Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary

How to treat my cats sinus infection

Customer Question
how to treat my cats sinus infection
Submitted: 2 years ago.Category: Cat Veterinary
Ask Your Own Cat Veterinary Question
Answered in 2 hours by:
10/16/2015
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 30,846
Experience: University of California at Davis graduate veterinarian with 45 years of experience.
Verified

I'm sorry to hear of this with Opie. Would you entertain having a housecall vet come to you? You can find one by googling the keywords "veterinarian, housecall, (your area)". Chronic rhinosinusitis in cats is difficult enough to treat and nigh impossible if you can't catch him to medicate him. I admit that there are times in which my patient simply can't be helped but I'm going to post my synopsis of chronic rhinosinusitis for you so you understand what you're facing...

I understand your frustration and commiserate with you. You’re likely to have described chronic rhinosinusitis which is a diagnosis of exclusion when other etiologies have been ruled out (fungal infection by culture, malignancy by biopsy, bacterial or viral infections by a pure culture or PCR of common respiratory pathogens). This syndrome is actually a constellation of diagnoses made by biopsy, culture, and PCR (DNA-based) testing. The three broad groups we see are lymphocytic-plasmacytic-, eosinophilic-, and idiopathic (unknown cause/the most common) rhinosinusitis. This syndrome is one of the most significant causes of sneezing and nasal discharge in the cat. The nasal discharge is generally serous (clear serum-like), but secondary bacterial infections can result in the development of mucopurulent (mucus + pus) discharge and inflammation can be severe enough to cause intermittent hemorrhage. The clinical signs can persist for years.

It's postulated that an early severe viral infection may trigger chronic disease. In addition, it's estimated that approximately 80% of cats are latently infected with FHV-1 (herpesvirus), and so another possible scenario for chronic infection is that Opie is exhibiting the symptoms of persistent herpesvirus infection in which case the antiviral drug famciclovir might be helpful.

In general, these cases are somewhat refractory to treatment and palliation of clinical signs rather than cure is the goal of medical management. Broad-spectrum antibiotics such as the orbifloxacin are often prescribed to manage secondary infections. Administration of antihistamines such as chlorpheniramine at 1-2mg/cat orally every 12-24 hours may lessen clinical signs of disease in some cats. Moistening therapies such as nebulization and saline nasal drops can help loosen secretions and soothe mucosa, particularly in dryer climates. The anti-inflammatory glucocorticoids such as prednisolone may be helpful as well. Prednisolone may be used at a maximum dose of 1-2mg/kg orally every 12 hours. If a positive response is noted, the lowest dose and the longest dosing interval that is effective should be determined by adjusting the dose over time. Inhaled glucocorticoids can be used as an alternative to decrease the systemic side effects of oral glucocorticoid use and have the benefit of directly affecting the nasal mucosa. Beclomethasone or fluticasone can be administered by metered dose inhaler (MDI) with an inhalation chamber at 1-2 puffs once to twice daily.

This syndrome is the bane of too many cats and their vets but hopefully the above approaches will be at least palliative if not curative. Please respond with further questions or concerns if you wish.

Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Michael Salkin, Veterinarian replied 2 years ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin
Ask Your Own Cat Veterinary Question
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 30,846
30,846 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience.

Dr. Michael Salkin is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Cat Veterinarian

3,924 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,739 satisfied customers

UC Davis graduate, Interests: Dermatology, Internal Medicine, Pain Management

Dr. Bruce

Dr. Bruce

Veterinarian

4,343 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

3,998 satisfied customers

15 years of small animal, equine and pocket pet experience in medicine and surgery.

