The vet left me a message last night saying she'll call me today to discuss treatment, but gave me the impression that the presence of both types of crystals will make it difficult to treat, since one type requires the urine to become more akaline in order to prevent stones, and the other type requires the urine to become more acidic in order to prevent stones. Is this true?
Initial x-rays showed no stones. I'm wondering if a second set might be wise?
Zachary is still eating and drinking normally, does squeak occasionally when defecating (usually when I'm holding him, as if there is some discomfort in the way he sits in my lap), feces are back to normal, and is maintaining his weight at 2 lbs. 10 oz. -- there had been some initial weight loss, but it seems to have leveled off.
Any recommendations here?
- My home, ruled by pigs!
Yes, that is true so you need to be careful about the urine pH.
Is he crying when peeing? If so you may want to consider pain management. Not having a stone is good but I would imagine it's possible those crystals may contribute to forming one in the future.
Let's see how your vet plans to treat it. You don't know yet what the plan of action is.
Other suggestions--if he isn't too active, the sludge tends to settle in the bladder and this irritates the bladder, leading to more inflammation, more sludge, etc. It's a cycle. My vet suggested using a small vibrator daily to keep the sludge moving.
Pain management, as GP said.
One more element I've been discussing with my vet is daily full spectrum lighting as a means of helping to process the calcium?
I'm confused by what the vet said, about there being both struvite and calcium oxalates in Zachary's urine. From what I've read, it's not uncommon to find struvites in low levels. When I asked how much we were talking on both types of crystals, she said +1.
pH of the urine is 8. Is that considered within normal range? I know it's usually closer to 9.
The vet's recommendation is to do nothing at this point...monitor, and return in a month for another set of xrays and urinalysis. I'd like for her to do via cystocentisis (sp?), since we seem to have trouble getting a decent-sized sample, but she didn't seem too comfortable with that.
I wish I had a little more confidence in this new vet. The episode with the Metacam dosing has made me a little concerned about her expertise...
Crap. I hate it when a good exotics vet retires.
I was also reading that refrigeration and storage of urine samples *can* cause crystals to form. I'm wondering if that's the case here...that one type is present and causing the trouble, but the storage process involved in getting the sample sent out to the lab in Indianapolis might account for the other?
Zachary is squeaking again when defecating (but not when urinating), and it's getting more frequent so I put him back on the Metacam. Since the current vet is adopting a ho-hum "let's wait and see" approach, I'm opting for a second opinion from a vet down around Corydon who is supposedly good with rabbits.
You always thought it was poop rlated, right from the start. Yet no-one can offer a difinitive diagnosis.
I feel so sorry for yor piggie. it must be awful to feel pain each time he poops.
For what its worth, I would definitely be seeking another professional vetinary opinion.
I think your plan to continue with the metacalm is a good idea. I would treat it like stones/ interstitial cystitis and focus closely on diet, more fluids, perhaps the herbs you were talking about. I understand why the vet is kind of at a loss if he can't find any stones and would suggest monitoring.
Becky has had good luck giving subcues to increase fluids. Sounds like there's no infection present so you're not giving antibiotics.
I don't feel like I'm being very helpful. I understand how hard it is to have your boar be in pain.
If there were crystals present, it's probably sludge. Again, increase the fluids. Balanace the diet if you haven't done so yet.
He was on Bactrim for a total of 3 weeks.
At this point, I think I'm inclined to discount the crystal findings for now. I asked the vet if it was possible that struvites in low levels would be common in alkaline urine, and she finally said, "Well, it's possible." Then after reading that crystals are not uncommon in urine samples that have been refrigerated/stored for more than 60 minutes prior to testing (source: http://www.antechdiagnostics.com/clients/antechNews/2006/jan06_01.htm ), and knowing that the sample was refrigerated by the vet prior to transport to the lab, it seems to me that the results are questionable at best. Particularly when it shows the unlikely presence of both types of crystal.
Agree with suggestions here to increase fluids, manage pain and adjust diet while monitoring.
Thanks again; I greatly appreciate the feedback.
Vet thinks maybe we should do a round of Baytril, since we already tried a round of Bactrim and are still seeing issues with crying while defecating. He said this could be a kidney problem rather than just bladder infection, and pressure on the abdominal walls when having a bowel movement would cause discomfort.
Urine was diluted; 10-15?
At any rate, the vet made a comment that I'd like some input on. He said that there were some tubular casts -- Hyaline? I'm not sure I understand what this is or what it means. Can anyone here comment on this?
This is what my vet said, as well, except he said bladder instead of abdomen. Since the bladder is chronically inflammed, she tends to have pain when eliminating either urine or poos.
I had to Google tubular casts. This is what the article said about why the test is performed:
Why the test is performed:
The test is performed to see whether the kidneys are functioning properly and to check for certain conditions, such as kidney infections, glomerular diseases, and interstitial kidney diseases.
I also keep wondering whether or not they can get polyps or the human equivalance of hemorrhoids. That certainly would explain the pain and occassional passing of small bits of blood in my pig. I asked my vet and he said he didn't know.