Chronic Pus/bloody Nasal Discharge

kmd12

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Hi all,

I am looking to see if anyone has any ideas about my cat's condition. He's an 8 year old male with asthma. He takes Prednisone every other day for his asthma. In early April I noticed he was sneezing a little and had blood tinged mucus draining from his right nostril only. I took him to the vet and they noticed a small abscess on his back tooth. They gave him an antibiotic shot. My friend who is a vet offered to do the removal since her clinic is much cheaper. Even with the shot, the discharge remained and he began to snort and snore. He had two teeth removed and it went well. After the removal, he was still having discharge even after a week so she prescribed another course of antibiotics. They didn't work. I brought him back in and she put him under and did a nasal flush, culture and xray. The culture showed whatever was in his nose grew e-coli and the only antibiotic that it was responsive to was Baytril. The xrays showed nothing. He was on a course of Baytril for 10 days and the the discharge was slightly better but his breathing became labored. I brought him in again and she did another flush and xray. The flush produced a ton of pus. She applied medication to his nose and sent him home with more Baytril and nose drops that I think are used for eye infections. He wouldn't eat or drink after the last flush so I have been feeding him by hand and giving him water. He has lost weight. He has been home for over a week and he is eating more but I still have to prompt him to eat and he is drinking on his own. I have a humidifier running constantly and it helps when he is near it but flares back when he is anywhere else. I took him off the steroid since his lungs were clear and am giving him probiotics. He is back to the noisy snore-like breathing and pus/blood discharge. He also had runny discharge from his other nostril now. Our vet suggested a specialist and a ct scan but she didn't think it would yield any results and the cost is outrageous. I'm heart broken and I don't know what to do. Thank you.
 

Mamanyt1953

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Same here. This is odd, and worrying. You know, seeing a specialist does not mean that you MUST do a CT scan...and fresh eyes may spot something that your vet missed. Not saying that your vet isn't good, but there may be something very obscure that a specialist would pick up on.
 
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kmd12

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Same here. This is odd, and worrying. You know, seeing a specialist does not mean that you MUST do a CT scan...and fresh eyes may spot something that your vet missed. Not saying that your vet isn't good, but there may be something very obscure that a specialist would pick up on.
You have a similar situation? I am taking him in for a fungal test on Monday to rule out Cryptococcus. If we rule that out, I will probably meet with the specialist. It's just hard because it's thousands of dollars where I live.
 

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I had one YEARS ago, but not, thankfully, currently. And I so understand cost issues. This sounds horrid to say, but I'm hoping for cryptococcus for you...at least you will have a definitive answer, and some direction to go!

Take a peek at this article...it may have some useful information in it for you, or (as it did for me in another issue) give you some ideas to try on your own:

No Money For Vet Care? How To Find Help And Save Your Cat's Life
 
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kmd12

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I don't have any experience but wanted to send my thoughts and prayers :vibes::redheartpump:
Thank you :)
I had one YEARS ago, but not, thankfully, currently. And I so understand cost issues. This sounds horrid to say, but I'm hoping for cryptococcus for you...at least you will have a definitive answer, and some direction to go!

Take a peek at this article...it may have some useful information in it for you, or (as it did for me in another issue) give you some ideas to try on your own:

No Money For Vet Care? How To Find Help And Save Your Cat's Life
Thank you. I am hoping too.
 

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I would have suggested testing for a fungal infection but it seems you are already going to do this next. I hope you find out what it is. Poor little guy.
With the use on long term steroids his immune system may be more susceptible to infection including fungal growth. In humans some asthma inhaler meds can cause thrush, so it is a common thing that fungus grows due to steroids. And keep in mind there are more types of fungus than cryptococcosis, there is also, aspergillosis, sporotrichosis and phaeohyphomycoses. Others encountered in more geographically restricted regions (not sure where you live) include blastomycosis, histoplasmosis and coccidiomycosis. Some of these are more commonly seen in the respiratory system than others, but you never know considering your kitty's possible compromised immune system.
 
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kmd12

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Thank you all for responding. It helps knowing others care and understand my love for Jack.
I’m happy to report that he is at least eating and drinking on his own. His breathing isn’t labored but it is still at times congested. He’s had quite a bit of discharge coming out the last few days so I’m not sure if that’s good or bad. I’ll let you know about the fungal test.
 
