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Emergency Ivermectin after 2 doses thus far ineffective

Roxanne1

Junior Guinea Pig
Joined
Jul 9, 2019
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Location
New Jersey, United States
Hi all,

I am a new member. This is my first post. I've been combing the internet for some time now. Often landing here. So, this is the forum I've decided to join, thinking I might have the best chance of help here.

I have four pigs. Well my son and daughter have two each. Two boys in one room. Two girls in another. One of the girls, Fluffy, has been scratching for about 4 weeks. Upon noticing this she was separated from her sister. Three other piggies are asymptomatic.

Took her in to the vet 6- 10. They put her on Sulfatrim for 10 days. Tape test. No visible improvement. On 6 - 28, at vet's, she was given Ivermectin. Tape test negative. Microscopically, negative. No visible improvement. On 7 - 5, took her in to Exotic emergency. Given second dose of Ivermectin, Gabapentin, Erofloxacin and Metcam. It is now what, July 9th, still no visible improvement. Just worsening. How long does this ivermectin take for crying out loud?

What started as a little scratching, turned to big open sore on back between shoulder blades, to a sore on each forearm , a couple of little ones here and there, and most recently to thinning hair, and sores, on top of her back. Sores are a little rounded and irregular. Itching. Itching. Itching. I can't even count how many times I've put her e cone on. I do not leave it on at night because she puts her front paws in and I am afraid she will strangle herself, or constrict her chest or abdominal cavity- but she wears it all day as she sits atop the kitchen table where I am watching her. I tried to cut a short sock and put it over her body , slide her into it, but she quickly rid herself of that. She twitches, she cries when touched and held. Two days ago I thought things were looking up, improving. She seemed less bothered, a little more calm. I thought she was pulling through. Today she is just as itchy as ever. I don't know what to do. I adhere to the prescription regimen. I bathe her once as prescribed. I changed to paper bedding. I've scrubbed her cage. I am careful not to cross contaminate with other piggies. Very careful.

This is one of my daughter's piggyies She is away. She will be home on Wednesday. I had so hoped to heal this piggy, for piggie's sake and for her sake. I didn't want her to see her piggie still suffering like this. I am waiting for a doctor call. I don't know what to do. It is so hard to sit there and watch piggy suffer. To not even be able to comfort her by holding her, unless I hold her very very gently and carefully. And even then I usually irritate something somewhere. And, she is alone with no friend in her cage. It's awful for her. It's awful for me, to not be able to help her. I just sit and hold her and cry and hope that something works soon. Any advice, suggestions, any hopeful sharing of your going through the same thing and it did work it just took longer than this? I sit and think is it possible that I am going to have to put Fluffy to sleep for mites or a fungal skin condition, over something like this...is this where it is heading, can it possibly be? I don't know what to do. Please share anything you might think is helpful or hopeful..... Thank you, Roxanne
 
Have they tested for fungal? Just in case it isn’t mites?
 
I am guessing by the way you have wrote your dates you are US based

Guinea Lynx :: GL's Vet List is the best medical website there is and us centric they have a vets list and a heavy us based forum. I suggest you ask there also

She needs to be in pain relief as she will be in pain, I am really so sorry and wish I could help more

huinea lynx info to show your vet here Guinea Lynx :: Mange Mites
 
Do you have a photo. I realise they may be looking very sore so please don't feel bad I feel you do. Did the vet inject the ivermectin? This is the best way to give it and it can take up to three dosages (10-14days apart) to resolve the mites if there is any. I also agree checking for fungal too. Fungal tends to be immisable.

I would also suggest throwing out all hay etc. What did you use to clean out the house? It's is a large possibility that the ivermectin is working but something like the hay is housing the mites and causing more infestation. The other piggies may not be effected and it may be that this little one is immunosuppressed for some reason and this is why she is bad.

Abi
 
Have they tested for fungal? Just in case it isn’t mites?

They have not tested for fungal. I brought up the possibility during the second visit after research. They said it was a two week wait for the culture to grow. It sort of fell into the background. I however, do plan on speaking with the vet next we visit, this Sunday. Thank you. Apparently you too feel this is worth looking in to...
 
I am guessing by the way you have wrote your dates you are US based

Guinea Lynx :: GL's Vet List is the best medical website there is and us centric they have a vets list and a heavy us based forum. I suggest you ask there also

She needs to be in pain relief as she will be in pain, I am really so sorry and wish I could help more

huinea lynx info to show your vet here Guinea Lynx :: Mange Mites

I have been on guinea lynx. Good site. Will post there as well. I am on the East Coast of the US. Not sure how I wrote the dates. But, I am working uncustomarily on a Chrome and was too impatient to find the forward slash or the period so just hyphenated. When the vet calls back - I am going to call again, been waiting all day - I am going to ask for more gabapentin. They gave me 50 mls, 0.18 mls BID. Not enough. I thank you for your support...
 
