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Unfortunately cultures of nasal secretions rarely grow anything other than the normal pathogen’s inside the nose. It’s basically useless to do a culture on nasal secretions or even a nasal swab. Trust me I did probably 20 of them on the cat that I had. They will grow weird things like enterococcus pasteurella but none of those or whatever the Issue actually is. It’s just secondary to whatever is going on.
Diagnostically MRI is probably your best bet. Financially feasible, who knows? They are expensive or at least they were 15 years ago I’m sure they’ve only gone up. Sometimes dental x-rays can be useful in looking at the sinuses. You need somebody with dental radiographic capabilities and a lot of experience of course. There is also idiopathic chronic rhinitis sinus. Diagnostically you can also have them scope the nose which is some thing I could never do for my cat because it just seems so brutal. I’ve assisted in a lot of them and they do have a tendency to bleed and they are definitely invasive. But they can get samples from inside the nose send it in to the lab and figure out what it is for example cancer chronic inflammation etc. Sometimes even doing that you still don’t get a clear picture of what’s going on. There can always be a viral component for example like herpes flareup. I don’t know what a good answer is, with your cat. I never figured out a good answer of what to do for my own cat when he had it be at 15 years ago. And I had access to specialists and major veterinary discounts and I couldn’t come up with anything to actually determine what it was or to get rid of it permanently. I also did post therapy with different antibiotics on him one of which probably led to his undoing of renal failure
Diagnostically MRI is probably your best bet. Financially feasible, who knows? They are expensive or at least they were 15 years ago I’m sure they’ve only gone up. Sometimes dental x-rays can be useful in looking at the sinuses. You need somebody with dental radiographic capabilities and a lot of experience of course. There is also idiopathic chronic rhinitis sinus. Diagnostically you can also have them scope the nose which is some thing I could never do for my cat because it just seems so brutal. I’ve assisted in a lot of them and they do have a tendency to bleed and they are definitely invasive. But they can get samples from inside the nose send it in to the lab and figure out what it is for example cancer chronic inflammation etc. Sometimes even doing that you still don’t get a clear picture of what’s going on. There can always be a viral component for example like herpes flareup. I don’t know what a good answer is, with your cat. I never figured out a good answer of what to do for my own cat when he had it be at 15 years ago. And I had access to specialists and major veterinary discounts and I couldn’t come up with anything to actually determine what it was or to get rid of it permanently. I also did post therapy with different antibiotics on him one of which probably led to his undoing of renal failure