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Specialist Abscess on face - HELP

Freela

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One of my pigs had a nasty abscess in that same location. They do take quite a lot of time to resolve. If you are feeling another lump underneath that isn't draining to the surface, it's likely that there is another pocket of infection there that has not been opened yet... this will have to be done by your vet.

It's also worth asking about stronger or different antibiotics... Baytril is generally regarded as the safest antibiotic for guinea pigs, but there do exist other safe meds and Baytril is not the best med for dealing with abscesses. One of my pigs did well with chloramphenicol with a facial abscess, and I know a lot of people on the forum have had great success with azithromycin.

How has your pig been eating while this abscess has been brewing? My pig with an abscess in a similar location had concurrent dental problems (probably due to chewing unevenly due to jaw pain, leading to the teeth on the sore side overgrowing.) It may be worth taking a look the teeth while your pig is having the abscess dealt with, just to ensure that everything looks normal back there.

Hope this helps a bit and best wishes!
 

GPTV

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I can't really add much to the good advice above.
My Grace had a facial cheek abscess that was marsupialised (stitched open) as the vet couldn't remove the pus capsule as it had gone round/over tendons & veins.

I had the joyous task of picking off the scab/poking a cotton bud in her face & , flushing through with Baytril.

Grace had just over a months treatment with Zithromax, Inc 1week before surgery to dry out the pus.

Ask your vet if you can try Zithromax, graces abscess cleared up a treat & she had no teeth problems afterwards either, when the hair had grown back you'd never guess she'd had
A problem :D

Definitely ask about upping the painkillers & spreading the dose evenly throughout the day.
The Zithromax may need mixing at the vets as it comes in a powdered form.

With the extra lump get them to ultrasound/xray it to see what it is & then they can treat it appropriately, as above it may need lancing/marsupialising if another abscess. But the Zithromax should improve it a bit anyway

Good luck & fingers crossed here for a speedy recovery,x
 

Cherrychops100

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IMG_9745.JPGIMG_9748.JPGIMG_9750.JPGIMG_9751.JPGHi there, I took my piggie to the vet this morning (it's me from last night). They wouldn't increase the metacam (it's the dog one not the cat one). However they've increased the baytril to 0.4ml twice a day, from 0.28ml.
The second picture is of the smaller one which now has an open flap which we think is the original bite that caused it. We've managed to squeeze out the puss and it been with a small syringe and saline solution. But the bigger lump (the slit they made originally wasn't totally open) and even though we've picked the scab. There's nothing coming out from the large lump. The vet said that if there isn't an improvement then she'll have to be put to sleep and that's not even something I can comprehend doing. She's bright in herself and she's eating and gaining a little bit of weight as she only weighs 725g (she's almost 3) ANY advice would be much appreciated, we have to go back to the vets on Tuesday
 

Wiebke

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Glad that the antibiotic has been upped. Very sorry about the big lump. Where is it exactly located?
Could you please take a picture with a wider angle so we can have a better idea?
 

GPTV

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I wouldn't be considering putting her to sleep until all options have been explored! Do you have a more experienced cavy savvy vet local to you? Try looking on the recommended vet locator on the top left menu bar, there maybe a vet that's more suitable than your current one!

As I said above in my previous post, see if you can get the antibiotic 'Zithromax' prescribed it worked wonders for my old girl Grace :)

You may need to sign a disclaimer as I think it's licenced for humans but not guineas, but many members have had success with treating abscesses with it.

Its good that your Guinea has the dog Metacam as that's the stronger variety compared to the cat one, are you splitting the dose into 2 even time slots? Eg 8am & 8pm? This is usually more effective than the whole dose once a day, as their metabolism is so fast it wears off before the 24hrs are up.

Keep going with the bathing/flushing as any infection left inside will be trapped inside if you stop too soon, this will cause another abscess :(

Keep up the good work, these abscesses are difficult to get rid of, but it can be done - it's easier if the teeth aren't the cause of it too :)
My Grace had hers marsupialised(stitched open), I was flushing it with baytril, giving her Zithromax orally & it was about 6wks from start to finish, but as soon as her hair grew back you would never have known it was there :)
Make sure she keeps eating to keep her teeth & digestive system in good working order.

Definitely get a second opinion from another vet, I personally wouldn't have any faith/trust in the first one. Xx

Healing vibes being sent your way for a full & speedy recovery xx
 

Cherrychops100

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I wouldn't be considering putting her to sleep until all options have been explored! Do you have a more experienced cavy savvy vet local to you? Try looking on the recommended vet locator on the top left menu bar, there maybe a vet that's more suitable than your current one!

As I said above in my previous post, see if you can get the antibiotic 'Zithromax' prescribed it worked wonders for my old girl Grace :)

You may need to sign a disclaimer as I think it's licenced for humans but not guineas, but many members have had success with treating abscesses with it.

Its good that your Guinea has the dog Metacam as that's the stronger variety compared to the cat one, are you splitting the dose into 2 even time slots? Eg 8am & 8pm? This is usually more effective than the whole dose once a day, as their metabolism is so fast it wears off before the 24hrs are up.

Keep going with the bathing/flushing as any infection left inside will be trapped inside if you stop too soon, this will cause another abscess :(

Keep up the good work, these abscesses are difficult to get rid of, but it can be done - it's easier if the teeth aren't the cause of it too :)
My Grace had hers marsupialised(stitched open), I was flushing it with baytril, giving her Zithromax orally & it was about 6wks from start to finish, but as soon as her hair grew back you would never have known it was there :)
Make sure she keeps eating to keep her teeth & digestive system in good working order.

Definitely get a second opinion from another vet, I personally wouldn't have any faith/trust in the first one. Xx

Healing vibes being sent your way for a full & speedy recovery xx
Hiya, yes I'm splitting the dose of metacam and my vet said that they can order the 'Z' medication so I'll ask on Tuesday x
 

GPTV

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The vet mixed Graces 'Zithromax' ;) for me, it comes in powdered form & gets mixed with water to a measured concentration.
Grace ended up needing 2 prescriptions of it to clear hers, I can't remember exactly but each bottle lasts about 10days & is best kept in the fridge once mixed.
I know it says discard after 'x' days (7, I think) but I checked with the vet & he said just keep going with it until its gone-but store it in the fridge.

At least Grace readily accepted it as I think it tasted of bananas - she certainly had a banana aroma to her for a while afterwards :wub:

Grace's was in a similar place to your girlie's, maybe a little higher.

Keep going, don't let it seal over & you're doing a great job :nod:
Xx
 

Abi_nurse

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@Abi_nurse

Does that look like a potentially infected lymph node?
it potentially does look like a lymph node. Sadly in this case it usually requires full removal not just a quick lance and some antibiotics but you may be lucky. If this is a lymph node which by the location looks that way, I would be concerned about cervical lymphadenitis (the bacteria involved is called Streptococcus zooepidemicus, and can be transferred to humans so be careful and ensure your observing really good hand hygiene). If this does not resolve I would be strongly recommending your vet getting some specialist advice or referring you to a more experienced vet to sort this out. They can be a bit of a pain to deal with and need to be done so promptly. Certainly no need for the PTS at the moment, but you may have to spend some money to really kick this for your little piggie.

Hope this helps.
x
 
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