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How To Prevent Uti?

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Oreo&Coco

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One of my piggies had UTI in early April. She took a 10-day course of antibiotic and seemed to be fine because she was eating more as well as gaining weight.

During the last few days, we observe that the symptom is coming back - squealing while urinating with hunched position. However, we don't find blood in her urine this time. After discussing with the vet, we decided to give her another course of antibiotic.

Can anyone tell us what is the cause of UTI and more importantly how to prevent it? This piggy is NOT a good drinker. Is lack of fluid a cause of UTI? Or is it about the kind of food they eat? My piggies are living in an open cage (the door is opened 24 hours a day). They run around on the carpet during day time. Looking forward to your sharing.
 
Could u post this again in the health and illness section or maybe @Wiebke could move it for u so u can get some answers to your questions x
 
One of my piggies had UTI in early April. She took a 10-day course of antibiotic and seemed to be fine because she was eating more as well as gaining weight.

During the last few days, we observe that the symptom is coming back - squealing while urinating with hunched position. However, we don't find blood in her urine this time. After discussing with the vet, we decided to give her another course of antibiotic.

Can anyone tell us what is the cause of UTI and more importantly how to prevent it? This piggy is NOT a good drinker. Is lack of fluid a cause of UTI? Or is it about the kind of food they eat? My piggies are living in an open cage (the door is opened 24 hours a day). They run around on the carpet during day time. Looking forward to your sharing.

I have moved your thread to our Health/Illness section for more answers.

There are several issues that present with very similar symptoms lumped under the label UTI:
- straight forward urinary tract infection. Responds well to antibiotics, but may take a longer course to prevent return. Baytril may not cut through it. It usually presents with a soft, relaxed bladder.
- Cystitis: inflammation of the bladder walls. Does not react well to antibiotics, but many piggy savvy vets use a two pronged approach with septrin/sulfatrim and metacam (which is not just a painkiller but also an anti-inflammatory). The bladder walls may thicken and harden, especially over time. If cystitis is recurring and not responding to treatment, you talk about
- Interstitial Cystitis (IC): recurrent bouts of acute cystitis. This condition can currently only be managed but not healed. The good news is that it generally goes away on its own, but it may take a few years. It does not cause stones.
- Bladder stones or sludge: if a UTI returns or persists, it is important to x-ray to check for the presence of stones or sludge. The constant irritation from stones or sludge can also cause cystitis as a secondary problem.

Guinea pigs are prone to urinary tract problems as a species because they have a naturally alkaline urine ph. This promotes the growth of bacteria and also the build-up of calcium, especially in guinea pigs that are not good drinkers (i.e. whose bladder is not flushed well), have a high calcium diet (including hard water), a genetic disposition of some sort, problems with the calcium absorption (which is a complex, but not yet much researched process in guinea pigs).

What you can do (but it is only so much):
- if you have got a bladder problem piggy, switch from a moderate to a low calcium diet and avoid suspected IC trigger foods like carrots, tomato or fresh grass. See daily veg in our balanced diet thread or this thread here: Low Calcium Diet For Bladder Piggies
- you can help flush the bladder once or twice daily with a UTI/cystitis piggy by syringing as much water as she will take in one session, ideally up to 10 ml, but likely less. Make sure that you piggy has always swallowed before you give more, and never give more than half a syringe in one go (1 adult mouthful is ca. 0.5 ml) and do not force any water into her if she doesn't want to.
- At the onset of an acute bout of UTI or cystitis, you might like to give mildly diuretic veg like cucumber, young dandelions or lettuce in moderate amounts (so you don't cause diarrhea) to help flush the bladder and mitigate the acute symptoms.
- With recurring and chronic bladder issues as well as bladder stone piggies we recommend to additionally support the bladder with vegan glucosamine or glucosamine-based cat food supplements like cystease or cystophan. The bladder has got a natural coating of glucosamine on the inside, but this can be beleaguered by repeated infections or stones.
Some people also swear by barley water, made from the gloopy water you have cooked pearl barley in.

I hope that that helps you? Sadly, urinary tract problems are species specific weak point. We all would like to know how to prevent or heal them quickly, believe me! :(
 
Sorry for posting my topic in the wrong section. I am new to this forum.

Oreo took x-ray in previous vet visit and it showed no stone in her bladder. So most likely it is an UTI. Thanks for sharing so much information and will take note. Since she is not a good drinker, I think I will help to flush her bladder by syringing water daily.

