Reverse sneeze gulp rigidity syndrome?

RE: Reverse sneeze gulp rigidity syndrome?

Emily Rainbow — Sat, 16 Jul 2016 21:36:53 GMT

I find omeprazole can help in these cases. I use 1mg/kg PO BID for 5d then slowly taper down if good response.

RE: Reverse sneeze gulp rigidity syndrome?

Andrew Kent — Fri, 15 Jul 2016 19:29:14 GMT

Hi Dave,

I guess it points to the signs being caused by nausea but may, perhaps, be too soon to know for sure.

Ideally I would then look into whether there is a gastric or intestinal disease (or systemic disease) causing nausea that might need some other treatment.

You can use cerenia long term if needed. Generally it is suggested to do 5 days on then 2 days off but I have used it continuously without problem in some cases as well.

Andy

RE: Reverse sneeze gulp rigidity syndrome?

Beats — Fri, 15 Jul 2016 13:40:34 GMT

Still hadn't received epiphen liquid that required ordering fro trial, so given cerenia injection yesterday and owners phoned to ask for more saying miraculously cured seemingly.

Can cerenia be given long-term?

Or does this point to an alternative treatment that could be given long term instead of cerenia?

Still any point to trialling phenobarb?

Cheers!

Dave

RE: Reverse sneeze gulp rigidity syndrome?

Beats — Sun, 10 Jul 2016 14:50:36 GMT

Thanks Joyce and Andy!

I'm thinking that a week's trial of phenobarb at 2.5-5mg/kg sounds pretty harmless (although I appreciate may be pretty hopeless also) so think I'll give that a go for next week just in case...

[quote user="Andrew Kent"]Has the dog had any investigations yet?[/quote]

Not since this behaviour started. Had some basic investigations (I'm not at clinic to see notes today) in last year focusing on difficulty prehending food that seemed to suggest difficulty opening mouth was cause, but cause of this was undetermined. Owner was blending a liquid diet, had been for quite some time, and was otherwise leading a normal life with no signs of deterioration.

The current behaviour is new and has not been investigated at all short of watching in consult yesterday.

I discussed bringing in for GA to have another look intra-orally and perhaps flush down nostrils in case some food had got stuck in nasopharynx or something simple, but suggested I'd get an opinion from some other vets first as hadn't seen anything quite like this before.

If there's other suggestions of things that can relatively easily be achieved (so no fluoroscopic swallow study or CT I'm afraid, but chest xrays and basic oesophageal endoscopy achievable) during a brief anesthetic event in a week's time I'll do my best.

Failing the above will go on preds @ 1mg/kg q12hrs for couple of weeks and see if any response.

Cheers!

Dave

RE: Reverse sneeze gulp rigidity syndrome?

Andrew Kent — Sun, 10 Jul 2016 12:00:15 GMT

Hi Beats,

I think these type of conditions can be quite difficult to accurately characterise and often quite frustrating. They can be caused by anything from nasal disease or oropharyngeal disease to oesophageal dysfunction to GI disease.

Has the dog had any investigations yet?

I would start with an exam under GA + thoracic radiographs but could also see there could be merit in a fluoroscopic swallowing study, endoscopy to assess the oesophagus and potentially even CT of the head to look for nasal disease.

[quote user="Beats"]i'm assuming this is separate condition to phenobarbital responsive sialoadenosis? (realise this is almost certainly a stupid question to have to ask but just want to check i don't take away wrong end of stick)[/quote]

They are a variation of the same thing and all poorly understood but largely a diagnosis of exclusion if you find nothing else!

Andy

RE: Reverse sneeze gulp rigidity syndrome?

Joyce Whitehead — Sun, 10 Jul 2016 09:19:58 GMT

I don't think it's a stupid question as I don't know the answer, I think it may be the same thing reclassified! Our one only salivated when he was gulping/retching, and he occassionally brought up frothy vomit or even newly eaten food. He has been controlled for about 5 years now on pheno. If all else fails certainly worth a trial, the response in ours was within days.

RE: Reverse sneeze gulp rigidity syndrome?

Beats — Sun, 10 Jul 2016 07:08:43 GMT

[quote user="Joyce Whitehead"]I can't see the video I'm afraid.[/quote]

thanks, i'll try a different format

[quote user="Joyce Whitehead"]Does he salivate a lot?[/quote]

since the gulping/snorting began - yes. before that no.

[quote user="Joyce Whitehead"]weird limbalance epilepsy cases, we had one that presented as constant snorting/gulping, responded very well to Phenobarbitone. [/quote]

i'm assuming this is separate condition to phenobarbital responsive sialoadenosis? (realise this is almost certainly a stupid question to have to ask but just want to check i don't take away wrong end of stick)

RE: Reverse sneeze gulp rigidity syndrome?

Joyce Whitehead — Sat, 09 Jul 2016 23:34:33 GMT

I can't see the video I'm afraid. Does he salivate a lot? If so, consider one of those weird limbalance epilepsy cases, we had one that presented as constant snorting/gulping, responded very well to Phenobarbitone.