General signs can include loss of appetite, weight loss, lethargy, increased (or decreased) water intake, dehydration and gastrointestinal problems. Urinalysis and blood work (to evaluate BUN and creatinine levels) are useful in evaluating kidney function; x-rays can determine kidney size and check for the presence of calculi in the kidneys, ureters or bladder.
Fluid therapy can be very beneficial in improving/prolonging quality of life. Secondary gastrointestinal issues may respond to the use of Reglan, but it's not always well-tolerated. Extreme care also has to be taken with the use of NSAIDs in kidney-compromised guinea pigs; therefore, pain management can be sometimes be tricky.
Do you have a guinea pig with renal disease?
If I can muster up the energy, I may start a thread on her once I have the ultasound results.
(Sef: If you happen to read this, I will be getting Creole's record this week if you are still interested in knowing how the vet went about removing the stone from his ureter.)
I'm really sorry about Kona. I've never really heard of using a potassium supplement with rabbits or guinea pigs. How is it dosed? In looking at the drug info for Renal K, it does mention renal failure among the contraindications, so I imagine it would need to be used very judiciously in her case-?
Sef, all I know thus far on the Renal K is that she will be getting .03 every other day.
(PS: Kona had an ultrasound, & it looks like her kidneys are fine. She has an inflamed/thickened bladder wall embedded with stones that the vet wants to biopsy.)
Caudoventral incision made midline at area of urinary bladder, extending to umbilicus. Abdominal viscus visualized; dilated right ureter; stone isolated at neck of bladder in ureter, several small stones found in distal right calpers [cowpers?] gland. Area[?] packed of w___ _____ gauze, of incision made into bladder near neck, stone gently manipulated forward into bladder for removal. 4-0 PDS _____ and SI to close. Area flushed well. Calpers gland tip with stones _________ and removed. End over sown 4-0 PDS. Pack and ____ changed. .9% NACI flush again. 3-0 PDS to close….
From what I gather, the ureteral stone removal wasn't a backflush through the kidney (which is what I was originally thinking); she went in through the bladder and manually manipulated the stone out of the ureter and into the bladder for removal. It looks like maybe the stone was right at the opening of the bladder, and doesn't seem to have adhered to the ureter wall.
Thanks, ElvisTCB, for posting it! :)
- And got the T-shirt
Like Sef, I see no backflushing of anything. Looks like a straight surgical removal to me, except that the stone was right at the end of the ureter as it attaches to the bladder, and was manipulated out of the ureter and into the bladder.
I can't make out what it says at the very end, can you? I have enhanced it a little:
I had been in touch with Dr. Horton myself a while back, to ask about the procedure. She was very nice and wanted to know what questions I had, but I didn't have a chance to write back. I sent this over to her this morning and asked if she would mind "filling in the blanks," but haven't heard back yet. I think you're spot-on on those two words, BP.
Again, thanks for sharing this, ElvisTCB. Very greatly appreciated. :)
- And got the T-shirt
Caudoventral incision made midline at area of urinary bladder extending to umbilicus. Abdominal viscera visualized. Dilated right ureter, stone isolated at neck of bladder in ureter. Several small stones found in distal right Cowpers gland. Area packed of with ?? gauze. Incision made into bladder near neck, stone gently manipulated forward into bladder for removal. 4-0 PDS _____ and SI to close. Area flushed well. Cowpers gland tip with stone ligated and removed. End over sewn PDS 4-0 PDS. Pack and gloves changed. .9% NaCl flush again. 3-0 PDS to close. SI body ____ SQ. SC _____
I think SI means "stab incision," and NACI is NaCl, or salt. SQ is probably sub-Q.
I can't read what is after SC, and I think we're missing the bottom of the document.
Yes, thanks, ElvisTCB.
That is the way the bottom of my document looks as well. If anything is cut off, I don't think it can be more than one line.
While Dr. Horton advised to do the surgery, she did say that she wasn't certain she'd be able to remove the stone. It sounds like perhaps the stone was in an easier location than she initially thought?
Sef, Dr. Horton doesn't work Wednesdays, so that could be why you have yet to receive a response (although I don't know how quickly you heard back from her the first time). I hope she realizes I'm just sharing info with fellow piggy owners, as opposed to questioning her. She knows I switched to her due to no longer trusting my former vet (who I had hoped to sue at the time).
I recently also requested the files of both my girls/postponed Kona's biopsy in hopes of gaining a better understanding of what is going on first & don't want her thinking otherwise.
Many thanks again! :)))