Russian Tortoise Nose Blockage

t0rt0isegirl

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Hi everyone,

I'm a long-time reader of tortoise-forum, but have never posted. I've had my tortoise, Shaggy, for 20 years. He's never had any health issues, other than an eye infection about 15 years ago.

A few months ago, I noticed something in his nostril. He was not showing any symptoms of respiratory distress -- still eating, walking around, no mouth breathing and no nasal discharge or puffy eyes.

Still, I know how serious respiratory infections are, so I got him into the first reptile vet I could find. He gave him a vitamin C shot (sadly without asking me), cleared his nose out, and prescribed him nose drops, Ciprofloxacin .3%. I gave them to him religiously for the 7 days after. I waited one more week to see if his nose would clear up, and it didn't.

The second time, I brought him to a different reptile vet, giving her all of the information on what he'd been taking, and she ended up prescribing him a shot that I had to give him every few days as she said the last vet prescribed something for fungal, and she was going to prescribe something for bacterial infection. She also cleared his nose out with a scaler. He was prescribed Ceftazidime 20mg injection.

Both vets said he appeared to be in fine shape, heathly weight, not mouth breathing, no deformities in shell or beak.

Where I am now -- I let a month pass since his last injection to see if he just needed time to heal, and he still has this thing in his nose. I'm not sure if anyone here has experienced something similar, but I cannot find anything online. He is my only tortoise and has not had contact with other tortoises. I think the next step would be getting him an x-ray, which I would like to avoid unless necessary since he would have to be put under. My assumption now is maybe it's an abscess due to some substrate getting in his nose? Neither vet flushed out his nose, only tried to pick everything out inside. It is NOT skin/scale covering his nose, it looks pink and inflamed inside. Again, he's still eating fine, walks around, acts like his normal self. I've attached two photos, taken a few weeks apart.

Enclosure Details:
-He is in a large enclosure, roughly 4"x2.5"
-Water dish and changed daily
-Basking Spot ~95 degrees, 75W bulb
-Tank temp ~75 degress, Humidity ~50%
-UVB 10.0 bulb
-Orchid bark substrate

Husbandry:
-Soaked once a week
-Eats a variety of vegtables, mainly leafy greens
-Vitamin supplement powder added to food
-Beak/nails trimmed as needed

IMG_8988.jpgIMG_7798.JPG
 

Ink

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Hopefully @Yvonne G or @zovick will be able to help you. Cute tortoise. Did you ever see an injury on his nostril? @EppsDynasty just pulled something out of a sulcata, my he can help too.
 

t0rt0isegirl

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Hopefully @Yvonne G or @zovick will be able to help you. Cute tortoise. Did you ever see an injury on his nostril? @EppsDynasty just pulled something out of a sulcata, my he can help too.
Thank you Ink! He’s my little buddy, so hopefully he’s okay, just a bit concerning it hasn’t gone away. Hopefully other users can help out!

No, no injuries that I know of to his nostril, that’s why I wonder if maybe some dust/substrate/food could’ve gotten in there to cause this. No signs of respiratory issues either :/
 

Yvonne G

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After a warm soak, try picking the obstruction off. You an use the sharp point of a pin, but be very careful, and gentle. If you can't remove the obstruction that way, then take a bulb syringe filled with warm saline solution and squirt the liquid up the nares. Don't worry about flooding the lungs, as the other end of the nasal passage ends up in the roof of the mouth.
 

t0rt0isegirl

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After a warm soak, try picking the obstruction off. You a use the sharp point of a pin, but be very careful, and gentle. If you can't remove the obstruction that way, then take a bulb syringe filled with warm saline solution and squirt the liquid up the nares. Don't worry about flooding the lungs, as the other end of the nasal passage ends up in the roof of the mouth.
Hi Yvonne,

Thank you so much for the help! I got a bulb syringe, some saline, and a tiny little pin. It took me two days to clean out the tiny bit by the entry of his nose (was trying to be super delicate and precise), to what I would describe as a hard yellow booger?

Again, nothing was ever in his other nostril, other is still perfectly fine, no signs of upper respiratory infection. The photo is post-picking, unfortunately I scratched the outside of his nose a bit as he was fussy toward the end and it looks like a drop of blood got inside. Before that it looked yellow deeper in his nose, kinda like hardened snot? Anyone’s guess is as good as mine. I’ll try to post another photo after he gets a good soak.

I don’t think the obstruction is cleared yet, as I used a small syringe (no needle) to place a drop on his blocked nostril to see if his airway cleared and it didn’t. :/

I’m going to give him a break for a bit though as I don’t want to stress him out too much since his activity and eating is still fine. Im going to see if his natural breathing along with some extra soaks this week can push whatever is back there to the front of his nare. I’ll repeat the pin/saline/bulb syringe method from there and keep you guys posted.

If that doesn’t solve anything, I’m going to take him back to the vet to see if they have a better solution to really flush out that side. IMG_9018.jpeg
 

t0rt0isegirl

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Hello!

Strange, that the second vet called Ciprofloxacin anti-fungal...

You can do nasal flushes with a syringe and sterile saline solution. If it doesn't resolve, flushes with antibiotic can be effective. Some more details on doing nasal flushes here: https://www.tortoisetrust.org/articles/rns.html
Hi Alex,

Thank you so much! It totally slipped my mind until you sent over this article — the second vet said the first vet tried to treat upper respiratory with the drops, and she was going to treat lower with the shots. Not sure why I thought it was fungal / bacteria. Anyway, the second vet mentioned that if the shots didn’t work and the stuff in his nose came back that it could be cancer??? That really surprised me because I’ve literally never heard of a tortoise getting cancer… I thought she could be good as I really tried researching her and it said she worked on reptiles at zoos but it seemed like her treatment kinda ended for him at the shots with no follow up. If the methods in this forum don’t work I’m going to get back online and try to find another reptile vet near me, even if I have to drive a bit further.

I really don’t think he’s sick though as this nose thing has been there for a few months. I know respiratory infections escalate quickly, and I really really think that they just didn’t flush out whatever was in there since they both kinda just picked it out on the surface like I did recently.

I did try your method though with flushing out, I think it’s still blocked so I’m gonna keep on trying over the next few days with some soaks. I’ve been trying to go bit by bit each day so he doesn’t get super stressed. Thank you again!
 

Alex and the Redfoot

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Hi Alex,

Thank you so much! It totally slipped my mind until you sent over this article — the second vet said the first vet tried to treat upper respiratory with the drops, and she was going to treat lower with the shots. Not sure why I thought it was fungal / bacteria. Anyway, the second vet mentioned that if the shots didn’t work and the stuff in his nose came back that it could be cancer??? That really surprised me because I’ve literally never heard of a tortoise getting cancer… I thought she could be good as I really tried researching her and it said she worked on reptiles at zoos but it seemed like her treatment kinda ended for him at the shots with no follow up. If the methods in this forum don’t work I’m going to get back online and try to find another reptile vet near me, even if I have to drive a bit further.

I really don’t think he’s sick though as this nose thing has been there for a few months. I know respiratory infections escalate quickly, and I really really think that they just didn’t flush out whatever was in there since they both kinda just picked it out on the surface like I did recently.

I did try your method though with flushing out, I think it’s still blocked so I’m gonna keep on trying over the next few days with some soaks. I’ve been trying to go bit by bit each day so he doesn’t get super stressed. Thank you again!
Not 100% sure if tortoises can get cancer, but some other reptiles certainly can. It could be some other kind of tumor/lesion. Yet I sincerely hope it's not the case and you'll be able to flush it.

Please, keep us updated!
 
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