Male with bladder stone--need a good vet

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Serena
It started with Louie...

Post   » Tue May 31, 2005 10:40 pm


Good luck tomorrow. Please let us know how things go.

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Lynx
RESIST

Post   » Tue May 31, 2005 11:09 pm


Yes, sevoflorane is indeed safer. Good luck to you. I hope the delay will not affect his recovery.

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ladyveg

Post   » Wed Jun 01, 2005 10:32 am


A little late now, but good luck with the surgery. I hope you check in to say how it went.

Dr. Voss is the one I was working with for Tinki and he was great. He's the one I was mentioning above who was knowledgeable but open to suggestion as well. I just couldn't remember his name.

capybara
Supporter in '13

Post   » Wed Jun 01, 2005 2:04 pm


A strange development...

Dr. Voss x-rayed Peppi this morning and found no evidence of a stone! Because we were concerned that it could be hidden, he decided to do an ultrasound, and said he was unable to find anything there either. he thinks that what we might have seen on the x-ray at the emergency vets was a blob of sludge. What we saw on the x-ray wasn't huge, but it looked pretty solid to me, so I was sure it was a stone.

He did not see them, so I'm going to get the original x-rays from the E. vet and drop them off with Dr. Voss, then pick up Peppi. After he analyzes them, he'll decide if we should make a new appointment for surgery. He's concerned about putting him through all the stress of surgery without knowing for sure what's going on.

I'm really worried; I swear I read on here a while back that someone had a piggy with a stone that everyone had thought passed but it had moved in the bladder and was not visible in any further x-rays?

Peppi hasn't lost any more weight since the 30th, but I can tell he isn't feeling his normal self. He usually eats a ton. We have been supplementing what he does eat syringing him Critical Care.

Has anyone else had this happen?

Off to get the other x-rays now! Ugh.

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Lynx
RESIST

Post   » Wed Jun 01, 2005 4:14 pm


There was a sow (larger ureters) that seemed to have passed the stone sometime before the surgery. Bones can hide things but it sounds like your vet was being very thorough. If sludge is a problem, subcues may help.

HollyT
Get on your bike.

Post   » Wed Jun 01, 2005 5:00 pm


If the technician was paying attention to the pelvic area he/she would have possibly seen what was possibly hidden on ultrasound.

capybara
Supporter in '13

Post   » Thu Jun 02, 2005 1:50 pm


Peppi is back home, no surgery. I brought the original x-rays to the vet, and while he agreed it looked like a stone, 2 different side views taken at 2 different times yesterday afternoon showed no more evidence of one. I didn't see the ultrasound, but they were very thorough and I can't believe it could have been missed with everything that was done.

We're guessing it was just a collection of sludge or crystals that he passed that first night, which would explain why there is no more blood in his pee or screaming while he's peeing. We may take him back in for another x-ray in a couple weeks and see if anything new has formed. We've been following Becky's diet for the majority of their veggies, so if he keeps having trouble we'll have to try something else, like SQs or polycitra.

I still have concerns though, because Peppi isn't totally back to normal. Possibilities?:

1) He's still having tummy trouble from antibiotic intolerance. We decided to stop Bactrim after his Monday morning dose because he was barely eating. He's eating more now, but not as well as usual. I'm also seeing very few poops. Yesterday I noticed he was eating them all.

2) Maybe he needs more antibiotics due to irritation of the bladder and still feels crummy. He only had Bactrim for about 3 days, and I know that's not enough to clear up an infection if he has one. What antibiotic could we switch him to? I thought Baytril was tougher on their system. Is Doxycylene worth a try?

3) On the x-rays the vet noticed he has some arthritis in his hips and back legs. He doesn't bunny hop or hobble, and he still stands on the bars of his cage, but this could be bothering him, maybe?

4) Teeth? Lately he's been chewing on the towel in his cage a lot, and ripping up the paper grocery bags we line the cage with before we dump in the Carefresh. But he has no trouble eating when we watch him, and he eats his veggies so fast he always runs over and steals from Chester! He's such a bully!

I think we may take him in for another overall check-up to try to get to the bottom of this. Sorry for the long post! I'm so worried about this guy. He's been sleeping a lot lately. I hope this isn't "just old age."

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Lynx
RESIST

Post   » Thu Jun 02, 2005 3:36 pm


Check over the signs of pain on the surgery page. Sorry I don't have much in the way of ideas for you. Have you discussed with the vet stopping antibiotics?

HollyT
Get on your bike.

Post   » Thu Jun 02, 2005 3:39 pm


I'd try metacam and daily subQ's.

pinta

Post   » Fri Jun 03, 2005 3:25 am


Some pigs are fine with Baytril and not fine with other ABs. It's worth trying. Your vet would know if Doxycycline is a possibility.

Daily hydration subcues could also be helpful.

For arthritis, I'd recommend Rimadyl.

capybara
Supporter in '13

Post   » Sat Jun 04, 2005 8:49 pm


Thanks to everyone for all the suggestions. We have an appointment on Monday and I'll be sure to ask about SQs and Rimadyl.

