Patients may also experience fatigue, irritability, as well as mood, cognitive and sleep disturbance in addition to the nasal, ocular and throat symptoms.
Allergic rhinitis has important co-morbid associations such as chronic sinusitis, glue ear, asthma exacerbations, nasal polyps, sleep apnoea and dental malocclusion.
Multiple substances are directly toxic to the lungs or stimulate an inflammatory response when aspirated; gastric acid is the most common such aspirated substance, but others include petroleum products (particularly of low viscosity, such as petroleum jelly) and laxative oils (such as mineral, castor, and paraffin oil), all of which cause lipoid pneumonia.
Aspirated gasoline and kerosene also cause a chemical pneumonitis (see Hydrocarbon Poisoning).
These people do not develop the typical “allergy face” but have seasonal puffiness of the eyes and eyelids with associated nasal membrane swelling.
In the TTA the osteotomy is made into the tibial tuberosity (not a weight bearing part of the knee joint), not the tibial plateau itself, giving dogs a greater ease in healing, recovery and overall success of the procedure.
The TTA, because it is a surgically less invasive process, has a shorter recovery time than the TPLO.
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