Runny nose - how far would you investigate? **LONG AND ALSO IN NL**

Patches

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Patches first started with a runny nose before Christmas. She's had runny noses in the past, the last time being April 2007, which responded to antibiotics and 24/7 turn out.

This time the discharge was a creamy consistency and white, whereas before it was orangey/yellow and an even thicker custard custard consistency. Her eye was also watering on the same side, something she's never had before. No cough.

Vet presdcribed topical powders for antibiotics (we've always jabbed her before) and we had to change bedding to Thouroughbred Shavings and I had to get the neighbouring horse (which was at the time not owned by me) to change their bedding and I started soaking the haylage...it was quite dry for haylage. Vet's diagnosis was a dust allergy.

She showed a dramatic improvement from then on, not completely gone, but hardly anything at all. Still white. Never anything over night, but often a tiny bit of white dischage inside her nostril when bringing in.

She's been in full work throughout and the fitter she has gotten the better the nose gets. She's done farm rides, jumping courses in lessons blah blah. No drop in fitness, heart rate/temp/feeding all normal. No heave lines etc.

Over the last week she had a couple of days off due to bad weather and I noticed the discharge moreso on those days off. Still only the left nostril, still a creamy white colour and the eye sometimes has a small tear stain. Still clear overnight, not blowing out of the nose at all, so it's not bothering her at all. No cough, no heave line, respiration and temp again all normal. She's not off her food, no outward signs of feeling unwell in any way shape or form and her fitness is probably better than it was before Christmas.

There is no smell at all from the nostril. Dentist has been and found nothing untowards with her teeth, she was fine having her float.

On the one hand my instructor and various friends think I shouldn't worry as she's fit and well in herself...but on the other hand I keep wondering if there is a blockage in her sinuses and whether I should call the vet out to have her scoped and x-rayed and take it from there.

IF she does have a blocked sinus, is there any way other than a sinus flush to treat it? She was quite slow to rouse from a GA and had a dodgy time rising to her feet after an op in 2006 and I'm a little anxious of her undergoing a GA if it can be avoided.

Obviously I will call the vet, but when he was here at the end of January he was completely unconcerned about the discharge and told me to plod on as normal. It's just me who can't help but have it play on my mind because it's surely not normal to have this at all.....surely a dust allergy would affect both nostrils and I can't do any more than I am to erradicate dust/mould with my management.
 
is she out at the mo or in at night? of out maybe the cold wind blowing makes her eyes water a bit, does my mares, so wouldnt worry too much about that. However, why dont you just ring the vet and talk to them about the runny nose, talk through what tests you could do then have another think. I wouldnt be worrying too much though!
 
She spends 13 hours out in the day, 11 hours in stable overnight.

I clean her nose when she comes in and it stays clean all night. No drops of "goo" over stable door or on her mats. Not a hint of discharge.

She comes in from the field with a runny nose. However, I keep her at home and have owned her for nearly four years. We haven't planted any new hedges or trees or reseeded their paddocks. Nothing has changed, so no reason for her to suddenly develop an issue with our turnout is there?

Also....surely an allergy would show in both nostrils?

I is confuddled!
 
Errmmmm nope. That has never been suggested. I could always ask if they can do that when I call tomorrow. Would that help them to decide what course of drugs to put her on?
 
It could show up what is causing the discharge if it is anything bacterial etc
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When Grace had a discharge from her nose I had swabs done and tested which came back as her having a certain bacteria which was causing it... It could come back clear in which case you know that it is nothing like that!
 
White discharge is almost always dust allergy - personally in your situation I would take your vet's advice and do nothing. If the discharge is white then it would not worry me.

Yes, one nostril is entirely possible - have you ever noticed how we predominantly only breathe through one nostril at a time (when relaxed - was pointed out to me in a yoga class) and also how when you have a cold only one nostril is ever blocked at a time?
 
Hmmmmmm......now you come to mention it.......you're right!
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I just had this horrible feeling that if I don't get her head x-rayed to rule out anything nasty in her sinuses that I could end up with a worse problem for her some months/year down the line. Infections can eat away at the bones in the head can't they (I know....I should STOP reading Veterinary Notes and searching the net) and I'd be mad at myself for dismissing it simply as a dust allergy.

I can't work out what could possibly be triggering her now either. Not only have I put her on good quality, dust extracted shavings, I've put Oliver on shavings too. Patches is the end stable, he is next to her. There is then a stable empty before the two ponies stables are in a separately ventilated area of the barn. I don't bring any straw past P's stable as there is another doorway in at the top of the shippon. P is stabled opposite the outside doorway and has a window to the side and rear of her stable also, giving plenty of fresh, clean air.

Haylage is now soaked too....which seems a bizarre thing to have to do. It's fairly dry haylage, but not at all dusty. I just soak it to be on the safe side. I also soak Oliver's as he's next to her.