Peppi is feeling much better since yesterday! We talked with the vet and found out the culture the emergency vets had taken last weekend was negative. So he advised not to worry about continuing antibiotics, and that he thought it still sounded like Peppi's system was still messed up from the few days we had him on Bactrim. We had been giving some acidophilus powder on his veggies, but we also started to syringe him a whole bunch dissolved in water, and it seemed to help him get his appetite back. He's finally back to his old habits!

capybara
Supporter in '13

Post   » Thu Aug 03, 2006 12:46 pm


Back again to this thread, over a year later. Please note, we no longer "need a good vet!"

On Monday, Peppi (now 6-7 years old) was taken to the vet for blood in his urine. He had an x-ray, and has a rather large stone in his bladder, luckily not close to the urethra. He has not had an x-ray since the last stone scare, so we have no idea how long this had been here. Currently we have him on Bactrim, since the vet thought the stone had begun to irritate his bladder and cause infection. We're also giving Metacam as needed.

Peppi is scheduled for stone removal surgery on Monday the 14th. Now here is our dilemma: the reason his surgery is so far off, is we're going on a business trip next week that we can't cancel. He seems to be doing ok for now, but we're really concerned about waiting so long, and he still has blood in his urine, and occassional crying while peeing. The surgeon may be able to squeeze him in tomorrow, but I'm worried that the 5 days we'll have for his aftercare before we go out of town will be too short. Either way, we will be leaving him with someone who will take good care of him, but I hate to think of the added burden of caring for a recovering pig.

So what I really need is expert advice! Should we get the surgery tomorrow and only have the 5 days to give him the proper aftercare ourselves, or wait until the 14th, when we'll have as much time as needed to aid his recovery?

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Becky

Post   » Thu Aug 03, 2006 3:52 pm


Five days is a good amount of time to monitor him post-surgery, in my opinion. He'll be much more comfortable once the stone is out. By five days, he'll be eating and pooping like a champ, so it'll mainly be watching the incision. Since he'll need to stay quiet and confined, it shouldn't be too much extra trouble for his caretaker.

If you feel confident about the person taking care of him after that, I'd do it now.

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Lynx
RESIST

Post   » Thu Aug 03, 2006 3:55 pm


My amateur opinion is to have the operation and provide 5 days of good care. I think he'll recover okay in that time though he won't be completely recovered.

Check twowhitepiggies recent thread. I don't remember how many days post op they are but their pig seems to be doing okay.

It is possible there will be complications.

People who have been through this may have better advice.

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Serena
It started with Louie...

Post   » Thu Aug 03, 2006 4:44 pm


Hey capybara - I know I'm three hours away but, if you chose to do the surgery right away, I can take him and watch him while you are gone to monitor his condition. I've had lots of experience with bladder stones and surgery (unfortanetly).

caregiver

Post   » Thu Aug 03, 2006 5:30 pm


I faced a similar dilemma when facing a surgery for one of my pigs at age five a number of years back. Had a work/travel committment and would only have a limited amount of time to give him post-care, about the same as you mention, 5 days....following which family members would come stay and take over.

As distressful as it was to leave him, I am very glad I opted not to wait. The longer we wait, the more complicated a surgery and post-recovery time can become. Of course I called at least 2x daily for updates, weigh in reports and to give further instructions... !

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TWP_2

Post   » Thu Aug 03, 2006 6:28 pm


Gilbert, 2.5 years old, had his third stone surgery in under six months about 8 days ago.

By day 5, he was in pretty good shape. Not quite ready for full activity, but we gave him the upper level of the cage to run around in.

The first three days post-op were the most intenstive. After that, it got much better.

Gilbert also had a "mystery stone" that disappeared between the first x-ray and the surgery and second x-ray. But then he developed a huge one. I have looked at his X-rays, and if the stone was 'hiding' somewhere, I'm at a loss as to where.

Jim

capybara
Supporter in '13

Post   » Thu Aug 03, 2006 6:38 pm


Thanks so much for all your responses! My husband had also talked to LV a couple days ago about this stuff, and hearing from a number of people really helped us decide what to do. Dr. Voss (same vet we would have seen for the mystery stone last year) was able to fit Peppi in tomorrow morning for surgery. We have to drop him off at 9 am. I feel really nervous, but then I always do when something like this happens. I guess I'll be a wreck tomorrow.

Is there anything special I need to do to help an old timer recover, other than standards such as pain meds, a small isolation cage and close monitoring? We've dealt with surgeries before, but in younger pigs.

Serena, thanks so much for your offer. We have a couple people we were thinking of to watch Peppi in this case (one being LV, but we always hate to impose), but we will keep your offer in mind and let you know what happens ASAP.

Thanks again.

Emily

caregiver

Post   » Thu Aug 03, 2006 7:04 pm


Wishing you and your gp the best.

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TWP_2

Post   » Thu Aug 03, 2006 7:34 pm


If he can have some familiar things around him in recovery, it might help him cope. Pigloo, cuddle cup, or something that smells like home or someone who he knows.

Post-op, restricting movement for a few days is good. Our recent experience included metacam for swelling/pain, and narcotics to help with pain and keep him docile for a few days post-op. Staying on top of cleaning his recovery area, with fresh bedding (towels/fleece preferred) and regular poo removal.

I am now a firm believer in Critical Care for ailing piggies. It has helped Gilbert immensely.

Jim

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