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Guinea Pig not eating after Dental Surgery

5guineapig

Junior Guinea Pig
Joined
Dec 22, 2023
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Location
New York
My girl (approx. 4 1/2 yo) had a minor fall early September and lost her top two incisors. Whilst they were growing back, she was given critical care to supplement what she could not eat, but was still going for pellets, hay, and veggies. Around 3 1/2 weeks ago, she stopped eating. This was around the time that another piggy in her herd had passed whilst awaiting dental surgery herself. She showed interest in food, but could not pick anything up and would lose interest pretty quickly.

We had taken her to the vet September 27th for a checkup, nothing out of the ordinary was seen but we were sent home with instructions to give her 0.25 ml of Meloxicam twice daily. When there was no improvement in her condition, we returned to the vet October 4th for another evaluation. They noticed her molars were overgrown and entrapping her tongue slightly. We went through with a molar trimming under GA on October 8th. They also filed her incisors to even them out (I did not know they were planning to do this and wouldve asked them not to if I had) It has since been over a week and she is still not eating. She shows no interest in pellets, even when watered down and sprinkled with organic Apple Juice. The only things she has been able to nibble on are banana peels and watermelon, but they are very very small bites and definitely a struggle for her.

We returned to the vet yesterday October 16th for Xrays that could give us a better explanation of what the problem might be. She had some bloating that we are addressing with pepcid added into her syringe feed. They had also seen some ridges below her molars that my vet believes could point to more dental issues in the future. I'll be honest, I don't see much of a difference between her Xrays and other normal Xrays I've seen online, but I am no specialist. We are actually waiting for one to get back to us this weekend after viewing the Xrays.

My vet says the main goal before we can expect any more work to be done on her is to get her to start eating a bit on her own again. She is on new subcutaneous pain meds, with the thinking that she might not enjoy the Meloxicam shes been getting daily. I just don't know how to get her to eat again, especially if there are still underlying dental issues that need to be addressed.

I would appreciate any advice. This is the second pig I've had to deal with dental issues with and it has been around 3 months of me managing them. They were relatives, so genetic dental issues would make sense, but there were no issues prior to the small fall she had a few weeks ago.

For reference, I am located in the north eastern United States. I have gone to four different vets (might be 5 soon) for my piggies throughout New York and Connecticut and am willing to do a drive for good care.
 
Dental problems are such a pain aren’t they!
Subcut pain relief is a great idea - our vet always says if there is nothing in their tummies then oral meds won’t be very effective.
We have recently had a pig who was in a similar predicament - the issue was with the muscles and connective tissues in her jaw, but she was a lethal white so this was genetic problem with her.
We have also had similar issues with another pig - this turned out to be arthritis in his jaw. Osteomyelitis could also be an issue, as could overgrown roots - the crowns may look reasonably normal but the roots could be growing into the jaw. These are all visible on an X-ray so hopefully when the specialist has had a look at these you will get some answers!

For now I think the best thing you can do is keep up with small regular syringe feeds throughout the day, weighing her each morning to check she is getting enough. Hopefully when the pain relief kicks in she will feel a bit more like eating.
Have you tried herbs and grass?
 
In January I had a piggy need a dental as his tongue was trapped by overgrown teeth.

It took him two weeks to regain the confidence to eat for himself again. It was a long slow road. He needed loxicom (or metacam) and paracetamol to make him comfortable.

Here is his thread if you’d like to have a read. He did start to eat for himself again.
Pebble is off to the vets

Good luck. Keep going. ❤️
 
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Dental problems are such a pain aren’t they!
Subcut pain relief is a great idea - our vet always says if there is nothing in their tummies then oral meds won’t be very effective.
We have recently had a pig who was in a similar predicament - the issue was with the muscles and connective tissues in her jaw, but she was a lethal white so this was genetic problem with her.
We have also had similar issues with another pig - this turned out to be arthritis in his jaw. Osteomyelitis could also be an issue, as could overgrown roots - the crowns may look reasonably normal but the roots could be growing into the jaw. These are all visible on an X-ray so hopefully when the specialist has had a look at these you will get some answers!

For now I think the best thing you can do is keep up with small regular syringe feeds throughout the day, weighing her each morning to check she is getting enough. Hopefully when the pain relief kicks in she will feel a bit more like eating.
Have you tried herbs and grass?
Thank you for the detailed response, it's hard to get all this information out of vets. I know they are trying their best, but it seems like the forums are more well versed in piggie care than any of the professionals I have seen in the states.

They actually pinpointed some arthritis in her hind legs, but said it wasn't much of a concern (at least right now).

We are keeping with syringe feeding, doing about 100-120ml a day depending on how much time I can allocate outside of work. She has been keeping a consistent weight as long as I am consistent with her EmerAid IC Herbivore feedings. I use critical care when we run out, as EmerAid is not as easily accessible, but it is much more difficult and time consuming to get her full meals in with CC, and as a result she tends to lose some weight. I luckily just had the large order I placed come in yesterday, so this should not be a concern for some time.

I have tried parsley, cilantro, and dill as well as fresh grass. Unfortunately, my options on fresh herbs is a little limited. She seems interested in the fresh grass, but does the same thing she does with banana peels and watermelon, takes little nibbles and then gives up. I do see her pawing at her face a bit when she attempts to eat, not sure if this is an indicator of anything but the vet didn't give much reasoning outside of pain.

