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Peer-reviewed veterinary case report

Digestive tract problems in dogs with chronic nasal inflammation

By Gianella, Paola et al.·Published in Journal of veterinary internal medicine·2020·Department of Veterinary Science, Italy·View original on PubMed

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Original publication title: Upper digestive tract abnormalities in dogs with chronic idiopathic lymphoplasmacytic rhinitis.

Species:
dog
Dog coughingBreathing & coughDogs

Plain-English summary

A group of 25 dogs with chronic nasal inflammation (chronic idiopathic lymphoplasmacytic rhinitis) were found to have issues in their upper digestive tract as well. Many of these dogs showed signs like coughing or sneezing, and some had gastrointestinal symptoms. After treating the dogs for their digestive problems, most experienced significant improvement in their nasal symptoms over the following months. This suggests that addressing digestive issues may help with respiratory problems in these dogs, although more research is needed to understand the connection fully.

People also search for: dog nasal inflammation treatment · dog coughing and digestive issues · chronic rhinitis in dogs treatment

Abstract

BACKGROUND: Chronic idiopathic lymphoplasmacytic rhinitis (CILPR) is a common inflammatory disorder of unknown etiology affecting the nasal cavity of dogs. The diagnosis is made by exclusion of other causes of nasal disease and specific therapeutic protocols are lacking. In human medicine, a relationship between CILPR and gastrointestinal clinical signs has been postulated, and remission of respiratory signs after clinical trials with medications for gastrointestinal disorders has been observed. OBJECTIVES: To describe history, clinical presentation, endoscopic and histopathologic concurrent respiratory and digestive tract abnormalities, and to evaluate improvement of respiratory signs after treatment for gastrointestinal signs. ANIMALS: Twenty-five dogs with CILPR. METHODS: Prospective study. For inclusion, following information had to be available: respiratory and digestive clinical signs, airway and digestive tract endoscopic abnormalities, histologic evaluation of respiratory and gastrointestinal tract biopsy specimens, and clinical response to different treatment strategies. RESULTS: Twenty-two dogs had endoscopic gastrointestinal lesions, whereas 13 dogs had concurrent gastrointestinal signs. Most esophageal and duodenal endoscopic abnormalities were classified as moderate or severe. Respiratory and gastrointestinal tract histologic evaluation identified mostly chronic inflammation. Remission or marked improvement of respiratory signs was observed in the majority of dogs treated only for gastrointestinal signs up to 12 months after endoscopy. No significant associations between treatments and follow-up information were found. CONCLUSION AND CLINICAL IMPORTANCE: Nasal and upper digestive tract abnormalities coexist in some dogs with CILPR. Lack of standardized therapeutic protocols suggests caution when interpreting improvement in nasal clinical signs. Additional studies are needed to explore the possibility of a cause-effect relationship between the 2 processes.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32618401/