I´m not totally convinced you´d still have to wait if you had a cat or a dog. I´m under the impression they are considering pigs second-class pets...
Anyway, the point is that our vets know delays in treatment are too costly for guinea pigs. Once they cross a certain line, it´s damned hard to bring them back.
We do spend a lot of time waiting for appointments even when we phone first to check for backlogs. But since we know we´ve done our share of "bumping" we accept the waits.....and always make sure we have reading material.
The other two abscesses, particularly the one under the neck, seem to be somewhat smaller. I´m keeping the appointment for Tuesday when they will lance those two. Now that the large one on the jaw is taken care of, I´m comfortable waiting for the other two since they aren´t getting larger. She will remain on Baytril in the meantime.
I´ll keep a close eye on her in case anything changes.
did the first "flushing" tonight. She didn´t like it too much, but it´s done!
The wound had scabbed over. Soaking finally took it off. Piggie was quite the little trooper. She didn´t like it one bit and fussed and whined and squirmed, but never got mad.
I was instruced to flush twice daily with 6cc of fluid. Do you think if I do three times a day using 40cc that will help keep the wound open any better?
Basically, you need to flush the wound until there is no wound to flush anymore.
Flushing more frequently will help keep the scab from getting so difficult to remove. Did he give you plenty of Nolvasan? If you have enough I´d still flush with the 6cc´s just more frequently.
I just picked Piggie up from the vet. He surgically cleaned out two of the three abscesses. One on the jaw was too small to do anything with. While she was under he more thoroughly cleaned out the large one that had burst. The one under the neck was cleaned out too.
The reason I feel like such an idiot is because I didn´t pin him down on EXACTLY what he would be doing. They were not removed in encapsulated form, nor was a shunt inserted. The incisions are to be warm compressed to open, and I am to flush twice daily (more by my choosing) by inserting the syringe as well as I can.
In addition the vet said Piggie aspirated. I brought this up in another thread - Dobby´s posing re: Hairballs that lent itself the the vomiting issue. From there I mentioned that the vet instructed me not to feed Piggie after 8:00 p.m. and no water after midnight.
Pinta in turn posted that fasting pigs before surgery can be harmful to them because they are herbivores and their systems are intended to continually function. I didn´t even think to question the vet about that.
In the meantime she continues on baytril and has a follow up visit a week from Friday. She did seem kind of glad to see me at the vet´s office - not that I could really tell. Maybe it was more me than her.
You can be sure I´ll post follow-ups if there are any problems.
Did he culture the contents of the abscess? Since there are so many on this one pig I would really recommend it. It´s the only way to guarantee you are using the right med.
If things are improving with the baytril you´re probably fine, but I have more than once had an infection cultured only to find out that the bacteria is resistant to Baytril.
I flushed the wound under her neck today. That was tough, even using a towel she was like a slinky. I think I´ll have to hold her and have someone else do the flushing.
I was concerned about whether I was flushing the wound properly so I took her back in Friday afternoon- her surgery was Tuesday morning. The wound is fairly well healed, he has me using hot compresses now. I soaked and opened the incision as well as I could to flush, but I never felt as if I was getting the fluid in far enough. She has scar tissue around the incision, which I can feel, and the vet said to use the hot compresses to help with that.
The abscess on her jaw that had burst is completely healed, and I´m hoping it doesn´t refill.
I feel so bad for her. She has been a sport, but she still isn´t "herself".
It might be time to put a shunt in. I don´t know why that wasn´t done in the first place. It would have made it much easier to flush.
I would suspect that these abscesses are connected. Not isolated incidents. I don´t know if the bacteria from one abscess is spreading causing new abscesses. I really don´t know enough about the physiology of the head to make an informed comment. But it does seem suspicious.
I would get another culture done and ask them to look for a fungus if they can´t find bacteria. And until the results are in I would be inclined to switch antibiotics on the basis that new abscesses are forming. I would also ask about a shunt and make sure the vet TOTALLY and ABSOLUTELY ckeans out the abscess. The abscess might be compartmentalized which will require going in and digging the compartments out.
Usually the only sign of an abscess that has formed behind a "healed" abscess is swelling.
The abscess on the ear had a small scab that I soaked off before we went in. The vet was able to clean out the pus and flush the abscess.
He asked me if she had been near the other pigs. My first response was "no" since I have been housing her separately since all of this started. On second thought I had put her on the floor last Friday while the "meanie" girl was out as well - thinking it would be neutral territory. It was like slow motion, but I still wasn´t quick enough to stop the fur from flying. Maybe the scab was a bite from that encounter.
She has a follow up visit schedule for next week, and she is now on benebac as well.
She´s hanging in there, but doesn´t like me fussing with the wound above her ear. I soak the wound/lump with a warm compress to remove the scab, but no pus has ever come out. Follow up visit next Monday, yada, yada,yada.
There is an end in sight - isn´t there?
It looks like Piggie is finally on the mend, but it hasn´t been without further incident.
Here is the update from my soap opera "Piggie Place"....
In hindsight, I think at least one of the abscesses was from a pig bite. We acquired a third pig about six weeks ago from Imanut4u. I love Simone the new pig, but she just wasn´t getting along with Piggie. Piggie has been housed separately, while Simone and Sissy co-existed in the same cage, but didn´t really get along all that great. Sadly for me, Simone is once again living with Imanut4u.
I put Piggie and Sissy on the floor for a while, then into the cage. They had been dragging their butts and chattering some, but other than that things were fine. Ye gods! Three hours later I hear a commotion and Sissy is chasing Piggie. I picked up a stressed Piggie to look her over.
As I´m scratching around her neck and jaw (something she likes) I see blood on my finger! Sissy opened up the spot on Piggie´s jaw where the big, burst abscess was. It is quite a gash but has stopped bleeding. I flushed it with the Nolvasan and put a divider in their cage.
Follow up visit to the vet today, he says she is doing great. Keep flushing the new wound, keep up with the antibiotics until all wounds are completely healed, and continue probiotic for 5 days longer than the medicine. He said she has done remarkably well considering all she has been through. What a scrappy old bat she is!