There has been red blood in urine this past week, but what would make urine brown? This may be what I was seeing earlier, brownish pee (that I was thinking was pee with poop from his boar butt smeared over it at the time, but now am seeing it seems to be the pee that is brown). It's a medium brown as soon as it comes out.
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How much time: if he becomes fully obstructed, you will know it. He will be *screaming*. A competent ER vet will be able to draw urine out of the bladder using an ultrasound-guided needle. That will relieve pressure on the bladder while surgical options are considered.
The idea of him blocked makes me nervous about when it could happen, if at a time exotics doctors or surgeons off duty. Am going to keep praying this doesn't happen. He is grunting or squealing briefly when pushing poop, lightly crying when peeing. It's seems like a brief stabbing pain during poop push and then he returns to eating or sometimes just sits. I've put light pressure after with a finger on underside to side of bladder and he stops whimpering (finger between crook of leg to reach without moving him). Not sure if helps truly, but hope. Extracting poops often so he doesn't have to push and he's eating a good portion of them. Would vibrating surface be too much for him, could it bring on more blood? Have hesitated to do this for this reason, though was wondering if vibration could help to dampen or change pain signals and float debris for peeing out if new stuff is forming. Would having him stand during pee help navigate debris out with gravity (we've done this a few times)? Is his metacam dose (0.25ml bid) strong enough based on his behaviour? Not sure if should increase it.
A week and a half is quite awhile with blood. I don't know if he could become anemic and not able to have surgery if needed. Hoping he isn't already. A couple of times he seemed wobbly. Breathing more noticeably may be discomfort or possibly not enough oxygen getting to all his parts causing him to need to breathe harder to transport enough nutrients? I just checked on him and he had emerged from his hay pile and was standing at his food pile nibbling, so he's not totally lethargic, but did skip over some of his favourite things during the afternoon which he usually would not do.
Doctor said a week ago that sometimes these things settle and that usually blood lost in urine doesn't lead to anemia, but am not sure if she was qualifying longterm blood loss in that statement. At what point does this become dire?
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A large amount of blood lost in a short period of time IS dangerous. If you start seeing large areas of bright-red blood on bedding, even things that look like clots -- think like an assault crime scene or a really bad period -- give orange juice and get him to a vet as SOON as possible.
Vets can do a blood test called PCV (I think it means packed cell volume) that essentially gives a RBC count. They'll do this preop to make sure the pig is able to recover from any necessary surgery.
We've had some pretty long sessions through the day and he's had some blood during these times and in his cage. He was more tired and less interested this last time so didn't spend as much time working on it, he needs rest. Had eaten fresh things in his cage while waiting for me to prepare new juice. He was 982g an hour and a half ago so we're getting back on track. One thing I'd forgotten to write was his temp taken yesterday at 100.7 and urine test didn't show WBC's, but am regularly checking. His ears have been off/on warm or cool, red or pale. Not sure if a hydration thing or something other.
Can the PCV test be run with smaller amount of blood (could they get enough from a foot pad prick vs a draw?)? Am wondering if we start to worry more about him if this would be a good precautionary test to give us a status on him.
With your thoughts on rapid blood loss, this is the thing I've been considering when wanting to keep blood volume up and with hydrating him. To find some way to control bleeding (right now hoping Lysimachia he's taking is reducing inflammation and the tannin is helping somewhat to constrict vessels that are bleeding, but am wondering if we should try Vit K again, if no contraindications for an elder stone pig?). What I worry about is hypovolemic shock, related heart attack, etc. May try a bit of cooked cream of wheat to increase iron, too.
Am thinking of trying to make corn silk juice. It would take alot of it through the juicer, but heard that this can help to "lubricate" sludge/smaller stones to help them to pass through better. At this point, I would like to do whatever possible to make this larger stone less abrasive, not sure if this would work. He eats the silk, but is off/on with it.