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Please help me, I am really helpless,

我妈妈这两天一直告诉我,她感觉呼吸有点快,当我妈妈抱着她时,她说她感觉她在颤抖。她也没有喝太多的水在过去的两天,不喜欢走动。我妈妈一直问她是否又疼了,但我没有认真对待,因为中国兽医没有重新检查她的尿液。
好吧-真遗憾他帮不了你。

恐怕我帮不了翻译。
mmexport1754223535363.webp I am sending you a photo of her urine colour, as well as a video my mother just took of her breathing rapidly. In the video, my mother says that she seems afraid to walk, that she walks very slowly, and that she seems afraid to take steps. So, she has been feeling uncomfortable these days, including drinking less water. Although she goes to her dining table, she just keeps sniffing around and doesn't eat much grass.
 
From what I can see of the syringes, the urine looks totally normal.

However the colour of the urine is kind of irrelevant - the vet needs to test for the presence of bacteria which we cannot see.

She does look to be breathing fast for part of the video but it’s impossible for us to know what situation she is in - For example If it’s hot she may be struggling with that
But her chest needs to be listened to by a vet with a stethoscope to find out if there is a breathing issue.
You have to bear in mind that you also seem to be looking for problems - I’m not sure why breathing issues are suddenly cropping up
 
The guinea pig's urine test results showed ++ calcium oxalate crystals, + epithelial cells, + microorganisms, and a pH of 8.7.Her stool had severe indentations, and I felt that the previous doctor was unprofessional.mmexport1754277978700.webp
 
The guinea pig's urine test results showed ++ calcium oxalate crystals, + epithelial cells, + microorganisms, and a pH of 8.7.Her stool had severe indentations, and I felt that the previous doctor was unprofessional.View attachment 273757

Guinea pig urine is naturally alkaline anyway. This is why they struggle with crystals and stone formation.
Crystals means something is put of balance with the her diet and potentially the complicated absorption process in her body.
Mostly they are made of carbohydrates rather than calcium or oxalates.
Crystals can go on to become stones which then usually require surgical removal.

Try to get the guide below translated as it explains much more fully about crystals and stones

Wiebke's Guide to Pees and Stones

The poops don’t look too bad to me - they don’t appear severely intended from the picture I can see. Indentations can mean a little tummy upset and not properly digested food

Wiebke's Guide to Poops
 
Guinea pig urine is naturally alkaline anyway. This is why they struggle with crystals and stone formation.
Crystals means something is put of balance with the her diet and potentially the complicated absorption process in her body.
Mostly they are made of carbohydrates rather than calcium or oxalates.
Crystals can go on to become stones which then usually require surgical removal.

Try to get the guide below translated as it explains much more fully about crystals and stones

Wiebke's Guide to Pees and Stones

The poops don’t look too bad to me - they don’t appear severely intended from the picture I can see. Indentations can mean a little tummy upset and not properly digested food

Wiebke's Guide to Poops
Hello, sorry to bother you again. At present, we have further examination, and his bleeding should not be in the bladder.
I will send you the latest results and the doctor's diagnosis.
At present, from the film and yesterday's urine test, there is no blood in his urine.
I can't see the bladder at the moment. The following is my translation of what the doctor told me.

We observed inflammatory changes around his kidneys. Additionally, there was a small amount of ascites, which does not necessarily require intervention. Normal guinea pigs naturally have a small amount of ascites in their body cavities, which is an acceptable finding. Furthermore, we observed deposits in the bladder. These deposits are normal, as guinea pigs have alkaline urine, so their bladder urine is naturally cloudy. The cellular components and crystals we observed are relatively acceptable findings.


Then, there is a lesion in the reproductive system. For this lesion in the reproductive system, surgery can be considered to perform sterilisation. Dynamic observation can also be considered. As long as there is no obvious heavy bleeding, this surgery is optional.

