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Amputation

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PigMum

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Hello everyone,

I hope I don't offend anyone with this question, but I need some advice. My guinea pig has bumblefoot. I have been treating it for over a month with very little progress. His foot is swollen, warm, and oddly shaped. Treatment so far has included antibiotics, iodine soaks, and keeping his cage very clean. I have also separated him from his brother into a much smaller cage to try to discourage too much movement. I recently started applying New Skin to the sore on his foot because it kept reopening and hindering the healing process. The sore finally developed a good scab and started to heal. THEN today happened.

I bathed Crouton in anti-bacterial/anti-fungal shampoo (I'm also treating ringworm... it keeps coming back). Everything was going fine, I wrapped him in a towel and held him while watching TV so he could dry. When I went to take him out of the towel, I discovered to my horror that the towel was soaked in blood! He was bleeding PROFUSELY from his foot, I mean like a stream of blood, not drips. I had no idea what to do, I dipped it in cornstarch to attempt to quell the bleeding and immediately packed up and rushed to the vet. This was a completely horrific experience.. When I was a child, I had a puppy who died of internal bleeding from a surgery, and I could tell that Crouton was close to death by the time we finally made it to the vet. He was unable to hold himself up during the car ride, he was disoriented and biting the bars, wanting me to pet him. When we got there he was completely on his side, eyes half-closed, and barely breathing. The entire experience was horrific and nauseating.

Thankfully, I DID get him there in time. They rushed him back, put him on oxygen, and applied a pressure bandage to the foot. The doctor thinks he bit it (and I have known him to bite his nails when he's upset, so maybe that's what happened after his bath?). She is hoping the pressure bandage will be enough to stop the bleeding, but if not, it will require surgical intervention. I am home now waiting for a call from the vet to find out if the pressure bandage was effective.

My question: at what point is amputation an option worth considering when treating serious bumblefoot? Crouton's quality of life has drastically decreased, and today he almost died. The vet keeps telling me that bumblefoot in some cases requires long-term treatment. I am considering all aspects of this and I find myself wondering if removing the leg and being done with the infection would be worth considering? It's his front right leg, and from things I have read, recovery and quality of life can be very good for a piggie with a sick front leg. She said they can surgically tie off whatever is bleeding, but he will still have bumblefoot, along with this new wound.

One of my childhood doggies had a leg amputated right before I adopted her. I cared for her during recovery; took care of the stitches and her bandages. It was work, but paid off so well in the end, because her quality of life was amazing afterwards... would it be the same for my piggie?

Advice or opinions would be much appreciated.
 
I have not had an issue but I know that whether it is a back or front foot makes a big difference to their recovery following an amputation. It is harder for them to manage without a rear leg than a front one. If you have an amputation it will increase the pressure on the remaining three feet which could in theory increase their chance of bumblefoot. I know in birds, increased pressure has a significant effect on bumblefoot.

I think you need to have a really honest chat with your vet and if necessary seek a second opinion. If you give us your location perhaps someone could recommend a piggy specialist near to you...

Paws crossed there is a simpler answer for poor Crouton, he sounds like he is really struggling.
 
Oh, poor crouton and such a worrying time for you. I don't really have anything I can offer other than keeping you both in my thoughts. Please keep us updated with Crouton's progress.
 
Thank you so much for your response. I also hope there is a simpler answer, but I feel like the problem just keeps getting worse instead of better! I feel so sad for him and I just want him to feel better. It has been so long since he was able to run and play, and I rarely hear him wheek anymore. Also, his brother misses him! :( I will definitely be having a chat with the vet when I hear from her. I will ask her what she thinks of amputation... I just hope I don't come across the wrong way by asking.

With this experience I have learned to frequently check their feet for any signs of bumblefoot, so hopefully we won't go through this again. I live in the US, are there many members here who are in the states?
 
There are a few US members on here but you are all a bit spread out so not sure if we can recommend a vet in particular for you....

I hope there is a simple answer too but as long as you have all the information and have asked all the questions then you can make an informed choice about what is best for little Crouton. I bet he's feeling pretty miserable but you've done your best so far and I am sure you will continue to do so. x
 
Hi and welcome! I am very sorry for your problem; you must feel so desperate! Bumblefoot can be very hard to beat and it can kill in advanced cases. You are doing your very best for Crouton; he couldn't have a more caring and loving mummy! :(

Perhaps you can get more opinions on this specialist US medical forum here; it is the best place for finding vet recommendations for the US, too: http://www.guinealynx.info/forums/viewforum.php?f=2&sid=cd7eaa57d527f215170e6b5fe16df851
 
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Hello Welcome to the forum. Sorry to hear your piggie is unwell. I wouldnt normally want to advise you checking out other forums as we are great :) but.... I am going to advise you to ask about recomended vets on two sites based in the US http://www.guinealynx.info and if you google guineapigcages.com they also have a forum so I would imagine someone may be able to make a recommendation of a vet hopefully in your state.... But Don't forget about us here lol
 
Thank you everyone. I will definitely check the vet lists. However, I am currently taking him to a vet that is recommended by many people, including other offices. Still, it's good to be informed!

I heard back from the doctor. They stopped the bleeding. Crouton is weak, but he's stable and resting, and they have him wrapped in a big bandage. She said there is a puncture wound right in the middle of his foot pad, as if he bit it and pulled off the scab. I can't believe it bled so much. She asked if I wanted to take him home and bring him back tomorrow to be changed to a more manageable bandage, but I feel more comfortable leaving him with them overnight because I live kinda far from their office and wouldn't know what to do if something went wrong. She said we will keep him in bandages for a few days until it starts looking better, continue antibiotics, and he will also be on something for pain management now (thank goodness, it must be so painful!). I have decided to give another go at healing this before I ask about more serious options, but I don't plan on letting this go on forever. I think Crouton would rather have a happy life and three legs than four legs and misery, but maybe we can beat it and he can win at both! Thank you everyone for your help and kind words, hopefully we will have some happy updates in the future. :)
 
He is in the best place overnight. Lots of healing Vibes to him. He has a lovely name :)
 
Amputation is certainly an option. I wouldn't rush into it too quickly but have a good informed chat with your vet. I hope your boy is receiving some fluids bless him. I'm thinking of you, it must have been horrible for you. I have heard of piggies doing well with three legs so if there is little to be done about the bumble foot it is worth considering. I do agree however that a long long course of antibiotics is worth the try too. And if your piggie is big enough/vet skilled or experienced enough, giving him IV antibiotics may just start to kick it, something worth asking too? But may not be possible?

x.
 
Thank you everyone for your thoughtful responses. I have had Crouton home since Friday and he's doing well! He was super blah the first several days, but I can tell he's feeling better because he's fighting with me much more while I try to bandage him! Haha, what a nudge! I'm keeping him bandaged until the sore is completely healed; I've become pretty skilled at wrapping a piggie leg! The doctor put him back on Baytril, this time in liquid form, and it seems to finally be making a difference! Last time she gave us pills and I crushed and mixed it the best I could, but maybe too much of it was being lost in the process? The liquid is much easier. His sore is already more than half gone... it's amazing! Now I know if bumblefoot ever comes up again that I can just wrap the foot and it will make a huge difference. His foot is still large and deformed, but I think he's gonna pull through on all four legs!
 
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