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Sandy | 5 years ago
Hello. I Am Hoping Dr. Magnifico Sees This Message As She Treated Samantha Yesterday (Friday) For …

Hello. I am hoping Dr. Magnifico sees this message as she treated Samantha yesterday (Friday) for me.
She has found a quiet hiding place and I am able to pet her although she is not thrilled….turns her head. I have not seen her eat but I cannot rule it out because she may come out when we are asleep.
Do you think she could be in any pain? If not okay but if you do I have a syringe of 5 ml buprenorphine that was for Dexter but he did not need
It. I did not want to do anything without asking you. If you think it would help could I give her the med?

Another question. One if my other cats was diagnosed with probable lymphoma. I mentioned on Wednesday (I think it was Wednesday) that she had been sneezing from time to time but it was recommended that we hold off because we were already dealing with something major unless it got worse. She is doing it more frequently and seems to effect her purring. There is a good chance I may bring her in tomorrow to see you.

Thanks
Sandy

If you are reading this I want you to know that I truly appreciate you helping us out at the last minute yesterday because of my stupidity.

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  1. Krista Magnifico

    Hello,
    I don’t expect that she is painful. It was very superficial and as long as the staples stay in place it should heal up fine. If possible please put her in a small room or area to monitor her closely. She will need the staples removed in about 7-10 days. I am here if you need me. Be safe and call me at the clinic or email me anytime.

    We gave her an injectable antibiotic to help the sneezing.

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deehoeck1 | 5 years ago
I Have A 10-1/2 That You (Dr. Morgan) Has Seen Over The Years. Lilly Started Sneezing …

I have a 10-1/2 black lab that you (Dr. Morgan) has seen over the years. Lilly started sneezing yesterday and last nite and today she has had a nose bleed. What could be causing this? Thank you!

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  1. Krista Magnifico

    Hello,
    There are lots of reasons pets sneeze. Allergies, foreign material inhaled (Like a piece of grass) into the nostrils, infection and even cancer are all possible. In general sneezing or longer than a few days duration causes rupturing of the delicate covering of the nasal turbinates (the internal tissue of the nose). When you over stress this tissue it starts to breakdown and causes bleeding. I use the analogy of blowing your nose for days when you have a head cold and then notice blood in your tissue/Kleenex. If the sneezing persists please call for an exam so we can help identify what the cause might be. Then we can help with treatment options. For right now try to increase the humidity on your home with a humidifier or running a hot shower and coding your pup Inside the bathroom With you. I have also seen some dogs have nose bleeds due to tick disease but usually not precipitated with sneezing. De Morgan is here tomorrow if you would like to call the clinic to set up an exam.

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Chen | 5 years ago
Hi, Last April, My 16-year-old Long Haired Cat, Geisha, Began Experiencing Frequent Sneezing And Congestion. Her …

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.

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  1. Krista Magnifico

    Hello!
    Thank you for posting! I am working on a long list of options and recommendations for cats like Geisha. I will add it as it is written. I am always here for you. Wishing you both health and happiness. Be safe.

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Myiesha | 5 years ago
Hi Dr Mag I Noticed Alittle Over A Month Ago My Cat (Zedicus Aka Boo Boo) …

Hi Dr Mag

I noticed alittle over a month ago my cat (Zedicus aka Boo Boo) was sneezing alot and sound like he was snoring when he was up. I took him to his VET where he was diagnosed with polyps. My vet referred me to a specialist for a rhinoscopy. In the process of searching for a reasonable priced specialist. I discovered your youtube page while doing research so I could be better prepared and I had to rush Zed to the ER b/c one night he woke up vomiting up foam. Once we got to the ER he was fine. I had the ER vet take xrays and told them what my Vet said. The Dr vet didnt think it was polyps but perhaps allergies or asthma. She prescribe Clavamox for 2 wks and to revisit the Vet and take another x-ray. The medicine helped the runny nose but nothing else. I’m getting frustrated because I don’t want my cat to suffocate and seems no one really knows what’s wrong with him.

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  1. Krista Magnifico

    Hello,
    I’m so sorry that this has been so frustrating. I think the best advice I can give is to call all of your local rescues and shelters and ask them who they use for cases like this. They know the local affordable and reputable places where you might get better direction. Also ask about a feline specialist. They too are more direct and often helpful. You need a vet willing to work within your budget and concerns who is able to give you meaningful assistance. It is the best place to start I think. Best of luck. Let us know what happens.

