*URGENT* Passing blood...squeaking

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Lynx
RESIST

Post   » Tue Jan 10, 2006 12:08 pm


Rub it between your fingers once it has dried. If it is scratchy/sandy, it is sludge.

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Trisha

Post   » Thu Jan 12, 2006 3:55 am


yes, just plain water in a syringe. I give my Flatman around 50 cc daily this way on top of his normal drinking water.

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Lynx
RESIST

Post   » Thu Jan 12, 2006 9:42 am


50cc's sure is doing your part. The only other thing I can think of is that some people use gentle vibrators to shake up the sludge in the bladder so it gets flushed more easily when peeing. And pain meds can help.

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Trisha

Post   » Thu Jan 12, 2006 10:48 am


I agree Lynx. My vet said that a gathering of calcium in one place in the bladder is not helping preventing stones.

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sef1268

Post   » Sat Jan 14, 2006 9:25 pm


Update: Zachary just finished 3 weeks of Bactrim for the blood that was originally found in his urine, and squeaking when urinating/defecating.

I have not found any additional blood on his bedding, but this afternoon while I was holding him, he squeaked a little while defecating. Appetite and water consumption are normal; no weight loss. Good activity level. I'm concerned about the squeaking.

What should the next step be? I can either take him to our local vet for another urine test, or take him back to the exotics vet an hour from here if more extensive tests seem in order. The exotics vet did xrays and found nothing to indicate stones, but was a little concerned about the presence of red cells in the urine but no white.

She also didn't like the looks of the "air pockets" in his stomach/cecum, and said to monitor feces output closely. His feces have been okay. Not sure what her thinking was.

Any thoughts?

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sef1268

Post   » Sat Jan 14, 2006 9:37 pm


PS to the above -- I also noticed today that his feces are smaller than normal.

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Mum
I GAVE, dammit!

Post   » Sat Jan 14, 2006 10:01 pm


Smaller poop usually means they're not eating enough.

By air pockets, I wonder if she means gas? I know it's common for heart pigs to have a lot of gas shown on x-ray.

Are you monitoring his weight daily?

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sef1268

Post   » Sat Jan 14, 2006 10:53 pm


Yes, I think she meant gas. She said she didn't want to go with a motility drug just yet (that was three weeks ago), as long as he was still passing feces normally. At the time, his feces looked normal. Now they're a tad on the small side, although not mis-formed. He is still eating them, but making a slight squeak when passing them.

Would a second set of xrays be in order now, or another urine test, or what? She did two views the first time around and found nothing, nor anything in the urine to make her suspicious.

I'm at a loss as to why he's still squeaking. Doesn't seem to be upon urination.

I'm weighing every few days, and so far he is maintaining his weight...eating all pellets normally, devouring hay, and gobbling up veggies as usual.

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Lynx
RESIST

Post   » Sat Jan 14, 2006 11:09 pm


If there are no stones, was there any trace of sludge? How about interstitial cystitis? If you look at the stones diet, it is a sound diet for any pig. Increased fluids are good too. Perhaps pain medication and try shilintong?

pinta

Post   » Sun Jan 15, 2006 2:49 am


Ferdinand squaeks when he pees and poops due to an old back injury. Did the vet check the xray for signs of arthritis in the back?

Small poops can also be a sign of dehydration.

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sef1268

Post   » Sun Jan 15, 2006 9:44 am


Pinta,
No, but this is a relatively young boar -- will turn 2 in February. And we've had him since he was a baby, with no trauma or injury since he's been with us. Not to say he couldn't have been injured as a newborn, I guess. But the fact that he was passing blood 3 weeks ago makes me think this is all somehow inter-related.

I'm not seeing blood on the bedding now (towels and fleece), but had planned to take a sample in to our local vet for testing.

After squeaking yesterday, and after noticing that his poos are smaller, I'm wondering if the problem is still there.

