The character, laterality, timing, and volume of nasal discharge provide important diagnostic information. Serous (clear): normal, allergic, viral. Mucopurulent (thick, yellow-green): bacterial infection (sinusitis, strangles, pneumonia). Unilateral purulent: dental sinusitis (tooth root abscess draining into the maxillary sinus), sinus cyst, or nasal foreign body. Bilateral purulent: lower respiratory infection. Hemorrhagic: see epistaxis causes. Food material: dysphagia (choke, guttural pouch disease, cleft palate in foals).
Clear/serous: may be normal or early viral infection; bilateral suggests systemic cause. Yellow-green unilateral: think sinusitis or dental disease. Foul-smelling unilateral: strongly suggests tooth root abscess or necrotic mass. Bilateral purulent with fever and cough: lower airway disease. Food at nostrils: choke (esophageal obstruction) or dysphagia. Blood: see epistaxis. Frothy bilateral: pulmonary edema (emergency)
The character, laterality, timing, and volume of nasal discharge provide important diagnostic information. Serous (clear): normal, allergic, viral. Mucopurulent (thick, yellow-green): bacterial infection (sinusitis, strangles, pneumonia). Unilateral purulent: dental sinusitis (tooth root abscess draining into the maxillary sinus), sinus cyst, or nasal foreign body. Bilateral purulent: lower respiratory infection. Hemorrhagic: see epistaxis causes. Food material: dysphagia (choke, guttural pouch disease, cleft palate in foals).
Clear/serous: may be normal or early viral infection; bilateral suggests systemic cause. Yellow-green unilateral: think sinusitis or dental disease. Foul-smelling unilateral: strongly suggests tooth root abscess or necrotic mass. Bilateral purulent with fever and cough: lower airway disease. Food at nostrils: choke (esophageal obstruction) or dysphagia. Blood: see epistaxis. Frothy bilateral: pulmonary edema (emergency)