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Bladder stone op recovery

Ellen Cookie

Junior Guinea Pig
Joined
Dec 30, 2015
Messages
161
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Points
275
Location
Devon, England
Ralph my 6 year old guinea pig had surgery to remove a bladder stone yesterday. It was quite a mission of an operation as it wasn't in the bladder itself but in the urethra. He came through and stayed at the vets overnight for monitoring.

He's been home since 11.45am and has pooed and weed, and had some metacam at 1.30pm. It's now 5.30pm here on England. Aside from some small bits of lettuce and cucumber he hasn't eaten since being at home. He's spent most of his time in his bed/cosy cave, and hasn't ventured out. I realise he's been through a massive trauma with the op, but does this behaviour sound normal for this stage of recovery? What should I do now to help him?
 
Ralph my 6 year old guinea pig had surgery to remove a bladder stone yesterday. It was quite a mission of an operation as it wasn't in the bladder itself but in the urethra. He came through and stayed at the vets overnight for monitoring.

He's been home since 11.45am and has pooed and weed, and had some metacam at 1.30pm. It's now 5.30pm here on England. Aside from some small bits of lettuce and cucumber he hasn't eaten since being at home. He's spent most of his time in his bed/cosy cave, and hasn't ventured out. I realise he's been through a massive trauma with the op, but does this behaviour sound normal for this stage of recovery? What should I do now to help him?

Hi!
I would recommend that you step in with syringe feeding and watering support, as much as he will take, about every 2 hours in the day and once or twice during the night. It is a good sign that he is at least nibbling.

Please follow the advice in these guides here:
Tips For Post-operative Care
Complete Syringe Feeding Guide
Emergency, Crisis and Bridging Care until a Vet Appointment (includes improvisation tips if you haven't got any recovery food at home)

All the best! Unfortunately a stone removal from boar urethra is always a taxing operation as they have a narrower and longer urethra than sows that comes with an awkward inglenook where boar stones usually fetch and can be very difficult to remove from.

Fingers very firmly crossed!
 
It sounds like my boar when he had his stone out. As above I recommend syringe feeding as much as you can, and put any hay and some pellets close to him so he doesn't have to move. My boar was much better about 24-36 hours after the op and no longer required more syringe feed. Fingers crossed for you
 
Is it usual for a piggy to still have red pee three, nearly four days after surgery? Ralph has just done a wee and it stained the fleece a burgundy/dark pink colour.
 
Is it usual for a piggy to still have red pee three, nearly four days after surgery? Ralph has just done a wee and it stained the fleece a burgundy/dark pink colour.

Hi! I would recommend to contact the vet. It is possible that there could be either bladder trauma or a developing cystitis.
 
He's booked in for a post-op check up tomorrow at 4.15pm, should I call the emergency vet tonight or will it be okay to wait until the appointment?
 
He's booked in for a post-op check up tomorrow at 4.15pm, should I call the emergency vet tonight or will it be okay to wait until the appointment?

As long as he is OK in himself, eating and bright, you can wait until the scheduled appointment.
See a vet as an emergency if he is suddenly looking very off, won't eat and is lethargic.
 
As long as he is OK in himself, eating and bright, you can wait until the scheduled appointment.
See a vet as an emergency if he is suddenly looking very off, won't eat and is lethargic.

All the best! I hope that it goes well this afternoon!
 
Thanks very much. To be honest I looked again at the patch of wee again later and it had dried clear with a very pale yellow centre and today there's been clear wees so I think my eyes were playing tricks! I'm very keen to see what the vet says about Ralph's progress later. Your support is really appreciated at this stressful time 🙂 🐾
 
Thanks very much. To be honest I looked again at the patch of wee again later and it had dried clear with a very pale yellow centre and today there's been clear wees so I think my eyes were playing tricks! I'm very keen to see what the vet says about Ralph's progress later. Your support is really appreciated at this stressful time 🙂 🐾

Let's hope that it was just a temporary problem.

Please be aware that at the start of a cystitis symptoms are not consistent so you get a mix of coloured and clear pees, which both may or may not test high for blood, and for the squeaking when peeing (but not with every pee, either) to develop over on average 5-7 days. It is not an uncommon complication after a bladder stone that is banging into and scraping the bladder walls with every pee.

If it turns out that this is the case, we can help you with the home care side of it as it can be managed, even a non-bacterial cystitits. :tu:
 
Let's hope that it was just a temporary problem.

Please be aware that at the start of a cystitis symptoms are not consistent so you get a mix of coloured and clear pees, which both may or may not test high for blood, and for the squeaking when peeing (but not with every pee, either) to develop over on average 5-7 days. It is not an uncommon complication after a bladder stone that is banging into and scraping the bladder walls with every pee.

If it turns out that this is the case, we can help you with the home care side of it as it can be managed, even a non-bacterial cystitits. :tu:
Thanks! 🐾🐾
 
@Ellen Cookie just wondering how he is now? My Buddy had bladder stone removal surgery on Wednesday with the stone in the urethra too, curious to see how your little guy is getting on?
 
