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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.
My apologies on your wait for a response.
I'm very sorry to hear about Graham's neck swelling, lethargy, and vomiting which have now resolved and a residual cough which has not.
My concern would be that he had some sort of penetrating wound trauma and there is something left behind compressing his airways, or in his airways, which is why he is continuing to cough.
I recommend a recheck and neck/chest radiographs and possibly an ultrasound of his neck where the swelling was located to try to determine why he is still coughing.
This isn't normal and if there is some sort of foreign material it should be removed.
Please let me know if you have any further questions or how things go for him at his recheck.
Sometimes there is so much swelling we don't see the original puncture wound. Or it is also possible for foreign material to travel through the body and then get stuck causing an inflammatory reaction at that point rather than the initial entry point.
If the swelling was on his neck she would have needed to sedate him and look down his throat/esophagus to see anything. Looking at his mouth would have been a good start, but may not show the trouble spot.
I am glad that this will be followed up on, as I do believe there is something there precipitating the cough.