He will go back to the vet’s tomorrow for the day so he can be put under with anesthetic and have a very good cleaning and scraping done. We’re also going to switch his AB to something else to see if that helps, as well as extend his Tramadol for at least another 5 days since he is still in so much pain. All other meds will remain the same for now.
Oh and the screaming is being caused by both pain and nerve endings starting to heal. My nerves and heart can't handle his screaming.
Right now he's snuggled up in his cage for the night. We're not going to do any flushing tonight to give him a bit of a rest before his big day tomorrow. Keep your fingers crossed that everything goes well tomorrow. I know I won't be getting much sleep the next couple of days, but he is so worth the sleepless nights and stress!
The not so good news first: Timmy has “dry socket” where his molar was removed. It’s been cleaned out, had AB beads put in and stitched up. The root of the tooth behind the molar that was removed was slightly elongated from his last xray, so Dr. Munn trimmed the root and molar a bit since she could access the root through the hole left by the missing tooth.
She also checked the holes where she had to drill through his jaw. The AB bead she put in there during the first surgery didn’t dissolve any, so she broke it up and put it back in the hole, then stitched it up as well.
Now for the good news: The surgery took approx 1 hour and he woke up from the anesthetic much easier this time. She was able to clean out the big pocket of the thick pus and saw quite a bit of pink tissue inside, meaning he is healing. She mentioned the pocket is a little smaller already, which is great. Also, the 2 lumps under his chin she thought were new abscesses are actually scar tissue, which is a big relief for me.
Timmy’s AB Baytril has been switched to (sorry don’t know the full name) Sulfa/Trim, which will hopefully bring any more infection under control. His Metacam was increased to 0.15 and he’ll remain on Tramadol until he no longer needs it. He’ll also remain on the Cisapride and Oval until he starts pooping again which the vet thinks will happen once the pain is more under control.
He will go through another surgery 1 week from today to clean everything out again, and every week afterwards until things are healed enough and no signs of new pus or infection show up.
Until then we continue with the hand feeding and flushing etc as before.
Wow, that's alot to go through, for both of you. I really hope that the surgery will now provide some relief for him. I hope he's resting comfortably right now and everything goes better from here on out.
I'll bet you are exhausted. Good thoughts tonight for Timmy who I just adore.
I'll give him a kiss for you!
Still not eating crunchy things, but that’s okay for now. Now only if I can get him pooping properly I’ll be very happy.
By chance does the pain meds (Tramadol and Metacam) cause constipation in pigs as some do in humans? I’m wondering because last night while he was laying on me, he started doing this weird thing with his butt, like he couldn’t get it comfortable. He kept lifting one side up then the other with force, shifting only his backend quite a bit and whining. I first thought he was having a seizure, that’s how weird his backend was moving. He was obviously very uncomfortable for a bit. This lasted approx 2 minutes.
Cisapride, Metaclompromide, and Reglan are motility drugs that come to mind right now, and either cisapride or metaclompromide is the same thing as reglan, but I can't remember which one. I hope that made sense.
Both drugs have the same function, to my understanding. The difference is, they work on different areas of the GI tract. Cisapride will work just fine to keep his gut moving, provided he doesnt have any issues such as blockage.
On that note - if he develops any signs of blocking (no poops at all even though he's eating, obvious pain/discomfort) stop all motility drugs and have your vet take an x-ray for more info.
I worry about the amount of meds he's on, at what point do I have to think that maybe we're overloading his system and maybe the meds are doing more harm then good? I know I can't stop the pain meds and Bactrim for at least another 3-4 weeks.
Right now he's on Enapril for his enlarged heart, Metacam, Tramadol, Cisapride, Oval, Bactrim, Hibitaine ointment and Vit C. He's also being flushed and hand fed 2 times daily along with his soft salads and unlimited leafy hay.
Since Timmy is already on a big load of meds, I would make sure he really needs both motility drugs before putting him on it. I don't think it would hurt anything, but the poor little guy already has so much of a cocktail to swallow.
Also, without reading back, is he on probiotics? That could also help his gut since he's on Bactrim. I know it's one of the lighter antibiotics and doesnt usually cause problems like some of the bigger ones, but probiotics never hurt.
ETA: massage usually can help gassy pigs (and rabbits, for the record). If you have a heating pad, you can set it on low, wrapped in a towel. Have the heating pad on your lap and Timmy on the pad, and gently rub/massage his sides and tummy to help him pass the gas bubbles. Only do this if he is comfortable with it, as some pigs dont like it. If the heating pad vibrates, he may like that better.
Several members have tried this with success on their pigs, and it helped me with one of my rabbits.