Sef--thank you again for your continued help, especially with that med. He has not been on bactrim--it could be worth a shot. The vet prescribed Baytril for 7 days as a preventative measure...today is day 2 and they aren't open tomorrow. I will see what she thinks on Monday. I appreciate the encouragement with everything. Luckily my husband does the injections. I just can't bring myself to do it because I keep feeling like he will think we are hurting him intentionally, which I know is silly because he knows we love him. We "failed" again at the sub Qs today, but tomorrow is another day.
He is hanging in there. Still not interested in hay since the meds started, but we are getting a lot of CC and lettuce into him. Counting down until the med arrives and the Baytril stops.
What kind of needles/syringes are you using for the fluids? (is it Lactated Ringers?). I had pretty good luck with butterfly infusion sets like this:
vs. regular syringes and needles. I may still have some of the smaller gauge (25g) sets if you'd like to give them a try. The injections go slower, but they're less painful and the tubing allows a little bit of mobility while you're pushing the fluids (key: plate of veggies to distract). :)
Sagan just passed two small clots of blood. His urine isn't pink, but the clots came from it. I'm not sure what to do...or what this means for the progression of the problem. He is not crying while urinating, but he is clearly not feeling well.
Metacam is extremely hard on the kidneys. I'd avoid it unless it reaches the point where all you can do is keep him comfortable.
Pain-wise, though -- do you know that he's actually in pain vs. stomach upset? How do his poops look? And appetite?
He brightened up at the vet and when we got home. I think he was afraid we were giving up on him. I hope he knows how much we love him. Please send positive vibes to our sweetie that we will be able to buy him some time. Thank God for another day.
Tonight we are supposed to begin our pain medication (Tramadol), continue fluids, and begin the diuretic (hydrochlorothiazide). The herb is arriving tomorrow. Are diuretics truly ok long term? Not that he will be on it forever, but the vet would like him to take them so it can help potentially flush the stones and keep him urinating. I know all meds have the potential to impact appetite...anyone have experience with either med mentioned above? I feel like we gave Milo Tramadol at some point, but he was typically a Metacam guy so I can't remember. Any advice is much appreciated.
Personally, if it were me (and this is just me), I'd wait a bit on the Tramadol and let his appetite continue to return to normal (or as close to it as possible). If he really needs it, then by all means -- do whatever you need to do to keep him comfortable. I'd just be a little reluctant to overload him with too many meds when he seems to regaining his interest in food.
One thing I will add, is that a lot of our guys have had trouble with bell peppers causing gas and bloat. You might keep an eye on that.
ETA: I'm not seeing any drug information for hydrochlorothiazide use in rabbits or rodents. ?
And thanks for the heads up on pepper! He is only taking a few bites, so hopefully he is ok. We will be careful and aim for the others he is interested in.
Negative new thing would be the color of his urine. It is now darker. It is hard to say exactly what color, because when he pees on something beige (e.g. our futon cover!) it just looks slightly off (maybe pinkish) but when he pees on a uHaul blanket it dries almost copper and darker? I know that sounds weird. We also don't see any difference on his fleece...just when he is out getting critical care with us. It also looked a little bit thicker. He is still only squeaking while pooping.
So, my question is, is this:
1. UTI, 2. Normal with stones, 3. Resulting from either the HCT or the herbal power? The herbal powder is light brown...almost like chocolate powder. Is the thickness in urine output considered sludge, or is that only visible/existent in the bladder?