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Dog’s runny nose may be life threatening

Posted on: February 27th, 2012 by

A German Short Hair Pointer with pet insurance looks at the camera.

By: Dr. Fiona Caldwell
Idaho Veterinary Hospital
For Pets Best Insurance

Duke is a sweet-as-pie male German Shorthaired Pointer. In his nine years he has been his owner’s faithful hunting companion, flushing out birds and doing his breed-trademark pointing. He had always been healthy until this last fall, when he seemed to catch a cold and had a snotty nose with mucus discharge and sneezing. Concerned about his depleting pet health, his owners made an appointment with the veterinarian to determine what was wrong.

Dogs don’t typically get sinusitis, or infection of the sinus cavity, without an underlying condition. Usually they get a sinus infection due to some other problem, such as snorting up a grass seed, for example. Duke was an active outside dog; it was possible he could have gotten something stuck up one nostril. In fact, the list of possible underlying causes was relatively short: allergies, foreign body (seed or other plant material most likely), mites, fungal infection, bacterial infection, tooth root infection, and lastly, cancer had to be included.

We decided to tackle the list systematically and treated him for allergies and nasal mites first. When he didn’t respond, we tested for fungal infection by looking for antibodies in his blood to the most common nasal fungi, and treated for bacterial infection. In the meantime Duke seemed happy despite his snotty nose and sneezing.

The fungal test was negative. Duke partially responded to antibiotics, which made him go from having discharge from both nostrils, to only the right nostril. The only causes left on his list of differentials were foreign body, tooth root infection and cancer. Duke’s owners agreed it was time to perform a rhinoscopy and skull and nose radiographs. Because procedures like these can be expensive, it’s always a good idea to have a pet health insurance policy in place. Dog insurance can help make the best pet health care more affordable.

A rhinoscopy is a procedure where a very small camera on the end of a rigid scope is used to examine inside of small cavities, like nostrils, while the patient is asleep. We were hoping to find a grass seed or some other foreign body there, as this would be quite treatable. There was none. Duke’s X-rays showed no tooth root infections that could be communicating with the sinus cavity and no other boney changes in the skull.

Unfortunately, this left cancer as the sole remaining possible reason for Duke’s chronic nasal discharge. His owners loved him and were determined to find the answer, and agreed to advanced imaging, and ordered an MRI of his nose and head. An MRI uses advanced technology to provide a much more detailed image of body tissues, allowing the clinician to visualize soft tissue as well as bone. It also will take the images in ‘slices’ allowing the clinician to visualize small sections of the body part, from the tip of Duke’s nose, through the back of his head.

Much to all of our dismay, Duke’s MRI revealed unequivocally he had a nasal tumor in his right nostril. The most common neoplastic condition in the nose of the dog is an adenocarcinoma. Adenocarcinoma is a malignant neoplasm that can occur in a variety of different tissues. Nasal adenocarcinomas generally carry a poor prognosis without treatment. Duke wouldn’t have long if the owners decided not to go forward with the recommended treatment.

Radiation therapy is the treatment of choice for intranasal carcinomas. About 50% of treated dogs will live longer than 12 to 18 months with a good quality of life. Most dogs tolerate radiation very well, with minimal side effects. Side effects that can occur are usually mild superficial burns secondary to radiation on the skin.

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Duke’s pet health condition isn’t uncommon. Cancer occurs in about 50% of dogs and a third of cats. Veterinary oncology is becoming more and more advanced, keeping up with human medicine, in terms of treating cancer. The biggest road block veterinarians often face, is the acceptance of owners to be financially responsible for costly cancer treatment, and the stigma that radiation and chemotherapy will somehow be cruel. Animals very rarely have the serious side effects of chemotherapy like people do; they don’t lose their hair or their appetites. In fact, owners often can’t tell anything has changed! As more people recognize the value of pet health insurance, hopefully this will allow more people access to lifesaving treatment options for cancer.

Duke’s owners were put in a difficult position. They didn’t have dog insurance for Duke and they had already spent a significant amount of money diagnosing him. Radiation therapy would be an additional $4,000.

Throughout the whole ordeal Duke has been a stellar patient. He never complains, is always happy to be examined, doesn’t mind being poked and prodded. It is unclear how Duke will do long term; his owners are still on the fence about pursuing additional treatment. It is clear Duke is a special part of his family, and he’ll love them either way.

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5 Comments

  1. Sarah says:

    $4000 is nothing compared to the love of a dog. My ‘kids’ are getting older and I am very happy to have invested in Pets Best insurance. I know they will help us with any financial burden we might face.

  2. Kari says:

    This will not be helpful for Duke, but Pet Insurance is the way to go. We had to learn the hard way about needing insurance. We woke up one morning and our dachshund Cami was paralyzed in the back end. We rushed her to our vet and she was given steroids etc. She worsened overnight and we rushed her to Philadelphia and were given 2 options put her down or $7000! I was crying uncontrollably she was only 6 yrs old and they had her in the back. We couldn’t afford $7K so my husband contacted Almost Home Dachshund Rescue and they pulled together and were willing to help us if we went to a board certified surgeon. We got in the car the next day and drove her to Yonkers NY and were told that even if we had all the money in the world she wasn’t going to walk again :( We decided that we loved her and she wasn’t in pain so the Dachshund rescue was going to help us get her a cart for mobility and we would have to help her. Unfortunately, the injury was worse than we thought and it moved up her spine. We lost her 1 week later. The trauma from not being able to say Fix her right now!!! do all the tests you need to (MRI $1300 just to find out what caused the injury) is the reason that we called Pets Best and insured our Basset hound who was 2 at the time and our newly adopted mixed breed puppy. When something happens to our boys now we call the vet and know that Pets Best will take care of us. Deductible you choose and co-payment almost like regular insurance! Easy speedy claim process. Thanks for everything Pets Best! Good Luck to Duke and his family in this tough time.

    • hrush says:

      Hi Sarah and Kari,
      Sarah, that’s great to hear you’ve enrolled with Pets Best Insurance! We know what it means to love our pets like children! And Kari, we’re so sorry to hear about Cami. It’s never easy to lose a pet. But we’re happy to hear you’ve enrolled your other dogs with Pets Best Insurance! Thanks for your great comments!

  3. Don’t let your pet go another day without getting the essential vitamins and nutrients says:

    Be kind to your best friend

  4. pet bounce says:

    awesome products for pets

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