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"Invisible" bladder stone: a warning

Liv

Junior Guinea Pig
Joined
May 19, 2016
Messages
79
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Location
Bicester
Dear fellow piggie lovers,
I just wanted to share this in case it helps someone else's pig. I lost my beautiful baby Boh two nights ago following emergency surgery for a bladder stone that got stuck in his urethra. He was only 2 years old.

Boh had a history of bladder issues: he had recurring bloody urine. He was a happy, healthy pig but from time to time would leave little spots of blood in his urine. He underwent multiple vet visits and ultrasounds (performed by the exotics specialists at Royal Dick's in Edinburgh), and was diagnosed with persistent cystitis. I had read all about bladder sludge and stones and kept asking if it could be that (Boh would often leave visible chalky deposits in his urine) but the vets said the images showed only a small amount of sediment in his bladder, and that it was nothing to worry about. They said I could give him cystease in case it helps.

He was on antibiotics for 7 weeks but the blood soon returned. I was giving Boh supplementary vitamin C, Oxbow bladder support tablets, cranberry extract and cystease to try to help him. Over the last 4 days he visibly declined. He seemed to be straining and quietly squealing while urinating and lost some weight. I put him back on antibiotics and metacam and also looked for a visible obstruction in his penis but found nothing, except that it looked quite purplish, as if the blood flow was restricted. He suddenly got much worse overnight and didn't eat much breakfast so I immediately took him to my closest vet (I had moved to Oxford in the meantime). They did an x-ray from a dorsal view (I asked that he not be sedated if it can be avoided) which didn't show any stones. They then did another ultrasound which showed a faint "growth-like" mass in his bladder. They said operating on a guinea pig was beyond their abilities so they referred him to the exotics practice in Chipping Norton. I took him there for the earliest available appointment the next day. They immediately did another ultrasound but using a much finer resolution scanner probe. They asked me to hold Boh in different positions while they scanned him to see if the "growth" moved. We could indeed see it peel away from the bladder wall, change shape and settle again every time I shifted him. The vet said it looks just like calcium sediment. He then palpated Boh's abdomen and felt a lump where the urethra travels down from the bladder. He used the fine probe to move along the urethra - you could clearly see the black open tube (as it should look) until a certain point, when it was suddenly obscured, revealing a clear blockage. They think this didn't show up on the x-ray likely because the pelvis was directly above it, obscuring it from view.

They immediately took him to undergo emergency surgery. They first tried to push the stone back into the bladder (from where it can be removed) which sadly didn't work. They then performed a cystotomy to try to flush the stone out from the other side. This involves opening up the bladder and pushing and flushing from the inside. When they opened him up they found his ureters to be massively distended - a sign that the urine is backing up towards the kidneys, which is bad news.

The surgery took about 2 hours - they were close to giving up when they finally managed to dislodge the stone by passing a cannula next to the stone and then flushed it out through the penis. The surgeon called me as they were waking him up and I was so relieved and hopeful. They said they were going to keep him overnight to make sure he recovers as it was a very big surgery for "such a little man".

Unfortunately I later received a call from the night nurse who said they lost him. He seemed to recover from the anesthetic but then went into cardiac arrest. I was completely devastated. He was such a sweet little pig who loved life and he did not deserve this.

I think he could have been saved if he had received the surgery earlier, when the stone was still in his bladder. I am so disappointed that he didn't receive a correct diagnosis sooner. I spent an absolute fortune on vet bills and it didn't even help him.

Sorry for the long post but I am writing all this as a warning. If you have a piggy with bladder issues (bloody urine, pain when urinating, straining, dribbling urine instead of peeing properly), please immediately have him x-rayed and scanned from multiple angles, and make sure that they scan the urethra and penis (if male) as well as the bladder. I took my baby to the most expensive, competent vets but that is clearly not a guarantee that they will make the right diagnosis. I probably made Boh worse by syringing him water (vet recommendation) to try to flush out his non-existent "infection". The extra water just put more strain on his kidneys.

