From the website YES to the following except xed outdiopathic origin include:1. Trial therapy with ivermectin (0.2 mg/kg subQ or PO, 2 treatments 3 weeks apart) for nasal mites2. Trial therapy with itraconazole (5 mg/kg PO q12hrs for a minimum of 3-6 months) for possible low grade fungal infection or fungal-triggered hypersensitivity reactions
3. Immunosuppressive steroid therapy (prednisone, 1 mg/kg q12 hours PO initially) or topical steroid administration with nasal drops or aerosolized preparations via metered dose inhaler4. Alternative immunosuppressive therapy with azathioprine (1 - 2 mg/kg/day PO)5. Antiinflammatory therapy with piroxicam (0.3 mg/kg/day PO)6. Immunomodulating antibiotics such as doxycycline
(3 – 5 mg/kg q12 hrs) or azithromycin (5 mg/kg q24 hrs PO) in combination with daily piroxicam; if improvement is noted,combination therapy is continued but with a reduction in frequency of antibiotic administration (doxycycline – SID or azithromycin – twice weekly)7. Ancillary therapy with humidification of airways, elimination of environmental irritants, and intranasal salineMost dogs with L-PR have some degree of persistent clinical signs although the majority of patients can be managed successfully long-term with medical treatment.Foreign BodiesNasal foreign bodies should be suspected with the following circumstances:1. Known opportunity for foreign body inhalation with a sudden onset of compatible signs2. Sudden onset of paroxysmal sneezingNOPE 3. Pawing at the nose NOPE.....legs
too short to reach nose4. Unilateral nasal discharge
, especially mucopurulent discharge with occasional hemorrhage5. Persistent gagging, retching, or reverse sneezing6. Persistent nasal discharge which follows an acute onset of sneezingAlso I note he had at least a year ago "Persistent gagging, retching, or reverse sneezing
" when he at to fast.Since is has always been a floor licker and could he have snooted wood up his sinus?