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Dr. Kara
Dr. Kara, Board Certified Veterinarian
Category: Veterinary
Satisfied Customers: 9956
Experience:  Over 20 years of experience treating cats, dogs, guinea pigs, hamsters, rats, mice, and iguanas
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My cat is between 1 and 2 years old, and was rescued from a

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My cat is between 1 and 2 years old, and was rescued from a hoarder. One of his eyes had to be removed (cause unknown), and was treated with penicillin prior to removal. He looks like a Forest cat or Maine Coon, but small in size. He tested negative for Corona Virus a week ago, and negative for FELV and FIV upon intake into the rescue shelter (4 months ago). He was with Foster care until I obtained him, the 2nd week in May. He has been sneezing. He has also been acting like his ear on the side in which the eye was taken is bothering him (shaking his head and scratching). He had noisy breathing, but has been on Clavamox for 9 days and the noise from his noise is better, but he is still sneezing. He also continues to sometimes swallow hard and try to clear his throat. So, I think this might be an inflammatory polyp. I fear it might be cancer. Anyway way to get any hints prior to imaging and biopsy? How soon should I re-visit the Vet? I would think after 9 days on Clavamox the sneezing would be gone, if this was a URI.
Submitted: 1 year ago.
Category: Veterinary
Expert:  Dr. Kara replied 1 year ago.

Hello, again this is Dr. Kara.

I'm sorry to hear that Pipkin is still sneezing and breathing loudly. Because most URI are caused by viruses while antibiotics will help treat the secondary bacterial invaders they won't change the course of the viral infection much.

 

And in some cats that have had horrible infections as youngsters permanent damage can be done to the nose and sinuses making them chronic "loud" breathers due to the destruction of normal anatomy. I am happy to hear that he is improving, and it may help to go a little longer with antibiotic therapy then we would in an uncomplicated case, with a cat with normal anatomy. I would discuss using antibiotics a little longer with your veterinarian.

 

The only way to know if a polyp is there is to look for it. If he still seems more nasal then normal, and continues to bother the ear on that side after 3 weeks time I believe it is time to look further with sedation, physically looking behind his soft palate and radiographs of his nose, sinuses, tooth roots and bullae (the bony middle ear).

 

Please let me know if you have any further questions.

Dr. Kara, Board Certified Veterinarian
Category: Veterinary
Satisfied Customers: 9956
Experience: Over 20 years of experience treating cats, dogs, guinea pigs, hamsters, rats, mice, and iguanas
Dr. Kara and 3 other Veterinary Specialists are ready to help you
Customer: replied 1 year ago.


Thanks! This is helpful in establishing a time-line. I'm disappointed that the Clavamox is not resolving his sneezing and ear discomfort. I read that on average it takes about nine days to see improvements with Clavamox. I'm anxious to get a diagnosis. I might request imaging this week. It's hard to be patient. I have the week off, and it is a good time to find resolution. I will go three more days with Clavomox, then it is time for further investigation. My instincts tell me there is obstruction in his respiratory system. The hard swallow, and the throat clearing is disturbing. I hope it is only a URI, but, I think maybe there is ore to this. My nature is to be concise and expedient. But, I will try to wait.

Expert:  Dr. Kara replied 1 year ago.

You are very welcome.

I agree that in all probability there is more then a simple URI going on here, but I like to give them the benefit of long enough therapy before putting them through sedation and all the poking and prodding we need to do to look further.

If I had to guess I would say that a polyp seems likely, and given his history we probably have some sinus destruction as well. I hope not, but that seems quite probable.

Please let me know how things turn out for your fellow.

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