By the way, can I purchase "vegan glucosamine or glucosamine-based cat food supplements like cystease or cystophan" online? I am living in United States. Is there a more reliable online store for this supplements? Does she need this if she only has UTI problem and not bladder stone problem?

Thanks a bunch.
 
For many years one of my female guinea pigs we used to own had a recurring UTI problem. We contacted a breeder and she suggested to leave fruit & veg out for an hour or until it was room temperature as it was too cold. Within days the UTI cleared up and we never had a problem since. Could be worth a try x
 
Hi, l wouldnt try syinge feeding her water , unless she takes it redaly , it may stress her , (stress runs down the imune systim)
making it more lighly for the uti to multiply.

lf you have a veg jucer , juce her fav veg and sringe feed her the juce


or , if she eats cucumber and red pepper , xtra cucumber daiy will help flush her blader
, and red pepper, (hi in Vit C) will fortifi her imune systim
 
To Millie&Russell: Thanks for the pointer. We feed them veg and apple everyday. Except for the apple is in room temperature, the veg is right out of the refrigerator. We will try to get the veg out for an hour before feeding them.

To gizzy: Oreo has no problem on syringe feeding. May be she likes the taste of the antibiotic. Every time when she see the syringe she is so eager to open her mouth. Haha... We have been feeding them with Vitamin C tablet every morning since we have them. For some reason they don't like cucumber and red pepper. Their favourite veg are: baby carrots, celery, romaine/red/green lettuce and broccoli.

By the way, Oreo is currently taking a new course of antibiotic (SMX TMP liquid) for her UTI. Is this an off the shelf medicine? If so, can I find it online? Many thanks.
 
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I think I just find out the full name of the antibiotic which is Sulfamethoxazole Trimethoprim. Some call it SMZ TMP. It is administered in tablet or powder form.
 
Oreo has been taking antibiotic for a few days now but she still has the squealing with hunched position while urinating. This morning when I picked up her poo I found a yellowish piece (about one forth of her poo size) with a tiny drop a blood on it. It is soft and when I rub it gently I feel crystal particles. Is it the calcium build inside her bladder or bladder stone or they are the same?

The thing is, she had x-ray in early April and there was no sign of bladder stone at that time. Will the bladder stone build up this fast in less than a month? Like to hear from you guys.
 
Oreo has been taking antibiotic for a few days now but she still has the squealing with hunched position while urinating. This morning when I picked up her poo I found a yellowish piece (about one forth of her poo size) with a drop a blood on it. It is soft and when I rub it gently I feel crystal particles. Is it the calcium build inside her bladder or bladder stone or they are the same?

The thing is, she had x-ray in early April and there was no sign of bladder stone at that time. Will the bladder stone build up this fast in less than a month? Like to hear from you guys.

Some bladder stones can grow in a matter of weeks when the calcium absorption is out of balance. However, I don't necessarily think that it is stones, but rather either sludge or potentially IC. But I would recommend to contact your vet and speak to them.
 
Some bladder stones can grow in a matter of weeks when the calcium absorption is out of balance. However, I don't necessarily think that it is stones, but rather either sludge or potentially IC. But I would recommend to contact your vet and speak to them.

The yellowish piece later changed from soft to hard (I guess dry out). It turns into sand when I rub it. By the way, what is IC?

Since her UTI recurred within one month, I think I will discuss with the vet to extend the course of antibiotic, say from 10 days to 15 days. I will also bring the yellowish piece to the vet in my next visit. Thanks for your sharing.
 
The yellowish piece later changed from soft to hard (I guess dry out). It turns into sand when I rub it. By the way, what is IC?

Since her UTI recurred within one month, I think I will discuss with the vet to extend the course of antibiotic, say from 10 days to 15 days. I will also bring the yellowish piece to the vet in my next visit. Thanks for your sharing.

IC is interstitial cystitis, a recurring inflammation of the bladder walls that does not or only partially react to antibiotics. See my first post in this thread!
 
@Wiebke @Millie&Russell

Oreo seems having the UTI again by observing her symptom - squealing while urinating with hunched position. Her urine is in brown colour. Is it normal? Other than this symptom, she is active and her appetite is normal. Unlike the first time, we don't observe any blood in the last two recurrences.

She took two courses of antibiotic since early April but seems the UTI keeps coming back. Per Millie&Russell's advise, we leave vegi & fruit at room temperature for an hour before feeding. May be we need to cut down their vegi portion.