He's doing really well, thanks - eating well, lively and more talkative than ever. He's putting weight back on (at his smallest around the op he was 885g and he's now 985g nearly three weeks later) - will be even happier when he's back over the 1kg mark!

On talking further to my vet I got it wrong, it was lodged in the ureter rather than the urethra, bless him.

I was recommended some Oxbow urinary support biscuits by my vet but Ralph's not a fan so I am looking for other options to help prevent the build up which leads to stones - cystease/Cystaid are names I've heard bit would welcome recommendations.

How is Buddy doing?
 
He's doing really well, thanks - eating well, lively and more talkative than ever. He's putting weight back on (at his smallest around the op he was 885g and he's now 985g nearly three weeks later) - will be even happier when he's back over the 1kg mark!

On talking further to my vet I got it wrong, it was lodged in the ureter rather than the urethra, bless him.

I was recommended some Oxbow urinary support biscuits by my vet but Ralph's not a fan so I am looking for other options to help prevent the build up which leads to stones - cystease/Cystaid are names I've heard bit would welcome recommendations.

How is Buddy doing?
My RB piggy Rupert (avatar pic) had a bladder stone actually stuck in his urethra years ago and had emergency surgery, from then on he had daily cystease which is highly recommended by lots of us on the forum with bladder piggies :) So glad your lad’s doing ok, great weight gain for him, he must be feeling much better! :D
 
My RB piggy Rupert (avatar pic) had a bladder stone actually stuck in his urethra years ago and had emergency surgery, from then on he had daily cystease which is highly recommended by lots of us on the forum with bladder piggies :) So glad your lad’s doing ok, great weight gain for him, he must be feeling much better! :D
Excellent, then I'll go with the cystease, thanks ☺️ He's a little sweetheart so am really relieved he's made it this far.
 
My RB piggy Rupert (avatar pic) had a bladder stone actually stuck in his urethra years ago and had emergency surgery, from then on he had daily cystease which is highly recommended by lots of us on the forum with bladder piggies :) So glad your lad’s doing ok, great weight gain for him, he must be feeling much better! :D
It's ok to use cystease long term isn't it?
 
Thanks. Love your pigture of Rupert ❤🐾
Aw thank you, he was a beauty :love:
Nearly 7 when I lost him last May, he had another stone about 8 months(?) after his original huge one but it was tiny and small enough for him to pass, really think the Cystease helped with that tbh!
C7C16E20-6D3C-4EEF-9865-E52D4A8D2D0F.webpHe was an extra special boy!

Any pics of Ralph? :D
 
He's doing really well, thanks - eating well, lively and more talkative than ever. He's putting weight back on (at his smallest around the op he was 885g and he's now 985g nearly three weeks later) - will be even happier when he's back over the 1kg mark!

On talking further to my vet I got it wrong, it was lodged in the ureter rather than the urethra, bless him.

I was recommended some Oxbow urinary support biscuits by my vet but Ralph's not a fan so I am looking for other options to help prevent the build up which leads to stones - cystease/Cystaid are names I've heard bit would welcome recommendations.

How is Buddy doing?

Hi!

Ureter stones can be even trickier to get out... :(

Please follow our diet advice with filtered water and limited low calcium/grain-free pellets (max. 1 tablespoon per piggy day, preferably even less). Most people are not aware that most of the calcium in the diet comes with these two food groups. Even the no added calcium pellets contain more calcium than the richest calcium veg. We recommend to combine some trace element rich herbs and veg with mostly watery veg or fresh grass to encourage good urination. Hay remains the staple and main food source; what most people don't know is that fresh grass is rich in vitamin C and that hay also contains it - it is the reason why guinea pigs have never had the need to make their own in the first place. Please be cautious when introducing fresh grass into the diet as it can cause tummy upsets.


You can find the full details in the special diets chapter in our comprehensive diet guide. All I can say that I live in one of the more tricky parts in the country but I haven't had any new bladder stones for the last 8 years since I started filtering water and made the other diet changes.
Here is the link (you may want to bookmark it): Long Term Balanced General And Special Needs Guinea Pig Diets
All the necessary tips for grass feeding and lawn time: Feeding Grass And Preparing Your Piggies For Lawn Time

Feliway cystease capsules for cats (UK brand name) are the easiest to way to give measured glucosamine without having to grind down tablets and work out the dosage. You mix the contents of 1 capsule with 2 ml of water and give 1 ml of the shaken and dissolved mix every 12 hours. Always shake before use. A little medicine bottle is ideal for mixing.
Please be aware that glucosamine is no bladder stone deterrent. It is there to support the natural glucosamine coating in the walls of the urinary tract. It is this glucosamine coat that prevents the corrosive urine coming into very painful contact with raw tissue. Ultimately it is about comfort and healing the walls of the urinary tract.
This is not a medication but classed as a food supplement. The Oxbow nibbles are also glucosamine based.

