Doctor checked the bits of dandruff and felt it would be smart to give a dose of Revolution and see if it helps him. She didn't want to treat the others at this time (she doesn't usually want to if they are not exhibiting symptoms). So will see how he does and would need to go back for an additional dose.
She also stained the eye that I was treating with Terramycin and thought it could be a near-healed ulceration, suggesting I continue the Terramycin for awhile longer (she suggested three times/day).
So the goal is to keep him moving and hydrated, edit his diet additionally, and keep him more comfortable with metacam for now. And also see that his weight can get back to what it was where he is older.
As far as diet, remembering possible link between stones and romaine? He prefers carrot, we'll need to take this out or reduce this? Will be getting a few more water bottles so they are at all sides of his cage.
He's on mix of Oxbow/KMS mostly, with occasional "treat" food added (I don't think he's a huge fan of the KMS, but will probably try to make this more primary if he'll take it). Several types of hays. I remember that the piece of sludge I'd found on him two years ago dissolved in (if remembering correctly) vinegar, so would this suggest the stone is calcium carbonate? Had read Lysamachia can reduce inflammation and works to break down calcium oxalate stones in some animals, but does it affect calcium carbonate stones? If he does have calcium carbonate stone vs calcium oxalate, should we keep giving outdoors greens in moderation (grass, dandelion greens, carrot tops)? Thinking of the calcium:phosphorus ratio as something we should be considering? Reducing calcium is what we should really be considering?
- You can quote me
Carrots are fine. We've had multiple issues at our house with romaine; we now use it only as a mix-in and only for those pigs with no calcium, blood, or pee-related issues.
Dandelion greens are *very* high in calcium iirc. Does he like bell pepper?
Does his pee smell at all? Infection usually smells different from hematuria, even if neither smell exactly great.
Lynx, you were thinking the same way I've been, on keeping iron at a normal level/preventing anemia. There are certain foods that contain iron that are considered "iron absorption inhibitors" (like spinach, chard, kale, I believe) and these foods are usually needing to be paired with "iron absorption enhancers" (citrus, strawberry, cantaloupe, Vit C) to make them most beneficial. Other foods (non-heme) that contain iron that we could consider - beans, peas (but we usually only give these as treat to boys due to potential for gas. don't give to girl because of her ovarian cysts.). Pepitas (pumpkin seeds) are higher in iron, too. And dried fruits (like raisins, though we keep away from these since conversation here awhile ago with bpatters on possible issues with grapes/raisins for pigs as they are problematic for other animals). There's iron in Critical Care (but not seeing it in KMS or Oxbow pellets?). There's also iron in molasses (but not ideal with sugar) and quite alot of iron in Cream of Wheat, but not sure if that should be given.
The other thought was getting bleed to clot. When Wickie had bleeding mammary tumour, I'd tried a dusting of vegan Vit K supplement. I noticed that Lysimachia is considered anti-inflam and has a higher tannin content, so while it might not break down the type of stone he has, it might help with inflammation and hopefully constrict vessels a bit to control bleed more. He's had 2nd dose of Lysimachia so will see if helps as we move through the day.
I added orange to his syringe mix, Talishan. It's a bit more runny so he'll get more fluids. He doesn't seem to want to drink juice straight (he's always loved Critical Care. Only, it's been given to him on a spoon throughout his life, so that's what he's used to). Wanting to increase fluids, what he can do on his own, and some extra by syringe...to increase fluid volume in bloodstream, and to get him used to taking syringe.
And was remembering Talishan's question. At times the pee has smelled off, but I sniffed this morning and wasn't detecting smell. It was hard to determine earlier when smelling if it was a blood smell or infection (probably smelling poop as well). Am picking him up now to try to hydrate and get him better used to syringe so will check again.
Juice of the Day: 1 baby carrot, 2 larger blueberries, 2 slices bell pepper, 1 slice cucumber, 1 slice cantaloupe, 1 larger slice orange, 3/4 leaf green leaf, small slice tomato. Little girl is a little less excited by it, but acceptable when mixed into her food. Will probably be on double juice duty from now on, making a couple of blends at a time.
He's still showing blood in urine. It seems a bit less than yesterday, but still steadily happening. Am just hoping he's restoring cells quickly enough to keep up with losing them. Should he be encouraged to run around or kept more still with this bleeding? Wondering if activity will aggravate the area and create more bleed. It seems he bled more during and later after his morning play session yesterday, so thought to ask.
Wheatgrass - this is lower in calcium and okay to serve, correct? Was seeing it may contain as much phosphorus as calcium, both very low, according to nutrition data online, but want to double check this info. What about grass from outdoors? Am not sure what names of the different outdoors grasses are, have been wanting to identify them to be able to learn what each contains...is there any spot online that helps with grass identification?
Most grasses are fairly similar in nutritional value (from what I understand). They are influenced by how they are grown, too.
p.s. pretty tasty sounding Juice of the Day!
Nutter is willing to offer you a few cc's of his juice :D Had talked with doctor a couple of hours ago, and she feels it's always good to hydrate, but to be sure it doesn't interrupt his food intake. He will go for syringe food IF he loves it, but sometimes the way I can get food in is by drawing it up first and then some juice at the tip. At least he is getting the hang of the syringe, which was one of the main reasons for giving him feedings this way. He's also lost 20g since last weigh. I think alot has to do with him not getting around as much, so have been putting food/pellets/hay close to him throughout day to encourage him to eat more. Usually he's good with eating, but the discomfort is probably impeding.
The doctor said UA came back with some crystals, RBC's, but no WBC's or bacteria. It was very dilute, which she said is fairly common. And I believe she was able to determine what was seen was calcium carbonate, though she said there can be other material as well. We're foregoing Bactrim at this time based on results, and will watch, sniff and let her know if anything changes. She said it is rare to see enough blood lost via urine to lead to anemia (that was one of my main concerns where he is showing blood in urine with each time he urinates, at varying degrees).
When I asked about the size of stone (was remembering her showing me with her fingers what size it looked like on the xray), she said she felt it was smaller than a pea. She didn't measure. She said we would get better information on if the stone is adhered by an ultrasound (they may be able to move it around if not adhered).
So keeping up with metacam, white blankets and regular feedings and hoping for the bleeding to settle down.
He was 984g night before and 1004g tonight so improvement. Found freezing juice and thawing freshly did make a difference. He's only taking food willingly if juice on tip, and requires a good 5 mins to consider starting.
Had read male urethra is about 1mm at pelvic end and about 3mm at spongy area, so if stone were smaller than a pea (will need to ask if can be measured) probably not likely it would pass through, correct? Would it be problematic to use shilintong? Would it relax the urethra enough that stone could go in and jam? I guess I'd really need measurement to consider this more. Also, if there were a blockage, how much time would we have to seek help? Had read catheterization can be complicated due to anatomy so would really want an experienced pig person.