Protozoa in Bladder/Urine and Metronidazole

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Lynx
Celebrate!!!

Post   » Wed Apr 20, 2022 9:46 pm


Remind me, is she on fleece? Do you change it or wash it (or area pads) frequently? Some detergents can irritate the skin. An extra rinse, detergent for sensitive skin, might help. I notice Wiebke's page mentions bedding. An important read:
https://www.theguineapigforum.co.uk/threads/looking-after-gu ... post-2302001

What she is laying on likely is contributing to her condition.

I also think of heart issues and retention of fluids. But I am just throwing out ideas.

DevoutHaruhiist
Supporter in '22

Post   » Wed Apr 20, 2022 11:28 pm


She is on fleece. Her bed has always used piggybedspread fleece which I change 2x a week or so now. But starting now I have been putting little 1x1 guineadad pads down on her most common areas and hopefully can change those out 2x a day or so. Most of her time is lying/playing/nesting in her hay area.

I use ALL Free and Clear detergent. Not sure if that would be a problem but it's one of the gentlest that I am aware of.

I think she also just still has some remnants of the UTI causing her to dribble some pee potentially.

I also thought of heart issues. She has always had a good heart (though I don't think the vet necessarily checked much about it this last trip). It is something I am concerned about but I have not seen any of the other symptoms that I think might pop up with cardiovascular stuff.

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Lynx
Celebrate!!!

Post   » Thu Apr 21, 2022 12:36 pm


That is the detergent of choice so should not irritate anything.

I think heart issues are more complicated to diagnose. Reviewing the signs of illness on the heart page might help. There are various diagnostics that can be used but if no red flags, I guess just continue to keep an eye on her.

DevoutHaruhiist
Supporter in '22

Post   » Thu Apr 21, 2022 1:31 pm


I was looking over the page. Right now the only possible signs would be her moving less (though that could be from a few things I guess) and if that bulge is fluid then that could be a sign (though it could also work the other way-- favoring one side in movement/sitting could be leading to an imbalance). I wish I had asked the vet to check her heart explicitly while I was there on Monday since her next check-in is not until May 10th; I always feel like I walk out forgetting something. Still waiting on them to send me those x-rays for me to add to the record here.

DevoutHaruhiist
Supporter in '22

Post   » Thu Apr 21, 2022 4:05 pm


Just as an example of her differences I observe in how she is acting or sitting that worries me. These two pictures were just like 50 minutes apart. She seems to alternate between looking happy and gleeful and kind of weird and uncomfortable (at least to my eyes). Obviously this is not a medical thing and is just based on my observations, but still.




DevoutHaruhiist
Supporter in '22

Post   » Thu Apr 21, 2022 4:45 pm


Oh and finally got my x-ray files to add to the record here






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Lynx
Celebrate!!!

Post   » Thu Apr 21, 2022 8:23 pm


What did he think about the fuzzy opaqueness in the bladder area in the top xray? Not defined enough to clearly be a stone. Seems to be absent in the second image.

DevoutHaruhiist
Supporter in '22

Post   » Thu Apr 21, 2022 8:28 pm


He said that is the precipitate/sludge in her bladder. If you look back a few posts ago on the ultrasound there is a bit of that white cloud in her bladder. It's much better than it was before her UTI treatment, but still present.

He also did note (and obviously felt around it extensively in person) the slight bulge you can see on the left side (right in the x-ray overhead). But did not seem to have too much concern about it for now in the absence of it clearly being bloat or a cyst or something.

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Sef
I dissent.

Post   » Thu Apr 21, 2022 9:28 pm


I thought sludge as well in that one image.

The other appears to be normal ingesta to me.

DevoutHaruhiist
Supporter in '22

Post   » Fri Apr 22, 2022 4:22 pm


Thanks, Sef. Yeah that is what my vet said about the ingesta as well.

*sigh* I just have so much anxiety around her condition as you can probably all tell from my posts. Like in those pictures I posted of her I am constantly flipping back and forth between thinking she is doing well and thinking she looks weird or bad.

DevoutHaruhiist
Supporter in '22

Post   » Sun Apr 24, 2022 7:33 pm


Small update for Margaret's weekend.

She had some slight weight loss mid-week that seems to have stabilized. Whereas she was sitting at 880-900 before now seems to be 860-880. Not sure what that is about. She eats all of her pellets and veggies, and is eager for the syringe food the 3x a day I offer it.

She continues some odd behavior. Whereas half the time she is eating/acting normally, standing and wheeking for veggies, etc. as I mentioned prior, she is still having periods where she just sort of stops eating and stares or lays around for awhile.

I think the pee pad changing and occasional rinses are helping. She seems drier when I pick her up, though she is still missing a lot of fur and doing more self grooming than I recall.

Her broken top tooth has grown almost completely back. It still does look a little chunky/discolored though.

Most worrying to me is the continued bulge on her side. I am not sure it has gotten any bigger, it's hard to tell, but it's definitely there. As mentioned before I guess there was no cyst or anything-- not sure what should signal me rushing her back to the vet. Her next scheduled appointment is May 10th but that seems far off, but I guess I have to just watch it ? Not sure.







DevoutHaruhiist
Supporter in '22

Post   » Sun Apr 24, 2022 10:00 pm


Meant to link this also. A small example of how she is lying spaced out sometimes. I am not sure if her breathing here would be considered "labored" since I have not experienced that with a pig. I should note 5 minutes after taking this she was wheeking loudly at the fridge door.


