Not sure if you answer this but had a question about our 5 year old cat. Since November she has been experiencing a fair amount of nasal discharge. We tried to rounds of antibiotics, a flush, and the vet searched for a polyp using a spade hook on her soft pallet while she was sedated. The vet was unable to see a polyp and the nasal xray didn’t show much either. A month later we saw no improvement on the nasal and over the past ten days our poor cat has been breathing terribly. When she is standing up and moving around it is clear her breathing is obstructed and it sounds like she is snoring. We have noticed a large decrease in her nasal discharge but her breathing is just awful. She is still eating and drinking as normal. We have been referred to internal medicine in St. Louis but aren’t excited to spend $2-3K for a CT Scan and scoping. Is it possible the poly behind her soft pallet has grown since they first looked for it or could a polyp be some where else? Do you think a CT scan us necessary or should the scope do the trick. We love our cat but are reluctant to spend $3K on her only to find out the couldn’t do anything to help her.

10 year old cat with nasal polyp?

I tried multiple vets and hundreds of dollars but nobody seems to have a solution. One vet said it was an upper respiratory infection, they gave him a shot of Convenia and prescribed Clavamox, nothing. Fast forward a couple weeks, he wasn’t eating for an over a day so we took him to another vet that prescribed Cerenia which helped temporarily. They said he could have trouble smelling his food so he wasn’t eating. But it’s still not gone. Xray was clear. Now the vet referred to a specialist that wants over $2000 to anesthetize and do an endoscopy JUST to diagnose. From Jersey, can I drive 3 hours to MD so you can maybe look a him? I’m scared he’s gonna pass away from troubled breathing.

Background:
He lived with my dad who recently passed and I took him in. In the last year I noticed he has had difficulty breathing but some days it sounds clear, most days it’s worse. It sounds like something is restricting his airway.

He does sneeze often and when he does it’s usually 15+ sneezes in a row like he’s trying to get something out. Last night I counted 21 sneezes in a row. He also sometimes sounds like he’s choking or trying to spit something out but nothing comes out. He does have greenish/yellow boogers once every couple of weeks and also has discharge from his eye.

I know it’s the holidays but I’ll do anything for a chance to help my little guy that reminds me of my father everyday. *Update, just made an appt for 12/30 at 11:30am!

Can a cat live with a nasopharyngeal polyp that is not easily removed (it’s not near soft palette when placed under anesthesia)? Our 6 yr old spayed female is honking and has nasal discharge unless she is on antibiotics. Prednisone /prednisolone were not effective.
She is a poor surgical candidate (she stopped breathing when the endotracheal tube was removed during exploratory). An ear polyp was removed successfully. Discharge and ear polyp are/we’re on the same side.
We cannot afford endoscopy at this time. Can she be maintained on antibiotics? She has coughed up a large polyp twice before we owned her so we are hopeful that will happen again soon.

Colin to Dr. Krista : May I pick your Brains?

Dear Dr. Krista,

I’m writing to ask your advice about a stray cat I found last month. See images attached.

But first I want to thank you for the polyp videos you made, which were refreshing, as well as impressive.

One of my strays was snoring, so I was eager to pluck out a polyp hiding behind his soft-palate. (He didn’t have one, but I’m gratefully alerted for the future.)

Last month I found a stunted stray ginger cat outside a 7/11 in North Thailand, where I’m a self-financed Christian missionary.

Can you help me diagnose, and treat the problem?

At first I thought it was simply FVR / Calici and chronic snuffles.
But when I opened her mouth, she had only 4 teeth in her head!

Yes, she had calici tongue-ulcers, but little sneezing, no ocular discharge, and has been eating like a horse from day one. She’s happy and bright in herself, apart from the ugly sore nose.

Her mandibular Ln were big and hard, so I put her on antibiotic tablets, with a little dexamethasone (actually 2.5mg Prednisolone tab. daily.)

Then after a week or so I sedated her, and examined her mouth more closely, no observable polyps (drat!) but one of her molars was loose and covered in calculus, so I pulled that one out, and cleaned up the remaining molar and two premolars, otherwise the poor thing would have zero teeth.

There was of course gingivitis and pharyngitis, but pink, not red like “dragon-mouthed cats” on dcf.

For the last month I’ve given her a course of floxacilin (30 days) with amoxycillin, and tried all sort of creams on her nose and lower eyelids which. as you can see, are raw and sore.

Her Ln are almost normal now, +but that nose is no better+, and she tries to rub as though it is itchy.

(I made up creams mixing; 10% flours of sulphur, betamethasone, ivermectin, and vaseline)

There’s a temporary lessening at best, but no lasting improvement.

