Chronic coughing

Amber Mishra i am looking at a case of black lab which belong to one of my close frnd and a ortho. surgeon too. The lab is suffering from chronic coughing, during the bouts of coughing the dog vomits froth too,we had done barium meal x-ray with no results, blood culture is sterile, dog earlier had shown little response with coedine phosphate and sucralfate sy. but after withdrawal of these medicines the condition is again the same..... coughing constantly with forceful expiration and vomition. please guide....

13 June at 11:13 · Comment · · Flag

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    Nikola Atanasijevic how old dog is? for how long is cough present? labored expiration with froth after cough makes me think that maybe there is something in upper respiratory tract... why have you done blood culture??? what were you suspecting???

    13 June at 13:00 ·
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    Amber Mishra the dog is 2.5 yrs old, the cough is present from past 3months but was reduced to aprox. 90-95%, after codeine phosphate and sucralfate. URTI was the thing i was suspecting so the enrofloxacin,azithromycin, amoxicillin clavanic acid etc. antibiotics were given with no relief/results. apart fro this other symptomatic support therapies too along with corticosteroids were given. the blood and vomitus culture test was done to know thw antibiotic senstivity, but the culture comes sterile, multiple x-rays were taken with no results.

    13 June at 14:31 ·
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    Amber Mishra tracheal palpation comes normal and during cardiopulmonary auscultation too i had found nothing abnormal.one interesting thing that was noticed earlier was that the vomition was there after any liquid intake but no vomition with coughing was observed after solid feed intake, at this period i kept the dog on iv fluids with no feed or water intake for 3-4 days period with pantaprazole given i/v.

    13 June at 15:29 ·
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    Nikola Atanasijevic Very interesting must admit :) have you excluded communication between esophagus and trachea with contrast Ro? What about endoscopy...is there an option for doing this to see in real time situation in upper respiratory tract...

    14 June at 10:59 ·
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    Amber Mishra can't do endoscopy over here....

    14 June at 16:56 ·
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    Amber Mishra what r u expecting???/

    14 June at 16:59 ·
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    Nikola Atanasijevic dont know, maybe some fine changes in URT not visible on Ro, to take sample from trachea, maybe there are parasites...I am always into finding the cause of problem... :)

    14 June at 18:13 ·
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    Amber Mishra Should a X-ray be done again, and posted over here?

    14 June at 22:16 ·
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    Nikola Atanasijevic Can you take photos of those Ro's you already made and post them?

    14 June at 23:27 ·
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    Amber Mishra Sure doc...
    

    15 June at 06:36 ·
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    Ajitesh Kumar it cd be kennel cough. i dont know for how many days amoxi clav was given. but ideally the treatment will be augmentin tab625 mg twice a day for 1 week , along with that tab wysolone 10 mg twice a day in tapering doses for 9 days. rest as much as possible. give alprazolam tab 1.5 mg if he doesnt gave proper sleep bec of coughing. i think he will respond.

    16 June at 11:40 · · 1 person
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    Amber Mishra Thanks Doc

    17 June at 16:55 ·
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    Gurpreet Singh Chahal Should do an oral exam under sedation, check out the larynx, Lab. Retr can can have laryngeal paralysis also and sometimes only one side. Can do CBC, with differental. Chest and neck radiograph. If all are wnl then can be just a simple case of tracheitis or laryngitis. Can treat with Amoxi/ Clauv and Prednisone (0.25 mg/kg bid for 5 days, then sid for 7 days then eod for 7 days.)

    17 June at 22:41 ·