Friday, April 10, 2009
Noble's Nosebleed Continues
Noble's nose has continued to slowly bleed, on and off, for three days. I have called the vet, who will come out on Tuesday and scope him to see what is going on. It is possible that it is guttural pouch mycosis, which could be a serious problem. The guttural pouches are unique to equines, and are large (10 ounce capacity each) sacs that are enlargements of the eustachian tubes. Mycosis involves a fungal infection that actually penetrates an artery or arteries in the wall of the guttural pouch. The only symptom is persistent nosebleeds on one side. The risk is that the fungal plaques rupture, leading to severe or even fatal bleeding. Treatment involves anti-fungal drugs and surgery to cut off the blood supply to the affected artery. I believe Noble is too old (almost 29) for surgery. But perhaps it will prove to be something else or even nothing at all, or if it is mycosis perhaps the anti-fungal drugs will do the trick. He has been on AspirEase for a long time for arthritis, but I have discontinued that to reduce the chance of bleeding. For now he seems comfortable and happy.