Protozoa in Bladder/Urine and Metronidazole

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ItsaZoo
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Post   » Thu May 05, 2022 11:09 pm


Wow, her belly looks so much better. You are really taking good care of her, and I agree with Lynx. You need to sleep as well.

DevoutHaruhiist
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Post   » Fri May 06, 2022 1:29 pm


Thanks, everyone. I got a little better sleep last night and she did not seem to have another episode like that.

That said her weight has been a little worrying. She dropped down into the 820s/830s from her previous week which was in the 840s-860s. Not sure if this might be some interference from her tooth or something internal.

I will see if it is just a temporary thing but the trend has been worrying. Her appetite has still seemed good though I would say in her syringe feeding sessions (she has 3 small ones a day still) she has been less interested in taking the syringe food. She used to take a lot of it if I just put it in front of her mouth. She still does for the first few 1mL syringes but peters out a lot quicker than before. Still eating all of her greens (though I have kept this amount low for fear of gas) as well as her pellets. Eating hay as well but the amount is harder to measure. Pooping plenty, that's for sure.

DevoutHaruhiist
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Post   » Fri May 06, 2022 2:09 pm


(Also contemplating whether all this means I have to start getting more aggressive or frequent with her syringe feeds again)

DevoutHaruhiist
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Post   » Sun May 08, 2022 10:48 am


Sadly she keeps losing weight. Has been around 810g in the mornings the last 2 days. Still very interested in food for the most part-- eating veggies and excited about them, eating pellets, still eating hay. I will say she is a little less enthusiastic about the syringe food which I had still been giving 3x a day. I know this was discussed before but I may need to step this up again. I was wondering what thoughts were on here about being more free with the pellets as well. In the past I limited them to less than a tablespoon due to concerns about her diet, sludge, etc. (she gets Oxbow Garden Select btw). But I am wondering if feeding them more freely might help her weight stop dropping.


Luckily no more episodes like what happened last Weds but she still does have occasional periods of discomfort or lethargy. I have also heard the return of some (very occasional at this point) pain while going to the bathroom. Still very limited number of spots she is going to in her cage, pretty much just walking around in the food area and sitting/sometimes lying next to it. That said she doesn't seem to have any walking issues when in her playpen, but I do think her lopsidedness with her belly distension probably makes it hard.



She has a vet appointment Weds to check her tooth again as well as it was supposed to be for a new urine culture, but honestly I think she might have to go back on antibiotics either way rather than waiting a few days for the culture to come back.

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Lynx
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Post   » Sun May 08, 2022 11:24 am


Sorry to hear about what looks like more weight loss - though it is a small amount, I know you pay attention to everything and are worried this is a trend.

I wish there was a good food to feed that did not have any added calcium (I understand wanting to limit pellets). If more pellets helped but indirectly produced more pain -- not good. Maintaining weight is, however, important. It is possible the pellets might have more digestible calories which would help. I believe Critical Care also has added calcium.

So no answers - could experiment with more pellets and see if they are eaten and evaluate weight and pain changes.

DevoutHaruhiist
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Post   » Sun May 08, 2022 8:11 pm


Yeah the trend has not been great, she is down 50g in the last week with no sign of stopping. And that's despite eating fairly well as I mentioned. I will have to experiment with the pellets a little-- it's definitely a balance. I think there is no doubt she will go back on antibiotics since I also found some pink in her urine today. I am also afraid her distended belly is getting a tiny bit bigger/worse.

Trying to compile my thoughts for the vet visit early Tuesday morning so I don't feel like I missed anything. I think the topics of discussion, in no particular order, will be as follows:

1. Her tooth. Probably by Tues it needs to be clipped/evened out. It does not seem to be bothering her eating except for very occasional strange chewing-- I don't think this is the central cause of her weight loss.
2. UTI/ultrasound/antibiotics question. Might involve a culture but I'd hate to wait for the results to get her started. That said last time it took two different antibiotics and a lot of time to work.
3. Weight loss -- see if there are any new ideas
4. Stomach bulge/lopsidedness-- xray? last few times didn't really see anything from an xray
5. General mobility, heart, lungs, etc.

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Lynx
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Post   » Sun May 08, 2022 10:25 pm


Sounds like you will be prepared. Let us know what the vet has to say.

DevoutHaruhiist
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Post   » Tue May 10, 2022 2:11 pm


Went to the vet today. Margaret continued to not do great last night, she still has an appetite but it is definitely lower.

1. She got her incisors clipped/evened out, so that was good
2. Got ultrasounds and x-ray. Ultrasound showed some sludge in there (as always) and some thickening of the bladder wall. He also saw her pee in pain. X-ray did not really show anything new. Still has the distended stomach but no bloat or anything. No stones either.
3. She is starting on the same regime of dual antibiotics again (bactrim and orbax). Probably will be a long term thing.

She is definitely tired both from the trip and her condition. Also noticing a lot of soft poops today (before the antibiotic) so hoping her digestive system holds up. She did not have a bad reaction to the antibiotics before so hoping that continues. I also hope her appetite improves again. I have had to be more persuasive with the syringe food again. Though she is still eating pellets, veggies, and eating some hay on her own in small spurts.

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Lynx
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Post   » Wed May 11, 2022 10:31 am


I hope she tolerates the antibiotics well. I know it is helpful to you to monitor changes. Glad the vet had a chance to see her pee in pain (though I wish she was not experiencing pain). I think describing behavior that causes pain is one thing but if the vet can see it, he/she should realize how important it is for you to mitigate it.

