Spencer's results arrived this week. We had several possible diagnoses and one was proven correct....lymphoplasmacytic neutrophilic gingivitis. It's also known as Lymphoplasmacytic Stomatitis (LPS). It's a for of immune-mediated inflammatory response. Unfortunately there is no known cause. In addition to occurring in dogs, it can also occur in cats. With cats, often full mouth extractions are necessary. With dogs it usually is easily controlled with excellent dental hygiene, antibiotics, and long-term steroids. Other changes (i.e. diet) can also assist in treatment.
Unfortunately, treatment for Spencer may not be so easy. Considering his previous diagnosis of epilepsy and already being on an anti-convulsant we'll have to make some changes to his pre-existing medications. There are many ins and outs of his treatment, but I'll simplify it.....Due to drug interactions our current plan is to wean him off of phenobarbital onto potassium bromide while on prednisone (steroid). After changing, if steroids are required long-term, we will then switch to a different steroid. In addition, he will be put on an antibiotic for the next 3 weeks since an underlying infection was also found.
We're hoping that this treatment will give Spencer some relief. Something to keep in mind is that there are possible side effects from long-term treatment of both of his conditions, so we can only hope for the best. Although we haven't been down this road before, it's all too similar having been down another road with our other pets, especially Lily. But as we've found, this too shall pass. And if it doesn't pass, we'll adapt and overcome. We're thankful to have an answer and thankful to have a plan so that we can make Spencer feel better.