Rebecca

Rebecca

Cat Veterinarian

3,330 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,070 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,834 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
My rabbit is sneezing and has a runny nose. Is there
Hi! My rabbit is sneezing and has a runny nose. Is there anything I can do to help? … read more
Dr. Denise
Dr. Denise
Veterinarian
Doctor of Veterinary Medicine
357 satisfied customers
He has sinus congestion... And I've taken to the Vet for
He has sinus congestion... And I've taken to the Vet for antibiotics and it keeps coming back.... Can I give him infant nose drops … read more
Dr. Deb
Dr. Deb
Cat Veterinarian
Doctoral Degree
2,834 satisfied customers
All 3 of my unvaccinated cats are sneezing. Is this a sign
All 3 of my unvaccinated cats are sneezing. Is this a sign of feline distemper? … read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
She is sneezing and it seems like maybe an allergy since the
She is sneezing and it seems like maybe an allergy since the sneezing and symptoms never get worse. … read more
Pet Doc
Pet Doc
Senior Small Animal Veterinarian
BVSc
2,782 satisfied customers
Cat is sneezing occasionally. But eating and drinking
Cat is sneezing occasionally. But eating and drinking normally. I noticed that her mouth is slightly open and appears to be breathing through her mouth. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,846 satisfied customers
My cat starting sneezing and now is sneezing blood. His name
my cat starting sneezing and now is sneezing blood … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,376 satisfied customers
He's been sneezing a lot for the past couple weeks, and
He's been sneezing a lot for the past couple weeks, and sounds like his breathing is sometimes shallow … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
He is sneezing and lethargic, it appears something on his
He is sneezing and lethargic, it appears something on his left nostril is irritated. Hell tilt his head, then sneeze 2-3 times. He is an outdoor cat, staying out at night but he stayed in last night. … read more
DocPaul
DocPaul
Doctoral Degree
664 satisfied customers
I got a script of liquid doxycycline for my cat for a sinus
Hi. I got a script of liquid doxycycline for my cat for a sinus infection but I didn't get it in the fridge for about two days. It wasn't in the heat or anything but was not cold either when I finally… read more
Dr Scott Nimmo
Dr Scott Nimmo
337 satisfied customers
He started sneezing yesterday afternoon, but seemed fine.
He started sneezing yesterday afternoon, but seemed fine. Then I noticed he had vomited a few times. Now is is hiding under furniture sleeping and he won't eat or drink. His nose is dry and his lungs … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,252 satisfied customers
He has been sneezing for the last 4 days; he sneezes a
He has been sneezing for the last 4 days; he sneezes a couple of times one right after the other maybe two-three times a day. … read more
Pet Doc
Pet Doc
Senior Small Animal Veterinarian
BVSc
2,782 satisfied customers
Nasal congestion with sneezing. Gold male cat, approx. 11
gold male cat, approx. 11 years old. he has had sinus problems and has had tooth extractions in the past on his right upper mouth side. … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,629 satisfied customers
Occasional sneezing of mucous mixed with a little blood. She
occasional sneezing of mucous mixed with a little blood. She is about 12 years old. Is this a concern? … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,846 satisfied customers
MHe has a sinus infection now for close to 3 months, at his
hi mHe has a sinus infection now for close to 3 months, at his worst he has nose bleeds bad so they gave him a shot of antibiotics, He seemed to be a little better so we went another three weeks he go… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,846 satisfied customers
He has chronic sinus issues, runny nose, sneezing. I've been
He has chronic sinus issues, runny nose, sneezing. I've been to vet but she wasn't very helpful. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,846 satisfied customers
Im watching my friends cat who has chronic sinus infections.
Im watching my friends cat who has chronic sinus infections. Hes already on a steroid,and has had several rounds of antibiotics, but cant seem to shake it … read more
Dr. Peck
Dr. Peck
Associate Veterinarian
Doctorate Veterinary Medicine
337 satisfied customers
My cat accidentally ate my blood pressure meds and a sinus
my cat accidentally ate my blood pressure meds and a sinus medicine … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,439 satisfied customers
We just got a rescue cat, and she has chronic sinus
We just got a rescue cat, and she has chronic sinus problems. She's been on antibiotics twice which did nothing, and she just sneezes and has chronic nasal congestion. There does not seem to be any ch… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,629 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x