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View Full Version : Sinus discharge / Hind teeth


KarlR
24th Apr 2001, 11:12 AM
When I bought my horse, I'd been told by the previous owners that the discharge from one nostril was a mild infection - a fact supported by the vet at the time. However on the day that I went to pay for him one of the stable girls said "poor lad - he's always had some sort of sinus problem!". So much for honesty and quality of vetting! Even knowing this though we decided to buy him since he was so nice. Later, we phoned the previous owners vets and asked about it - they told us that the problem was at least 3 years old, but the previous owners wouldn't treat it (and still owed them money for the earlier work in 1998)!

The symptoms are that he has a yellowish discharge from one nostril which is messy and he throws his head about to disperse it. The discharge gets much worse after exercise and stops if he lifts his head up for any time, such as when stood in the stable. He seems to be in no discomfort with it aside from occasionally rubbing it although he is not yet in hard work.

My vet is keen to sort it out for fear of the discharge getting drawn back into the lungs (which are fine at present). She says that it needs scoping and x-raying to see the cause of the problem. If it is a simple sinus infection then she will drill a hole into the sinus and insert a drain. This would need a week at the surgery and then up to 2 months of 24-hour turnout to avoid infection. However, she says that it may be a hind-tooth infection which is "a major problem. We have to chisel away a lot of bone with those and recovery is slow".

I've looked on the Internet and the one source that I found said that sinus problems are almost always caused by hind teeth. However they also say that the discharge is very smelly and I've never noticed that was the case (although I've never actually checked).

My vet is universally acknowleged as the best equine vet in the area and has vast experience although she does tend to be a little pessimistic at times.

Even though he is insured this will not be covered since it was pre-existing and was mentioned on the pre-purchase vetting (albeit as a cold!)

Obviously we will not let the problem continue no matter how much it costs - that's just unfair on him. However I'd be interested to know if anyone else has had similar problems, whether it was hind tooth, and what the outcome was.

TIA!

KarlR
29th Jun 2001, 10:35 PM
Scanning through some older threads I noticed this one of mine, so I thought that I'd better update it!

Zak went through the operation to flush the sinuses. He was marvellous through it all, standing quietly as yards of endoscope pipe were fed up his nose, standing still for x-rays, etc. I understand that they even did the operation under sedation and a local anaesthetic. The only thing that he hated was the 1 week box rest at the vets afterwards!

Following that he spent a month out 24 hours to prevent reinfection and the vet came out 2 weeks ago to assess him and declared him fit to return to work.

The discharge (white now and non-smelly) still appears from the same nostril and is quite significant the first time he puts his head down to eat or drink after work, but disappears within a few seconds.

I'm therefore still not sure whether this has been a cure for him (or just made me much poorer!)...the discharge is much reduced but not gone completely so I'll just keep my fingers crossed that it doesn't get worse. Time will tell!

judyl
30th Jun 2001, 03:59 PM
I'm really glad to hear Zak did so well after his sinus operation. I didn't reply at the time because my husband's horse, Blooi, had a similar sort of problem and the Vet had said that we'd better hope that it sorted itself out as otherwise the option was drilling a hole into the sinus and letting the discharge drain. He said it was a pretty awful op. and the aftercare was pretty horrendous. Luckily Blooi's problem cleared up. (We think she bit into a stone when grazing and broke one of her back teeth into two. One bit fell out but the other was still in her gum. Luckily for us that too loosened and fell out also - otherwise the option was for the op.)

Tim's last horse was a thoroughbred chestnut gelding called Zak. We lost him nearly 2 years ago now when he started to show neurological problems about 2 years after having a double colic operation. He was a real gentleman and your Zak sounds the same!

Judy

KarlR
30th Jun 2001, 11:07 PM
Thanks for replying Judy,

As I said, we can't be sure yet, but it looks promising. The operation wasn't nice - I did offer to help during the op if needed - she usually invites people to be present if they want, but my vet said this operation was particularly gruesome and that if it were her horse having it then even she wouldn't want to be around!

Zak is indeed a gentleman. Always kind and intelligent, and it takes very little effort to correct the little things that he does wrong. Of course I'm biased though! :)

I'm glad that yours didn't need it, but there was very little chance of Zak recovering automatically after years of infection.

Very coincidental about Tim's Zak! It seems a good name for a nice Chestnut TB though :)

KarinUS
25th Dec 2002, 01:23 AM
Wow, Karl, that must have been a really stressful situation for you. I bet it makes you feel a lot better to know you have the best care available for him.
Best wishes for a speedy recovery!

:)

mikka
25th Dec 2002, 03:33 AM
I second Karin's comments! Good to hear that he's improving.

KarlR
26th Dec 2002, 12:09 AM
Thanks folks! Most appreciated :)

ggabby
28th Dec 2002, 09:08 PM
A 4yr old i breed had a infection under a back molar , she had a discharge but mostly from a small abscess hole tryed allsorts to cure it , lots of antibiotics,but nothing worked. after xrays it was discovered that the tooth was cracked under the gum, she had to have surgery to remove it . 4year old teeth have very long roots and it was not possible to pull it out like a dentist
She had to have it chiseled out under anaeshetic, they drilled a hole in her jaw bone , all want well untill she developed a allergic reaction to the anaeshetic, which cause a massive abscess on her neck, where they had injected her, this caused all the tissue around that area to die ,it use to hang out of the hole like long stinking rotting fingers, the tooth removal would of taken approximately, 2 mths to recover from,because of complications she was off for,8mths.
the only thing it as left is a mark on her neck, a bit like a thum print, she as no fear of vets or any one else,even after all this.
The vet bill was £650 , so i would pray its not caused by a tooth.

FreedomStar
28th Dec 2002, 10:22 PM
I'm praying for your horse. Keep us posted on how he's doing, ok?

KarlR
28th Dec 2002, 11:33 PM
Hi ggabby,

Definitely not a tooth in my case. I was told that if it was a tooth they would have to chisel away the jaw to remove it which is always a big operation. Sounds like yours had a lot of complications too, but glad to hear that they are ok now.

Even though it wasn't a tooth, Zak still lost a lot of bone from his skull just to remove the cyst - about 2" X 3" of bone. Cost overall about

He seems fine though now too. We'll see how he goes on over the next year.

How long ago did you have the tooth out? Are they ok now?

By the way, if it makes you feel any better my vets bills for the repeated operations have come to over £2,000!! He's a very expensive horse! ;)

ggabby
29th Dec 2002, 08:52 PM
It was a year ago, onch things started to heall progress was quick, these horses put up with so much:(
could you imagine us human puting up with all that pain and not
moaning , especially a man. :eek:
That should get some replys:D

KarlR
31st Dec 2002, 12:09 AM
Just like us men, our horses do indeed tolerate so much without complaint. ;)