2,5 y o boar with pulmonary edema not responding to lasix

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Marvenpimp

Post   » Wed Oct 04, 2017 8:30 am


Hi everyone!

So as the title says I have a 2 year and 10 month old boar who was recently diagnosed with pulmonary edema. I have suspected heart problems since he was about 6 months old but after several vet visits (including one this spring) I was constantly told everything was fine. 5 days ago I decided I'd had enough and I pretty much demanded they'd do new X-rays and bloodwork and this time they took me seriously. He was breathing heavily and put on oxygen immediately when we arrived, and was then taken for X-rays and blood.

X-rays showed lots of fluid in the lungs, but they couldn't say for sure if the heart was enlarged. Surprisingly the lungs sounded clear when listened to and his pulse was normal with no murmur. Bloodwork was fine and there were no signs of infection.

He is now on furosemide (orally) 10mg/ml and I give him 0.6 ml twice a day. It has only been 36 hours but I am worried that he's not showing any signs of improvement. It is quite the opposite actually and I find him to be even more blue/gray around the lips/ears/paws and his nasal discharge is way worse. I would say his breathing is a bit heavier too.

Any thoughts on dosage? I have no earlier experience with lasix and I'm not sure what a normal response is but I'm pretty sure they're not supposed to get worse. Nasal discharge is also green-tinted when dried up. I'm taking him back to the vet in 2 days to check for possible infection and/or further treatment.

bpatters
And got the T-shirt

Post   » Wed Oct 04, 2017 10:01 am


He could also be given benazepril, which might help.

The dosage of Lasix sounds right to me, depending on his weight, although I'm not a guinea pig heart expert. If he's more than one kilogram, it could be increased. Have you read http://www.guinealynx.info/heart.html#medications?

The green tint to the nasal discharge suggests infection. You should get that looked at ASAP.

You could email the user Talishan through this forum mailer and ask for her opinion on the heart issues. Good luck with him, and let us know how you get along.

Marvenpimp

Post   » Thu Oct 05, 2017 3:26 pm


Thanks for your response. I couldn't wait 2 days. He was turning absolutely gray and I panicked and rushed him to the emergency vet. He was put on oxygen and taken for X-rays. Turns out you were right about him having an infection, bpatters. He is now put on metacam, zantac and baytril twice daily, I'm holding off the furosemide for now. I got no clear instructions on wether to continue with it or not but I think I'm going to wait until he is more stable.

I asked the vet about his heart and she said it didn't seem enlarged and that I should worry about one thing at a time. She gave him a 50/50 chance to live through the weekend. Can't believe this happened over night...

bpatters
And got the T-shirt

Post   » Thu Oct 05, 2017 4:22 pm


Make sure to watch how much he's eating, and force feed him if he stops. Many a pig has been lost because it wasn't aggressively force fed when it was ill. And antibiotics, baytril in particular, will absolutely kill a pig's appetite.

The guidelines say that a pig who is eating nothing else needs 100+ cc of Critical Care or pellet slurry for every kilogram it weighs, every day, divided into 6-8 feedings around the clock. Adjust up or down according to the weight of the pig, and down if he's eating some on his own. See http://www.guinealynx.info/handfeeding.html for more info, and post back here if you have questions.

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Lynx
RESIST

Post   » Thu Oct 05, 2017 8:48 pm


Ditto bpatters. More on antibiotic intolerance:
http://www.guinealynx.info/antibiotic_intolerance.html

Marvenpimp

Post   » Sun Oct 08, 2017 2:50 am


Thank you very much for your help! He's been in Baytril since thursday (3,5 days) and I feel like I'm not seeing enough improvement. His energy has clearly gone up a bit since he is walking around and giving the other pigs a hard time (a very dominant guy). He is also eating very well on his own and has amazingly not lost any weight since this whole ordeal started. I weigh him daily and he is given probiotics twice a day.

However, he is still nowhere near his normal pink color, and there is still discharge from the nose. I can't say I notice a big difference in his ability to breathe properly either. I'm taking him back to the vet tomorrow for a check up. I can't shake this feeling I could be doing more, and I feel so helpless.

One vet told me I could have him placed under 24/7 care at the clinic, but it's not a specialized exotics clinic. He would however be given oxygen around the clock which I think he really needs. Do guinea pigs take well to being hospitalized? I feel it would put him under great stress and might not be worth it.

bpatters
And got the T-shirt

Post   » Sun Oct 08, 2017 11:07 am


Sorry he's not improving.

No, they don't take well to being hospitalized.

Is there some reason you didn't want to try the furosemide? That would have been the first thing I asked for.

Marvenpimp

Post   » Sun Oct 08, 2017 11:22 am


I was worried about mixing all the medications together. Do you think I should add furosemide as well? I was thinking it might help clear up his lungs faster, although I'm worried about dehydration and over-medicating.

bpatters
And got the T-shirt

Post   » Sun Oct 08, 2017 1:02 pm


As I said, it would have been the first thing I looked for. And I'd want the benazepril, too. I'm not a vet, but if he's not improving on the meds he's on, it's time to call in the big guns.

Lasix alone won't treat a heart condition. What it does is get rid of the excess fluid, but doesn't specifically target the heart. He's way more likely to get dehydrated from the Lasix, although that's not actually much of a worry.

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