Hi,

Last April, my 16-year-old long haired cat, Geisha, began experiencing frequent sneezing and congestion. Her symptoms worsened gradually. Her nasal breathing sounded wheezy and her purring sounded like duck quacking. We took her to the vet who treated her with antibiotics (Amoxicillin) and anti-histamine (Chlorpheniramine). When her symptoms did not improve, the vet then gave her a different antibiotic (Convenia) and a steroid (Dexamethasone). When her symptoms still did not improve, we took her to a specialist. The specialist ruled out rhinitis because Geisha’s bloody nasal discharge only occurred from her right nostril and concluded that Geisha possibly had a polyp or nasal tumor. They recommended performing a CT scan, rhinoscopy, and biopsy. They prescribed Geisha a steroid (Prednisolone) while we thought over their recommendations. Within a day, Geisha’s symptoms began to dissipate and after a couple of days, all her symptoms disappeared and she was fully recovered.

Unfortunately, in January of this year, Geisha had another relapse of the same symptoms. We brought her to the vet on 1/9/2020, who after hearing her previous history, prescribed both Clavamox and Prednisolone. They also administered a blood test, the result of which we were told was unremarkable.

Geisha’s recovery last year came after she was put on 1 tablet of 5mg Prednisolone per day. Unfortunately, the same medication regimen this time did not improve her condition. After weeks on medication with no signs of improvement, on 3/6/2020, we brought Geisha to a specialist referred by the vet. There she was given another blood test, the results of which was once again deemed unremarkable. During the same visit, we were told that only a CT scan along with a biopsy would conclusively identify the root cause of her symptoms. We agreed to the CT scan on this basis alone.

After spending close to $2,500 on the scan, we were told that the CT scan did indicate a mass but that the nature and identity of the mass could not be determined. The specialist informed us that the biopsy results did not indicate that the mass was cancerous. However, he stated that it is his opinion that the mass was cancerous, without any supporting evidence and despite the contradictory biopsy results. It is his opinion that the biopsy results are incorrect due to poor sampling. His conclusion is that we should consider pursuing radiation treatment since that would be the only resolution. So, basically, after a $2,500 expense, the vet is just as clueless about the nature of Geisha’s issue as he was before.

Geisha was returned to us after the CT scan with Prednisolone medication. We were instructed to increase her dosage to 1.5 5mg Prednisolone per day. With this increased dosage, Geisha’s condition has improved. In the month that has passed, while her condition has improved, she is still mildly symptomatic and not fully recovered and thus is still on the same medication regimen.

Naturally, my wife and I are very disappointed that we still have an inconclusive diagnosis despite having been assured that the costly procedures would be justified by the precise root cause that they would deliver. We also don’t understand why we spent money for procedures such as the biopsy only for the vet to completely disregard the results and formulate his opinion purely on conjecture. This all seems to fly in the face of the scientific method that all science is based on.

I would love to get your opinion on what you think is the issue with Geisha and what you believe the best course of action for her is based on her past year of symptoms and treatment history and also taking her age into account.

Thank you so much for your time.

I have a 12 year old cat that is experiencing sneezing, nasal discharge followed with blood in one nostril as well as some wheezing. Took him to emergency room and he was given steroid injection and clavamox for two weeks in December. After the two weeks experienced same thing, they stated it could be nasal polyp. Regular vet gave Orbax which did nothing. After calling around because everyone wanted 2500 for a ct scan i found a vet that performed a rhinoscopy and he removed three polyps. One looked abnormal so he did a culture and biopsy. He put my cat on doxycycline. The cat is still having wheezing but breathing better. The meds do not seem to be working. So went back to vet and he gave my cat a steroid injection. The biopsy came back negative for cancer and the culture negative for respiratory viruses. He doesn’t know whats going on. He says either my cat has a immune issue with inflammation where he will prescribe some predisone pills or that the cat has a tumor deeper than his rhinoscopy can go. He is suggesting i put my cat down. My cat has been behaving more energetic since receiving the predisone injection days ago but the wheezing and stuffy nose wont go away. Any ideas, i don’t want to put down an otherwise healthy animal.?

Good afternoon!

I volunteer at a local rescue in their feline only facility. We received a young cat, named Cami, recently that is 9 months old. She has a right head tilt that started about 2 months ago (7 months of age) according to the person who had her since she was a kitten.
A local vet attempted an exam but did not have a scope small enough to look into her ear and the exam became very uncomfortable for Cami. The plan was to get a smaller scope, knock her out and do the exam. Unfortunately, they are unable to acquire the scope at this time. The suspicious is that this is a polyp.
Any ideas what this could be? We are currently wondering if this could be something treatable with medication (to try first) or should we pursue the polyp investigation. Since we are a rescue we are trying to balance the cost but still address Cami’s needs.
Cami shows no distress because of her condition. She does not scratch the ear or shake her head. And is awfully cute!
Thank you, in advance, for any help you can offer!