    1. Myiesha Post author

      Thank you so much for your quick response. I will followup with an update. Stay safe, healthy, and blessed.

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Kelly | 5 years ago
I Have A 12 Year Old Cat That Is Experiencing Sneezing, Nasal Discharge Followed With Blood In …

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.?

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  1. Sarah

    Hi there???? So glad that you were able to search out and find a vet that could help you. Have you had a heart to heart with him about other management options for your cat?

  2. Krista Magnifico

    hello,
    i see lots of cats with lots of nasal issues. In general most older cats are some degree of inflammation and irritation, or even perhaps an allergy component. I think that before any suggests euthanasia it would be helpful to get a second opinion. I would ask to see either an internal medicine specialist, or, a feline specialist. If she is happy, eating and functioning I would give her more time an try a few other treatment options. In some cases long term cerenia nasal drops, a steroid, or even an inhaler can help. Also look at her environment. Remove all potential allergens, even think about litter. Anything that might be in her environment that might irritate her nose and nasal passages.. No perfumes, air scents, or powders anywhere. No diffusers, no smoking (even outside), no pollutants of any kind. Tghen try lits of different antibiotic treatments, and even perhaps an antiviral.. Everything should be tried before succumbing to euthanasia. Even with the worst cases (the facial neoplasias) I can often buy some good tie with some medial therapies. And I never give up until I know my patients have exhausted all options and can no longer find relief.
    I hope this helps,, please ask your vet for more help,, or find another who will help you.
    good luck,, let us know what happens.

    krista

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Christy | 5 years ago
I Have A Question Directly For Dr. Magnifico. I Reached Out Through Jarrettsville Vet, And They …

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)

1 Response

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  1. Krista Magnifico

    Hello,
    I think that in older cats an oronasal-pharyngeal polyp is less likely than in younger cats. I also think that it is hard for me to fathom why so many vets are afraid or reluctant to look for them. If you would like me to look we have to arrange the trip as you are so far away. This can be done by calling the clinic and asking for the office manager to arrange this.
    I always tell people to call every rescue and shelter around you and see if someone local has experience with this.
    In almost all cases of older cats with suspected polyps it has turned out to be a nasal cavity mass or chronic rhinitis. So I am worried you will make a long trip for an inconclusive exam. I hope this helps.

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Aisha | 5 years ago
My 4 1/2-year-old Cat Minnie All Of A Sudden Last Saturday Was Lethargic To The Point She …

My 4 1/2-year-old cat Minnie all of a sudden last Saturday was lethargic to the point she slept the entire day, then Sunday a lot of the same where she not interacting, not her normal playful, loving self. It started to look like her eyes where crossed, and she would curl up in a ball. I took her to the vet last Monday – she was there all day and they suspect head cavity polyps, meningitis, or CNS however when the Dr. put her under, she was not able to find anything. Not sure if she checked behind the soft pallet, but will ask in the am. I was referred to a neurologist at that time; they have her a 14 day antibiotic and a steroid injection. She seemed to be doing good, and somewhat back to herself, so I canceled the request for an appt as they did not even have any openings, but the next day Tuesday she was feeling horrible again, sneezing, head tilting, off-balance walk, walking in a circle favoring her left side. Her eyes are watery and run almost like she is crying, and she has this reverse snort/cough. She does still have a good appetite, is eating, peeing and pooping, but is extremely lethargic and I can tell she is still miserable and at time seems like she will not make it. Took her back on Friday, did another exam and they say she still needs some type of imaging to see what is wrong. I am thinking can’t they look to see if there are polyps endoscopically and then just remove them at the same time? Or does she have to go through a complete neurological exam although it may not be necessary? I can’t afford 2-3 k for all the diagnostics then surgery but will do my best to pay if it is necessary. I am terribly worried for her as she is just doing horrible and I hate to see her in so much pain and want to get this resolved for her as quickly as possible.

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  1. Sarah

    Good morning-
    I would write everything down… symptoms, changes in them, appetite, sleep patterns, change in behavior, even things that you’ve previously discussed with the vet…. I would also be upfront and ask exactly what you’ve asked here. Be honest about your budget and your concerns. Ask about all of your suspicions. Hope things work out for you both????????

