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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 32842
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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Hi my dog is old with kidney problems ane atheritus in back

Customer Question

Hi my dog is old with kidney problems ane atheritus in back and back legs , she's now started sort of sneezing and snorting and now is bleeding from the nose. I'm worried sick
Submitted: 3 years ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 3 years ago.
Aloha! You're speaking to Dr. Michael Salkin
I'm sorry that your question wasn't answered in a timely manner. Bleeding from the nose (epistaxis) most often occurs secondary to a malignancy in a 14 year old dog. I would expect to find a squamous cell carcinoma, adenocarcinoma, fibrosarcoma, or chondrosarcoma in Lulu's nasal passage or sinus. Her sneezing and snorting is likely due to blood pooling in her nose. Hypertension can also cause epistaxis and hypertension is commonly found with advanced kidney disease.

Lulu's vet can check Lulu's blood pressure but evaluating her nose and sinuses at her age would require scoping under anesthesia, X-rays and even CT - diagnostics I would think inappropriate. Please let her vet know what you're seeing. I, too, am concerned that Lulu may not be able to be helped any longer.

Please respond with further questions or concerns if you wish.

Customer: replied 3 years ago.
Hi I took lulu to vet and he said it could be an infection so gave antibiotics and some tablets for her atheritus , he said it could be a grass seed and if antibiotics don't work they will X-ray and flush out her nose but also said it could be more sinister. I don't want lulu to suffer , I I'm at my wits end with worry.
Expert:  Dr. Michael Salkin replied 3 years ago.
I understand your concern. If you lived in America west of the Mississippi River, a plant awn called the foxtail should be considered in any dog sneezing blood. I've enclosed a photo of a foxtail. I don't know if you have such awns where you live. Please let me know. While foxtails can cause infection in noses, Lulu's age does suggest something else.

Customer: replied 3 years ago.
Hi. Yes we do have those. I don't want my dog to be in pain and I know she's to old and poorly to go under. I don't know what to do ?
Expert:  Dr. Michael Salkin replied 3 years ago.
Thank you. That helps me converse with my UK customers. Christine, the finding of a foxtail is the best possible outcome. There's no other manner in which to remove them other than sedating our patient and manually extracting them. In some cases, a foxtail will continue to migrate through the nose and fall off into the throat and be swallowed. When they lodge, however, in the nasal cavity they can cause bleeding and eventually abscess.

Lulu's vet has a protocol for sedating risky dogs. We can "space them out" rather than deeply anesthetizing them. Please continue our conversation if you wish.