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kmd12

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Also, I live in Southern Oregon :)
 

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I re-read your initial post, and something stood out to me a bit more this time. The fact that the second time you did a nasal flush there was pus, not just mucus.
Do you think it a possibility that your kitty has polyps that may be ruptured or infected?
I did a bit of reading and polyps can cause bleeding and "pus like" discharge...just a thought.
 

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I also just read that (in humans at least) nasal polyps are at a higher risk with those who have asthma.
 
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kmd12

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I also just read that (in humans at least) nasal polyps are at a higher risk with those who have asthma.
He had his nose scoped and there weren't any polyps noted or and in the xray. But if it ruptured, who knows! I received a quote from the specialty center and it's looking like it will be around $5,000 just for the ct scan and a more detailed scope. My vet suggested we let him be for a few weeks with an appetite stimulant and see if his immune system can kick it without the stress, steroids and antibiotics. He has discharge from both nostrils but his breathing is great, just noisy at times. He was playing and eating a bunch yesterday so ingers crossed.
 

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Well, I have been dealing with chronic URIs with 2 of my kitties, and in case you need this info, this is what helped for us.

Steam up your bathroom by turning on the hot water in the shower and sit in there with your kitty for 15 minutes or so, it will help open up the airways.

I have also used saline drops in my kitties noses to help loosen mucus. I purchased baby saline (it comes in individual droppers - so easy to use) by a company called hydrasense. The baby saline does not have any preservatives or medications in it, it is PURE saline so safe to use.

When I found that their breathing was really congested, I would put about 2 drops up each nostril and within a few minutes they were sneezing out huge gobs of mucus - gross:barfgreen: but very satisfying!:D And keeping the airways from drying out too much will help with inflammation/congestion.

I'm not sure what you feed, but try to stick with wet food and also add a bit of water to the food for extra hydration. Also wet food smells more so it may help the appetite as the smell might "break thru" the congestion. Cats need to smell their food to want eat, so the smellier the better!

Adding probiotics to kitty's food could also help boost the immune system.

And if stress is a factor, I wonder if getting calming treats would help?
 
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kmd12

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Well, I have been dealing with chronic URIs with 2 of my kitties, and in case you need this info, this is what helped for us.

Steam up your bathroom by turning on the hot water in the shower and sit in there with your kitty for 15 minutes or so, it will help open up the airways.

I have also used saline drops in my kitties noses to help loosen mucus. I purchased baby saline (it comes in individual droppers - so easy to use) by a company called hydrasense. The baby saline does not have any preservatives or medications in it, it is PURE saline so safe to use.

When I found that their breathing was really congested, I would put about 2 drops up each nostril and within a few minutes they were sneezing out huge gobs of mucus - gross:barfgreen: but very satisfying!:D And keeping the airways from drying out too much will help with inflammation/congestion.

I'm not sure what you feed, but try to stick with wet food and also add a bit of water to the food for extra hydration. Also wet food smells more so it may help the appetite as the smell might "break thru" the congestion. Cats need to smell their food to want eat, so the smellier the better!

Adding probiotics to kitty's food could also help boost the immune system.

And if stress is a factor, I wonder if getting calming treats would help?
 
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kmd12

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Thank you. I was doing saline nasal drops sporadically. It would make him sneeze but that’s it. Putting stuff in his nose stresses him so I don’t know what’s worth it anymore. I have a humidifier always running and I will try a steam shower again. He had a huge amount of discharge come out this last weekend from both sides and it seems to have slowed so hopefully that’s a good sign. I mean he had huge thick streams of it! He’s only eating wet food at this point and I mix a fortiflora in a syringe with water every morning. My vet gave me some prescription food for him too. Im doing l-lysine too because who knows! He’s vaccinated though. Thank you so much for caring! If any there any other ideas, please let me know! I’m on the Board of a foundation called C.A.T.S. locally and have reached out to some resources there as well. I promise to keep everyone posted.
 
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kmd12

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Also, any thoughts on colloidal silver? I’m not sure if it’s worth it or safe to ingest?
 

Jem

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Also, any thoughts on colloidal silver? I’m not sure if it’s worth it or safe to ingest?
I have no idea, sorry. But I have heard that lactoferrin is good, although I personally have not used it.
 
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