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Mollie Has Cystitis

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we should get mollie's initial results back anytime from today so keep your fingers crossed for us that it is soon.

she's doing well for the moment. when she went in to the vets to stay she had dropped to 920g but since being home she has been maintaining around 965g so the metacam and cerenia are certainly helping to an extent. her usual weight is around 1000g. she is still doing the odd squeak but maybe only once or twice a day, and not even every day either. it's usually a bit before her meds are due again each time that she does it. her urine is still darker than it should be but not as dark as it was. but she's bright and eating and drinking normally. and still taking meds well, although i think she's a bit fed up of them now! i don't blame her.

so yep, fingers crossed we hear soon :)
 
nothing yet. o/h is going to ring them in a minute and see if any results are back yet :)
 
receptionist said it looks like there are some results back so she's left a note for aidan to ring us soon as he can. :)
 
ok, so the lab didn't grow any bacteria which either means there wasn't any there, or it's one that is hard to grow. but the vet thinks mollie's issue is more inflammation based, so IC. she has an issue with calcium salts. the sample contained alot.

we need to adjust her diet now to make sure she has low calcium. this means no pellets ideally to start and then possibly one of the newer concept ones which has low calcium. ideally none but it depends on how she goes and what her weight does etc. her fresh food will now mainly be lettuce and she can have the odd bits of cucumber for the water. we can research to find any other low calcium leafy greens that are suitable (although many are medium-high calcium anyway so probably won't be suitable). he said lettuce is the best fresh food for her now though. she can obviously have any grass based hays and fresh grass aswell.

she is going to be on a new medication which is a diuretic (bendrofluazide i think he said) and she will stay on metacam and cerenia aswell for the moment but these doses can be gradually tapered off as we get her symptoms under better control.

so it's going to be a bit trial and error as we go forward but hopefully we can find a diet that suits her and keeps her symptoms under control.
 
helen105281 said:
Have you considered the IC diet at at all? it is essentially low calcium but also takes into account the levels of calcium in hay too.
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i have seen it mentioned so i could see how she goes with mainly lettuce and bit of cucumber to start and then see if the rest suit her. you sent me some info about IC about a year ago when it looked like maisie had this. she didn't in the end but i kept the info. can't find it currently but i know i saved it somewhere! :roll:

have you had any experience with the new medication he's sending us? i will double check the name when it arrives because i had to write it down quickly so it could well be wrong! x
 
johng2611 said:
(Michelle) I hope she gets better soon. Sammy did a wee with blood in it the other day we have been monitoring him, no blood since and he doesn't seem to be having a problem weeing? I am wondering if he passed a stone?
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it is possible but i think he would have been in alot more pain if he had done, with probably alot of blood. might be worth getting him to the vets and having him checked over. vets can feel the bladder and see if there is any noticeable swelling and express some urine if possible to see how he reacts. they can use a basic dipstick test initially to test for the presence of any blood :)

it could also have been a normal food coloured wee to make you worry but always best to err on the side of caution with their health :)
 
johng2611 said:
(Michelle) I hope she gets better soon. Sammy did a wee with blood in it the other day we have been monitoring him, no blood since and he doesn't seem to be having a problem weeing? I am wondering if he passed a stone?
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I would definitely have him checked just to be on the safe side as it could be anything.

A few weeks ago, my Emma passed blood in her urine. I collected two samples and took them both to the vets.

The first sample was off the scale for blood where as the second sample was completely clear. Emma's bladder felt fine on examination but she was put on a cause of septrin as a precaution but thankfully *touch wood* she didn't pee anymore blood or show any symptoms. My vet has put it down to her possibly having a polyp or something that can bleed from time to time.

I would always advise a vet visit for any blood in the urine.
 
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biscandmatt said:
i have seen it mentioned so i could see how she goes with mainly lettuce and bit of cucumber to start and then see if the rest suit her. you sent me some info about IC about a year ago when it looked like maisie had this. she didn't in the end but i kept the info. can't find it currently but i know i saved it somewhere! :roll:

have you had any experience with the new medication he's sending us? i will double check the name when it arrives because i had to write it down quickly so it could well be wrong! x
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Will have a look once you have the name.
 
ok so i got the name of the medication wrong! it is bendroflumethiazide. 1/4 tablet once per day in the morning (tablet strength is 2.5mg) - this is alongside the cerenia, metacam and diet change aswell.
 
