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Blood In Urine :(

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chesca_27

Junior Guinea Pig
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This has a story behind it, so let me explain.

We adopted Pemba just over 5 weeks ago from a lovely, but small guinea pig rescue. He had been health checked at a vet before coming home, so I do not want to blame the rescue for this at all. Ever since we have had Pemba, he has always drunk a TON of water and I have regularly been finding orangey - red patches of urine. I knew it wasn't Oreo as this started right after we got Pemba. I have been keeping an eye on it as it was a very little amount that I would find each week. I have read that guinea pigs who have previously had bladder problems can have discoloured wee, so I put it down to that.

Anyway, tonight I cleaned out the piggies, after I got back from the vet with Oreo. I left them to be piggies after relaxing in the lounge with them for a couple of hours and to go get ready for bed. The cage looked normal. I came down about 45 mins to an hour later to say goodnight. There were way more reddish patches than normal and some had tiny (teensy, like full stop sized) drops of blood in them. I picked Pemba up and looked at his private area and sure enough, there is a drop of blood there. He hates being held so I quickly put him back. He (for the first time) decides to wee immediately and I get to see it turn the bedding red. Obviously, it is now Pemba with blood in his urine. I have collected all the worst patches of bedding (thank god it's white bedding) and put them in a tupperware to show to the vet. My phone camera won't capture it properly.

My mum has reluctantly agreed to take him to the vet. Unfortunately, she wants to go to the vets where I volunteer, because it is cheaper than the other vets I saw today with Oreo, who see far more 'exotics' (AKA rodents) and have more experience. I have only agreed to this because I know where I volunteer, the vets really do mean well and are usually very nice to me (especially the nurses). If they cannot diagnose it, or there is no improvement in treatment, I will ask my dad to take him to the exotic specialist (who is off all week).

Ironically, I said to my mum in the car on the way to the vets for Oreo that we should get Pemba's urine tested while we were there. She said she didn't want to pay for another piggie to go to the vet when we only went for one. Aww thanks Karma.

I already use filtered water for the bottles and I will print out the forum bladder piggie veggie list in the morning. I also feed a mixture of Burgess mint and Rosewood grainless nuggets. Can I keep feeding these? Or should I try different nuggets? I am wary of switching the nuggets as Oreo seems to lose weight on anything that isn't Burgess mint, especially since he never gained back what he lost when Toffee died and he got really ill. That would mean separate nugget time (Pemba's in his loft or the cage and Oreo on my lap). I really can't afford to spend tons on nuggets, as although I have savings which I would happily use for vet bills, food, hay, bedding, toys, treats and fleece but I am not allowed as it is for the future (but piggies are my future, duh).

Any other advice? Please cross your fingers for Pemba.
 
It is most likely a UTI in which case your vets should be able to deal with it. Treatment is usually with antibiotics (Sulfatrim or Septrin are most effective on UTIs) plus Metacam. By the exotic vet do you mean Simon? if so, he recently treated my Maud for a UTI with Sulfatrim but she also had an xray to rule out stones and she had a bladder flush to get rid of any sludge as she was leaking urine. If the antibiotics don't clear up the infection then it would be worth either a trip to Simon or asking your vet for an xray.

As for pellets, I would usually recommend grainless ones like Bunny or Versele lega. However, if you are worried about your other pig losing weight I would just try to limit the pellets for Pemba for now and increase the hay intake.
 
I had this same problem with our guinea pig jack, the vets told us it was a uti so was treated with antibiotics and metacam. He stopped eating and drinking. Turns out he had a tumour in his bladder. Hopefully antibiotics will work for Pemba.
 
Sorry to hear this, you are such a switched on caring owner, sorry you are going through a spat of piggy illness. Hopefully with some antibitoics it will clear up. Septrin is usually very good for UTI's. Sending lots of healing vibes
 
I agree with Helen. It's probably a UTI which will need antibiotics. Most vets like to rule that out first before looking at bladder stone problems.

It's completely your preference as to whether you want to swap to a lower calcium diet. My avatar boy was on a strict diet because of his bladder stone problems. I have another two pigs and I don't have them on a strict diet as I personally think it's good for them to have a variety, and calcium is important in the right doses. But, if they ever show a problem I will reduce their calcium levels.
 
I think I will bring a urine sample with to the vets, but I'm not too sure. I'm booked in for 6pm for Pemba.

It is most likely a UTI in which case your vets should be able to deal with it. Treatment is usually with antibiotics (Sulfatrim or Septrin are most effective on UTIs) plus Metacam. By the exotic vet do you mean Simon? if so, he recently treated my Maud for a UTI with Sulfatrim but she also had an xray to rule out stones and she had a bladder flush to get rid of any sludge as she was leaking urine. If the antibiotics don't clear up the infection then it would be worth either a trip to Simon or asking your vet for an xray.

As for pellets, I would usually recommend grainless ones like Bunny or Versele lega. However, if you are worried about your other pig losing weight I would just try to limit the pellets for Pemba for now and increase the hay intake.

Ok thanks! No, it's a different exotic vet who is a lot more local. I wish Maud better :)

Thanks. Can I keep using just Rosewood pellets since they are grainless? He loves hay so that isn't a problem.

I had this same problem with our guinea pig jack, the vets told us it was a uti so was treated with antibiotics and metacam. He stopped eating and drinking. Turns out he had a tumour in his bladder. Hopefully antibiotics will work for Pemba.