Doesn't seem to be dehydration, as his water intake is normal, and skin snaps back nicely into place...no signs of eye crust, no lethargy, or other symptoms that might indicate dehydration. I'm going to go ahead and "up" fluids again, anyway.

Argh; this internal stuff is so frustrating, because you can't see what the heck's going on!

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sef1268

Post   » Mon Jan 16, 2006 3:12 pm


I made another appointment for tomorrow afternoon...he squeaked when he made two tiny poos while I was holding him, but didn't do it when husband held him. I don't know what to think. Yesterday he made a number of very small poos, but later in the evening they looked more normal. Am I jumping the gun? Should I give it a few days and see? I hate to stress him out on another long trip if it's not necessary.

He has been off the Bactrim since Saturday.

Since nothing showed up on the first set of xrays, what is the next step? More xrays? Another urinalysis?

Thanks.

GP Lover
My home, ruled by pigs!

Post   » Mon Jan 16, 2006 3:13 pm


Has he had a urine culture with urine taken directly from the bladder (cystocentisis)?

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sef1268

Post   » Mon Jan 16, 2006 3:43 pm


Ugh; no, not yet. Just a regular sample gathered while he urinated during examination. She mentioned possibly doing that as a next step. Is that a very painful procedure? What would it tell us?

GP Lover
My home, ruled by pigs!

Post   » Mon Jan 16, 2006 3:46 pm


I was told it doesn't hurt but I'm not sure I believe it.
It ensures that the urine is sterile since it's taken directly from the bladder. It takes a few days to get results and it tells you what antibiotics the bacteria will respond to.

If there is no bacteria and no signs of infection perhaps you should just treat for pain.

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sef1268

Post   » Mon Jan 16, 2006 3:53 pm


I see; so it's a more accurate picture of any bacterium, vs. the "non-sterile" sample. Makes sense. The first sample didn't show any sign of infection -- in fact, the vet was puzzled that red blood cells showed up, but not white.

It's all very odd. Started out as visible blood in urine and squeaking while defecating...now no visible blood and still squeaking. Nothing on the xrays.

Do you think another visit is in order now, or give it a few more days to see if it could still be some inflammation/irritation that will go away on its own?

Thanks.

GP Lover
My home, ruled by pigs!

Post   » Mon Jan 16, 2006 8:13 pm


Since your vet mentioned doing it as the next step perhaps it's worth a try. If she thinks there is no infection and you're just treating inflammation then try the Shilintong for pain management.

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sef1268

Post   » Tue Jan 17, 2006 10:15 am


She also mentioned possibly using a motility drug. We'll see what she says today. I decided to go ahead and take him in, since he was squeaking a little again last night.

Thanks so much for the information and help.

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sef1268

Post   » Wed Jan 18, 2006 8:58 am


The vet did tested his urine and said there is trace blood, but no white blood cells. I'm to get another urine sample at home and send it off for lab work. She is puzzled as to why he is still squeaking when he has a bowel movement, but she heard it while we were there. Poops are small-ish, but Zach continues to eat them.

She put Zachary on a motility drug and Metacam for pain. I'm frankly hesitant to use the Metacam...need to look it up, but does it do anything for inflammation?

He has actually lost 1-2 ounces since his last visit, which I also noticed on my scale at home -- though his appetite remains good. I thought maybe it was just my scale.

The vet said to use the motility and Metacam for a week, and return in 2 weeks for a follow-up. This is getting a little discouraging.

I wanted to ask -- she mentioned cutting back on pellets (he gets 2 tablespoons of Cavy Cuisine daily) and upping fiber intake. Her recommendation was to use canned pumpkin. I've never heard of doing this with a guinea pig. Should I do this? I have Critical Care on hand, which I would think is better. Just curious if anyone has tried pumpkin-?

Any additional thoughts/suggestions would be appreciated. Thanks again.

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sef1268

Post   » Wed Jan 18, 2006 9:10 am


This is Zachary:

Image

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