brain,, its your best diagnostic tool.
    2. radigraphs,, to look at the lungs.. lots of older cats have chronic lower resp disease,,, and unfortunately, we are also looking for signs of cancer.
    3. blood work,, a full cbc, chem, urine and t4.
    4. oral exam under anesthesia,, i look at the whole oral cavity, remove a polyp if i find one, flush the nares if the patient has had chronic nasal discharge, and then I also take skull rads, esp of the nose/nasal passages.
    if all of this fails to produce any helpful info endoscopy is the next step.. or CT, but endoscopy allows helpful info and you can do something (biopsy, etc) if you find something.
    I hope this helps..
    PS i agree about your theory and feelings about the corp practices..
    good luck,
    please keep me posted,, i would love to hear about how things turn out.
    PSS i do think that your kitty is a little old for a polyp.