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RickisSweetSmoke

Chronic Sinusitis

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This will all make more sense if you've read my post about the New Bolton Center visit.

my TB has megaesophagus, we are unsure about the cause, but he has not had a choking episode since the spring (thank the good Lord) however he has had chronic sinus infections since last October. We have used antibiotics, we do 4 weeks on and try and do 6-8 weeks off to rest his stomach. At last scope in May, he had very minor ulcers, which I am sure we have irritated with the meds. The antibiotics keep the snot at bay but once he is in the off cycle, the snot returns.

the biggest challenge with ME is keeping his weight up and giving him the nutrients he needs. we have managed to keep his weight up, but we cannot get rid of the snot. I would like to explore other options, such as a sinus tap. I am hopeful if we drain the sinuses and prevent choke, maybe we can eliminate the snot? My vet said she is going to do some research and consult with other vets about how to move forward.

Does anyone have any experiences they would like to share with managing chronic sinusitis? Thanks in advance!!

I attached a recent photo following a trail ride, this is a great picture of us, except the snot!! lol

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Would giving him something like cetirizine (human decongestant that reduces snot and allergy symptoms) help at all for the times he is off Abx?

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there is something they feed older horses in Germany who no longer have normal chewing capacity. it's called "heukops", and it looks like compressed hay cubes that are put into a large container and left to soak in water in the morning for evening feed. every horse I have seen on this does a header into the container and doesn't come up for air until the thing is licked clean. my husband's 25 year old warmblood looks fabulous since he's getting it regularly, and the advantage for you is there are no irritants. maybe see if you can get the stuff and if he likes it? I know how frustrating it can be to find the right solution to this kind of a problem, but i'm optimistic there's some kind of solution.

I still have my horse on an intermittent regimen of immune system builders, and his performance and appearance continue to be really, really good. knock on wood, there has been no sign of recurrence of the lyme's so far. are you working on his immune system in parallel? that could be part of the cause. best of luck and keep up us posted. these kinds of experiences are educational for everybody.

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Nick,

We have compressed alf alfa cubes available, and those could be soaked, I imagine its similar to what you're referring too. The struggle is, we have fierce winters and the barn owner would have to be willing to soak the cubes in her home twice a day (full care board situation where I live 40 min away) and I am not certain that would go over well.

We did a second titter test to double check for a recurrence of lyme and it came back negative. The vet mentioned a spinal tap was the best of the best way to check, however since his sinus infection is treated with doxy, the same medication for lyme, he was not insistent on completing more than a blood check.

I am truly impressed with my horse's weight gain and how he hasn't choked (knock on wood) since March, however my concern in this sinusitis...I've read about on going cases like this needing surgery to insert tubes to push fluids and create complete flushing of the sinuses, but I am not 100% sold on the idea of surgery.

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you have to decide this, but I was put in touch with a lyme's specialist in Colorado where they have LOTS of deer and ticks. she told me do NOT do a spinal tap. if it comes back positive then what do you want to do? (what the **** would I do?)

if he is gaining weight and hasn't choked, then work on his immune system, move him a lot and forget surgery. I am sure your barn owner has a vested interested in the well being of her charges now matter how fierce the winters are. if not, i'd move out.

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Nick, we only ever did a titter test, which I understand is a blood test. I have no intentions of doing a spinal tap. At last check, he was negative for lyme.

With his weight gain and everything going swimmingly, do you think it's important to switch to a wet feed? He has had dental x-rays and there is not a tooth root abscess to explain this all, his dental work is current and the vet who does his teeth has had extensive training in dentistry.

The biggest thing is, how do I work on his immune system? Is there a supplement or vitamin?

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I was thinking more along the lines of reducing irritants of the respiratory system with the wet feed, but hidden problems in the teeth can cause all kinds of wierd stuff. If you'd like, send me your email via PM and I'll forward the response to my inquire from the clinic in Colorado - maybe they can help you find some answers.

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emma check your emails--I found that reply from the clinic after all! ( was in my archives duh). I think it will be very helpful for you. she is very specific about what to do in terns of boosting immune systems and lymes tests and treatments and products available in the u.s..

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