DevoutHaruhiist
Supporter in '22

Post   » Wed May 11, 2022 1:38 pm


Yeah, I expect the antibiotics to be handled well since she was on them for quite awhile and had no issues. That said, even before the antibiotics (early yesterday) into today her appetite has started to drop more. She is showing a lot less interest in her syringe food and I have to get creative about getting it in her again. Will probably also have to up the number of feeding sessions again. She is still happy about pellets and veggies but unenthused about hay. She will come out and eat a few strands and then go back into hiding. I hope that this is something the antibiotics might turn around in a few days at most. But last time it took a long time to see any effect.

Her poops yesterday into today have been small and clustered looking mostly, but they are flowing at least.

DevoutHaruhiist
Supporter in '22

Post   » Thu May 12, 2022 2:36 am


Today (Weds) was the second full day of her back on her dual antibiotics course (bactrim and orbax). Worry of the day for me is around digestive issues. Her appetite was not great Tuesday so Tuesday and today I stepped up the syringe feeding. Tuesday it was a lot of small, round, often clustered poops for her. Today it was very soft and smelly poops bordering on diarrhea, along with the occasional gas "pop" sounds (alongside her straining with her urine probably). I am not sure if the soft stool is just a coincidence or related to the antibiotics. I would be surprised if she had bad side effects from them when she was already on this course for 4 weeks+ with no real issue and has only been off them for maybe 2 weeks. Or maybe it's because ~60% of her diet the last day was critical care mix. Not sure. There's also the unexplained stomach bulge/lopsidedness so idk if that might end up having digestive implications.

Only silver lining was that in the early/late evening today her appetite seemed to improve a little. I.E. while she ate little to no hay on her own in the morning, by evening she seemed to be into it again. That said even late into the evening during her last syringe session still a lot of "soft serve" poop coming out.

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Lynx
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Post   » Thu May 12, 2022 8:17 am


It sounds like she may have had some digestive discomfort/pain. Hope she eats more today.

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ItsaZoo
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Post   » Thu May 12, 2022 4:51 pm


That’s frustrating. She would have better digestion and would probably feel better if she could eat more hay.

DevoutHaruhiist
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Post   » Sat May 14, 2022 2:59 pm


Weight has been slightly going up the last 2 days alongside some additional syringe feeding. She definitely has some periods where she eats hay, especially in the evening. Her behavior flip-flops pretty wildly. Sometimes she is kind of sitting in what looks to be discomfort or at the very least weird lopsidedness and lethargy. Other times she is wheeking or coming up to me and climbing the cage bars, sniffing and excited. I do notice with her lopsidedness/imbalance that if she is lying down she occasionally stumbles a bit getting up on her left leg (which is the lopsided side)

Despite the slightly increased hay intake, poos remain pretty soft 75% of the time. I did see some more normal ones yesterday but today they were back to kind of messy and soft (which is also necessitating more cleaning since she is stepping/lying in it). Here's an example pic from a pile I found under her once she moved after sitting for a bit. She is of course still on her antibiotics (which might be indefinite honestly) as well as probiotics ~3 times a day (benebac gel or powder). Luckily she is drinking on her own though I usually give her at least one small syringe or two of water a few times a day just to be safe.


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Lynx
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Post   » Sat May 14, 2022 5:14 pm


Glad to hear she is not losing weight. Messy poos are not fun but seeing food move through her system is a good thing.

Hope she continues to eat hay.

DevoutHaruhiist
Supporter in '22

Post   » Sun May 15, 2022 12:10 am


Is there anything inherently dangerous about messy poops if this ends up becoming her new normal? As long as weight and appetite ok, etc.? The level of messiness definitely ranges from soft normal oval poops to outright messy piles.

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Lynx
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Post   » Sun May 15, 2022 7:02 am


I think it is primarily a problem for cleaning up. Since there are cecal feces that are supposed to be ingested, one would imagine the bacteria to be relatively benign. Don't know what her abdomen is looking like right now but I don't recall any open sores. Perhaps a system of changing out carefully located pads during the day can make it more manageable. Of course, we all aspire to normal poops.

DevoutHaruhiist
Supporter in '22

Post   » Sun May 15, 2022 2:43 pm


That makes sense. I will say sometimes it is getting quite soft, not watery yet but pretty much formless piles :(
It is definitely a cleaning challenge. The regular soaks and pee pad changes helped a lot with her urine scald but I'm finding the poop harder to clean off of her. It gets really caked on the bottom of her foot pads, in her nails, and on her exposed belly skin and almost has to be scraped off. Not sure if anyone has tips for that. She also really doesn't like me holding her hands and pulling it off, often squirming a lot.

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Lynx
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Post   » Sun May 15, 2022 2:54 pm


Do you have any Desitin around? It is an ointment (I think) that we can use for urine scald. What I suggest you try doing is applying a thin coat to the bottom of her feet after cleaning to see if it makes her feet any easier to clean (not sticking as much). The Desitin would also protect the foot in case the poops have any irritant in them. There might be other things you could try besides the Desitin. Cold pressed coconut oil should be pretty neutral (and she will smell better!).

DevoutHaruhiist
Supporter in '22

Post   » Sun May 15, 2022 4:11 pm


I do have some I can try-- I always worry about her licking it since it says do not swallow.

One of the issues is how stuck the poo gets on those areas-- it takes a moderate amount of "force" to get it off sometimes and I'm sure it's not pleasant for her. Plus sometimes it's hard with her squirming to get between her nails or her foot pads. One time I used a particularly straight and dry piece of hay to try and get between her toes. That worked ok but I might need to devise a better tool/method.

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