I just wish I knew what it was. When she had the infections two springs ago, again only her left nostril was affected. However, back then she had terrible heave lines, the discharge was thick orangey/yellow and she was constantly trying to clear her nose and wasn't up to being ridden...glands up and a bit down. Responded well to Norodine.
 
Pic for you.

This was her nose after strenuous exercise yesterday. Because it is often "wet", she ends up getting bits of soil inside her nostril whilst grazing. I clean this out with a wet tissue every evening when I bring her in.

To me, the discharge yesterday didn't look overly white, but it's not thick green,yellow or orange either. Mostly you can tell than her nose just seems "wet".

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Id think probably cold winds etc giving her runny nose and eyes.... this is common!

but as others have said it could be bacteria or dust allergy, so getting it swabbed and lab tested, although will cost, will put your mind at ease!

I cant remember exactly what colour it is, but dont forget strangles (as a worst case scenario) can cauase nasal discharge, but as I said, cant rmemeber the colour of it, plus I am sure the discharge would be thicker than that on your picture!

Still think swab is a good idea!
 
You are officially bonkers. Lots of horses look like this after exercise! Could be any number of things causing dust, have you completely decobwebbed all the stables etc? No, because it is impossible to eliminate dust entirely.

If that is as bad as it gets I honestly would not think twice about it.

ETA: Sure, I see why you might be worried, but I reckon the investigations will show up nothing and be v expensive - but what price peace of mind?
 
LOL @ the officially bonkers comment!
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I'll have to take some more pictures. Sometimes there is more of a "glob" that runs out of her nose and will drip, other times there is nothing. Sometimes it's the consistency of water but has a slight "urine" type tinge to it, other times it's creamy like yesterday.

Gah!

I have spoken to the vet this morning. He's coming out on Friday to check her over but believes she'd feel a bit grotty if she had sinusitis, especially if she had bad enough to require sinus flushing etc.

He may prescribe some IM ab's or just leave her be. He is the "top vet" at the practice whereas the other vet who has seen her is a more junior vet, although she's very nice. If he tells me not to worry, I will be inclined to agree. They've told me to go ahead and do my XC schooling on Wednesday anyway.

ETA: When exactly are you sleeping T? Judging by the time of both of your posts, you're not getting much sleep. Still snowboarding?
 
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It's 9am here...I promise I am doing a lot of sleeping!

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Pleased to hear it!

Take lots of pictures, it sounds fun!

Had the osteopath this afternoon.....I'm destined to bankrupt myself aren't I?
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Sorry, a bit off the point but I LOVE HER LITTLE CURLY MOUSTACHE!!!

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I hate it. LOL

Thankfully it disappears in summer as her muzzle is completely pink with her summer coat.
 
I agree totally with the white/clear being a (slight by the sounds of it) dust allergy.
I just thought I'd mention that my horse is allergic to the dust in shavings, that makes his nose run (although it makes him bad enough to cough too) and thus he is bedded on cardboard, paper or bliss chopped straw, all of which suit him.
I always find that his nose only ran when he came in from the field- but this is because he has his head down grazing and thus it clears them out (as its designed to).
Does your girlie have her hay in a net or on the floor? If its in a net you'll probably find thats why her nose is running when you are noticing it- if you try her hay on the floor or in a ground level tubtrug type thing overnight you might well find that it is able to drain overnight too and thus is less noticable.
Hope that helps
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Mine is similar although this is mine after exercise today!

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He is on a 10 day strong course of AntiBiotics (day 6 today) and then ring vet and discuss! Will scope if Anti biotics dont sort
 
Good luck with your horse Thalie.

I'll let you know what the vet says to me tomorrow. I've now decided to leave the horses out overnight, whilst it's so mild, in the vain hope that it'll sort her nose out.
 
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Thanks and good luck with yours too! Let us know what the vets say!

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I will....if I can stop swooning at him long enough to make a post!
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Vet has been and is going to come back next Wednesday to scope her. She'll be x-rayed if the vet feels it's necessary....depending on what the scope reveals.

Vet could've done the x-ray today, but doesn't like to do them alone and wanted me to re-book and have a two vet visit. I'm not liking the idea of the pennies associated with a two vet visit!

The vet had said we could just leave her as she's clearly not unwell in herself and it's not much of a discharge, but four months down the line of this problem and I would like to rule out a cyst in the sinus (although I realise some cysts won't show on the x-ray) and just have some idea of where the discharge is coming from.

It's definitely in her head....not in her lungs at all, so she's fine to continue to be ridden regardless....unless she becomes unwell in herself etc. They don't think it's sinusitis though, more inclined to suspect a small cyst somewhere. Lymph nodes aren't inflammed etc etc.
 
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