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Head Tilt Back Again In My Young Guinea Pig - Any Advice Appreciated.

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Sarah123

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My guinea pig, Honey, developed a fairly severe head-tilt about 2-3 months ago. She wasn't walking straight, had her head tilted to the side and was generally clumsy and quieter. We took her straight to the vets (it pretty much developed overnight, we hadn't noticed anything before then). The vets gave her an anti-inflammatory injection and Baytril oral solution antibotic. She seemed livelier in herself within about 3-4 days of the antibiotics. I had also read that head tilt can be caused by mites so after checking with the vet that it could be applied while she was on anti-biotics, I gave her and her cage-mates some ivermectin spot-on solution from Pets at Home. I wasn't sure whether it would make any difference, but thought I would give her some anyway in case it might help. After about 1-2 weeks Honey showed significant improvement in her walking and seemed her normal self. She was livelier in herself and walking better. After a month (I think maybe due to adapting to it) she was pretty much back to her old self. She still had a slight head tilt and was still slightly clumsier than my other guinea pigs, but she had recovered to the point where you wouldn't really know she had a head tilt unless it was pointed out.

Now, about 2-3 months later, Honey has got worse again. I wouldn't say that the head tilt is really awful as I have read some guinea pigs have. She is mostly quieter in herself and is quite clumsy in her walking, with the head tilt more pronounced. She still wanders about and does eat and drink. Possibly eating a little less than usual, although not to the point that I am unduly concerned about it. Honey is too greedy normally and eats the most of all the guinea pigs and I personally think a little bit overweight (although the vet says it's a good weight and I prefer my guinea pigs to be a little bit on the overweight side than the underweight side in case they get ill, so they have some in reserve as they can deteriorate so quickly).

We've taken her back to the vets who has said it is possibly another ear infection. They did mention it could be to do with her brain, as they said previously but this needs to be diagnosed by an MRI scan which is thousands of pounds and even if anything did show up there is nothing they could really do anyway, so the vet advised against having an MRI scan. She is also only just 1, and I think (and hope) this is more usual in older guinea pigs rather than younger ones. The vet also lifted her up by her back legs and made her walk on her front ones to test whether it was anything to do with her brain. She didn't think it looked like it was, but couldn't be sure without a scan. She is back on antibiotics and has had another anti-inflammatory injection. Already she seems slightly livelier after 24 hours.

Please could anyone with experience of this advise if it is likely for Honey to have another ear infection or if this could be part of the original infection. I am concerned that the ear infection she had before didn't completely clear up and has now flared up again. I was concerned at the time about how the vet would know whether it had cleared up or not Thank you in advance.
 
Welcome to the forum. :wel:

Honey could well have another ear infection. How long was she on the antibiotics originally? If the course wasn't long enough, it may have left some residual infection. Is your vet good with guineas? It may be worth checking out the vet locator tab at the top of the page, if you are in the UK. Could you tell us whereabouts you are, as this helps us give better advice. I am glad that the vet has advised against an MRI. It would be a total waste of money as it wouldn't change the treatment.
Inner ear infections can be diagnosed by X-ray or ultrasound and it may be worth asking your vet about another antibiotic such as Zithromax. Let us know how you get on. And healing vibes to Honey!
 
Thank you very much Elwick Cavies. I love the sweethearts in your profile photo.

She had 0.4ml daily for 5 days before. Do you think Honey should have been on it for longer?

My vet does seem to be good with guinea pigs. I'm based in Rugby and currently go to Bilton Vets who seem to be good. I have seen some people recommend Animal House vets for guinea pigs in my area. I did used to be with them, but they didn't see my sister's guinea pig once when it was an emergency and since then I have moved to Bilton Vets, who did see her as an emergency, even though it is a very popular vets and she wasn't on their records. I wouldn't really like to move unless I was concerned as Honey has been seeing them for a while now and the vet we normally see does know about her by sight, not just her records.

I will ask about an X-ray and Zithromax, thank you, and thanks for your healing vibes.

