Here's a photo of the metal file I use on Casper's front tooth if necessary between vet visits - it's from a men's travel kit.
It only costs me $20 for the incisor trim at the vet (it would cost me $22 for a nail clip!!) and it's $58 for molar shaving with the anaesthetic. Does Maddie have a Beverly Hills vet ;-)
I was thinking that it's easier for me to file this tooth than other people because it's small and pointy, not like a normal pig's tooth.
I sit Casper on my lap facing away from me and pat her till she's all relaxed. I also stroke her tooth, which sticks out between her lips. Then I slide the file (at a bit of an angle) across her tooth gently (holding her head if necessary, but making the head-holding more like a pat than a restriction - as soon as I try to hold her down she struggles). I do this 3 or 4 times, making sure there's no sharp edges left.
1) tooth problems (not likely as oral check was fine, she didn't need any teeth trimming today)
2) EC (can't remember the name, a disease caught from rabbits - possible as we have rabbits in the same room, so Casper has Panacur to take for 10 days, and the rabbits have Panacur too.)
3) Tooth abcess (again possible - we did an x-ray and it looks like her front molars are growing in to the bone, and another tooth is growing completely the wrong way, so Casper has Bactrim to take, as well as Metacam 3x/day)
It was a bit overwhelming so I'm sorry if I'm a bit hazy on all the details. I'm to call the vet if her head tilt gets any worse, otherwise check in with them in 5 days.
The vet's office had a lethal born there yesterday - they were all excited for Casper & I to come in today to see it, hoping we would adopt it (of course we would!) but the poor thing died in the night. It had a white brother who's not a lethal, but I'm not getting any boys.
Any advice/threads I can read on head tilt?
EDIT: I am an idiot. Her weight is clearly in your post!! Off to calculate.
Metacam is dosed 0.2 mg/kg so she'd need 0.1mg or so. The original concentration is 1.5mg/mL so 0.1mL contains 0.15mg of drug, meaning she'd need a little less than 0.1mL. That said, when my guinea pig was in severe pain, he was given considerably more than this for short term treatment with no signs of sedation.
When I checked the meds, the only indication I could see was in that most scholarly of sources Wikipidia. The article on meloxicam that said "If there is a sensation of fatigue and/or liver pain, intake must be ceased." Bactrim has also been linked to neurological side effects, including drowsiness in some people (couldn't find anything on animals in the 10 minutes I looked).
Casper is such a dear little pig. My heart beats a little faster whenever I see her thread come up.
Maybe I'm paying too close attention to her today? Her weight has gone from 510 to 485 in about two hours (she pooped & peed a fair amount after eating breakfast - not with her usual gusto). She had all 3 medications during breakfast, about 10 minutes apart each.
Maybe I should just let her sleep for a bit and build up her appetite? She's taken MetaCam a few times before and I didn't notice her seeming sleepier, so maybe it's all 3 (which the vet said was fine).
Also, she's not eating as much pellets - I switched her to Oxbox pellets a few days ago, which don't make as good a mash as the other pellets she was on - Oxbow kind of falls apart into tiny crumbs, where the cheaper pellets held a bit of shape, so Casper could pick them up and eat them quicker/easier. I've tried more and I've tried less water, and the mash comes out exactly the same each time: tiny crumbs.
Feeding her poop soup certainly woke her up! She liked it at first, but was angry at me by the end of the syringe, so she's angrily eating some pellet mash now!