Cat Veterinary

Have Cat Questions? Ask a Cat Vet Online.

Ask a Cat Veterinarian,
Get an Answer ASAP!

Cat Veterinary

She is congested... over a month ago we went to the vet did…

Customer Question
She is congested... over...

She is congested... over a month ago we went to the vet did antibiotic due to nasal irritation and blood... and i was to give her Chlorpheniramine 2mg It maybe helped for a week MAYBE I've been washing her sinuses a few times... and she gets mucus out ... I but she is struggling to get rid of that blockage on the right side

Veterinarian's Assistant: I'm sorry to hear that. What is the cat's name and age?

Pistachio "Stash" for short -- she turned 14 in June - Persian

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about the Persian?

Not that I can think of

Submitted: 6 months ago.Category: Cat Veterinary
Show More
Show Less
Ask Your Own Cat Veterinary Question
Answered in 2 minutes by:
8/4/2017
Cat Veterinarian: Dr. Kara, Veterinarian replied 6 months ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,756
Experience: Over 20 years of experience as a veterinarian.
Verified

Hello, I'm Dr. Kara. I have over 20 years of experience as a veterinarian and I'd like to help. Please give me a moment to review your concerns.

Ask Your Own Cat Veterinary Question
Cat Veterinarian: Dr. Kara, Veterinarian replied 6 months ago

I understand that you are concerned about Stash's nasal congestion, (particularly on one side), sneezing bloody mucous and nasal irritation and I'd like to help.
Sneezing, and nasal congestion are signs of nasal irritation.
With nasal irritation we can also see a nasal discharge which can be yellow, white, green, mucoid or even bloody in character. If the irritation is enough the mucosa becomes raw and we can see blood in the discharge. This is usually coming from both sides of the nose and isn't more then droplets. If this was a short term issue with your girl it may be related to a contagious upper respiratory infection. Some cats get sicker than others and young, healthy adult cats seem to tolerate them and fight them off better than very young kittens or older cats. An upper respiratory infection in cats is just like a cold in you and I, and these are commonly caused by a virus, the most common one being Herpes virus. These infections are easily caught by breathing in virus particles in the air from a sneeze or nasal or eye discharge from an infected cat. Some cats get chronic infections and in times of stress the infection comes out of hiding and causes symptoms.

But given that this has lingered for a month this is not likely to be a simple viral infection. I am concerned too as it seems to be worse on one side, and generally viral infections affect both sides equally.
In some cases with long term infections, especially if this is a fungal infection rather than a viral infection, or if it is a mass we can even see nasal bone destruction and swelling or changes in nose conformation.
With an uncomplicated upper respiratory infection I would expect that she would be much better in 7 to 10 days. Since it has been over a couple weeks and she isn't getting better and is now sneezing blood I think we need to look further or consider giving her an antibiotic such as doxycycline or azithromycin.
Diagnosis of a the problem behind these symptoms with a long term problem can be complicated.
We may need to perform radiographs of the nose and sinuses looking in the bones or full sinuses, nasal flushes and scoping to collect culture and biopsy specimens and sometimes blood titers to look infection (especially if we are suspicious of a fungal infection). I would also check her for viruses like feline leukemia and feline immunodeficiency virus. In an older cat I would also check for liver disease, hypertension and hyperthyroidism as those diseases can lead to nose bleeds.
Possible ruleouts behind these symptoms are bacterial, fungal, tick borne or viral infections, a foreign body in the nose, a polyp or mass in the nose or a tooth/teeth root infection or metabolic organ disease or hypertension. Rarely the cause is an inherited clotting disorder, but I would have expected her to have symptoms of that before now.
Cancer would be possible too.
Things that you can do that aren't too expensive include checking a complete blood count and biochemistry profile and T-4 to look organ disease and hyperthyroidism, and possibly a clotting profile. I would also recommend checking her blood pressure.
If those tests come back normal then looking for a tooth root infection, a foreign body or polyp with a nasal scope and radiographs of her nose and sinuses under sedation would be recommended.
If you decide that you cannot or would not run any further diagnostics, then trying an antibiotic or trying a course of steroids could be an option. Steroids will reduce inflammation and improve her comfort level. Though ideally steroids shouldn't be used long term, or without making sure that a fungal or bacterial infection isn't present, they may reduce inflammation enough to stop bleeding.

If she is still eating and drinking well and not lethargic too, then she may not need emergency care today. Keep her quiet, use drops of saline nasal drops to add moisture to her nose and help decrease irritation and have her rechecked as soon as you can.
But if you are noticing a large amount of blood, her gums and tongue look white or very pale pink in color rather than a nice bubblegum pink, and she seems very lethargic then an emergency visit is best.
Best of luck with your girl, please let me know if you have any further questions.

