Toa Payoh Vets Clinical
Research Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures
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.
Right Nasal Turbinate
bones infected. Any cure?
Likely to be an infected foreign body inside the back of the right
Intra-nasal irrigation (2nd
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.