Please accept that both diet and glucosamine will take several weeks to build up and work through the body. Calcium absorption is a complex process where lots can go wrong and does play into. What we recommend are long term measures and not a quick fix; but they are the most effective measures you can take.
If the calcium absorption process is for some reason going wrong, you can end up with more stones in a matter of weeks. There is unfortunately nothing that can stop this, medically or nutrionally. None of the 'miracle cures' that have been (or still are) making the rounds have sadly stood the test of time. You have to get through the next few months first and then you should hopefully be in the clear for the long term. :(

The good thing with bladder stone op that have not damaged the bladder or pipes too badly is that the sheer relief from pain generally leads to a very quick recovery of any lost weight, so don't worry - the rest will come back on in its own time. ;)

I hope that this helps you?
 
He's doing really well, thanks - eating well, lively and more talkative than ever. He's putting weight back on (at his smallest around the op he was 885g and he's now 985g nearly three weeks later) - will be even happier when he's back over the 1kg mark!

On talking further to my vet I got it wrong, it was lodged in the ureter rather than the urethra, bless him.

I was recommended some Oxbow urinary support biscuits by my vet but Ralph's not a fan so I am looking for other options to help prevent the build up which leads to stones - cystease/Cystaid are names I've heard bit would welcome recommendations.

How is Buddy doing?

Erm... He's not as puffed up as he was but he's not very active but that's to be expected. His wound looks good and we've been trying to get as much critical care in him as possible along with his various meds. I was hoping Ralph was doing better :) Gives me hope for my wee man.
 
Erm... He's not as puffed up as he was but he's not very active but that's to be expected. His wound looks good and we've been trying to get as much critical care in him as possible along with his various meds. I was hoping Ralph was doing better :) Gives me hope for my wee man.
Sending lots of get well soon vibes - do keep me posted on how he's doing.
 
Hi!

Ureter stones can be even trickier to get out... :(

Please follow our diet advice with filtered water and limited low calcium/grain-free pellets (max. 1 tablespoon per piggy day, preferably even less). Most people are not aware that most of the calcium in the diet comes with these two food groups. Even the no added calcium pellets contain more calcium than the richest calcium veg. We recommend to combine some trace element rich herbs and veg with mostly watery veg or fresh grass to encourage good urination. Hay remains the staple and main food source; what most people don't know is that fresh grass is rich in vitamin C and that hay also contains it - it is the reason why guinea pigs have never had the need to make their own in the first place. Please be cautious when introducing fresh grass into the diet as it can cause tummy upsets.


You can find the full details in the special diets chapter in our comprehensive diet guide. All I can say that I live in one of the more tricky parts in the country but I haven't had any new bladder stones for the last 8 years since I started filtering water and made the other diet changes.
Here is the link (you may want to bookmark it): Long Term Balanced General And Special Needs Guinea Pig Diets
All the necessary tips for grass feeding and lawn time: Feeding Grass And Preparing Your Piggies For Lawn Time

Feliway cystease capsules for cats (UK brand name) are the easiest to way to give measured glucosamine without having to grind down tablets and work out the dosage. You mix the contents of 1 capsule with 2 ml of water and give 1 ml of the shaken and dissolved mix every 12 hours. Always shake before use. A little medicine bottle is ideal for mixing.
Please be aware that glucosamine is no bladder stone deterrent. It is there to support the natural glucosamine coating in the walls of the urinary tract. It is this glucosamine coat that prevents the corrosive urine coming into very painful contact with raw tissue. Ultimately it is about comfort and healing the walls of the urinary tract.
This is not a medication but classed as a food supplement. The Oxbow nibbles are also glucosamine based.

Please accept that both diet and glucosamine will take several weeks to build up and work through the body. Calcium absorption is a complex process where lots can go wrong and does play into. What we recommend are long term measures and not a quick fix; but they are the most effective measures you can take.
If the calcium absorption process is for some reason going wrong, you can end up with more stones in a matter of weeks. There is unfortunately nothing that can stop this, medically or nutrionally. None of the 'miracle cures' that have been (or still are) making the rounds have sadly stood the test of time. You have to get through the next few months first and then you should hopefully be in the clear for the long term. :(

The good thing with bladder stone op that have not damaged the bladder or pipes too badly is that the sheer relief from pain generally leads to a very quick recovery of any lost weight, so don't worry - the rest will come back on in its own time. ;)

I hope that this helps you?
This is all brilliant, thanks!

We purchased a water filter a few weeks back and will never be without one now, it's a great bit of kit. Coriander, cucumber, bell peppers and spring green/lettuce are on the veggie menu, and I feed Science Selective grain free nuggets (portion size, I fear, has been my downfall so I am cutting right back). Both my boys enjoy their hay and I've been offering fresh grass (scissor cut) too, which they love.

Taking each day as it comes, he's a wonderful little chap ☺️🐾
 
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