Chronic rhinitis in my own dog

RE: Chronic rhinitis in my own dog

Roger Wilkinson — Mon, 22 Jul 2019 18:38:08 GMT

I think that in the Lobetti et Al. Paper that Ben gave a link to earlier (hi Ben!)...the best response was to immunotherapy. Response to steroids was surprisingly inconsistent.

Sadly they don't specify how they chose the allergens or what tx protocol they chose although you could probably just email the authors (in which case I'd really like to know what they say!!). If no info forthcoming, personally I would probably just do an in vitro panel of allergens and then use sublingually immunotherapy.

Best wishes

Roger

RE: Chronic rhinitis in my own dog

Anthony Dennison — Thu, 18 Jul 2019 10:20:05 GMT

[quote user="Noweia"]

N=2, but we have tried maropitant 1:9 in Hartmanns and tried it on cats. Both have cleared up wonderfully with one drop once daily into each nostril. Worth a try in desperation?

[/quote]

N=1, I tried it in the case I mentioned in this thread - did make a little difference for a while but then I think the disease got so severe it didn't work as well. Though it may have been a compliance issue as well.

RE: Chronic rhinitis in my own dog

Noweia — Tue, 16 Jul 2019 21:56:45 GMT

N=2, but we have tried maropitant 1:9 in Hartmanns and tried it on cats. Both have cleared up wonderfully with one drop once daily into each nostril. Worth a try in desperation?

RE: Chronic rhinitis in my own dog

Julian Earl — Tue, 16 Jul 2019 19:01:54 GMT

Top of my DDs would be a foreign body: straw, grass seeds, visualised with an auroscope and removed with alligator forceps quite easily. The Labrador that had a 15cm length of straw removed looked decidedly happy afterwards! Clearly no medication would have helped that dog! I wouldnot go for rhinotomy without very good reason to believe there is something to remove: FB or tumour or whatever. I saw one performed when a student and it seemed very traumatic procedure! I swore that #iwould never inflict that on a dog if #i could help it!I

RE: Chronic rhinitis in my own dog

Anthony Dennison — Tue, 16 Jul 2019 10:50:30 GMT

[quote user="Kate Richardson"]Would be worth considering a fungal element, given the need for chronic antibiotics in such cases, it might allow for an opportunistic fungus, poss aspergillosis but consider other fungi?[/quote]

I had a rhinitis case where it was worked up, had a CT and rhinoscopy, no fungal plaques seen, no fungal growth on swab. Improved initially then got worse again - positive serology for Aspergillus and then when referred there were large fungal plaques visible, and trephination was performed.

RE: Chronic rhinitis in my own dog

Beats — Mon, 15 Jul 2019 20:54:06 GMT

This is not intended as a serious suggestion for your dog, however I've oft wondered if a tracheostomy in a sufficiently severe case could be a magic remedy?

RE: Chronic rhinitis in my own dog

Kate Richardson — Mon, 15 Jul 2019 20:36:55 GMT

Would be worth considering a fungal element, given the need for chronic antibiotics in such cases, it might allow for an opportunistic fungus, poss aspergillosis but consider other fungi?

RE: Chronic rhinitis in my own dog

Ben Safrany — Mon, 15 Jul 2019 17:30:42 GMT

Hi Katie,

Sorry to hear about your dog, I think chronic LP rhinitis cases can be some of the most frustrating that we manage. It sounds like you've done all the sensible things. I'm aware of some of the work being done with maropitant but don't have any first hand experience to add I'm afraid

Good quality data seems to be lacking, this case series saw the best results with desensitisation and a combination of cyclosporine and corticosteroids. I've had two dogs refractory to anti-inflammatory treatment (both NSAIDs and steroids) respond encouragingly to the addition of cyclosporine this year. Regular nebulising with saline seems to help some.

Lobetti, R. (2014) ‘Idiopathic lymphoplasmacytic rhinitis in 33 dogs’, Journal of the South African Veterinary Association, 85(1). doi: 10.4102/jsava.v85i1.1151.

I hope this is helpful, let me know how she does.

Ben

RE: Chronic rhinitis in my own dog

Sara Ramsey — Mon, 15 Jul 2019 09:07:26 GMT

I have a 16.5 year old border collie with similar.

We have tried all the things you have tried.

Pulse co-amoxyclav gives him relief, though it is now looking like a few day after the anti-biotics stop: he's puffing his cheeks and the snotty strings are back.

I watched a webinar and the speaker pointed out: imagine having a cold and someone tried your hand behind your back...they just can't : blow their nose.

RE: Chronic rhinitis in my own dog

Katie Limb — Mon, 15 Jul 2019 08:02:33 GMT

Thank you. I did re biopsy 2 years ago. But yes might be worth repeating again

RE: Chronic rhinitis in my own dog

Evelyn Barbour-Hill — Mon, 15 Jul 2019 00:45:29 GMT

Don't get me wrong, but would it be a good idea to revisit the diagnosis? I'm not suggesting it was wrong in the first place, I mean it's possible there is now something else going on.

No magic remedies I'm afraid.