Our sweet Harlow's sinuses are A Hot Mess, have been ever since he happened into our lives when he came into the care of Humane Haven Animal Shelter back last summer. He'll get a sinus infection, get a course of some random antibiotic, be clear of any signs of infection for a few days to a week or so, and start exhibiting signs of sinus infection all over again. The vets at Brookville Animal Hospital have had him on a merry-go-round of Clin Drops and Doxycycline for the most part until we put up more of a fuss about wanting to try something stronger and different than what hasn't already worked longer. This time he got put on Azithromycin--250mg once daily for five days, then twice weekly for 6-8 weeks. We're currently in the midst of the 6-8 weeks part. So far, so good: his nasal discharge cleared of coloring and grew thinner after the first five daily doses.
Our issue with the way Brookville's vets have been treating his chronic sinus issues is they don't do much beyond giving him a basic physical exam and then throw the same antibiotics at it over and again. This is a great recipe for antibiotic resistance and it's not treating the root cause of what's going on. Time for a specialist, but who and where?
I called out to our usual standby for specialty vets, VCA Aurora, early last week. Internal medicine also handles issues with the sinuses. I brought him in last Thursday to see Dr. Medinger. He got a very thorough physical, I got asked lots of questions. Hell, they even asked about how concerned we were about Harlow's five pound weight loss since September; we weren't terribly concerned because we thought it was primarily related to diet and much more exercise, but...yeah, we could see why there might be a concern... Dr. M ordered pre-procedure blood work, urinalysis, and a thyroid check, a nasal CT along with biopsies and cultures. This cost Big Bucks, of course, but what can you do if you want to find out the Root Cause of what's going on? They send everything out of house to specialty labs for testing, so no results until at least the end of this week at the earliest. Preliminary findings were positive in that no polyps or growths were found in the nasal cavities or sinuses, but there was swelling in the nasal cavities, especially on the left side, lots of fluid in there, and signs of sinusitis.
Sigh. Our Cheeto Burrito kitty was such a good boy throughout--the techs and Dr. M all raved about how wonderfully cooperative and quiet Harlow was while they worked on him. :) That's our boy! :)
...And now we wait for the results, and any further action steps that may result from those results.
I will keep y'all posted...
Our issue with the way Brookville's vets have been treating his chronic sinus issues is they don't do much beyond giving him a basic physical exam and then throw the same antibiotics at it over and again. This is a great recipe for antibiotic resistance and it's not treating the root cause of what's going on. Time for a specialist, but who and where?
I called out to our usual standby for specialty vets, VCA Aurora, early last week. Internal medicine also handles issues with the sinuses. I brought him in last Thursday to see Dr. Medinger. He got a very thorough physical, I got asked lots of questions. Hell, they even asked about how concerned we were about Harlow's five pound weight loss since September; we weren't terribly concerned because we thought it was primarily related to diet and much more exercise, but...yeah, we could see why there might be a concern... Dr. M ordered pre-procedure blood work, urinalysis, and a thyroid check, a nasal CT along with biopsies and cultures. This cost Big Bucks, of course, but what can you do if you want to find out the Root Cause of what's going on? They send everything out of house to specialty labs for testing, so no results until at least the end of this week at the earliest. Preliminary findings were positive in that no polyps or growths were found in the nasal cavities or sinuses, but there was swelling in the nasal cavities, especially on the left side, lots of fluid in there, and signs of sinusitis.
Sigh. Our Cheeto Burrito kitty was such a good boy throughout--the techs and Dr. M all raved about how wonderfully cooperative and quiet Harlow was while they worked on him. :) That's our boy! :)
...And now we wait for the results, and any further action steps that may result from those results.
I will keep y'all posted...