Hope this helps someone with a "bladder pig". Here is a picture of my beautiful boy when he was still a happy butterball. I am grateful for the time I had with him and for everything he taught me. I wish I could have given him the long, healthy life he deserved.


IMG_20180405_163413_584.webp
 
HUGS

I am so sorry for your loss! You did all you could for Boh. So sad that the stone didn't show up on the x-ray.
Unfortunately urethral stones in boars are never good news, as they have a longer urethra with an awkward inglenook where stones usually fetch up and can in some cases become embedded in the wall or block the flow of urine. :(

Boh was very unlucky to obviously have a genetic disposition and/or problems with the calcium absorption and then with his last stone ending up where it did. I know that it is no real consolation for you, but even if he had been operated in time, it may not have come off as urethral stone ops are all too often rather touch and go. ;(

I sincerely hope that in due time you can regain all the precious memories you have shared with him without them being overshadowed by his last days. Perhaps you want to start a diary into which you write down all the memories, small and large, as they come to your mind. You will hopefully find that so much of him is still in your heart and your precious recollections!
 
I’m so sorry to hear this. I lost my boy in the exact same way 2 weeks ago, he was also only 2. His stones showed up on the X-ray, but we took blood tests to check his kidney function and sadly they were too damaged to be saved and we didn’t want to risk the surgery so we had him put to sleep.
I know how difficult this time is. I’m thinking of you, you did all you could x
 
So sorry for the loss of your beloved piggy. RIP little fella. 💔
 
Thank you all. <3 So sorry you lost your boy too, @LeahsPiggies. :(
It seems bladder stones and sludge are incredibly common in domestic guinea pigs. I wonder if wild guinea pigs get this too? All the vets I spoke to about this said they still don't know what causes it and that genetic predisposition is a major factor as even pigs on low calcium diets can develop stones. It's pretty disheartening that we don't have any reliable form of prevention or treatment. :(
 
I am so sorry for your loss, you did all you could.
I lost a 10 month old boar to stones last October, sadly mass breeding seems to be making genetic predisposition to stones more common.
 
I am so sorry for your loss, you did all you could.
I lost a 10 month old boar to stones last October, sadly mass breeding seems to be making genetic predisposition to stones more common.
Oh no, so sorry you lost such a young pig. Stones are awful. Yes that is my suspicion too. I adopted Boh from a rescue but his initial owners bought him from a pet shop, so he was probably bred in horrific conditions with no regard to genetics.
 
So sorry for the loss of your gorgeous boy.
Take time to grieve and be gentle with yourself
 
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Dear fellow piggie lovers,
I just wanted to share this in case it helps someone else's pig. I lost my beautiful baby Boh two nights ago following emergency surgery for a bladder stone that got stuck in his urethra. He was only 2 years old.

Boh had a history of bladder issues: he had recurring bloody urine. He was a happy, healthy pig but from time to time would leave little spots of blood in his urine. He underwent multiple vet visits and ultrasounds (performed by the exotics specialists at Royal Dick's in Edinburgh), and was diagnosed with persistent cystitis. I had read all about bladder sludge and stones and kept asking if it could be that (Boh would often leave visible chalky deposits in his urine) but the vets said the images showed only a small amount of sediment in his bladder, and that it was nothing to worry about. They said I could give him cystease in case it helps.