Thank you. Very sorry to hear about Jack :(.

Sorry to hear this, you are such a switched on caring owner, sorry you are going through a spat of piggy illness. Hopefully with some antibitoics it will clear up. Septrin is usually very good for UTI's. Sending lots of healing vibes

Thank you - that means a lot to me :)!

I agree with Helen. It's probably a UTI which will need antibiotics. Most vets like to rule that out first before looking at bladder stone problems.

It's completely your preference as to whether you want to swap to a lower calcium diet. My avatar boy was on a strict diet because of his bladder stone problems. I have another two pigs and I don't have them on a strict diet as I personally think it's good for them to have a variety, and calcium is important in the right doses. But, if they ever show a problem I will reduce their calcium levels.

Ok thanks :). I think I will just try and reduce the calcium intake with veg and nuggets, but not be overly strict about it for Oreo's sake.
 
Hope all is ok. Alby used to get blood in his urine sometimes he got an antibiotic injection every 2 days till it stopped, and metacam. (My vets are very reasonable and usually only charge me for the treatment only on the 2nd visit. I only pay 1 consulting fee)
 
Right so we've been prescribed 0.4ml 1.5mg/ml Metacam 1-2 times a day. I did question whether the dose was high and if it should be split over two doses in one day. She said no. What do you guys think? I haven't given any Metacam yet, though. We also have 0.5 ml 2.5% per ml Baytril once a day for 10 days. Pemba weed at the vet, so they have a fresh sample to test. We should get the results later. If this doesn't clear up the blood, then they will do an x-ray to rule out stones.
 
Hope all is ok. Alby used to get blood in his urine sometimes he got an antibiotic injection every 2 days till it stopped, and metacam. (My vets are very reasonable and usually only charge me for the treatment only on the 2nd visit. I only pay 1 consulting fee)

Thanks :)
 
Is it 1 or 2 times a day?

0.4ml once a day is fine. Some people split it, others don't. I tend to, just so they have a constant level of pain relief in their system.

0.4ml twice a day is really on the high scale of things, but not totally out of the question. Personally I'd be reluctant to start with "the big guns" so don't hesitate to speak to your vet to confirm.

My last prescription for Metacam was for a boar with "severe arthritis". He was on 0.25ml twice a day with a view to increase if and when he needed it, knowing that the higher scale would only be used towards the end of his life (he was 7 when he started the Metacam).
 
Exotics vets use higher doses of metacam over shortish periods than other vets. 0.4ml twice a day does not sound at all surprising to me depending on the weight of the piggy. Mabel recently had that self same dose and even my little piggy (780 grams) recently had 0.2ml twice a day. I wouldn't skimp on pain relief if it is needed and prescribed by a vet.
 
Is it 1 or 2 times a day?

0.4ml once a day is fine. Some people split it, others don't. I tend to, just so they have a constant level of pain relief in their system.

0.4ml twice a day is really on the high scale of things, but not totally out of the question. Personally I'd be reluctant to start with "the big guns" so don't hesitate to speak to your vet to confirm.

My last prescription for Metacam was for a boar with "severe arthritis". He was on 0.25ml twice a day with a view to increase if and when he needed it, knowing that the higher scale would only be used towards the end of his life (he was 7 when he started the Metacam).

Once or twice, depending on how he is. Ok thank you :)!

Exotics vets use higher doses of metacam over shortish periods than other vets. 0.4ml twice a day does not sound at all surprising to me depending on the weight of the piggy. Mabel recently had that self same dose and even my little piggy (780 grams) recently had 0.2ml twice a day. I wouldn't skimp on pain relief if it is needed and prescribed by a vet.

Ok thank you :)! I have been doing 0.2ml twice a day as he really doesn't seem to be in any pain, just mild discomfort when peeing.

Pemba is coming towards the end of his antibiotic course and Metacam course. We never got the urine results back, which was weird, but I'm not overly concerned.

Tomorrow I will be cleaning them out properly, so it will be the big reveal on whether this has worked or not. I did spot clean thoroughly and found a couple of slightly red patches, but no more than his usual tinted wee.

I ended splitting his Metacam dose as I though he'd be better off with a lower constant pain relief because it doesn't seem to be bothering him that much. No more than mild discomfort when he wees. He really hates the Baytril so that's been a struggle to administer.

If this hasn't cleared up by Thursday - Friday, I will book an appointment with the exotic specialist at Medivet for Saturday as my Dad has no problem with taking him there, since he knows what a great vet he is :). The medicine courses are due to end on Saturday, so just a few more days.
 
Thought I'd update this and ask for some advice.

Pemba had a follow up consultation last Thursday. I would have taken him in sooner, but my mum was scheduled to have an operation. Anyway, we got his urine results and he had an x-ray. Calcium was slightly high in his urine, but not abnormal for a guinea pig. His x-ray was clear of stones. The vet spoke to an exotic vet and they can't work out what it could be. Any suggestions?

The blood has stopped for now and we haven't been given a further treatment. The vet did offer to do a scan but said it would be very expensive, so we have declined. From what I've seen on the forum, scans aren't very effective with bladder problems, so is this the right decision?

Because the blood has stopped and I haven't noticed him squealing while peeing, we have decided against further testing. Is this ok? If the blood comes back again, I will of course take him to the vet, but there doesn't seem to be much to do.
 
yes that's what happened to Alby it used to come and go. So I just took him back for the injections when it happened. (He was a very elderly piggie though)
 
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