Do you have a photo. I realise they may be looking very sore so please don't feel bad I feel you do. Did the vet inject the ivermectin? This is the best way to give it and it can take up to three dosages (10-14days apart) to resolve the mites if there is any. I also agree checking for fungal too. Fungal tends to be immisable.

I would also suggest throwing out all hay etc. What did you use to clean out the house? It's is a large possibility that the ivermectin is working but something like the hay is housing the mites and causing more infestation. The other piggies may not be effected and it may be that this little one is immunosuppressed for some reason and this is why she is bad.

Abi

Well this is a relief Abi, reading that from your experience, assuming, that it can take up to 3 doses. Huge relief! Will speak to them about testing for fungal. The Ivermectin was injected. Both times. All hay was tossed. New bag. Good bag. Upon close inspection of three bags here at home, in two of them I noted brown strands. I am guessing an indication of age since packing bag. New bag has no brown strands. Not sure about hay being culprit cos no other piggies having an issue. And, they've all been eating it. But I know that mites can be symptomatic or asymptomatic, exacerbate with colonization or not dependent upon the health of the piggie. Scrubbed with wire brush and water. Vigorously. Rinsed. Wiped down, saturating nooks and crannies with lysol wipes. Rinsed. Dried in between and dried finally. Did a super job. Can't imagine missing anything....? Also changed bedding upon the suggestion of vet from wood to paper. I hope I've covered all bases. And yes, maybe immunosupressed is what I was I was trying for above. I will send pictures, thank you for your consideration. It sucks. To see this beautiful little baby sweetie piggie pie in such distress. It kills me. Since posting I went for gauze wrappings. Wrapped piggy once, twice, three times. Within minutes, no seconds, pulled a Houdini and was out in a flash. Third time I wrapped one loop around each front let. There. That worked. I ended up undoing it myself worrying that she'd break her leg or pull muscles, tendons or ligaments not being able to move like piggies do and such. Kind of like a choke hold. Back to the cone. She's kept it on for oh a coupla hours now. I will take photos. But maybe not tonight. First going to call the vet again and ask for a refill of gabapentin. Thank you so much. I feel better just sharing this with others. Your feedback is a bonus and much appreciated.
 
Do you have a photo. I realise they may be looking very sore so please don't feel bad I feel you do. Did the vet inject the ivermectin? This is the best way to give it and it can take up to three dosages (10-14days apart) to resolve the mites if there is any. I also agree checking for fungal too. Fungal tends to be immisable.

I would also suggest throwing out all hay etc. What did you use to clean out the house? It's is a large possibility that the ivermectin is working but something like the hay is housing the mites and causing more infestation. The other piggies may not be effected and it may be that this little one is immunosuppressed for some reason and this is why she is bad.

Abi
 

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I can't really add to the great advice added above. I would invest in some F10 for cleaning their cage and be very careful/follow strict hygiene rules incase of ringworm as its contagious to humans too.

Don't panic over the dates, its just US write them month/day/year and UK always writes them day/month/year which is what sport_billy meant
 
Ouch your poor piggy looks very sore and uncomfortable no wonder you're worried about her. You are doing all you can to help her.
 
Hi & welcome to the forum, sorry it's due to your girl's poor health :(

Please be kind to yourself & patient, if it is mange mites, then it could take at least 3 doses of Ivermectin to clear her of them, the Ivermectin needs time to work on each stage of the mites life cycle timeline, the first dose kills the adults, the second approx a week later will kill any newly hatched juveniles & maybe a third dose just to kill of any stragglers!
With mange mites your Guineas scratching will get worse before it gets better, my vet told me due to the mites dying off under the skin (where they live) this makes the affected Guinea more itchy.
A tape test may have come back negative as its the burrowing under the skin is their environment. She's had quite a long period of time with the mites so it will probably have built up a heavy infestation of them. :(

Your poor girl must be so sore (what's her name), if it's any consolation my girls had a fungal outbreak earlier this year & Tiggy my long haired girl had a nasty sore on her back, she would squeal when I bathed her with the fungal shampoo, the sore would dry out & crack, the vet recommended a thin smear of Sudocream (for nappy rash).

Squiggle who was probably the least affected by the fungal (turned out to be ringworm) outbreak then presented with a 'v' shape of missing hair on her back, this was the start of her mange mites, luckily I spotted it early because of the daily fungal batheing & still it took 3 doses of Ivermectin spot on treatment (Xeno 250), yours sounds like her treatment was the more effective injections so that's a bonus :)

I would definitely get her checked for fungal issues too though, sometimes (not always) an ultra violet light will show up fungal conditions immediately without having to wait for cultures to be grown.
Please discuss with your vet though the possibility of fungal, you might find like me that because my 4 girls immune system was low because of the fungal, they were then susceptible to mites - yours may be the other way round with the mites coming first.