So what is your differential for her?

In NZ where I locummed, cat leprosy was common (Mycobacterium from mice and voles) so that was my diagnosis, but the floxacillin has made no impression.

I’ve trimmed her claws and taped her fore paws to stop her making her nose raw.

I’m stuck, and thought of asking you Doc.

I’d guess she’s 3-4 years old, confident, unvaccinated, entire, lived wild all her life eating left over fast food, and possibly DCF from neighbours.

Since October I’ve been feeding her raw chicken frames, tinned sardines, vitamin syrup, and no DCF.
She loves raw chicken :), and eats whatever I put in front of her and still looks for more.

Apart from her nose you would not think she was ill in any way.

Thanks for your advice.

Colin

PS. For some reason, Depo-medrone has been taken off the market here, not even local vets can get hold of it.

Colin Melbourne English missionary in Asia
https://www.born-again-christian.org/news/
https://www.born-again-christian.org/news/ไทยคริสเตียน/
https://www.born-again-christian.info/aboutus.htm
https://www.born-again-christian.com (Asian languages)

Hi Krista,
We had adopted two month old American Short Hair and got them all vaccinated at Petco plus got them Spayed/Neutered.
One of them, 2 years old Riley had a runny nose(Green Mucus) right from the beginning and later on the Vet at Petco mentioned that she has a Polyp and can’t be treated at their facility.
I need your help to find a vet that can perform Polyp removal surgery on my 2 year old female American short hair cat near Chicago, IL
It seems Riley has a very large Polyp or some type of mass that’s blocking her airway and food pipe; the vet tried to insert a tube for breathing and it couldn’t go through due to a large mass that is blocking it.
This Vet @ Westchester Animal Clinic in Porter, IN recommended a Specialist and is not optimistic that this polyp or mass can be removed through surgery and was proposing Euthanizing as an option which we didn’t agree.

Hello Dr. Magnifico,

I called your clinic about cat ear polyps. I watched your videos on Youtube about these. I believe my cat has one and was wondering what price range your office charges for the removal of these. Here I either get we can’t give an estimate at all without seeing them or very expensive. I live in Wisconsin and am having problems with resources regarding this situation. I don’t know who else to contact. I want to get my cat help with his ear.

Thank you,
Valerie Wild

I could really use some advice about my 7 year old cat, Squeak. I posted a comment on Dr. Magnifico’s YouTube video about a cat named Bear that had ear polyp surgery but thought I’d post here, too. I am an emotional wreck right now because yesterday morning I got some very bad news regarding Squeak’s cytology results from a FNA that was done at a specialty hospital. Sadly, my poor boy was diagnosed with malignant melanoma for the 3rd time in two years! I’m heartbroken… The trouble started at the end of December 2022 when I noticed a small lump on his right pinna. My primary vet did a lumpectomy and sent it off to be evaluated. Came back malignant melanoma. Excision was complete with clean but narrow margins. All was well until September 2023 when I found another lump at the base of the same ear. My vet advised me to go for a consultation with an oncologist and it was recommended that Squeak get a TECA-BO done. I was told that this procedure can be “curative” in some cases. The cost was astronomical but I wanted to do the best for my cat. He means the world to me! I began calling specialty vet hospitals to schedule the surgery as soon as possible but none near me were able to fit Squeak in. I finally found one in Pennsylvania and made an appointment for a surgical consultation. The surgery was done on September 25. My boy was a real trooper and recovered well. He did lose the blink reflex in his right eye but it resolved in about 2 weeks with me putting moisturizing drops in his eye daily. I was thrilled with Squeak’s progress and I thought we might have won the fight even though there was no guarantee that he’d be out of the woods now. I had to take money out of my retirement savings to pay for this surgery (it was actually more than $10,000!!) but it was worth it to save my cat’s life. Recently, I noticed that Squeak had been shaking his head and scratching where his incision was. I had an appointment scheduled with my regular vet for a checkup and to get some chest x-rays to make sure all was well. While there, I mentioned about the scratching and head shaking and asked if maybe it was scar tissue causing the reaction. My vet wasn’t concerned and just said “Maybe he feels something.” X-rays were clear and showed nothing concerning. I was told to come back for a recheck in 6 months. However, the symptoms gradually became more frequent and I brought Squeak back to the vet. This time, thinking it might be an infection of some kind, he prescribed Baytril and prednisolone for a course of 2 weeks. There was no improvement and this was very concerning for both the vet and myself. He said that it would be beneficial to get a CT scan to find out what we were dealing with. I was beginning to panic because I had a feeling where all this was leading. I took Squeak to the same hospital where he had his oncology consult. He was examined by a veterinary surgeon first and she did a FNA . Unfortunately, the CT scan could not be done because their machine went down. I got the cytology report yesterday morning. The pathologist’s interpretation was “Lymphocytic proliferation and many atypical multinucleated cells; suspicious for lymph node with metastatic amelanotic melanoma.” The vet that did the FNA said she would consult with an oncologist and get back to me with options for “treatment”. Surgery, radiation and/or chemo was mentioned . Meanwhile, I have been scouring the internet for any information I can get to help me make the right decision about what to do next. I have also posted on numerous cat health forums but only got one response from a vet in Virginia. He said that radiation would be recommended if there was a concern about margins but chemo would not be a good choice for this kind of cancer. He wanted me to keep him posted so I told him about the cytology results. I have not heard back from him yet. Can I please ask for your opinion about all this? I posted this in hopes that Dr. Magnifico would see it because she has done a similar type of surgery for a cat. Can anyone give me some guidance about how I should proceed? I will be discussing this on Monday with my regular vet after he reviews the report that was sent to him. I know I should just calm down but I’m basically a mess! Any information about a way to extend Squeak’s life and keep him comfortable would be SO much appreciated. Thank you!