  2. Krista Magnifico

    Hello,
    this sounds like more of a brain/CNS problem than a polyp. I would make sure that a full blood work panel is done, a fecal, and urine too. I would also inquire about FeLV/FIV status. If you cannot afford the specialists I would ask about which medical therapies might help.. In the symptoms you describe I would make sure this isn’t an ear issue and start looking for possible causes to the clinical signs she is showing. I would also seek the opinion of a feline only specialist. In my practice I have fund them to be as good, or even better than the boarded internal medicine and neurology specialists. I hope this helps, keep us posted. And good luck!

    1. Aisha Post author

      Thanks, Dr. Magnifico…..I had to rush her to the ER due to labored breathing and unresponsiveness and they too were not sure and were really all over the place, but thanks to your video on how to keep pet care affordable, I was able to leave there paying 241.88 instead of 4500 – 5000 to start. I am trying to spend what I have like you said more on the treatment if it comes to that. I was able to get another local vet to at least do some X-rays and go in endoscopically for a start for which my vet would not do. At least from there, I can hopefully get more information on which direction to go. They did give her additional Antibiotics and more meds for the symptoms and she has been better all day. Thank you, Dr. Magnifico, for the advice……and that you are. May God Bless you!

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Ashlyn | 5 years ago
Hello! I Rescued A Stray Domestic Shorthair That Came Crying At My Door About 6 Months Ago …

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!

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  1. Krista Magnifico

    Hello,
    Thank you for saving this kitty. In some cases these guys are chronic upper respiratory kitties, or herpes, or a few other harder to treat things. I would talk about a nasal flush and long term lysine and even rotating antibiotics. See if there is a feline specialist near you. And be honest about your budget. See if they can help. I wish you the best of luck!

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Lupe | 5 years ago
My 6-year-old Cat Has Recently Had Some Trouble Breathing And Has A Snoring Sound When Breathing In.

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.

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  1. Krista Magnifico

    Hello,
    I think that it perfectly acceptable to go back to your vet and express your concerns. I also think it is completely inappropriate to not have offered loads of options, everything from medications to inhalers, to humidifiers your supplements to referral in this case. I also think that all vets should be willing to do a sedated oral cavity exploratory exam to look for a polyp. But that’s just me and lots of vets think I am too generous with my patients and clients. So maybe you should talk to your vet and ask friends family and all local cat people for a referral to someone who will give your more help and meaningful treatment options. Let me know what happens. Good luck!

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Puffy | 5 years ago
Have A 16 Year Old Cat That Has Been Very Sick With So Much Mucus Coming Out …

Have a 16 year old cat that has been very sick with so much mucus coming out of his nose. Been sick for for a while now. Gave him 10 days of amoxicilin from vet. He’s having a really hard time breathing from all the mucus so we have Ben doing everything possible to keep him alive cause he is a fighter. He stops breathing a lot cause h’s so clogged it’s heart breaking. We give him warm steam and humidifier along with taking him outside to get more oxegen. He stays up most of the time cause when he puts his head down it blocks his airways. I have been pulling the discharge out with a small eyedropper when the bogies show. Really hoping he can beat the illness and get better soon but vets are taking all our money with doing much. We are on limited income. I think he needs a nasal flush maybe but can’t do it myself cause of lack of knowledge and medical equipment. Please contact me at 619 453 1747 if you have any ideas. Some days he looks like he won’t make it but then other days his eyes look so clear and beautiful. We have been giving him syringes of water and blended food to help him k==p the weight on cause he stopped eating a few days ago from lack of smell. He never did drink much water but maybe cause there was some underling issue. I have a Web cam and could show you or talk to someone if they care to reach out. He is a huge part of the family for many years and I know he wants to live longer but unless he gets better soon we will be at a great losss. He has a vet appointment today but I don’t think they will offer many answers besides sending him to more specialist we can’t afford. He has been sneezing fluid for about a month. He is the sweets cat ever and would do anything to keep him around.

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  1. Krista Magnifico

    Hello,
    It sounds like a nasal flush might be helpful. It also sounds like it is time to try to get a diagnosis to make sure this is just infection and not something more insidious like cancer. Has your cat been tested for FELV or Fiv? Have they checked or talked about a polyp? Can you call around and ask for help from any of the rescues or shelters? Or even for payment plans or billing? For cases like this I try a few antibiotics (usually clavamox, doxy and then azithromycin), and then talk about looking for a polyp. After that I think these guys are either chronic rhinitis or I worry about herpes or cancer. That is my typical work up if people can not afford advanced imaging or cultures and biopsy. Ask your vwt about all of these. Also we are now trying diluted Cerenia nasal drops too. Maybe ask about them? Please keep me posted and very best of luck.

