Penny's Med Thread

Annapox

Post   » Fri Sep 24, 2021 9:17 am


That makes sense. Yes, Penny's incision is smaller than I remember Rosie's being by about an inch. It looks like this (I don't know why it's sideways; it's right-side up in the file on my computer): Image
It's also flatter than I remember Rosie's incision being. I've looked at the photos on the spay recovery page, but since this incision doesn't really look like that one, I'm not sure how to tell when it's healed.

The vet's office called yesterday and said the vet did get everything out of the lump that was on Penny's butt, and it's nothing to worry about as long as it doesn't come back.

Penny's still eating and pooping well. She took much longer than usual to eat her pellets yesterday, but she did finish them by the end of the day. She ate everything else just as fast as usual. She seems to be in good spirits, too.

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Lynx
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Post   » Fri Sep 24, 2021 9:26 am


Would you like me to add your pic permanently to your topic? I can rotate the image so it displays properly.

Sounds like she is doing well and not experiencing a lot of pain. Did the vet identify what the lump was? Cebaceous material? A fatty lipoma? Something else? If you find out, let us know. It may also help you to know what it was. For example, each lump can have distinct causes but if it is a fatty lipoma, there might be a tendency to develop another.

Annapox

Post   » Fri Sep 24, 2021 10:13 am


Yes, it would be very helpful if you could rotate the image for me.

I didn't get to talk to the vet herself, just one of the reception people who had been told by the vet what to say, and she didn't say what the lump was. If fatty lipomas work the same in guinea pigs and humans, then the lump wasn't a fatty lipoma. My dad has a lot of those, and Penny's lump was very different from the lipomas my dad has. It was much harder, much more raised up, and unable to be pushed around in a little circle. I will ask the vet for more specific information the next time I talk to her.

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Lynx
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Post   » Fri Sep 24, 2021 3:43 pm


There you go (rotated it).

Interesting you have experience with fatty lipomas!

Was the incision closed with glue or stitches? (I can't quite tell from the picture)

Annapox

Post   » Fri Sep 24, 2021 5:04 pm


They didn't actually tell me what they did to close it. (My only complaint about this vet is that she doesn't always tell me all the details, and I usually don't realize they've been left out until later.) I know that I don't have to bring Penny back to get sutures removed, and I know that the incision doesn't quite look like a straight line the way it normally would with glue, so I'm going to say probably absorbable stitches. I'll add that to my list of questions for the vet, though. I also know that "a therapeutic laser was applied to and around the incision site to promote healing."

Penny tries to scratch her incision with her teeth sometimes, so I got her a cone to wear. The smallest size was too big for her neck, though, so she's currently wearing it as a skirt. She's not happy about having to wear it, but it is keeping her from reaching the incision with her teeth while still allowing the incision to be exposed to the air. I imagine it will also keep the incision from touching the floor of the cage if Penny decides to lie down on that side.

bpatters
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Post   » Fri Sep 24, 2021 6:03 pm


If you've put a cone on her, then try to extract her cecal poops and offer them to her to eat. Use of a cone can contribute to digestive problems because the cecal poops contain needed bacteria to aid digestion.

Annapox

Post   » Fri Sep 24, 2021 6:37 pm


I've seen Penny poop and then turn around and eat the poop off the floor; will that work? She did it sometimes even before the surgery, when she didn't feel like standing up. And if that won't work and I need to extract the cecal poop, how do I do that?

bpatters
And got the T-shirt

Post   » Fri Sep 24, 2021 8:26 pm


If she has any when you're looking, they'll be in her anal sac. Hold her in your lap with her back against your stomach so that she's semi-sitting up. Open the anal sac with one hand, and probe gently to see if you can find any. They'll be green rather than dark brown or black.

You'll need something to scoop them out with -- cecal poops are very soft. And stinky. Take two q-tips, and cut the cotton end of one of them. Use one intact to scoop with, and scrape the goop off onto the other one. Use that one to offer it to her -- she'll likely just eat it off the end of the stem. That way, she won't get any of the cotton off the q-tip.

Feed her all she'll eat of them.

If she doesn't have any, check any other guinea pig you've got and see if you can steal some.

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Lynx
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Post   » Fri Sep 24, 2021 10:13 pm


I think one of the few times I actually saw a cecal poop was once when trying to give a butt bath to a guinea pig. One kind of slid out. The greenness and smelliness was noticeable! Good to know she has occasionally eaten them from the floor.

