Damn. Zachary is really having some discomfort this evening. I already gave him a dose of Metacam this a.m. and a dose of Torb this evening. Not good.
Now that I know what to ask for, I'll get in touch with her on Monday.
This is all so frustrating. I feel like I'm wasting valuable time going back and forth, not getting what I need, not having the resources avaialble to me.
He's crying quite a bit again this morning. Last night I ended up giving him more Metacam that I probably should have, but he was really hunching and crying and the lower dose wasn't doing squat. I can't say that the extra Metacam did much to help, though.
I'm hesitant to push Torb, since motility has been an issue (gas; small poops).
Is Tramadol better tolerated?
Is there a reason why just plain Ibuprofin isn't used instead of Metacam? Both are NSAIDs. I'm just wondering what the difference is. ?
Yes. Actually, if it weren't for the crying and hunching, you wouldn't know anything is wrong because he still trots around in his cage, munches hay, or plays on the sofa with me, etc. His eyes are bright, his coat looks good, and he doesn't even look like he has lost weight (but he has--quite a bit).When he finishes crying when he pees or poops, does he go back to acting normal?
Vet gave me Tramadol today and a refill of Metacam.
Thanks, tracis -- I'll take a look shortly. :)
- You can quote me
Having said that, we've used infant's Motrin successfully in a pinch for our guinea pigs. Not for very long (one or two doses), but it seemed to do the job we needed it to do for as long as we needed it to.
Tylenol is not recommended, in general, on this board but we used it very successfully, long-term, for one of ours with chronic GI problems. IIRC the dose we used was 1 mg/kg, and we went higher from time to time with no problems.
I mixed the infant's formula (80 mg per dose) into 80 mL of fruit juice => 1 mg/mL solution.
Klynne: do you think Banamine could help Zachary? (without looking back to see if you've already mentioned it.)
I asked Dr. Johnson about Diazepam (sp?), but he said it would zonk him out too much. My worry is motility problems on the Tramadol, since Sebastian had issues w/ Torb longer-term. Does anyone here know what the recommended dose is for Tramadol in guinea pigs? I'm giving him .2cc twice a day, at Dr. J's instruction. He said it could be safely used with Metacam.
I'm backing the Metacam back down to around .03cc's but haven't given him any so far today. I wanted to see how well the Tram works.
Am doing subcues every other day, 15cc's. Dr. Mehringer had said daily, but I'm paranoid that it will over-tax his kidneys.
Dr. J's comment today was, "We were just surprised by the number of stones." Tell me about it. It's so damn frustrating that I don't know how to slow them down or prevent more from forming, because I have no idea what's causing them.
Seriously considering having one of our "healthy" pigs xrayed, just to see if it is likely to be something environmental going on, OR just genetics (and a big huge coincidence that three of our guys have had them).
- I GAVE, dammit!
There is a product that I'm looking into (again) called "Green Mush." Pretty sure I started a thread on it a couple of years ago...I may hunt for it and see what others had to say about it.
There is no reference to Tramadol in the Formulary that I can find...online search found a few "dog" references that place the dose at 2-4mg/kg. Does anyone here know if that's correct? Is it Q12h or 24h?
Based on Zach's weight (just under 1kg, now), and the concentration (2mg/cc) it looks like Dr. Johnson is dosing at the higher end -- 2cc's twice a day. ?
Has anyone else here had an experiences with inappetence w/ opiates?
- We miss our sweet Oreo
I sure hope you can find something to help get Zach some relief.
Earlier tonight, Zachary had his veggies but I couldn't get him interested in his Critical Care. He had been really wolfing it down up until yesterday (Monday); I had just run out, and got a new batch in the mail yesterday. I was wondering if maybe the taste wasn't quite the same.
Anyway...handfeeding didn't go well, so I put him back in his cage. He seemed mopey, so a little while later I asked my husband to hold him for a while. Zach didn't make his usual happy, cooing sounds in my husband's lap. Just sort of sat there. I've never seen that before. Didn't necessarily look like he felt bad; just very aloof.
I also held him before we went to bed, and it was the same thing -- not cooing, and not his usual affectionate self. Didn't chubble when I put him on the bed. His eyes were bright and he wasn't fluffed up, but somehow not right. The only way I can think to put it is "out of it." He walked around a little, then went under the covers and hid. I went ahead and put him back in his cage.
Woke up a little while ago and came down to check on him. He looked at me a couple of times from his hay box, but then hopped out and went into his hidey. He doesn't usually go there at night; lately, it seems to be where he goes when he just wants to be left alone. I gave him a couple of pieces of lettuce, which he did come out and munch, but he just went right back into his hidey. Something isn't right. He is peeing and making small poops, his eyes are bright, coat not fluffed up, and he drank a little water and had a little hay a few minutes ago, but he is ignoring me (something he never goes; he's always so interested in what we're doing).
I'm not sure how to put it, but...his personality seems totally different suddenly. Has anyone ever experienced this? I'm afraid he is losing the will to fight this.
I don't know what to do. If he's still like this in the morning, my husband and I may be faced with making that horrible decision. We do NOT want Zachary to suffer, but...damn. He seemed better just this morning, with a good appetite and not crying quite as much with the Tramadol. Could something be going on with that one blocked kidney that might be causing this? Uremia? I was looking at the symptoms of uremic poisoning just now, and personality change IS listed as a symptom (in humans): As kidney failure progresses, patients often become drowsy or sleepy. They may sleep more, and it may become difficult to arouse them from sleep. The ability to think clearly or accomplish mental tasks may become impaired, memory may become imprecise and personality can change. As the kidney failure becomes worse, patients can become disoriented or confused, develop slurred speech, suffer from seizures and eventually fall into a coma.
Please tell me what I should do-???
- Let Sleeping Pigs Lie
Is he still on many different medications? Could it be a combination of them that is making him act differently?
Pain, too, might be a reason why he feels like being alone.
You've done so many wonderful things for Zachary, and this must be devastating. I'm sorry that things are not going well tonight.
I just gave him 20cc's of Ringers (he didn't have any yesterday) and he munched on a plate of veggies. We'll see how things look in the morning. I may keep him off the Tramadol and just go with the Metacam and see if that could be what's causing this. If it were uremia, it seems like there would be a lot of other symptoms-? Is it even possible to suffer from uremic poisoning if the other kidney is still functioning? Again, something I know absolutely nothing about.
I need to go to bed and let him get some rest. He just went up into his hay loft...is crying and hunching, but at least he's not hiding now and his nibbling some hay. I'm going to take that as a halfway good sign for now.
New Year is off to a bad start for many of us here, it seems. :(