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Lynx
Celebrate!!!

Post   » Sun Apr 24, 2022 11:29 pm


What does the lump on the side feel like? It looks most like ovarian cysts. Some lumps end up being very large sebaceous cysts but they are more defined vs. generalized. On rare occasions ingestion of hair can build up (it has a scientific name I can't recall). Not able to see your video. Don't know why my browser fails.

By the way, there's no chance she is pregnant, right?

DevoutHaruhiist
Supporter in '22

Post   » Sun Apr 24, 2022 11:41 pm


Hi Lynx. Good question about what it feels like. This is going to be a weird description but I would call it "soft but firm." Definitely not hard like a rock or anything, but almost a fluid-y firmness. I am pretty certain it is not gas since she has not been passing much noticeably lately and has been making lots of poop. If I really try to feel in through her fur around the "mass" it has more of an oval/longer shape than a pure sphere if that makes any sense. I agree from my own research it looks like a cyst-- maybe it was too small last week to see on the ultrasound or x-ray? Not sure if it's something where if I took her back to the vet soon they could get a better look.

That is an interesting theory about an ingestion of hair. I will look that up but let me know if you have any other resources on that. She has been doing that extra self grooming probably for the last few weeks and I wonder if that could be a cause. Not sure how that would be diagnosed or remedied.

Regarding the video I tried a youtube private upload if that works:
https://youtube.com/shorts/oazF4tcPYPo


And yeah, no chance she is pregnant. She has never met a boar since infancy and has lived in a cage by herself for almost 2 years now since her sister passed. She has my other pigs that live next to her but they are sows too. So unless the guinea pig version of Zeus came to her I don't think that could be haha.

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Lynx
Celebrate!!!

Post   » Sun Apr 24, 2022 11:45 pm


Oh, and here's the term I was looking for, regarding eating hair. What the collection of hair is called is a trichobezoar.

I think you might understand why it did not roll off my tongue :-)

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Lynx
Celebrate!!!

Post   » Sun Apr 24, 2022 11:47 pm


Yes, I was able to see your video. Some guinea pigs sleep with their eyes open. Any chance she might have been napping?

DevoutHaruhiist
Supporter in '22

Post   » Sun Apr 24, 2022 11:56 pm


She probably was, it's just odd how she kind of occasionally stops in the middle of things (like eating) and falls asleep rather than going to certain spots like she used to. This is also kind of connected to the fact that she is only using about 1/2 of her cage recently. I probably mentioned she's blind so I'm not super surprised she was eyes wide open. I have never really observed her breathing closely so wasn't sure if how she was breathing in the video would be considered "labored."

She is still on 3 medications, not sure if longer term use of these (Bactrim, small dose of Orbax, and metacam) would have any bad effects or if it's just her age. She doesn't seem to be in pain, especially compared to before when her UTI was bad.

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Lynx
Celebrate!!!

Post   » Mon Apr 25, 2022 9:16 am


It sounds like a promising combination at the moment if she does not seem to be in pain and is improved.

DevoutHaruhiist
Supporter in '22

Post   » Mon Apr 25, 2022 8:55 pm


Yeah, you are probably right Lynx. I am watching her weight with some concern. Last night around midnight after her last syringe feeding she was topped out at 880g but this morning had her lowest weight in awhile at 846g. It went back up throughout the day as she ate and pooped normally (she is excited for food, syringe or regular) but I am concerned about the trend even though I know it is still only a small drop. Not sure why she would be losing weight given she is eating just as much if not more than before. I know she is at least eating some hay overnight as well from watching the camera playback.

DevoutHaruhiist
Supporter in '22

Post   » Wed Apr 27, 2022 8:00 pm


"Small" (well, in my usual rambly style) update on Margaret today. She is coming off of her antibiotics. Plan is for her to be off them for a bit (she had been on them a long time to kick this infection) and do a new culture at my next vet appointment on May 10th.

Her weight has been holding but still didn't recover from that sort of inexplicable drop at the beginning of the week. Whereas last week her weight would start the day in the high 860s/870 and end near 900 or over, now she is around 950s in the morning and 980 before bed. Seems she is holding with the bit of syringe feeding I am doing (and she is still eating plenty on her own and very excited for food).

I noticed her doing more self-grooming today, especially on her left side. Not sure what that is about. Have been giving her daily soaks this week and the frequent pee pad replacement has kept her much drier. That said her underside of course still looks pretty bad, it's mostly on her left side. Her left leg has little to not fur on it as you can see in the picture. I will note regarding the pictures of her stomach here-- it is not as red in real life as it appears in the picture. It's much lighter more like a pinkish skin color with maybe one or two more reddish spots. Lighting here makes it look very red.

I am not sure if all her grooming is self-barbering here or what. I did ask my vet about arthritis and he looked at her x-rays again and did not see anything prominent. Still very unsure about that bulge though I have to say, I still am thinking cyst even if one was not detected last time.

Always nervous for me going into Thursday because my vet is only there M-W usually. So I always feel a big drought Th-Su. That said she seems to be holding, with just those periods of blank stares or looking a bit under the weather punctuated throughout the day. I sometimes hear her randomly chatter her teeth as well (doesn't seem to be directed at anything).






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