He was on antibiotics for 7 weeks but the blood soon returned. I was giving Boh supplementary vitamin C, Oxbow bladder support tablets, cranberry extract and cystease to try to help him. Over the last 4 days he visibly declined. He seemed to be straining and quietly squealing while urinating and lost some weight. I put him back on antibiotics and metacam and also looked for a visible obstruction in his penis but found nothing, except that it looked quite purplish, as if the blood flow was restricted. He suddenly got much worse overnight and didn't eat much breakfast so I immediately took him to my closest vet (I had moved to Oxford in the meantime). They did an x-ray from a dorsal view (I asked that he not be sedated if it can be avoided) which didn't show any stones. They then did another ultrasound which showed a faint "growth-like" mass in his bladder. They said operating on a guinea pig was beyond their abilities so they referred him to the exotics practice in Chipping Norton. I took him there for the earliest available appointment the next day. They immediately did another ultrasound but using a much finer resolution scanner probe. They asked me to hold Boh in different positions while they scanned him to see if the "growth" moved. We could indeed see it peel away from the bladder wall, change shape and settle again every time I shifted him. The vet said it looks just like calcium sediment. He then palpated Boh's abdomen and felt a lump where the urethra travels down from the bladder. He used the fine probe to move along the urethra - you could clearly see the black open tube (as it should look) until a certain point, when it was suddenly obscured, revealing a clear blockage. They think this didn't show up on the x-ray likely because the pelvis was directly above it, obscuring it from view.

They immediately took him to undergo emergency surgery. They first tried to push the stone back into the bladder (from where it can be removed) which sadly didn't work. They then performed a cystotomy to try to flush the stone out from the other side. This involves opening up the bladder and pushing and flushing from the inside. When they opened him up they found his ureters to be massively distended - a sign that the urine is backing up towards the kidneys, which is bad news.

The surgery took about 2 hours - they were close to giving up when they finally managed to dislodge the stone by passing a cannula next to the stone and then flushed it out through the penis. The surgeon called me as they were waking him up and I was so relieved and hopeful. They said they were going to keep him overnight to make sure he recovers as it was a very big surgery for "such a little man".

Unfortunately I later received a call from the night nurse who said they lost him. He seemed to recover from the anesthetic but then went into cardiac arrest. I was completely devastated. He was such a sweet little pig who loved life and he did not deserve this.

I think he could have been saved if he had received the surgery earlier, when the stone was still in his bladder. I am so disappointed that he didn't receive a correct diagnosis sooner. I spent an absolute fortune on vet bills and it didn't even help him.

Sorry for the long post but I am writing all this as a warning. If you have a piggy with bladder issues (bloody urine, pain when urinating, straining, dribbling urine instead of peeing properly), please immediately have him x-rayed and scanned from multiple angles, and make sure that they scan the urethra and penis (if male) as well as the bladder. I took my baby to the most expensive, competent vets but that is clearly not a guarantee that they will make the right diagnosis. I probably made Boh worse by syringing him water (vet recommendation) to try to flush out his non-existent "infection". The extra water just put more strain on his kidneys.

Hope this helps someone with a "bladder pig". Here is a picture of my beautiful boy when he was still a happy butterball. I am grateful for the time I had with him and for everything he taught me. I wish I could have given him the long, healthy life he deserved.


View attachment 94810
My sow dot has a growth in her bladder. And sometimes peeing blood, but she has no stones on xray, shes doing well though. Shes taking antibiotics and painkilker.she also cannot be operated on Sorry for your loss xx and what a gorgeous little squishy faced pig.
 
So sorry for your loss. I had 2 guinea pigs who had bladder stones and UTI in the past and both passed away because of it. Out of every illness my piggies have had, UTI and bladder stones are what I hate the most. :td:
 
I’m so dreadfully sorry for all that you and Boh went through and that eventually you lost this little man. Huge hugs.
 
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I'm so sorry for your devastating loss.such a tragic loss.you did everything you could possibly do.please try not to blame yourself.you gave him unconditional love.
 
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I'm so sorry for your loss. Unfortunately bladder stones and sludge are pretty common and are more likely to become stuck in male pigs because of the longer urethra. It sounds like your and your vet did everything possible for him, unfortunately sometimes it still doesn't end well. ((HUGS)) to you and so sorry, he looks like a lovely boy and I can certainly tell he was loved!
 
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Dear fellow piggie lovers,
I just wanted to share this in case it helps someone else's pig. I lost my beautiful baby Boh two nights ago following emergency surgery for a bladder stone that got stuck in his urethra. He was only 2 years old.

