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Painful Poops

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Does anyone have any experience dealing with a piggy with a spinal injury causing painful poops?

Specifically the spinal injury is old/healed, he is walking and running fine, popcorning around, humping his friend when he gets the chance, eating well and enjoying life except he cries when he poops. He is 2.5years old.

We actually originally thought, along with our vet, that the issue was likely bladder stones/sludge and were shocked to find out about his spinal injury on his x-ray - attached (L2 and L3 fused).

The vet has advised it can be managed without surgery. He weighs around 1160g and she started him on 0.12ml gabapentin, 0.23ml paracetamol and 0.46ml meloxicam - all twice per day.

After a week or so I was still worried about his poop crying so we increased his paracetamol to 0.34ml as per advice from vet plus added in a third gabapentin dose per day as he was still crying a lot some days. She also said we could go up to 0.77ml meloxicam on bad days.

But he is still crying. I think he seems generally a bit happier/more mischievous and doesn't seem to get affected by the potential sedative effect of the gabapentin but it's still obviously sore when he poops.

I don't know what to do - if I need to give him more time on his current medication level or discuss increasing things with the vet again already (it's only been 3 days since we increased). Or if there is anything else I should be trying.

Also does his tailbone look okay on the x-ray? May just be the way he is lying?

Any experience/advice appreciated. I just want him to feel as comfortable as possible - as you know, they poop a lot!
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One of my boars who had spinal arthritis used to cry when pooping. Once we got the pain under control (Metacam/Gabapentin) the crying became less frequent although didn't stop altogether. As he got older his poops also got smaller which may have helped him with passing them.
Sorry I realise that's not much help to you!
 
No that's actually really helpful to read someone else's experience and that you got things mostly under control for him - thank you for posting 😊
Do you remember the daily metacam/gabapentin schedule that worked best for your piggy in the end?
I wasn't sure whether staggering his meds or giving them all at once would make any difference, for example. My vet wasn't sure on this.
Thanks again, it really does help to know someone's been through something similar.
 
Both pain meds twice a day with option for Gabapentin 3 times if necessary. Metacam started as .4ml eventually rising to .5ml. Gabapentin was .12 ml. Brillo weighed 1.2kg at the start but after 2 years had gone down to just over a kilo, despite the weight loss the meds were increased rather than decreased. There is an optimum dose for meds and if you split this too much they won't work, if you give more doses during the day it needs to be a higher daily dose. You would need to discuss this with your vet.
Brillo was first diagnosed at age 4, his pain was managed until about 2 weeks ago when we let him go aged 7+. Sadly it was his time, his arthritis and general overall health had deteriorated.
 
Ahh that's an amazing age for him, you obviously did a great job! I'm sad to read his time came around recently for you, poor old Brillo. But how wonderful you helped him for so long. And now his experience will hopefully help my Dexter too so Brillo continues to do his bit in a way 😊
Thanks for sharing his med schedule and weight/dosages. I will definitely check with my vet before I try any further changes. It's just good to know we're roughly on a similar track and that you had a positive outcome. Dexy is still guinea pigging around happy as anything except when he poops so I'm hopeful if we can get his med levels right he will do well. The vet seems optimistic - I just want to make sure I'm not leaving any stones unturned to help him.
 
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