MEME Biopsy result

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rawia

rawia

Member Since 2017
https://felinediabetes.com/FDMB/thr...rop-to-a-very-low-number.235855/#post-2644704

Hi everyone,

Meme’s Biopsy result came back and it was what i pray not to be :(

She had a Gingivostomatities

and this what came back in the Biopsy result:



COMMENTS
1-2. These ulcerated lesions from Meme s oral cavity are
consistent with areas of lymphocytic/plasmacytic and
neutrophilic gingivitis. Plasmacytic stomatitis is a recognised
pathological entity that goes by a variety of clinical names
(including feline chronic gingivostomatitis, proliferative
gingivostomatitis,
lymphoplasmacytic stomatitis). This is an ulcerative and
chronic inflammatory disease of the mucosa of the fauces, the
angle of the jaws and, less commonly, the hard palate, gingiva
and tongue. The syndrome is more common in older cats and may
also be solely associated with periodontitis.

There was more and more description but this is the final comment, will this is a heartbreaking news, we also took a swap to check if she has any virus that cause this ( for now she is negative for FIV and FeLV and still waiting for te Calicivirus result).

I have an appointment with the vet after 1 week and i want to decide what to do, i am thinking to do at least a partial teeth extraction since the inflammation only in the back teeth. I can not put her on pred for the rest of her life or any other Steroid meds as it has a bad effect on long term. The inflammation now is way better after a week of low dose pred treatment but i know that this inflammation will came back as it is an aggressive oral disease. I wish if i did not have to deal with such a thing as we do not have a dental specialist in my country. My vet is very qualified and she is able and did alot of full mouth extraction before but i do not know whay she does not want to do it for Meme, she said that it is a major procedure for her and she might take long time to heal and her teeth is healthy and the problem only in the gum, I need to decide what to do.
 
OH NOOOO (((((rawia))))) (((((((Meme))))))) There are a lot of people that have this extractions done I hope they come to talk with you here.
Very hard news I am so sorry.
Sending prayers and healing vines.
jeanne
 
Oh no.... I am so sorry you got this news. Poor Meme. I have no experience with this kind of thing, but as Jeanne says, I know that there have been others around here who do, so hopefully they can offer some thoughts.

:bighug: :bighug: :bighug:
 
One of my cats had to have all of her back teeth removed at 9 months because of double budding of the teeth that caused severe infection and inflammation. She recovered well and has had no issues since. I know it is not the same problem you are having but just wanted to say that having all the teeth removed has not stopped her eating a fresh raw meat diet that I cut up into small pieces that she eats very well. She loves to get a larger piece of meat and “chew” it sometimes.
Good luck with it....sending loads of vines.
 
I'm sorry your sweetie got this diagnosis. We went through stomatitis with our young (1.5 year old) cat earlier this year. She had all of her teeth extracted on April 2, and she is now 100% resolved and thriving - she's a bundle of crazy cat energy now!

Stomatitis is a daunting diagnosis for sure. The idea of extensive extractions is terrifying for us as caregivers, but the extractions are the only chance at resolving stomatitis. Many cats do fully resolve or significantly improve with extractions.

The amount of teeth to extract depends on how extensive the inflammation is. If its restricted to the back of the mouth, then you will most likely be OK with a partial mouth extraction - everything behind the canines. If the inflammation is around the entire mouth, like it was with our Holly, it really is best to remove all the teeth.

I know, it sounds horrible, but believe it or not, cats actually don't need or miss their teeth! And, they feel so much better once the teeth are gone that they are like brand new cats. Most people wish they did the surgery sooner, rather than trying to save the teeth.

I understand that you don't have access to a specialist, but it sounds like you have confidence in your regular vet - that is great. My one suggestion is that she take x-rays both before and after the surgery, to make sure every bit of dental material is gone. If any root tips are left behind, they will continue to cause problems.

With regards to viruses, sometimes a virus can sort of be behind a stomatitis diagnosis, but in the long run, it doesn't really matter, because extractions are still going to be the best way to treat it.

Let me know know if you have any questions....I'm happy to help.
 
I live in middle east- Bahrain, we do not have dental specialist here but my vet is able to do this procedure, they are all a very qualified vets from UK but not dental specialist. They did full mouth extraction for my outdoor cat one years ago and nothing went wrong, she might needs to try every possible treatment before putting her theough this but i will ask her to do it onour next appointment, I do not like to put her on pred be ause it only give her short relief.
 
I give her 1/4 tablet of 10mg pred before two days and she stays high, when i decide to increase the insulin she dropped fast today only after 3 hours, i had hard time bringing her BG up, then she throw up and she refuse to eat now.

I do not know how this pred works, i tead that it can stay in the system for 24 hours but i did not know.

i do not want to make same mistakes like before and ending up in the ER with her numbers going up and down.
 
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