I would imagine having her separated would also mean her cagemate will not steal them from her (some guinea pigs do this).

Your explanation of the incision was helpful. Note that sometimes theoretically "dissolvable" sutures can protrude and/or not dissolve. You have the benefit of the incision being in a fairly easy location to monitor.

Annapox

Post   » Fri Sep 24, 2021 10:24 pm


Thanks for the info! Unfortunately, Penny escaped from the cone while I wasn't looking; I think it loosened over time. On to Plan B: Anti-itch cream. We don't have Preparation H (which is mentioned on the post-op care page) in the house, but we do have an anti-itch cream with the same active ingredient in the same concentration, so I'm hoping that'll help.

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Lynx
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Post   » Sat Sep 25, 2021 8:58 am


You may have to look over the warnings on the anti-itch cream and see if there are any warnings about ingesting it. Your trying to keep it open to the air is excellent (the best way to heal vs. bandaging which can hold in moisture) especially in this case where you don't have to worry about dirt as much.

Annapox

Post   » Sat Sep 25, 2021 9:29 am


Ooh, good point. Yeah, the anti-itch stuff I was going to use has a warning about ingesting it. I'll see if we have anything that doesn't have such a warning. If not, I will probably need to go to the store.

I realized this morning that Penny's poop has been slightly off since the surgery. (Delayed realization, I know.) She's still pooping plenty, but her poop doesn't dry up over time like it normally does; it stays squishy. I think it might also be slightly bigger than usual. (I'd compare the size against Lily's poop, but Lily's poop is always pretty small, which is probably because Lily herself is so small.) Could this be a side effect of the meloxicam? Her weight has been stable, and she's still eating and drinking normally. She's also getting harder to medicate, which I usually take as a good sign.

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Lynx
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Post   » Sat Sep 25, 2021 9:55 am


I always think of things like stress interfering with digestion too and surgery can be stressful. I don't recall soft poops being related to metacam but it is possible. While soft poops can be an irritation, it is runny poops and diarrhea that are more dangerous.

Look for a product you can use on babies. I think there are also over the counter oral anesthetics for teething babies that might address the itching.

Annapox

Post   » Sat Sep 25, 2021 2:32 pm


I got some Baby Orajel to put on Penny's incision, so hopefully that will help. She's still eating all of her food and still seems happy, but she's lost 46 grams (4% of her body weight) since yesterday. I called the vet, and they're going to have a vet tech call me back. Why would she be losing weight if she's eating the same amount of food as usual? I suppose she could be eating less hay or drinking less water, but I see her do both fairly frequently.

bpatters
And got the T-shirt

Post   » Sat Sep 25, 2021 7:13 pm


It's not at all uncommon for a pig to lose weight after surgery. I wouldn't worry about it unless she continues to lose.

Annapox

Post   » Fri Oct 01, 2021 1:36 pm


Penny's weight has been stable for the past few days. She's about 50 grams lighter than she was before the surgery, but I imagine that's because she's missing an organ now. She doesn't try to scratch her incision anymore, and her poop is back to normal at this point, so I'd say her recovery is going very well.

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Lynx
Celebrate!!!

Post   » Fri Oct 01, 2021 9:29 pm


Sounds like she is recovering nicely!

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ItsaZoo
Supporter in 2020

Post   » Fri Oct 01, 2021 10:51 pm


Thanks for the update, it sounds like she's doing well.

Annapox

Post   » Sun Oct 03, 2021 8:06 pm


I spoke too soon. Penny must have started scratching her incision again, because it now looks like this. It's a brighter red than before. The brown stuff at either end of the incision is crusty stuff that I was unable to get off with a damp paper towel and didn't try anything more aggressive on for fear of hurting the incision.

Image

The vet wants to re-check it, and I was told to make her wear an old sock between now and her appointment on 10/7 (the earliest opening the vet had). While we're on the topic of Penny's incision, what should I do about the crusty stuff around it? Penny got rid of some of it herself, hence the crust-less patch in the middle.

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Lynx
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Post   » Sun Oct 03, 2021 11:13 pm


I can't see it too well. Perhaps looking at how my guinea pig's incision granulated might help? There are some similarities. I thought she was coming apart and the vet was pleased with how it was granulating. Click on the larger image to see things better.

http://www.guinealynx.info/spay.html

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