Ask Your Own Cat Veterinary Question
Was this answer helpful?
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 17,756
17,756 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara 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

3,928 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Andy

Dr. Andy

Medical Director

4,753 satisfied customers

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

Dr. Bruce

Dr. Bruce

Veterinarian

4,473 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

3,557 satisfied customers

More than 30 years of companion animal practice.

Dr. Drew

Dr. Drew

Cat Veterinarian

3,072 satisfied customers

Small Animal Medicine and Surgery

Dr. Deb

Dr. Deb

Cat Veterinarian

2,883 satisfied customers

I have been a practicing veterinarian for over 30 years.

< Previous | Next >

Related Cat Veterinary Questions
My cat suffers from upper respiratory infections and was
My cat suffers from upper respiratory infections and was treated for one in November. She has been on two rounds but she now has a louder breathing and snoring/whistle when she sleeps or relaxes. She … read more
Dr. Kara
Dr. Kara
Veterinarian
17,756 satisfied customers
My cat is getting better from upper respiratory infection
my cat is getting better from upper respiratory infection but has watering eyes righteye is better with the eye wash but left eye he is trying to keep closed I looked and it is red up in eye ball can … read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,979 satisfied customers
She has an upper respiratory infection so we've been giving
She has an upper respiratory infection so we've been giving her amoxicillin, but she's been throwing up constantly a few hours afterwards … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,455 satisfied customers
I believe my mouse has an upper respiratory infection or
I believe my mouse has an upper respiratory infection or pneumonia. I took her to the vet and the vet gave her baytril (for 14 days) I haven't been very successful in giving her the full dose, she doe… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,455 satisfied customers
My cat has the start of an upper respiratory infection he
My cat has the start of an upper respiratory infection he has some congestion and a little cough. I've been keeping him isolated and warm and giving him wet food. Anything over the counter or all natu… read more
Dr. Deb
Dr. Deb
Cat Veterinarian
Doctoral Degree
2,883 satisfied customers
She has upper respiratory infection. 8ten years old.
She has upper respiratory infection. 8ten years old. Sneezing wheezing, yawning. I am keeping her warm, would steaming help? … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,455 satisfied customers
I have a snake with an upper respiratory infection and I'm
I have a snake with an upper respiratory infection and I'm wondering if we can give her penicillin … read more
Dr Linda
Dr Linda
Doctor of Veterinary Medicine
Doctoral Degree
1,408 satisfied customers
My cat Olivia has suffered from upper respiratory infections
Hi my cat Olivia has suffered from upper respiratory infections for years. She currently has yellow flem in her nose and constantly sneezes it out. Also she has a cyst on her liver and ibd issues. Blo… read more
Rebecca
Rebecca
Cat Veterinarian
Doctoral Degree
3,557 satisfied customers
He has a upper respiratory infection again. I need to know
He has a upper respiratory infection again. I need to know how to convert a 500mg capsule of keflex to liquid for him and the dosage … read more
Richard Rawling
Richard Rawling
Veterinary Surgeon
BVMS
647 satisfied customers
Pretty sure he has an upper respiratory infection.
pretty sure he has an upper respiratory infection. … read more
Dr. Kara
Dr. Kara
Veterinarian
17,756 satisfied customers
My 12-year old cat has had an upper respiratory infection
My 12-year old cat has had an upper respiratory infection w/phlegm and sneezing gobs of phlegm. He had teeth extracted--I was told sinus infection due to bad teeth after FOUR rounds of antibiotics. Ha… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My cat has a bad case of upper respiratory infection. I have
My cat has a bad case of upper respiratory infection. I have been to 2 different vets over a period of 3 years. It will get better & then after meds get back worse again. I really need & want him to g… read more
Dr. Jo
Dr. Jo
Veterinarian
BA
1 satisfied customers
She has an upper respiratory infection and recently started
She has an upper respiratory infection and recently started having some bloody mucus from both nostrils … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
He is a cat and he is having a upper respiratory infection
He is a cat and he is having a upper respiratory infection and needs antibiotics … read more
Dr. Nicole
Dr. Nicole
Veterinarian
Doctor of Veterinary Medicine
537 satisfied customers
One of them (Moji) got an upper respiratory infection and
One of them (Moji) got an upper respiratory infection and now I'm pretty sure the other (Joji) caught it. I was given clavamox for Moji and attempted to give it to Joji and by the second dose she was … read more
divealot1
divealot1
DVM
8 satisfied customers
I have kittens with upper respiratory infections. They're
I have kittens with upper respiratory infections. They're about 7 to 8 weeks old … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My cat appears to have an upper respiratory infection of
Hi, my cat appears to have an upper respiratory infection of some kind. His nose is congested and he's not too keen on eating right now. I was able to get him to lap up the juice from a jar of baby me… read more
Dr. Kara
Dr. Kara
Veterinarian
17,756 satisfied customers
Does clindamycin help with upper respiratory infections in
does clindamycin help with upper respiratory infections in my cat … read more
Dr Scott Nimmo
Dr Scott Nimmo
341 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