Bladder / urinary infection

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Ibepatience
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Post   » Sun May 12, 2019 3:33 pm


I have a 5 year old spayed female who has a bladder / urinary infection. I noticed yesterday she had some soft poop on her so I picked her up to clean her off and she felt VERY thin. I put her in the hospital cage to monitor her and she was eating but not much. I took her out to syringe her Critical Care and while holding her she peed blood. My vet was already closed for the weekend so I took her to an emergency vet who did a urinalysis and ultrasound. Fortunately she didn’t see any stones but she had bacteria and crystals in her urine. She prescribed Baytril .3ml once a day for 5 days and Metacam .4 once every 3 days for 3 days.
She’s obviously in pain, is there any reason why she would only want her to have the Metacam every 3 days?? I am thinking about giving her another dose today (she got one last night) and going to my regular vet tomorrow to get more.

Also, she’s not eating much so I’m syringe feeding still and giving her anything she’ll eat... carrots, lettuce, cilantro. Anything else I should try?

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sef1268
Supporter in 2019

Post   » Sun May 12, 2019 3:41 pm


That doesn't make sense. I'd suggest that you contact your regular vet in the morning and ask for Bactrim instead of Baytril. Bactrim is generally a better AB against UTI's, and less hard on the gut.

If it were me, I'd give her Metacam once daily for pain, but need to know her weight to make sure she's getting the right dose. .4cc is a fairly high dose and not one I'd recommend for daily use, especially if she is thin.

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Ibepatience
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Post   » Sun May 12, 2019 4:21 pm


She’s very thin, 620 grams today

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Ibepatience
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Post   » Sun May 12, 2019 4:33 pm


Sef, should I give her half of the .4 once (or twice) today until I go see my vet tomorrow?

I thought Baytril was milder one and Bactrim was the one that upset stomachs. Is that not correct?

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sef1268
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Post   » Sun May 12, 2019 4:40 pm


Is it the standard 1.5mg\ml strength Metacam? Baytil tends to be harder on the gut. Also, UTIs generally respond better to Bactrim.

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Ibepatience
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Post   » Sun May 12, 2019 8:48 pm


Yes, it’s 1.5 mg

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sef1268
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Post   » Sun May 12, 2019 9:15 pm


Average dose for her weight would be roughly .13cc's, once a day. Sliding scale, though, so if it's not cutting the pain, you can bump it up slightly.

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Ibepatience
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Post   » Mon May 13, 2019 10:19 pm


Ok I went to my regular vet today and she said she agrees with the Metacam dosing and tho she would have preferred Bactrim since she’s already on it to continue. They have her sub q fluids and it perked her up. She’s eating more on her own but being picky about what she’ll eat. She’s gained back about 80 grams already. My new concern is that she’s not pooping a lot. She is pooping some and it’s formed normal just small but I mean like 10 pellets all day. She seems almost back to normal otherwise and her urine no longer has blood.

Could she just be fattening up and not pooping out what she’s eating? She doesn’t feel swollen or distended at all

bpatters
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Post   » Mon May 13, 2019 10:45 pm


You're saying she gained 80 grams in a day? That's not possible.

She may have weighed 80 grams more, but if she had a sub-q injection, most of that "weight" is the sub-q fluid.

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sef1268
Supporter in 2019

Post   » Mon May 13, 2019 11:06 pm


Agree, that's most likely water weight. I still think it would have been best to switch to Bactrim. Do watch for any signs of decreased appetite or gastric upset while on Baytril, and I'd use a probiotic if she were my pig.

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Ibepatience
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Post   » Mon May 13, 2019 11:37 pm


She was 603 grams on Saturday and 697 right now.

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Ibepatience
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Post   » Mon May 13, 2019 11:42 pm


I'm not sure how to share photos anymore but here is the poop that was in her cage tonight

https://photos.app.goo.gl/6pJgTST2rc1tK5zU7

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Ibepatience
Supporter in '13

Post   » Mon May 13, 2019 11:52 pm


I’m gonna switch her to the Bactrim that I have from my last pig. We ended up stopping it for her because it wasn’t working on her ear infection.

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sef1268
Supporter in 2019

Post   » Tue May 14, 2019 6:02 am


Those poops are not only small but look mucousy to me. How long was she on the Baytril? I think it would be worth starting her on a probiotic to see if it'll help get her gut flora back into shape. I'd also continue to handfeed for a few more days and weigh her daily at the same time each day---preferably first thing each morning, before being fed. I'd also push fluids as much as possible.

Do make sure you base the Bactrim dose on her weight. See:
http://www.guinealynx.info/dose_calculator.html

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Lynx
RESIST

Post   » Wed May 15, 2019 12:15 pm


I am adding a crop of your pic to your topic since I thought it was helpful and you had previously given permission to use photos (let me know if this is okay).

It really illustrates how wonky poops can look!



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sef1268
Supporter in 2019

Post   » Wed May 15, 2019 11:27 pm


Wonky indeed!

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Ibepatience
Supporter in '13

Post   » Mon May 20, 2019 6:26 pm


Faith was starting to seem better, her poop wa normal formed the day after I posted last. She was on the ABs for over a week and started peeing blood again this weekend. She will only nibble at hay or pellets but will eat as much lettuce and cilantro as I’ll give her. I took her back to my vet today and they gave her more sub-q fluids and did an X-ray and it looks like she has stones. They’re not round like stones normally look, it’s either clusters of small stones or sludge but there’s definitely sometime in her bladder. My normal vet was out today so the vet that saw her is going to go over the xrays with my regular vet tomorrow to see what she thinks. In the meantime they gave me more Metacam to give her daily, another week of ABs and told me to syringe Critical Care to supplement her eating. Im also giving her Shilintong and Renavive in case it’s sludge and can be flushed out. I decided in the beginning I am not going to put her through surgery if it is stones, she’s at least 5 and now underweight and the stone surgeries are just so hard on them. If I don’t see improvement in the next few dats and if she seems like she’s in pain I’m gonna let her go.

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sef1268
Supporter in 2019

Post   » Mon May 20, 2019 7:09 pm


Oh no, I'm so sorry. :( Did you ever end up switching to Bactrim? I'd be interested to see the images, if they'll send them to you. With her weight being what it is, and seeing the small clusters that you describe, I wonder if she is forming stones in her ureters (which looks uniquely different from stones seen in the bladder). If that's the case, there really isn't anything to be done, unfortunately.

Keep us posted, okay?

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Catie Cavy
Supporter 2011-2019

Post   » Mon May 20, 2019 7:33 pm


I'm very sorry. Sometimes Valium or Ativan can be taken as a muscle relaxant to help pass stones. Extra fluids can sometimes help to. Good luck.

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Ibepatience
Supporter in '13

Post   » Mon May 20, 2019 10:26 pm


Sef, yes I switched her to Bactrim. They’re putting her back on Baytril in case it’s just not responding to the Bactrim because she obviously has a urinary infection too. I googled guinea pig stone xrays and that’s what I’m thinking too, it might have been in her ureters. I’ll get copies tomorrow and post them for you to see and I’ll keep you posted

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