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Rhinoscopy??

This forum is for dog lovers seeking everyday advice and suggestions on health-related issues. Remember, however, that advice on a public forum simply can't be a substitute for proper medical attention. Only your vet can say assuredly what is best for your dog.

  
Kilkenny's- Saint Samson

900984
 
 
Barked: Fri Aug 7, '09 12:41pm PST 
So I just got back from the specialist to have Samson's nose assessed. (Long story short: Right nostril looked irritated when reg. vet sedated him and looked with an otoscope, discharge is clear, he is drinking and urinating normally, he has be a bit slow with eating and has been having some diarrhea, and began sneezing violently all of a sudden about a week ago and is still sneezing. Reg. vet believes he has a foreign body in his nose that's higher up than he can see.)

The vet was nice and laid out all the options and possible causes. Did not thinking kennel cough was the cause at all. Either foreign body, environmental allergies, fungus, or growth. Since he's so young, it's not likely to be a growth or fungus. Since he started sneezing suddenly (and sneezing a lot), it leads the vet to believe it's not allergies.

I was quoted $1,500 for a rhinoscopy. Does this sound like a bit much? I was expecting over $500, but not that much. Especially since I can get the bloodwork done at the vet hospital that I work at and can get meds from my hospital too. So it'd just be the cost of IV, catheter, anesthesia, and the procedure... Is $1,500 kind of high for a rhinoscopy?

I have an appointment with another specialist on Monday that I was going to cancel, but now I'm thinking I may got a second opinion/second quote, instead of spending money on 4 allergy meds when I don't think it's allergies.... Any suggestions??
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Nakita Mae- Angel Girl

Live to dock- dive!
 
 
Barked: Fri Aug 7, '09 2:38pm PST 
Hi there, did your vet or the specialist shoot an xray of your pups head, sinus and teeth? Just curious. We see so many foxtails (stickers) up the nostrils this time of year which we can only get by sedating them and going up with the scope, my own dog, Gunner, snorted a huge foxtail up his nose which we had to go and get. Poor him it couldn't have felt good.

I am a huge supporter of being proactive in trying to dianose things, whatever it takes I will do, but than I am a vet tech and have the vets I work with right there. My dog, Murphy (RIP sweetheart) passed away from sinus cancer, he started with sneezing, no other symptoms... I shot xrays of his head and sinus, looked like a possible abscess behind his right eye, I went to a friend who is a veterinary eye specialist, he sent me to his friend Dr Skinner, a veterinary neurologist, we did a CT scan that day, I had the diagnosis within 4 hours, cancer, non-operable. I had to put him to sleep the next week. He had just turned 6 yr old. He did love to dig after mice, moles anything in the ground so my thoughts are that he could've been exposed to something in the ground that caused the cancer. Just my thoughts.

I am sorry, I am sharing this to scare you, I know it sounds frightening, but just to say that it may be the best to pursue the scope of the nostrils and/or a second opinion just to rule out any possible problems. Please let us know how everything goes.

I am sure it is just something as simple as allergies or a sinus infection, please let us know what you find and I do hope your pup feels better soon.dog
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Kilkenny's- Saint Samson

900984
 
 
Barked: Fri Aug 7, '09 9:41pm PST 
Hey,

Thank you for the response, I really appreciate it.

I mentioned in a different thread that we do have foxtails in our backyard, but also, our landlord did not mention that the former owner of the house we rent burned all his trash in the backyard, and random things, especially glass, keep resurfacing. We gave our 30 day notice right before he started sneezing, so in addition to trying to help my dog, I am attempting to find a new home and have enough to pay to move to a new home. I do have an academic trust fund, so I do get some money for stuff like moving... I doubt the attorney in charge of my trust fund would allocate that much money for a dog (he's not an animal person). I'm going to propose taking out a loan from my own trust fund, as I don't have enough credit to get a credit card or care credit (I tried :/ )

I spoke with my vet about the price, and she said it's about normal, which is a bit frustrating, but at least I know, now. She suggested flushing the heck out of his nose... he is sneezing a LOT less...
However, I'm going to a different specialist on Monday for a second opinion, and supposedly, they give us discounts since we work at a vet office, so that may make it more affordable. I just have a hard time believing he suddenly had a severe onset of allergies...
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Kilkenny's- Saint Samson

900984
 
 
Barked: Wed Aug 26, '09 12:34am PST 
Not sure if anyone is concerned or not, but I thought I'd give an update smile

Samson had his rhinoscopy done on the 11th (lol, the day before my birthday). No foreign objects, no fungus, no nose mites. They took a biopsy, though, and sent that off. He did great for anesthesia, they gave him a tiny bit of acepromazine (I'm guessing he was a bit rowdy when he was waking up, since they put him down with valium and ketamine) and was much more sedate than he should have been, but was just fine. Then I got to enjoy him blowing bloody snot all over the house for the next couple days, and he was still sneezing.
Well, I just got his biopsy results and MDR1 genotype results back. He is Mutant/Normal for the MDR1, so he may have drug reactions (woo. hoo.). And the biopsy results showed that the inflammation of his nose (and voice box!) is a lymphoplasmacytic inflammation. That type of inflammation is not consistent with allergies, so it's not a foreign object, nose mites, or allergies. I can be the beginnings of a fungal infection, or it could be something else (the underlying problem could be one of many...). So I'll be starting him on a series of drugs to try and figure out what is going on. :/
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Cierra

where you go, I- will follow
 
 
Barked: Wed Jul 20, '11 9:27am PST 
Hi,

I know its been a while but I was wondering what the outcome was? Did you go through with the Rhinoscopy? How is Samson's health now?
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