One month later and Patrick then had a very unpleasant evening - Video attached (The gasp at the end is me don't be mistaken it's not Patrick).
This time he lost 80 grams in a week and his pellet's decreased in size I began Syringing him critical Care. Went back to my vet and it was found he had spurs on his teeth, he had a dental to rectify the problem. Urine Analysis was clear of crystals and infection despite the above video which clearly show's Patrick had something going on with his bladder. I should mention after the above video Patrick did stop squeaking for a short period of time can't remember how long.
Patrick started urinating blood again - 3 weeks ago my Parents took him to a local vet where he was prescribed Antibiotics this time Baytril. After a week of Antibiotics the blood stopped but the squeaking continued for a further week well on antibiotics. Patrick was squeak free however this relief was short lived within 7 days the squeaking returned. Went back to the Vet my parents used (2nd August) - an Ultrasound was done this time. They checked 'kidneys, bladder and urethral' no stones present. A urine sample was took which showed no infection, blood cells however where present and a large amount of tiny crystals.
Patrick is now squeaking constantly despite pain relief. This is a video from today:
The local vet suggested I syringe additional water, give minimal pellets, keep him on a mainly hay diet and try intermittent courses of Antibiotics (when he is particular bad), along with Loxicom to help with inflammation of the bladder wall. He is also on Cytease daily.
Is there anything I can do to help Patrick further, preferably I would like him to be squeak free, if that's possible!
Here's some information
I do not know if you can get him pain free. My piggie has her off days and her good days. Some days she pees out sludge and she squeeks in pain, other days she seems fine.
I have her on Shilintong since about a week. I don't know if this is doing her any good, will have to wait and see if her pain free periods will get longer.
I have reduced her calcium intake from her pellets, veggies, hay and water in hopes to prevent more sludge from forming.
I have had her on painkillers, but they did nothing to relieve the pain she experienced while peeing so I took her off them, she is pain free, except sometimes when peeing.
I hope you can help your piggie with all this information!
Ditto SardonicSmile on the possibility of sludge (and perhaps interstitial cystitis).
His last xray was 3 months ago - when the problem first initially started it. He DID however have an Ultrasound the 2nd of August 2011, he also had an Xray last year along year as well as this year on both occasions no arthritis showed or anything unusual - my previous pig had arthritis and my vet had no problem spotting this on Xray but said Patrick had nothing to indicate what was causing the pain other than the crystals of course.
As for Sludge, I have not noticed any particular bad sludge periods and there was no sludge at all appeared on the Ultrasound or that I have seen in his urine.
Is there any better pain medication you could suggest? Loxicom is the Dog Suspension and I believe it is just another name for metacam, I didn't know there was any better pain killer that I could try.'
I believe the Crystals are likely to be the cause of his pain and given his distress with his current bladder problems I do not think it's fair to do a urine culture as it would in my eyes only exceed in irritating his bladder further, of course if you think this would be necessary I can request this is done although I do feel this would be pointless and most likely show as I suspect no infection present as surely one of the urine analysis or dipstick would have shown an infection - of course this is just my thinking.
- Supporter in '10, '11, & '12
- Contributor in 2014
If you want to get a urine sample for your vet you do not have to go the needle route. I never allow them to take urine from my pigs that way. I collect it myself by syringing water until they urinate into a sanitized container, then draw it up into a syringe and take that to the vet.
Cranberries are also helpful for urinary tract issues.
Sending well wishes to Patrick, hope he feels better soon!
Thanks for your input - I'm glad it's not just me and everytime we go to the vet I do as you have advised. Urne analysis is done but I take the sample myself and it always back negative of infection but crystals present with blood cells. The last urine analysis was done 2nd August same date as the ultra sound.
Do you understand how the crystals are formed - I linked it to IC don't know if that's correct. I have shillington in the house do you find this helps? What diet do you have your pig on Patrick is on just hay and grass - I syringe cranberry and water daily along with give cytease and he has been getting Loxicom (ie metacam) daily as his episodes appear to be very painful. I also give Vit C tablet daily.
Is there anything else I can do - I was hoping to isolate his triggers.
Patrick also gets relief with Baytril or Septin if his episodes are producing blood but the squeak normally returns well he's on the med's but it does sort out the blood.
- Contributor in 2014
That's the hard part. I feel that I am already doing everything known to help Edgar, but he still keeps having trouble. The triggers may be different for different pigs, but these are the things that I have noticed with Edgar. His episodes always occur every August without fail no matter what I do. So, I'm assuming there may be a temperature related component (in his case). The other thing is that he has a very small bladder. The vet who did his stone surgery last August told me that, but until I saw it on ultrasound this year I hadn't realized how small. His bladder is about half the size of most.
I don't know if any of this is helpful to you. But maybe you can start looking for similarities in Patrick's episodes. Pay attention to everything, what greens are given, what the quality of hay is certain times of year, etc. Also keep track of how much water he is drinking daily.
There could also be an underlying health condition that you are unaware of. Maybe some blood work would help?
I'm really at a loss as to what to do now, it's just an ongoing nightmare!
This is a video I took today, his squeaking is constant but now we have blood to. Hoping the vet can suggest something new or at least more effective pain killers!
This Saturday I plan on making him an appointment for the my usual vet - just wish they weren't so far away going to hopefully get him Xrayed.