Thanks for your sharing in advance.
 
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I think you need to have her seen by a vet. If the urine is discoloured it could indicate blood which could be the sign of a stone. Your vet can check for stones on X-ray if necessary.
 
@Wiebke @Millie&Russell

Oreo seems having the UTI again by observing her symptom - squealing while urinating with hunched position. Her urine is in brown colour. Is it normal?

She took two courses of antibiotic since early April but seems the UTI keeps coming back. Per Millie&Russell's advise, we leave vegi & fruit at room temperature for an hour before feeding. May be we need to cut down their vegi portion.

Thanks for your sharing in advance.

Hi! Unfortunately, it looks like that Oreo has either got a stone or has got interstitial cystitis (IC) and not UTI (urine infection). IC is a recurring inflammation of the bladder walls that is not responding well to and not curable with antibiotics. A typical interval is about 2-3 months, but the interval between acute episodes can vary greatly. It can currently only be managed, but not cured until it goes away on its own again, usually after 2-3 years. :(

In any case, please ask for a scan or x-ray to make sure that you end up with the correct diagnosis; a stone will require an operation. The symptoms are very similar.

There are things you and your vet can do in the longer term for both bladder stone and IC piggies to prevent a reoccurrence and to minimise the symptoms in case of IC:
- metacam or another anti-inflammatory to address the pain and inflammation in the bladder.
- vegetarian/vegan glucosamine or a glucosamine-based cat supplement like cystease or cystophan etc. that helps support the natural glucosamine layer that coats the bladder walls.
- some people also report good experiences with syringing the gloopy water that pearl barley has been cooked in for 20-40 minutes. It is purported to have bladder healing qualities. You can give as much as a piggy will take; it is not a medication.
- switch to a low calcium diet and avoid vegetables which are considered by some to have an IC triggering effect like carrots, tomato r fresh green grass. Low calcium pellets may also help. Timothy hay is the one that is lowest in calcium. I would also consider filtering water. Low Calcium Diet For Bladder Piggies
- sadly most of the more exotic remedies have not stood the test of time
All these things are just supportive measures; they cannot cure IC at this stage. IC has become more common over the past few years.

It would be good if you had a talk with your vet about this issue. We can only show up avenues, but we cannot diagnose.
More information about IC in this link: Guinea Lynx Records :: Topic - Links - Interstitial Cystitis
 
I think you need to have her seen by a vet. If the urine is discoloured it could indicate blood which could be the sign of a stone. Your vet can check for stones on X-ray if necessary.

She had x-ray in early April which showed clear in her bladder, but of course stones can built up recently. Will visit the vet. Thank you.
 
Hi! Unfortunately, it looks like that Oreo has either got a stone or has got interstitial cystitis (IC) and not UTI (urine infection). IC is a recurring inflammation of the bladder walls that is not responding well and not curable with antibiotics. A typical interval is about 2-3 months, but the interval between acute episodes can vary greatly. It can currently only be managed, but not cured until it goes away on its own again, usually after 2-3 years. :(

In any case, please ask for a scan or x-ray to make sure that you end up with the correct diagnosis; a stone will require an operation. The symptoms are very similar.

There are things you and your vet can do in the longer term for both bladder stone and IC piggies to prevent a reoccurrence and to minimise the symptoms in case of IC:
- metacam or another anti-inflammatory to address the pain and inflammation in the bladder.
- vegetarian/vegan glucosamine or a glucosamine-based cat supplement like cystease or cystophan etc. that helps support the natural glucosamine layer that coats the bladder walls.
- some people also report good experiences with syringing the gloopy water that pearl barley has been cooked in for 20-40 minutes. It is purported to have bladder healing qualities. You can give as much as a piggy will take; it is not a medication.
- switch to a low calcium diet and avoid vegetables which are considered by some to have an IC triggering effect like carrots, tomato r fresh green grass. Low calcium pellets may also help. Timothy hay is the one that is lowest in calcium. I would also consider filtering water. Low Calcium Diet For Bladder Piggies
- sadly most of the more exotic remedies have not stood the test of time
All these things are just supportive measures; they cannot cure IC at this stage. IC has become more common over the past few years.

It would be good if you had a talk with your vet about this issue. We can only show up avenues, but we cannot diagnose.
More information about IC in this link: Guinea Lynx Records :: Topic - Links - Interstitial Cystitis

Today is Memorial Day holiday in the US. We will visit the vet tomorrow. Will suggest the vet to look further and see if it's possible an IC.