My cat has been diagnosed with an ear polyp. We were referred to a specialist with an estimated cost for removal at $1500-$2500. I saw a video with Dr. Magnifico about removal of certain ear polyps, and how the procedure can be done much less expensively than what we were quoted. How might we go about scheduling a consult for removal (and/or removal)?

Thanks, Eddie

My vet strongly suspects my cat has a nasal polyp. She has be snoring/snarling consistently for 2.5 years, but is otherwise fine. When it began, I first had a potential infection treated with two antibiotics, followed by a teeth cleaning, that yielded no issues with the teeth, and ended with a nasal flush. My vet was hoping to be able to see and grab the polyp during the flush, but couldn’t. Because she was otherwise healthy, eating, and playing, I went without treating it. Recently, she was treated for a G.I. flair up that had her not eating. She had begun not eating or moving get bowels for days. Once vomiting was added in, I took her to Metropolitan Emergency Vet. They gave her an ultrasound, saw the inflammation and gas in her abdomen, took a CBC, gave her fluids and nausea medication and sent her home a couple hours later for $800. Her bloodwork was was fine, aside from dehydration. She continued not to eat, so I brought her to my vet a day and a half later. They did an x-ray and saw the lower intestine looked aggravated. They kept her for the weekend and gave her fluids and more nausea medication. She returned to me after two days and began eating again at home. I’m awaiting the additional $600 bill for that. While being discharged, one of the docs urged me to address what she felt strongly was likely a polyp in her nasal cavity, as she believed it may now be large enough that it’s limiting her ability to smell, which may have contributed to the refusal to eat with the G.I. issue coexisting for a few days. She referred me to the specialty docs locally to have the nasal polyp removed. They are quoting me $3,195 plus. They said it would be $195 for a internal med consult, $1,500 for a “necessary” CT, and $1,500 or more for the Rhinoscopy. My vet said Lilah is otherwise a healthy 12 year old cat. I am sick with the cost, as I will need to put it all on a credit card. I have called around to multiple other specialty vets and I’m getting comparable quotes. I have had family members suggest I euthanize my cat over a nasal polyp, which I absolutely will not do. I stumbled across a Utube video of you removing a nasal polyp, so I tracked you down by name, wondering if you could help Lilah? I’m two hours from your practice, which is close enough. I’d really appreciate you getting back to me. As of now, we have a consult scheduled for 3/4, and I’m sick over the cost.

Thank you,
Diana Maginn

I have a question directly for Dr. Magnifico. I reached out through Jarrettsville Vet, and they directed me to Pawbly to reach Dr. Magnifico more directly:

I am reaching out after watching your YouTube videos on nasopharyngeal polyp removal. My cat Fitzgerald has all of the symptoms of this (and has for multiple years). A couple of years ago, he had a full-mouth tooth extraction due to stomatitis at University of Georgia. (I live in Atlanta.) They suspected his wheezing, occasional sneezing, snoring, and other symptoms could be due to a polyp, but, as a vet school, they refuse to check without putting him under and doing $3500 in scans. They would then have him come back in to be put under again, taken to the pet hospital, and then would extract the polyp as a costly surgery. They are not alone in the high costs of treatment in the Atlanta area.

I have seen your expertise and candidness regarding this simple diagnosis, actual procedure, and the lower cost and would like to bring my cat to your clinic. Fitzgerald has been on longer car rides in the past, so I’m sure it would be okay. I am a graduate student living on a small stipend in the city. $3500+ is not possible for me, which is why I am willing to drive 10 hours. It’s the only way I can afford to take care of Fitz’s polyp.

Please let me know how I may proceed with scheduling this. I am eager to do so as early as this month. I appreciate your time.

Best,
Christy Kinney
(and Fitzgerald)

7 MONTHS LATER MY CAT IS SLOWLY CHOKING TO DEATH !
I posted this 7 months ago : My rescue cat of 5 years is showing all the symptoms of Nasopharyngeal Polyp. He is my everything!
OH please I am begging for help here ! I am disabled and he is the center of world . I am on the south west coast of Washington State, my rescue cat Kiki presents with all these symptoms ( I come from a family of RN and Bachelor in Nursing ) I have called vest around here and ALL of them say they do not do this surgery because they dont have the scope, or they will not even discuss possible price or treatment without me coming in and the vet seeing them. They say they will diagnose and refer me to a specialty clinic not far away . The specialty clinic gave me a quote of $3,500-$5,000 !! If this is even what is wrong with him . I am devastated that no one will even discuss this with me without paying for a vet visit. It looks like i could spend hundreds in visits before i can find someone who is even willing to think about this surgery without referral to the very expensive specialty place . PLEASE HELP I CANNOT AFFORD THAT MUCH !! Meanwhile my poor sweet Kiki is slowly getting worse. I dont know what to do anymore !!!!!!!!