We should hopefully hear from the specialist tomorrow, until then I am just trying to keep myself from stressing lol.
 
In January I had a piggy need a dental as his tongue was trapped by overgrown teeth.

It took him two weeks to regain the confidence to eat for himself again. It was a long slow road. He needed loxicom (or metacam) and paracetamol to make him comfortable.

Here is his thread if you’d like to have a read. He did start to eat for himself again.
Pebble is off to the vets

Good luck. Keep going. ❤️
Sorry to hear that you also had to go through this! I appreciate the reply though.

I have seen varying timelines for recovery, but my vet seemed concerned that there hadn't been improvement and urgently moved her appointments around to see my girl on Friday. This is making me slightly more hopeful. Thank you <3
 
Sorry to hear that you also had to go through this! I appreciate the reply though.

I have seen varying timelines for recovery, but my vet seemed concerned that there hadn't been improvement and urgently moved her appointments around to see my girl on Friday. This is making me slightly more hopeful. Thank you <3
Hopefully by Friday they will be munching for themselves 🤞🏻
 
Sounds like you’re getting a decent amount of syringe feed in and she’s maintaining her weight which is great! I agree with regard to the emeraid - it is much easier to syringe than critical care in my opinion and they seems to like it more.

Keep going with the syringe feeding and hoping and praying for some good news from the specialist soon!
 
So, Good and Bad News.

The specialist did not see anything obviously abnormal in the Xrays. There is arthritis in her knees and they felt there might be some mild borderline changes in her lungs, like pneumonia. They did not hear any labored breathing at the vet and I have not seen any major signs of respiratory illness, but I am concerned about this as I always fear syringe feeding can lead to such a thing. They do not believe this is significant and the cause of her not eating.

At this point they are suggesting blood work, a CT Scan, and possibly adding fluids and other at home care adjustments. I have a rough estimate of what a CT Scan will cost us (2500), and I truthfully am not in a position to pay for something like that right now after all the other visits. I am going to try and contact some rescues I know that might be able to offer a grant. But for now I will proceed with syringe feed until the two week marker and try to schedule an appointment directly with the specialist for a blood panel for if she does not have any marked improvement by then.

My question now is if I should proceed with managing the pneumonia. I know the medication can upset their gut flora a bit and don't want to further contribute to her not eating, but I am also aware how long treatment for it can take, and would like to get a head start on it. Especially if this may be contributing to her not feeling well.
 
Well the news could have been worse!
It might be worth asking your vet about nebulising any meds for the pneumonia. That way they get right to where they need to go, and bypass the stomach, hopefully minimising any tummy upsets 👍
Kidneys may also be something to look at as I know problems with the kidneys can sometimes makes them feel nauseous and not want to eat.
 
Well the news could have been worse!
It might be worth asking your vet about nebulising any meds for the pneumonia. That way they get right to where they need to go, and bypass the stomach, hopefully minimising any tummy upsets 👍
Kidneys may also be something to look at as I know problems with the kidneys can sometimes makes them feel nauseous and not want to eat.
Yup definitely.

I sent my vet an email asking about purchasing an nebulizer and am awaiting a response. I'll probably wind up getting one regardless of if they prescribe meds or not, just to be safe.

Will bring up kidneys next time I talk to them. They did not see any kidney stones and couldn't pinpoint anything abnormal in the XRays. She doesn't seem to be straining to urinate but I will be scheduling a blood panel for her with the specialist for the next week just in case she does not see any improvement.

I actually just caught her near the food bowl when I came home to feed her. She ran away the second I entered the room knowing I was coming to syringe feed her so I'm not sure if she was eating anything. But just seeing her go near it again is giving me hope!
 
Yup definitely.

I sent my vet an email asking about purchasing an nebulizer and am awaiting a response. I'll probably wind up getting one regardless of if they prescribe meds or not, just to be safe.

Will bring up kidneys next time I talk to them. They did not see any kidney stones and couldn't pinpoint anything abnormal in the XRays. She doesn't seem to be straining to urinate but I will be scheduling a blood panel for her with the specialist for the next week just in case she does not see any improvement.

I actually just caught her near the food bowl when I came home to feed her. She ran away the second I entered the room knowing I was coming to syringe feed her so I'm not sure if she was eating anything. But just seeing her go near it again is giving me hope!
Hopefully she’s been having a sneaky little snack while you’re not around! 🤞
 
How are things today? 💐
Late reply, sorry!

Red 40 has been doing small nibbles at the pellets, drinking water, and at least sniffing hay. She's grabbing leafy greens to hide in her corner with when I feed the whole cage, but she's definitely struggling to do anything with it other than grab.

We took her to the specialist today for some blood work, everything normal. Can't afford a CT scan right now so we're getting her back on Meloxicam and gabapentin and monitoring for the time being. The specialist suggested I switch off EmerAid and get fine ground Critical Care for feeding.

Although they can't be sure without a CT, the vet claimed to spend quite some time feeling around her skull and jaw for any obvious fractures or abscesses and didn't find anything abnormal.

They did tell me I can minimize my feedings to 3 a day and just do larger batches at a time. That should make things a little easier on the both of us.

Here's to hoping she just needs more time! She's still in good spirits, still hates being hand/syringe fed, and is still eager to try to eat on her own.
 
It’s good there is nothing else going on. Hopefully like you say she just needs more time. 🤞🏻
 
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