I found online a pot of 'F10' germicidal cream, which is an anti fungal wound cream, I'm not sure if you can get in the States but I used this on Tiggy's back instead of the Sudocream in the end as it seemed to soak into her skin better.
Discuss with your vet if either of these are options for her.

Also try & get hold of some F10 disinfectant to clean your cages/equipment with, this disinfectant kills fungal spores & most virus's. This is veterinary strength disinfectant & will help to minimise the risk of further diseases :)
(get the disinfectant type version such as this F10 Products F10SCXD Veterinary Disinfectant / Cleaner
As there is also an antiseptic version (which isn't the type you want)


It took a couple of weeks to get healed & hair growing back on Tiggy, so be prepared for the long haul!
But don't give up hope, she's being treated & you're doing the best that you can for her, hopefully this is the worst bit before it gets better.

Hang on in there - big hug for you as its so draining watching our piggies go through this & we feel helpless. Don't worry you're not the only one, we're all happy to help support you where we can on here. :hug:

Here's my thread on my girls if it's any help?
Eye, Sebaceous Cyst & Fungal issues all at once :(

Might be worth looking at the ringworm threads/stickies on here too?
Ringworm: Hygiene And Pictures

Good luck & healing vibes being sent your way for a full & speedy recovery xx
 
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Does look like mites to me, the back patch looks like what I have seen before, did the vet give you any metacam to give at home as Pain relief orally?
 
I hope you get your poor girl sorted soon - you have done a great job so far and it must be awful to see her in pain.. looks so sore bless her... ( F10 is good for cleaning) x
 
F10 for the cage not the piggy 😉 x
Thank you I hope I didn't confuse things...

Sorry just to clarify my post above- as both products I suggested are F10 products...

The F10 germicidal/antiseptic cream like this I used on Tiggy's sore on her back
F10 Products Germicidal Barrier Ointment
The cream is for use on the animal & provided in a tube or pot.


But only use the F10 disinfectant cleaner liquid as I linked on post above for cage/equipment cleaning (this liquid is NOT to be used on piggy)
Xx
 
Aww you poor things, how stressful for you and how sore for the piggy :(
Sounds like you are doing everything right and have had some great advice so hang in there :luv:

It does look like mites to me, only based on my previous experience with my little Girl, Olive. I got her from a god awful place where all the pigs were sick and full of these sores. I got mite drops from the vet (they were kitten drops) and treated her twice. And it cleared up beautifully! ( with a good diet and clean environment which she was denied before)
Here are some photos to compare :)

On arrival..
4E4E3472-4B7D-4B02-AC16-0418509F5E05.webp56952FE0-20D5-4F99-B910-EA6C2E372A25.webp
141B7385-7060-4E7F-84D0-2D696F27C637.webp
C2FC6196-BCCE-4D76-B653-212B93337363.webp

A few weeks later:
D4E06A2A-9431-49B3-8EE5-4259A01BBA24.webp

Now:

9606D834-43AA-4F62-9C9D-1B83AD3A9FFE.webp
 
Thank you I hope I didn't confuse things...

Sorry just to clarify my post above- as both products I suggested are F10 products...

The F10 germicidal/antiseptic cream like this I used on Tiggy's sore on her back
F10 Products Germicidal Barrier Ointment
The cream is for use on the animal & provided in a tube or pot.


But only use the F10 disinfectant cleaner liquid as I linked on post above for cage/equipment cleaning (this liquid is NOT to be used on piggy)
Xx
No..I thought I might have confused things that's why I made another comment 😊😊
 
They have not tested for fungal. I brought up the possibility during the second visit after research. They said it was a two week wait for the culture to grow. It sort of fell into the background. I however, do plan on speaking with the vet next we visit, this Sunday. Thank you. Apparently you too feel this is worth looking in to...

Hi and welcome

I am very sorry for your distress. Seeing your pictures, I can't see the typical crusts and flakes of a fungal skin infection.

You may want to gently wash the sores with a mild disinfectant, but because of the severity you have to be very careful in order to not start fitting. Can you try to adapt a sock with leg and a head hole that is tight enough to prevent your piggy to wiggle out of it so she cannot bite herself raw from the discomfort of her skin?

I second @Abi_nurse 's advice that injections are more effective in advanced cases. Some piggies with a lowered immune system can get mange mites badly very quickly and struggle to shed them. They require much longer treatment than the mild standard cases.

It is always important to check for fungal skin infections/ringworm, too. Please keep in mind that any lab tests will only test for ringworm but any other forms of a fungal skin infection. Mites and fungal can look very similar, especially when they do not appear in textbook form (which is not all that uncommon).
What to check and look out for in new guinea pigs (vet checks, sexing, parasites&illness)
Ringworm: Hygiene And Pictures
 
F10 for the cage not the piggy 😉 x

F10 in very diluted form can be used as a disinfectant in the case of abscess flushing and gently dealing with open skin sores.
However, while it can be ordered online, it is not as easily available the in the US as it is in the UK.
 
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