UPDATE : PLEASE PLEASE I AM ONCE AGAIN BEGGING FOR HELP !! My cat displays all the symptoms of this I do not have a lot of money . i can come up with a few hundred dollars but no where does this surgery without a scope or it being a specialist . I keep being quoted THOUSANDS OF DOLLARS to have it removed ! I have called and called and called vets around here and either they dont know what I am talking about or they will only refer me to a very very expensive specialist ! I asked for help months ago and finally chatted with you and all you told me was keep calling vets in my area and asking . I have over and over , I am watching my cat slowly choke to death more and more each day ! this is a nightmare ! I dont have $3,500-$5,000 that they are telling me it will cost ! Why can you do this for so little and no one else can ? PLEASE I AM BEGGING YOU !!! ANYONE PLEASEEEEEEEEE HELP !!!!!! He is choking to death !

Hello! I rescued a stray domestic shorthair that came crying at my door about 6 months ago and named him Koda. He is the sweetest boy of about 5 years (not too sure about his age though) and I am so grateful of the love he has shown me. Since I’ve had him, there has been nasal discharge on one side of his nose. He began sneezing after a while and I noticed large chunks of hardened mucus would come out. I took him to the vet and he was put on antibiotics and they cleared out most of the build up. The vet also did an x ray and it showed that one side of his sinuses were completely backed up with mucus, so he did a blind bioscopy to look for polyps and could not find anything. The antibiotics seemed to work at the time, but now looking back I’m assuming it was because the they had cleared out most of the mucus, because the symptoms came back after about a week after stopping antibiotics. We are now looking at constant snoring sounds, occasionally gasping for air, sneezing and decreased appetite due to not being able to smell his food. The vet recommended us to someone that had the proper technology, which would be a scope and a ct scan to go in and look for any polyps, and remove them if found. This would cost me $1500-$3000 which I cannot afford since I am a college student 🙂 I went anyways to get their opinion and stupidly spent about $1000 on more testing, appetite stimulants, and more antibiotics that didn’t work. I am considering trying steroids to try and lessen the symptoms just so that he can have an easier time breathing if they worked, but I am afraid of the cost and especially the side effects, if it it doesn’t help that will be more wasted money. Recently, the nasal discharge has spread to the other nostril and he has more bloody mucus than ever before, and as of three days ago, a mucus-like mass has protruded from one nostril and has slowly turned black and bloody over these few days. I tried to remove it but it was very stuck and started bleeding, and I could tell the poor baby was in pain. It may be a polyp that has slowly moved out of his nose, so I will be calling a vet tomorrow to hopefully get it taken out.
I am looking for another opinion on what might be going on or of any similar stories. If anyone knows any good vets in the Tampa, Florida area I would be forever grateful. I am willing to take Koda anywhere in Florida if it means I can find help for less money or just more straightforward people who care about animals and not just the money! Koda is still a happy and loving cat but he has slowly become less playful, and I can tell he does not feel his best becsause of all of this. I am afraid of how much worse it can get. Thank you so much for any help in advance!

My 6-year-old cat has recently had some trouble breathing. She gets a deep sounding snore when breathing in and can’t seem to take a complete breath. The snoring only seems to occur when she is breathing in, and not out. The snoring does sometimes stop. This mainly happens when she is sleeping, her breaths are softer and she seems to be able to breath better. I have also noticed that when I hold her mouth open a little bit, she is able to breathe in and out without any problem. She occasionally has sneezing fits, but they are very rare to see. There is no discharge from her nose, eyes, or ears. She actually has a very dry nose. I have also noticed that she has been eating less than before, but she is still able to eat and drink water. We took her to a vet, but they told us they would only be able to diagnose her with an endoscopy, which they said would cost us around $1,300. I’ve looked online for symptoms similar to hers and cats that had similar breathing patterns/sounds. The closest thing I have been able to find is something called a “nasopharyngeal polyp”. I’m a little lost on what to do. Should I continue with the first vet, and get a concrete diagnosis? or get a second opinion and maybe bring up what I found while researching online? The cost of the first vet is kind of high for me as I’m a college student, but If it is what my cat needs to be able to breathe comfortably again I’ll pay it.

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!