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A repeat rhinoscopy on my 11 year old cat revealed new tissue growth in the nasopharyngeal space with a very small polyp that has not changed in size since last year. The new tissue growth and polyp was biopsied again (last year it was negative) for cancer which is what the vet suspects. Her labs are all normal. I will have a definitive diagnosis in 3-5 days. If it comes back negative again, it would be highly indicative of Nasopharyngeal Stenosis according to the vet. Has anyone out there had any experiences with this possible diagnosis? In the meantime my kitty continues to have very noisy and difficulty breathing with trouble swallowing her food. The nasopharyngeal flush did nothing to improve her symptoms this. I am doing my best to keep her calm and adding water to her pate food to assist with eating as she still has a very good appetite. Any help would be greatly appreciated.
My 11 year old cat was diagnosed with a nasopharyngeal polyp via CT scan and rhinoscopy last year. A biopsy was taken and found not to be cancerous. A nasal flush was the only intervention taken (which improved her symptoms) as I was told it was too small to remove. 3 weeks ago she was taken back with the same symptoms (noisy and difficulty breathing, quacking noises, and problems swallowing food) and another nasal flush was done under anesthesia and an antibiotic injection given with steroids also. Since then she has gotten progressively worse in her symptoms. The same vet wants to do another rhinoscopy and flush and cannot guarantee any results. I am not a rich person and so far between last year and now I have spent over $4,000 to help her. I was hoping you or someone in the Brooklyn area can recommend a reputable veterinarian for at least a second opinion as I am beginning to feel that I am being taken advantage of monetarily because of my dedication to getting help for my cat. Any help or advice would be greatly appreciated.
Hello-
I’m sorry you are finding yourself in this situation. I would make a few phone calls to see about finding a second opinion. Your local humane society or scpa may be able to recommend another vet. I would also have a candid discussion with your current vet about your financial situation and your concern for your cat. Perhaps together, you can come up with a good plan that works for the both of you and more importantly, benefits your cat. Hope this helps- best of luck!!!
Thank you for your reply.
My 14 year old cat is having trouble breathing. After seeing her vet, we suspect she has a polyp. The examination was brief and the vet suggested X-rays or better yet, an MRI ($2,000).
I am a teacher and am on a very tight budget. What I would like to know is what kind of tests/examination should be required for the vet to complete the diagnosis? It seems from your youtube video (https://www.youtube.com/watch?v=RCRwkQXd3Qs), that the vet could have found this by examining the inside of the cat’s mouth.
I’m trying to keep my costs down. How do I approach my vet regarding this matter?
Thanks
Al
Hello,
I start all of the exams that I do with a long discussion about the patient. History and environment as well as parent observations all help. After that discussion and the exam I give a list of possible causes. Essentially the list of what the possible diagnosis might be. From this i discuss the diagnostics needed to confirm. This includes their cost. I also discuss what the results will help us to do. How it will help your pet and how it will affect your options moving forward.
For these cases I alway offer a sedated exam to look. BUT I want to be able to do something from that exam so I intubate and prepare to remove the poly if I find one. That allows me to hopefully cure the cat at a reasonable price. (About $200). It’s not a perfect plan and there are reasons others want $2000, but in every case I have helped a cat with a polyp from suffocating. I have had two regrow. Both were removed again and have never come back.
I think what this question comes down to is finding a vet you trust to help your kitty and help you make this affordable. Please let us know what happens. I want to hear about how this goes please.
Krista
Had CT done of my cat Lucas due to no resolution of respiratory problems with antibiotics. Here are the results.
Moderate to marked thickening of the roof of the nasopharynx
• Otitis media bilaterally
• Lymphadenopathy left medial retropharyngeal lymph node
The marked thickening of the mucosal lining of the roof of the nasopharynx in conjunction withthe enlarged left medial retropharyngeal lymph node are highly suggestive for neoplastic
, and round cell neoplasia is the top differential diagnosis. Differentials include mast-
cell tumor, squamous cell carcinoma, adenocarcinoma, other. The mucosal thickening of the roof
of the nasopharynx can explain the bilateral otitis media due to mechanical obstruction of the
openings of the auditory tubes into the nasopharynx. A differential to neoplastic infiltration is
marked non-infectious inflammation (e.g. lymphocytic plasmacytic, eosinophilic) or
granulomatous inflammation (e.g. Cryptococcosis) but the later one is considered far less likely
here. The findings are not typical for inflammatory polyps.The bilateral otitis media is explains the history of head tilt and Horner’s syndrome.
Rhinoscopy/retrograde pharyngoscopy is recommended for further evaluation including FNA
sampling and biopsy. FNA sampling of the left medial retropharyngeal lymph node is warranted
as well. The prednisolone treatment may influence results of the samples.
I think all the tests and surgeries that may follow will be out of my budget. Already spent over $1000 to date with no resolution.
Wondering if there are veterinarians who would go in and remove the polyp – appears to be a poly under soft palate – just to give the cat some relief and time.
Opinions and suggestions are welcome.
Good morning- I’m sorry you’ve been through so much already, and still are having issues. Did you speak candidly with your primary vet already about all of these findings and your wishes? (Meaning the removal of the polyp or at least some relief) That is probably where I would start. I would also make a few phone calls… local rescue organizations that may be willing to help fund your surgery. Or possibly your vet may let you pay a little at a time as you have already paid so much? I hope things get better soon!????????
I agree with Sarah! Ask around to find someone locally to give you affordable options.
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
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.
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.
Here’s Lucas – before the Horners syndrome started.
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.
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.
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.
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!
Awesome! Sounds like you made great helpful progress. Very best of luck.
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.
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 !!!!!!!!
Hello,
I’m sorry to hear about your kitty. I recommend that you keep calling and start with any of the small privately owned feline practices. Also call the vet school and all of the local rescues. Go to Facebook and Nextdoor.com and ask for help. Someone out there has to be able to look for you. And to do it affordably. I really wish you the best of luck.
I did :'(
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
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.
Hi dear my 2 months old canaries have Colon polyps and they are not looking well they do eat and fly but not helthy and active please help me .
What medication will help please?
Hello,
I have to say this is a very rare condition in cats for me. I am not sure who you are using for this but my recommendation would be to find a feline specialist who is also focused on internal medicine. If possible. If not go with one or the other. But get a second opinion. Also I am not sure if they offered any possible treatment options but a surgeon might be able to help. The Veterinary colleges are also excellent resources to utilize. Please keep me posted on what happens. And also make sure your cat is on a good diet and not overweight. That helps too! Good luck.