She had x-ray in early April which showed no sign of stone in her bladder, but of course it can built up recently. By the way, what is gloopy water? We do feed her with cooked water with syringe during day time. Is the cooked water similar to gloopy water?
 
Today is Memorial Day holiday in the US. We will visit the vet tomorrow. Will suggest the vet to look further and see if it's possible an IC.

She had x-ray in early April which showed no sign of stone in her bladder, but of course it can built up recently. By the way, what is gloopy water? We do feed her with cooked water with syringe during day time. Is the cooked water similar to gloopy water?

No, the water you boil pearl barley in becomes viscous (or gloopy, if you wish) while you do so; the more, the longer you cook the pearl barley in it. You strain out the boiled pearl barley and just syringe the water. Add more water if the consistency is not right for syringing. ;)

All the best! It is a bank holiday Monday here, too, but Oreo's issue will keep until tomorrow.
 
I'm wondering whether my pig Sam has IC as he was treated with antibiotics in march when he started squealing in pain when peeing and got put on metacam as he has really bad arthritis but today he has been squealing again and his pee has been a Reddy brown colour for a while now so gonna ring the vet tomorrow and see if they can see him Wednesday.
 
I'm wondering whether my pig Sam has IC as he was treated with antibiotics in march when he started squealing in pain when peeing and got put on metacam as he has really bad arthritis but today he has been squealing again and his pee has been a Reddy brown colour for a while now so gonna ring the vet tomorrow and see if they can see him Wednesday.

Oreo's urine is also reddy brown colour. This is the third time she has this "squealing in pain with hunched position when urinating" since early April. Hopefully we will see a vet tomorrow.
 
Oreo's urine is also reddy brown colour. This is the third time she has this "squealing in pain with hunched position when urinating" since early April. Hopefully we will see a vet tomorrow.

Can I please ask whether the urine comes out clean, but dries to an intense rusty colour? This is not necessarily blood (or much blood) in the urine, but it is caused by bacteria in the bladder that are usually kept under control by a health immune system. It is not quite uncommon in a guinea pig that has or recently has had urinary tract problems. If the urine comes out of the body already reddish, then it points to a fair bit of blood in the urine. ;)
 
Can I please ask whether the urine comes out clean, but dries to an intense rusty colour? This is not necessarily blood (or much blood) in the urine, but it is caused by bacteria in the bladder that are usually kept under control by a health immune system. It is not quite uncommon in a guinea pig that has or recently has had urinary tract problems. If the urine comes out of the body already reddish, then it points to a fair bit of blood in the urine. ;)

This morning I clean up a wet rusty spot on the hardwood floor so I assume the urine comes out in rusty colour and not dry to a rusty colour.
 
This morning I clean up a wet rusty spot on the hardwood floor so I assume the urine comes out in rusty colour and not dry to a rusty colour.

Not necessarily. The urine can discolour (oxidise) quite quickly in contact with air; it depends on the amount of bacteria in it.
If bloody urine dries, because blood has a slightly different specific weight to urine, it either dries as little reddish drops in the puddle or as a reddish ring in a somehwat different shade (not just a darker one) to the urine. Only if there is a lot of blood in the urine will it come out and dry red - and that again can test blood-free whereas clear urine can contain a fair amount of blood. Believe me, I have been there with piggies of mine! The best you can do, is have your piggy seen and checked by a vet (including fresh urine test for best results) and if necessary a scan.
 
Not necessarily. The urine can discolour (oxidise) quite quickly in contact with air; it depends on the amount of bacteria in it.
If bloody urine dries, because blood has a slightly different specific weight to urine, it either dries as little reddish drops in the puddle or as a reddish ring in a somehwat different shade (not just a darker one) to the urine. Only if there is a lot of blood in the urine will it come out and dry red - and that again can test blood-free whereas clear urine can contain a fair amount of blood. Believe me, I have been there with piggies of mine! The best you can do, is have your piggy seen and checked by a vet (including fresh urine test for best results) and if necessary a scan.

Oh, that reminds me of watching her urinating last night. The urine came out clear if I wasn't mistaken.
 
Yes its the same here as its a bank holiday.Do you mean the barley water? I wish I had some to give to Sam, I hate to see him in pain xx

Yes, pearl barley as suggested by Wiebke.
 
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