[Dennis M]

Hello All,
We have an 11-year old Wheaten Terrier who has struggled with fits of gulping/rapid swallowing since he was a year or so old. I have read more and more of folks saying their vets are diagnosing this condition as “complex partial seizures” or “limbic seizures.” Something that causes a rapid — almost involuntary — swallowing. But he always remains conscious — buy clingy. It can happen weeks apart, or a few months apart, but always several times a year. And when it starts, it continues overnight (he doesn’t sleep) and into a second or even third day, gradually dissipating. He swallows so hard that his neck/head lurches forward a little bit each time — almost like a hiccup. Our vet and GI specialist we saw were convinced he has IBS / reflux issues and we’ve tried all sorts of remedies around that diagnosis, but nothing seems to help. The specialist indicated food allergies, but doesn’t make sense if he eats the same thing each day, and fully recovers on the same food that purportedly causes the issue. Here are the reasons we are leaning toward seizure (from putting pieces together) and not reflux: happens on all sorts of food brands (high quality), protein sources, canned and kibble; totally random; happens even feeding three small meals; two Pepcids given before each meal doesn’t prevent, nor does Pepcid, Cerenia (anti-nausea), or Sucralfate (Carafate — a anti-ulcer drug) combination help to prevent, stop or shorten an episode once its begun. We immediately withhold meals during an episode and give him the above meds — but he still continues to swallow/gulp and not sleep all night. We ask ourselves if reflux/GI related why wouldn’t these meds help within a few hours?

He really doesn’t have any diarrhea or straight vomiting issues. Maybe once or twice a year, he might vomit out of the blue, but it does NOT involve a gulping episode – so it seems gulping and vomiting are not the same. Simply being nauseous shouldn’t cause the involuntary rapid-fire swallowing and licking we see. Reflux would cause burning sensation and discomfort up into the esophagus, but again, if a double dose of Pepcid does nothing, I again lean towards seizure. As one member wrote — it’s so true — it seems like it’s something happening to them they can’t control, even though they are fully conscious.

Can anyone say if they’ve had success treating as a seizure? How or what tests did your vet do to make this diagnosis? What seizure meds have been used and any bad side effects? We’d be the happiest parents in the world if we could finally solve this mystery — and educate others having the same problem! Thanks so much!