Hi Dr. Magnifico,

Our adopted cat (former stray cat, now 100% indoor) has always shown all of the signs of a nasopharyngeal polyp (about 4 years now). I didn’t know what it was until I saw videos of cats with similar breathing noises and eventually saw your YouTube polypectomy videos.

Three short videos of his breathing sounds (turn up your volume) follow:

Called our vet for a surgeon referral, but they’ll only refer for a CT scan ($2000) before they’ll refer to a surgeon. Surgeon’s websites all indicate that they will only accept appointments by referral from a general Vet, so I can’t just make an appointment for examination by a surgeon (which I’m happy to pay for).

Bottom line, looking for a second-opinion / consult (happy to pay!) on whether it’s really necessary to do a $2000 CT scan *before* being referred to a surgeon for (a probably $2000) surgery. I’d rather just have a surgeon put the cat under anesthesia, go in, look for the polyp, and remove it if they see one. Happy to pay $2000 for just that surgery, even if it turns out there’s no polyp.

Thank you in advance for any response.

Please help with removing nasal polyp.

Hello,

My girlfriend has a cat she rescued almost 10 years ago.  Her name is Kitty.

She has quite a bit of difficulty breathing.  We have taken here to and from several local veterinary hospitals and they have prescribed various antibiotics and steroids.

After almost 6 months these seem to offer little relief to our poor little Kitty.

I am willing and able to drive Kitty anywhere within 500miles to try to remove the polyp.  We can stay for a few days if you need us to.

The local hospitals want over $10k total in several rounds of scans, xrays and preoperative over several weeks.  We can’t afford this.  Someone will be be able to make a real difference in Kitty’s life they would agree to meet with her and do what they can. 

I would also add that my girlfriend has a deep love of animals.  She regularly helps local shelters and hard luck cases like when she found Kitty.  She cleans and grooms pets for a living and volunteers her services to local shelters. You would be making an incredible gift to her.  I don’t have $10000 but I would gladly pay fairly for the procedure and arrange for our travel to you.

Looking forward to your reply.

Thank you,

Chris

Seeking Diagnosis/Treatment for Possible Nasopharyngeal Polyp in Cat

Our 5#, 18 mo old cat has been having breathing difficulty for about 6 months. We’ve been to two “regular” vets and one specialty vet. The “regular” vets have done chest x-rays and bloodwork trying to diagnose. We’ve been on multiple rounds of antibiotics, several steroid shots, and a few breathing treatments. The first vet suspected asthma, but none of the meds worked. The second vet suspected lung infection, but again, none of the meds caused any improvement. The cat is acting fine, eating and eliminating normally. No nasal discharge. Sounds like she’s snoring all the time.

We saw a specialist today. She determined that the cat isn’t able to breathe thru her nose much, if at all. We are waiting on lab results for a fungal infection. The next step she suggested would be for CT scan and rhinoscopy to check for foreign body, polyp, or other physical abnormality. I’m ok with sedated imaging, but their estimated cost for that is $4,000. I called MS State University Vet Clinic, and their estimate was also in that range. We’ve already spent hundreds trying to diagnose and treat this. I’m ok with spending more but not $4,000.

Can anyone suggest a vet in the Tennessee, Arkansas, Mississippi region that we can try?