Thanks for the name, am assuming the vet has prescribed them to help flush things through but have not heard of them being used myself. @Pebble may know.
 
helen105281 said:
Thanks for the name, am assuming the vet has prescribed them to help flush things through but have not heard of them being used myself. @Pebble may know.
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from what i understood, it is to help flush things through. her issue is calcium salts so i assume this will flush them through more effectively and before they cause other issues. then the cerenia for the bladder walls, and the metacam for inflammation and any pain. she still has some discomfort at times and will hunch and grunt/groan, but it's not alot thankfully. we heard/saw her do it once last night.

i think mollie already seems a bit brighter though just with the change in diet so far and she's holding her weight stable for the moment aswell. so fingers crossed we will get there :)
 
ok, tempted fate there and she's just been squeaking. poor little molls. i assume it will take a while for things to settle down. :(
 
biscandmatt said:
ok so i got the name of the medication wrong! it is bendroflumethiazide. 1/4 tablet once per day in the morning (tablet strength is 2.5mg) - this is alongside the cerenia, metacam and diet change aswell.
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It's a diuretic - but according ot the literature, metacam and other Non-steroidal anti-inflammatory drugs can interfere with it (hence why fruseamide is the diuretic routinely prescribed for piggies as it does not have similar reactions with metacam)

Curious to know your vets thoughts on this durg as this is the first case I am aware of where it is being prescribed for piggies in place of fruseamide.
x
 
Pebble said:
It's a diuretic - but according ot the literature, metacam and other Non-steroidal anti-inflammatory drugs can interfere with it (hence why fruseamide is the diuretic routinely prescribed for piggies as it does not have similar reactions with metacam)

Curious to know your vets thoughts on this durg as this is the first case I am aware of where it is being prescribed for piggies in place of fruseamide.
x
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thanks. i don't know why to be honest. but they are exotic specialists and always seem to do things differently to other places!, or a long time before other places!. i can always ask and update though :)

what literature has the information? is it about guinea pigs specifically or the use of the drugs together in people? thanks :)
 
does anyone know why it says to give it once in the morning? does the time make some difference :hmm:i should really have asked all these things but i literally only speak to the vet on the phone and that is because i have to for the pets! i'm awful though and get so nervous :roll:
 
Literature is mainly about human meds but also has some vet stuff about NSAID's contraindications ...will do a search and try to link to more articles for you over the weekend.
x
 
Speak to your vets on the phone - the Forum cannot substitute for that given your concerns.
I speak to my vets on a regular basis - often at unearthly times in the morning....but I am lucky because I have permanent vets at my practice (Uncle Hedley and Uncle Jeremy) doing ALL the out of hours work.
x
 
@Pebble thank you for your help. i asked someone else i know who seems to know alot about meds and she thinks that metacam can decrease the effect of bendro and bendro can increase the risk of the metacam causing some issues with the kidneys, but that it may be the best thing for mollie and that the vet has probably weighed up everything and given doses and treatment he believes to be the best for mollie's specific case and in the doses he feels safest.

but the vet also knows i am a worrier anyway so he's used to it! :)) he doesn't seem to mind me asking usually and he gets quite into explaining things so hopefully he won't mind! although i do feel bad sometimes because he's so busy and there's me over-worrying about every little detail! :))
 
Your concerns are very real and justified....and lets face it - this is the first time (I can recall) that this drug has been mentioned on the forum as being prescribed for piggies in place of fruseamide.

Your friend has got the gist of how the vet's mind is probbaly working - but that shouldn;t stop you ringing your vet to ask......and expect your concerns to be taken seriously. That's what good piggie owners do......and let's face it, how many times on this forum over the years have slaves had to go back and re-visit meds/doses with their vets following posting on here?

x
 
Speaking from my experience with these drugs in humans, bendrofluazide is a gentler diuretic. If you take frusemide you pass urine very soon after. Whereas with bendrofluazide there is no noticable increase in urine production, its a more subtle effect. Only the vet can answer why he has used this drug. I so hope she continues to improve
 
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