Chronic cystitis/blood in urine

Desert

Post   » Tue Jan 30, 2007 8:53 pm


My 2 1/2 year old female guinea pig, Patches, has been having bladder problems for over six months. She's been to three different vets and has been on rounds of vibramycin, baytril, and now trimethsulfa. She had a second set of x-rays done at the beginning of January and no stones were seen on the x-rays. The sulfa has alleviated her pain but I still hear her squealing once in a while when she passes fecal pellets. The vet is concerned because she still has blood in her urine and sent some urine off to be cultured. I've switched her pellets from Nutriphase to Cavy Cuisine and cut way back on high calcium foods in her diet, although the vet thought it was okay to give her things like kale since she doesn't have stones. Does anyone have any other suggestions? Is it safe for her to be on antibiotics for so long? (I am administering a dose of Benebac every day.)

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Mum
I GAVE, dammit!

Post   » Tue Jan 30, 2007 8:56 pm


Bactrim is usually given for UTIs. How long has she been on this last dose for?

Some pigs suffer from interstitial cystitis, which you can read about here:

http://www.guinealynx.info/stones.html#shilintong

Josephine
Little Jo Wheek

Post   » Tue Jan 30, 2007 9:00 pm


Have any urine cultures been done to find the best antibiotic for the job?

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Mum
I GAVE, dammit!

Post   » Tue Jan 30, 2007 9:03 pm


The vet is concerned because she still has blood in her urine and sent some urine off to be cultured.
Presumably they're waiting for the results.

Josephine
Little Jo Wheek

Post   » Tue Jan 30, 2007 9:11 pm


Gosh, I totally missed that due to the lack of paragraphs. Totally went past that one sentence, but read the rest!

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Mum
I GAVE, dammit!

Post   » Tue Jan 30, 2007 9:11 pm


I did the same thing - I had to read it several times.

Desert

Post   » Sat Feb 03, 2007 7:34 pm


Yes, the vet did a urine culture on January 23rd. I'm still waiting to hear the results. Initially, it was thought that staphyllcoccus (sp?) was the culprit but the trimethsulfa doesn't seem to be knocking the problem out and that is why the vet recommended the urine culture.

Patches has been taking 0.7ml of trimethsulfa since January 3rd. Unfortunately, she has started squealing again while going to the bathroom, even though she is still taking the antibiotic.

I will ask about the Interstitial Cystitis. It looks like the treatment for that is the same diet as is recommended for stones. Can I just divide the sample diet for five pigs by five and get calculations for one pig? Where do you find greens like chard and escarole? I looked in the grocery store today and couldn't find these greens.

Thanks for your suggestions. I'm very worried about Patches. She has been through so much and I hate hearing her squealing in pain.

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Lynx
RESIST

Post   » Sat Feb 03, 2007 7:47 pm


I forget, is your pig on meloxicam? A pain medication can help quite a bit if it is interstitial cystitis.

Desert

Post   » Sun Feb 04, 2007 9:39 pm


I asked about pain medication at the beginning of January but the vet didn't think it was necessary unless the pain started affecting her appetite. I will ask about it again when I talk to the vet (hopefully this week) about the results of the urine culture.

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Becky

Post   » Sun Feb 04, 2007 10:14 pm


You might want to look here at Chippy's history.

I agree. Metacam/meloxicam is extremely important to control the inflammation. You might also talk to your vet about peroxicam.

And don't cut out the calicum. Just make sure the calcium and phosphorus are in the correct ratio. Cutting out/down on calcium can make matters worse.

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Becky

Post   » Sun Feb 04, 2007 10:17 pm


Oops! Double post!

Desert

Post   » Tue Feb 06, 2007 8:24 pm


Thanks for directing me to Chippy's story. Some of the symptoms described in that thread are very similar to what Patches has been experiencing. It was helpful to read about all of the different treatments that were tried. She, too, seems to have a chronic inflammation of the bladder that hasn't responded much to antibiotic treatment.

I will ask about the piroxicam. Patches has never been on any pain medicine and the poor little girl squeals loudly at times. The second vet I saw seemed uncomfortable with the idea of putting a guinea pig on a NSAID. I guess he just had limited knowledge of treatment options.

My vet called back about the urine culture results. If I understood her correctly, they were inconclusive. There was some strep bacteria but it wasn't responsive to the TMS. I'm scheduled to go see her again on Saturday and have another culture done and possibly another x-ray.

GP Lover
My home, ruled by pigs!

Post   » Tue Feb 06, 2007 8:32 pm


Sounds like what my gp Angel went through. Her story is well documented here. $2500 over the course of 2yrs was spent for numerous antibiotics, urine cultures, exploratory surgery, spay surgery, metacam, amitryptilline, polycitra, corn silk extract. None of it gave her pain relief.

$6.95 for a bottle of the chinese herb, Shilintong, and she got pain relief.

I say try the Shilintong. There's only so much you can take knowing your pet is sufferng every time she pees. It's heartbreaking.

Talishan
You can quote me

Post   » Wed Feb 07, 2007 5:59 pm


"The second vet I saw seemed uncomfortable with the idea of putting a guinea pig on a NSAID."

mumblemumblemumblemumble

I get the feeling the vet(s) you are seeing are not totally ignorant, but not as knowledgeable about guinea pigs as you need for Patches. I'd suggest 1) try the Shilintong and 2) consider emailing GL member rshevin for an alternative veterinary suggestion. I *think* she's not too far from you.

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Fossil Barb

Post   » Thu Feb 08, 2007 10:20 am


The Shilintong is a good suggestion. Once I started Rodney on his daily dosage there were no more squeeks on peeing and pooping. He loved it mixed in with his CC and Vit C.

Hope Patches gets to feeling better.

Desert

Post   » Mon Feb 19, 2007 8:37 pm


I thought I would give an update on Patches. At her follow-up vet appointment, the doctor didn't find any traces of blood in her urine, only some crystals. She suggested taking Patches off the TMS for a while to see how she does.

Unfortunately, the squealing has become worse again, along with the hunching up and then grunting when she passes fecal pellets.

Thanks for the tip about the shilintong. I will order some right away and see if that will give her relief.

The vet I've been seeing is Dr. Partlow in Virginia Beach. She is an associate of Dr. Fisher. Dr. Fisher saw Patches at the beginning of January and took x-rays. Do you think I should request to see him again? (He doesn't seem to be in on Saturdays)

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Lynx
RESIST

Post   » Mon Feb 19, 2007 9:25 pm


Dr. Fisher is supposed to be a pretty good vet. How long since the last xrays? Stones can actually form in a couple weeks. Up to you if you'd like new ones. I hope the shilintong helps.

Talishan
You can quote me

Post   » Tue Feb 20, 2007 6:36 pm


Also, how long was she on the TMS? Really tough UTI's can take three weeks or more of trimeth to fully resolve.

Desert

Post   » Mon Feb 26, 2007 8:49 pm


I ordered some of the Shilintong and started giving it to Patches this weekend. I only gave her 0.5 cc, half the recommended dose, to see how she reacted to it. Unfortunately, it really upset her stomach. She had diarrhea and sat hunched up in the corner of her cage. She wouldn't eat some of her favorite vegetables.

I did not give any to her this morning and she was feeling much better by this evening. In fact, she was very energetic when I put her in her playpen. Her fecal pellets are back to normal.

Should I assume that the Shilintong caused the stomach upset and not give her anymore? I'm disappointed because I was hoping to find something to help her with her UTI problems.

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Mum
I GAVE, dammit!

Post   » Mon Feb 26, 2007 8:57 pm


What did you mix the shilintong with?

And how much of a pill did you give her?

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