I also noticed earlier this evening that Honey seemed to have a problem with her eyelid. I've attached a photo. Her eye itself seems fine, it's more the eyelid. It is sort of inflamed at the bottom and I think there is a little bit of discharge. It actually looks a lot worse in the photo than it seems and you can't normally see the white of her eye - I think she was looking up at the camera. The white bit is the white of her eye by the way, not discharge. I'm not sure whether she may have conjunctivitus or an infectionhoney eye.webp and because she is feeling run down her head tilt is worse as she can't balance as well? Or perhaps she has got hay poke because she is clumsier than normal. We noticed it earlier this evening and although I plan on taking her tomorrow morning, I didn't think it required emergency treatment. However, later this evening, it seems slightly better so maybe it is hay poke. I'm not sure, but if it isn't better by tomorrow morning I will take her in again.

Do you think this is in anyway related to her head tilt or just coincidence?
 
@Stewybus has had problems with his little lady &headtilt.
5days doesn't sound very long for
An antibiotic to work though, it could be some infection still coming through from that.

Have her teeth been checked too? Some can grow in the wrong direction &cause pressure on nerves or it could be an abcess brewing that can also put pressure on the eye, which may be related to the sore eye problem.

If you get the vet to check for a hay poke injury &find the eyeball damaged then hopefully it will be unrelated to the headtilt issue.

Guinea pigs do have a milky discharge to their eyes sometimes,its a kind of cleaning fluid when they wash their faces (sooo cute to watch :) ) if its this kind of discharge then its not
a worrying one. But the eye does need looking at by a vet anyway,as it looks sore.
Dont forget to ask the vet for some pain relief, usually metacam &preferably twice a day.
Healing vibes &good luck to honey.
Keep us updated.
Speedy recovery from the girls &I. Xx
 
There's lots of things that can happen with head tilt. Minky has suffered with it since last October. When it's very severe it can cause the top & bottom front teeth to touch diagonally instead or horizontally but this is easily seen & correct by your vet. Also they are a little slower at getting around & eating so when Minky was really bad with it I gave her separate feeding sessions with me before give her group their veggies & putting her back with them. They seem to have problems with dry eye & will often need eye drops administered once a day.

Regarding antibiotics, Minky was on Baytril for about 6 weeks then on Zithromax for 4 weeks & back to Baytril. In hindsight Septrin could have also been used in the early days. Weight your piggy daily to ensure she is eating enough food. I also gave Minky 1ml of Fibreplex a day plus about 4 to 5 ml of unsweetened tomato juice (99p from Lidl) a day. Because of the long term side affects of antibiotics a probiotic live Avipro Plus or Bio Lapis should be given but leave at least an hour or two after she's been given the antibiotic before giving her some. It's best to just mix enough to do a day eg if you're using Bio Lapis use 1/3 of a sachet with 16ml of water & syringe feed it to her during that day in 2 or 3 sessions. I found with Minky that she loved it & I didn't need to hold her while pressing the syringe plunger.

It's mainly a case of lots of tlc but Minky finally had her first vet free month since May 2013 in April this year. She's still got a head tilt, approx 10 to the hour if comparing with a clock face. She now doesn't need any special treatment & has put back on all the weight she lost and more. If anything, she needs to go on a diet!

Good Luck with Honey's treatment. If you have any further questions please don't hesitate to ask of if you need to talk about her then pm me for my phone number x
 
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Her eye does look sore and I agree that 5 days is probably not long enough on antibiotics. @Stewybus has been battling with this for a long time (glad to hear that Minky is doing well), so I would heed his advice. Sounds like another trip to the vet would be a good idea, either your usual one, or the practice you used to use. Let us know how she gets on. x
 
The eye drops I use are Alcon Tears Naturale. Just one drop in each eye daily.
 
Went to see a guinea pig specialist and he thinks all of poggles symptoms are to do with vitamin C defficency so we've put him on a full probiotic dose after another antibiotic dose and he's so much better. We didn't think it could be lacking vitamin C cos he eats loads of veg and fruit but it seems to have worked.
 
My boy had head tilt twice about 2 years ago now. Vet said it was probably a tumour & he should be put down.

I opted for anti biotics in case it was an ear infection and he was fine by the time I got home head tilt had gone during the 2 mile drive!

I have just had xrays done of him which shows reaction in his ears so don't think it ever cleared properly.

He is on anti biotics again...but hasn't had any head tilting episodes since.
 
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