I have got tramadol for him should he need it but to be fair he seems much better, I don't think it's necessary to give at present.
The Steriod injection may well be kicking in and I have been giving him Pearl Barley water which seems to have settled the rift between me and him as he can't get enough of it and it makes syringing additional fluids so much easier. Perhaps another injection is needed in a few weeks to really attack the inflammation in the bladder wall.
Tomorrow I'm taking another urine sample into the vets, I do test with dipsticks at home to check blood etc - but the vet is going to do an in-house urine analysis.
He's so much more brighter today and happier, he is still squawking a bit when passing pellets but overall he seems much better.
To be fair, he honestly doesn't even look ill - if I didn't know otherwise I would think he's perfectly healthy!
We like Co-operating guinea pigs!
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Little Pig: Dioralyte (Pedialyte in the US, infant rehydration fluid) helps keep them well hydrated. In my experience most guinea pigs don't drink enough as it is and most seem to like the taste of infant rehydration formulas (basically electrolyte fluids with a bit of glucose). Especially when you are dealing with bladder or kidney problems, keeping them well hydrated is really important.
Patrick was at the vet's yesterday, the vet decided to change his protocol and although at first I was quite anxious about this after receiving some further information special thanks to this person as it meant P could get his med's this morning, I'm now happy enough with my vet's thoughts.
As explained to me, what we are looking for is a long term solution and although steroids did help, if we can find something safer it will be in P's benefit long term.
Patrick is now on Tramadol - Original dose was 5mg's, after discussing this with the vet we agreed to half the dose - quarter of a 10mg tablet (twice daily), if needed he can go up to 5mg.
He is to be pulsed with ABS (Septrin), this concerned me greatly as I always believed you finish the course but no in P's case this is not correct. We are giving high dosages of Septrin twice daily for a week, rest a week, repeat and then a two week gap - I will be reviewing P's protocol at this point with the vet.
If necessary, on top of this protocol he can have metacam, at my discretion but it's another pain relief options that's there if P needs it.
I know this is the medical board but I think it's about time I share a picture of Patrick. He's full of character and deserves to live the rest of his life pain free if it's possible.
I have now lost count of how many Vet visits Patrick has had, urine sample, ABS or injections - Who really knows. Let's hope we find a treatment plan soon! He has got to be one of the most high maintenance Guinea pigs I have ever owned.
I sometimes wonder what we would do without vets, forums and other owners. I really appreciate all the advice given to me and Patrick over this last year.
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Both pigs had conditions that were not resolvable, so the "pulse" method was used (along with other meds) to keep the pig as healthy and comfortable as he (both were males) could be.
He seems very bright in himself, his output is perfect, he is no longer squeaking now. Perhaps we've found a plan long term, will see what happens once the Abs stop. Everything is looking very positive.
He is now on Zantac - to help his gut, as his output slowed down a bit. He's still very happy and ever so demanding, he just sits waiting by the bars he seems to think that's where I should be all day long.
Lovely picture of Patrick by the way Jo!
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Most antacids in my experience are constipating, not the reverse. Zantac's GI protective properties can be achieved in guinea pigs, again in my experience only (I am not a vet nor tech) by sucralfate (Carafate) or similar.
Metoclopramide (Reglan) is effective on the front gut; Cisapride (old trade name Propulsid) is effective on the hind gut. Zantac is *not* like, say, milk of magnesia that can both protect the stomach and loosen the bowels.
I'm currently enjoying a 'pain squeak' free life, the slave doesn't even annoy me anymore. We have a very good routine which I get syringed 20 - 40 mls Barley water per day couldn't ask for anything better, my pain killers (tramadol) 0.2mls (twice daily) and cystease although neither me or the slave believe this does anything.
I am now nearing the 900 gram mark at a lean 883 grams the heaviest I've been in a long while.
Now you might have provided my slave support but you still can't have my tomato. Touch it and bad things will happen!
Merry Christmas everyone!
Thanks again for the ongoing support, I hope me and Patrick's experience maybe helpful to someone else in the future. We will of course keep you updated on any developments in future with his condition!