Yesterday evening and today morning, when I gave Rufi (he is now in the same cage with his skinny pig mate) sweet pepper, he works on it for around 20 minutes, he slices the pepper, but he is unable to swallow them, since he spits them out. He slices the pepper with his incisors, but he is unable to chew them with his molars (at least this is what I think).
Anyway, I found a vet specialized on exotic animals in another town. I will drive tomorrow the pig to him, he said he will do a lateral x-ray and, when it is needed, he will trim his molars or operate him, if case.
Rufi was sedated, and his molars trimmed. After the operation, his face had swollen in a way that his eye slits were barely open. Is this normal? In the meantime, the situation is a little bit better.
At home I observed that his incisors were also clipped, in a way that after a first look I thought he has no bottom front teeth at all. Obviously, he cannot eat on his own, and opposes hand feeding with all his power. He again lost some weight. I give him pain killers.
- You can quote me
That said, their mouths are very small and difficult to work in, especially if the vet does not have specialized (and expensive) equipment.
It is good news that the dislocation appears to be resolving. Handfeed him aggressively, both to keep his weight up and to keep his newly-trimmed molars from overgrowing again. You may need to give him pain medication for several days, or more, to help him be comfortable while things normalize in his mouth.
Hang in and keep going. You're doing a very good and dedicated job of caring for him. Keep us posted.
Which leads to my question: I was giving him pain medicine, which I think it worked (it is easier to feed him). Today I called the vet since I ran out of pain killers, but he said I should stop administering the medicine, since it could lead to ulcer.
What should I do?
Have you made clear to the vet the signs of pain you are observing, the fact that he is not eating, the fear that there may be more issues if he doesn't eat enough?
I would do all you can to convince your vet your guinea pig still needs pain medication. Don't tell him simply that he needs pain meds but do it by describing how he was able to eat when on pain meds, what you observe in his behavior before and after, if you are weighing daily (should be), you can say he's losing weight and describe the signs of pain. You can say you think the pain medication made a huge difference and you are afraid he is going downhill.
If a guinea pig does not eat or can't eat well, they lose weight and the back teeth can start overgrowing.
I think you can see what I am trying to get at. You can also explain that you have not found guinea pigs to develop ulcers from meloxicam (is this what you're giving?). If he eats, he lives.
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We've had multiple pigs on NSAIDs long-term, and I have not had ONE single case of GI ulceration. Not one.
You can use infants' or children's Tylenol or Motrin (acetominaphen or ibuprofen) if you absolutely have to, but meloxicam (Metacam) or carprofen (Rimadyl) are preferable.
I would give a pellet only mash a chance too. What you are feeding now sounds like it is very high in sugar.
It is good he isn't losing weight though!