Boh had a history of bladder issues: he had recurring bloody urine. He was a happy, healthy pig but from time to time would leave little spots of blood in his urine. He underwent multiple vet visits and ultrasounds (performed by the exotics specialists at Royal Dick's in Edinburgh), and was diagnosed with persistent cystitis. I had read all about bladder sludge and stones and kept asking if it could be that (Boh would often leave visible chalky deposits in his urine) but the vets said the images showed only a small amount of sediment in his bladder, and that it was nothing to worry about. They said I could give him cystease in case it helps.

He was on antibiotics for 7 weeks but the blood soon returned. I was giving Boh supplementary vitamin C, Oxbow bladder support tablets, cranberry extract and cystease to try to help him. Over the last 4 days he visibly declined. He seemed to be straining and quietly squealing while urinating and lost some weight. I put him back on antibiotics and metacam and also looked for a visible obstruction in his penis but found nothing, except that it looked quite purplish, as if the blood flow was restricted. He suddenly got much worse overnight and didn't eat much breakfast so I immediately took him to my closest vet (I had moved to Oxford in the meantime). They did an x-ray from a dorsal view (I asked that he not be sedated if it can be avoided) which didn't show any stones. They then did another ultrasound which showed a faint "growth-like" mass in his bladder. They said operating on a guinea pig was beyond their abilities so they referred him to the exotics practice in Chipping Norton. I took him there for the earliest available appointment the next day. They immediately did another ultrasound but using a much finer resolution scanner probe. They asked me to hold Boh in different positions while they scanned him to see if the "growth" moved. We could indeed see it peel away from the bladder wall, change shape and settle again every time I shifted him. The vet said it looks just like calcium sediment. He then palpated Boh's abdomen and felt a lump where the urethra travels down from the bladder. He used the fine probe to move along the urethra - you could clearly see the black open tube (as it should look) until a certain point, when it was suddenly obscured, revealing a clear blockage. They think this didn't show up on the x-ray likely because the pelvis was directly above it, obscuring it from view.

They immediately took him to undergo emergency surgery. They first tried to push the stone back into the bladder (from where it can be removed) which sadly didn't work. They then performed a cystotomy to try to flush the stone out from the other side. This involves opening up the bladder and pushing and flushing from the inside. When they opened him up they found his ureters to be massively distended - a sign that the urine is backing up towards the kidneys, which is bad news.

The surgery took about 2 hours - they were close to giving up when they finally managed to dislodge the stone by passing a cannula next to the stone and then flushed it out through the penis. The surgeon called me as they were waking him up and I was so relieved and hopeful. They said they were going to keep him overnight to make sure he recovers as it was a very big surgery for "such a little man".

Unfortunately I later received a call from the night nurse who said they lost him. He seemed to recover from the anesthetic but then went into cardiac arrest. I was completely devastated. He was such a sweet little pig who loved life and he did not deserve this.

I think he could have been saved if he had received the surgery earlier, when the stone was still in his bladder. I am so disappointed that he didn't receive a correct diagnosis sooner. I spent an absolute fortune on vet bills and it didn't even help him.

Sorry for the long post but I am writing all this as a warning. If you have a piggy with bladder issues (bloody urine, pain when urinating, straining, dribbling urine instead of peeing properly), please immediately have him x-rayed and scanned from multiple angles, and make sure that they scan the urethra and penis (if male) as well as the bladder. I took my baby to the most expensive, competent vets but that is clearly not a guarantee that they will make the right diagnosis. I probably made Boh worse by syringing him water (vet recommendation) to try to flush out his non-existent "infection". The extra water just put more strain on his kidneys.

Hope this helps someone with a "bladder pig". Here is a picture of my beautiful boy when he was still a happy butterball. I am grateful for the time I had with him and for everything he taught me. I wish I could have given him the long, healthy life he deserved.


View attachment 94810
oh my he was so beautiful :(
 
What a beautiful boy and what a terrible loss for you.
Thank you for taking the time to share his story with us.
 
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