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Date:   19 November, 2009  
Focus: Small animals - dogs, cats, hamsters, guinea pig & rabbits.

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

Sneezing & Epistaxis from Right Nostril   
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
First written: Nov 19, 2009.

Sep 16, 2009

"No gas mask anaesthesia," I stopped my assistant from using the mask. "The dog may breathe in foreign bodies lodged in his right nose and get inhalation pneumonia and then dies."

Zoletil 50 at 0.25ml was given IV. The dog was recumbent. Saliva flowed out, as this was Zoletil's side effect. Not profuse salivation compared to IM injection. I gave atropine 0.5 ml IM. Salivation soon stopped.

Faint blood-tinged right nasal discharge. Not like some 2 weeks ago. Profuse red blood from right nose. Had medication and one nasal flushing via catheter.

5ml of oral antifungal solution were flushed into the back of the right nose where the foreign bodies were suspected to be located as seen in the X-ray. The dog sneezed our violently. On 2x1 cm piece of cartilage - snow white smooth surface encrusted by soft yellowish brown tissue presumed pus. Another 4 small pieces of pus were sneezed out. Little blood sneezed.

These could be fungal infected nasal tissues. The right nasal swab was sent to the laboratory for fungal culture - negative for fungus. Owner did not want any nasal surgery. The dog was sent home on oral anti-fungal and antibiotic  medication.  The dog used to run several km with the owner till he was exhausted and could have breathe in some dirt deep into his right nostril.
Smelly nasal discharge, 3 years old Schnauzer X. Toa Payoh Vets Epistaxis. Dog. Jogging long distances. Toa Payoh Vets  
Right Nasal Turbinate bones infected. Any cure? Rhinosinusitis. Likely to be an infected foreign body inside the back of the right nose.  
  Intra-nasal irrigation (2nd time). Foreign bodies sneezed out during 2nd irrigation.
UPDATE NOV 15, 2009
For the next 4 weeks, the dog seemed to have recovered.

In November, a slight sneezing of blood-tinged fluid appeared again. Owner did not X-rays of the nose nor surgery. Intra-nasal irrigation was done for the 3rd time. Large blobs of cheesy-yellow pus were flushed out. Some red blood came out. The dog went home with repeat medication.
References - Epistaxis
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