    1. Puffy Post author

      Not any test done cause mom is on ssi limited income and I’m disabled without income either. Will try more antibiotics if u think it might help. Has bad teeth but not sure extent. Was thinking it could be infection of teeth possibly cause he can’t eat dry food very easy. Haven’t tested for much anything really. I don’t think it’s fiv case when I open his mouth his lung’s seem strong and good with no sounds. I sit by him all day and pull boogies out with eye small dropper hoping it helps. Hydrating helps the mucus come out more I think.. will ask around for assistence like you recomend. He might have herpes. Had a lot of fluid come of eyes out when he was more stuffed up. Will discuss polup. Will defiantly look into ceria drops. I feel once the mucus is gone he would breath much better . When I pet him and he purrs sometimes he breeds through his mouth and get way more oxegen to his brain. Love goes a long way with this cat. Weird how just petting him would open his lungs for such a long time. When he stops breathing from weekends I’ll open his mouth at times, don’t want him to go brain dead before he gets help. I been literally with him for 3 days 24h a day to monitor his breathing and help him any way I can. Petting him goes a long way . Thank you so much for the valuable feedback, it is greatly apprecieted. Found your site from a polyp removal video on YouTube and it seemed like you had a lot of compassion to help people with low funds. Very cool of you to help people like that. Your service to the world is immeasurable!!!

    2. Puffy Post author

      Took kitty to vet. Got the cerenia you mentioned. Helped a lot last night but waiting for 24hr to use it again. Hes all dry now with dark green booties. Very thick.. vet said he might have a tumor in his nasal area because his one nostril is larger than the other with slight unevenness. Hes doing mostly mouth breathing today with many sneezes. Gave him a baby saline solution today with minimal effect. Also tryed steam from tea pot. When he falls asleep he stops breathing from being blocked many times through night. Also got more antibiotics . Vets said it’s not fungal. She recomended if he does not get better think about euthinisation. He was a lot better yesterday and showing so much love. Was back in my room all yesterday instead of bathroom but a lot of snorkels. .limited on funds and she said it would be a big workup and more tests before s nasel flush could be considered because at this point she would not put him under anesthesia. Is there a way I could check at home for the back of throat polyp? Not expecting miricals but it is really hard for me to give up on the little guy. Didnt think he would make it this long but I dont know how long sickness takes to run its course. I wish I could try a nasel flush but is cost prohibitive considering all the workup tests required. He slept by me all night for the first time in a week. Syringes with water seem to help the dryness but right now its ultra dry. Can I give him the carina drops before 24 hours is up?
      Best regards

    3. Puffy Post author

      Cerenia works well but it weres off. At night he gets stopped up bad. Can I use Cerenia more than once every 24h? I’m sure the answer in no but its hard to sleep knowing hes not getting oxygen at time..

    4. Puffy Post author

      I wish I could try the nasel flush but cant afford it with all the added tests beforehand. Do nasel flushes always make cats nose blead and how harmful is it for there nose to blead with tubes that are used?

  2. Puffy Post author

    Puffy doing a bit better. When he was barely breathing a few days I noticed him biting the carpet cause he was suffering g so bad. Thought it might be his teeth cause symptoms are almost the same from some research. Cat is much healthier now due to diligent care. nose removing mucus with warm rag when showing discharge. Hes on cerenia, baby saline nasel drops and new antibiotics. We still feed with syringe and hes finally gaining weight. We have been slowing adding more food to his diet. He now drinks more and eats more on his own but he has a hard time breathing while eating and drinking so its limited. We been trying to discontinue humidifier slowly but I feel it helps him breath and loosens mucus. Hes very tired and less social these days but better than he was a few days ago. My main goal is to help him breath better soon. Could be one of three things. Either tumor behind nose cause nostrils are uneven but better a little now. Infected tooth, or possibly nasel polyp. Hes very skinny to the bone from not eating before but food syringes seem to help a lot so far. Mucus is much thicker and stronger making it harder to come out of his nose. Might try a animal safe decongestant I seen another vet use today along with lavender oil in humidifier. How do u feel about vicks?