This was the doctor's assessment at the time, and he did not prescribe any medication for us. He mentioned that if sterilisation surgery were to be performed, there are currently no good anaesthetics available in China, as all good anaesthetics come from abroad. As for my guinea pig, it currently does not have a large amount of blood. I asked if it was possible to prescribe some hormone medications like hCG, but the doctor stated that China currently does not have such medications and suggested I inquire about better conservative treatment methods here. If medications are needed, he can prescribe them as long as they are available here, so he did not prescribe any medications. He just sent her home! I am concerned that, in addition to the ovarian cyst issue, there is another concern: the ultrasound only showed a possible kidney injury, but it is not certain. The blood draw was painful because the needle was inserted, and the guinea pig had to remain still, which caused significant stress. Compared to the ultrasound, the stress from the blood draw is definitely stronger. The blood draw volume is approximately 0.5 ml. Drawing blood from a guinea pig is not easy because its veins are very thin, so the bleeding rate and other factors can significantly impact the overall process. It is possible that two or three needle insertions may be required, and this cannot be ruled out. My mother doesn't want her to suffer, so she's very reluctant and took her home. I'm concerned that she may be experiencing significant pain, so I'd like to request conservative treatment with medication to alleviate her pain. Additionally, I noticed two unusual movements that concern me, but the local doctor, lacking clinical experience, did not inform me. I would appreciate your assistance in assessing the situation.
 

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Yes piggies do have alkaline urine. It can lead to crystals and then to stones. This can become a big issue. Crystals can cause pain and can damage the bladder as they can be sharp.
Very tiny crystals and stones may be able to be passed but it can be painful. A larger stone can block the urethra.
Kidney issues are usually not treatable in guinea pigs.

I’ve added a guide below which details ovarian cysts. Spaying can need to be done in some cases.

Sows: Behaviour and Female Health Problems (including mounting and ovarian cysts)
 
Yes piggies do have alkaline urine. It can lead to crystals and then to stones. This can become a big issue. Crystals can cause pain and can damage the bladder as they can be sharp.
Very tiny crystals and stones may be able to be passed but it can be painful. A larger stone can block the urethra.
Kidney issues are usually not treatable in guinea pigs.

I’ve added a guide below which details ovarian cysts. Spaying can need to be done in some cases.

Sows: Behaviour and Female Health Problems (including mounting and ovarian cysts)
I saw this article about ovarian cysts. Does she need pain medication now? For example, Meixi. If so, I will ask the doctor to write a prescription. This is for the bladder.
No medication has been prescribed for the ovaries yet, because the medication I mentioned is not available in China. My doctor asked what medications are usually prescribed here.
 
Being on pain meds for the bladder issue might be a good idea. It will also help if she is experiencing any pain with the cysts. Whether she is in pain with the cysts depends on many factors which we don’t have the information for.

What meds and procedures are done for the cysts depends on the cysts. Some sows do need hormone treatments (which is not often done in the Uk at present, but is done more commonly in the US), some need to have their ovaries removed, others need a full spay.
I don’t have sows so my knowledge on cysts is just general information.
 
Being on pain meds for the bladder issue might be a good idea. It will also help if she is experiencing any pain with the cysts. Whether she is in pain with the cysts depends on many factors which we don’t have the information for.

What meds and procedures are done for the cysts depends on the cysts. Some sows do need hormone treatments (which is not often done in the Uk at present, but is done more commonly in the US), some need to have their ovaries removed, others need a full spay.
I don’t have sows so my knowledge on cysts is just general information.
Thank you so much. I will ask the doctor to prescribe Meloxicam. Do you think this painkiller is okay? I will give her 0.1 on the first day and then 0.05 daily. Do you think that's okay? Also, she weighed 900 grams yesterday!
As for the ovarian medication, I am looking for other drugs.
In addition, she has a bacterial infection in her ears. Should I continue to use the ear drops prescribed by the doctor to clean her ears once or twice a day?
 
Thank you so much. I will ask the doctor to prescribe Meloxicam. Do you think this painkiller is okay? I will give her 0.1 on the first day and then 0.05 daily. Do you think that's okay? Also, she weighed 900 grams yesterday!
As for the ovarian medication, I am looking for other drugs.
In addition, she has a bacterial infection in her ears. Should I continue to use the ear drops prescribed by the doctor to clean her ears once or twice a day?
I plan to let the doctor prepare and give me a 14-day dose of painkillers. What do you think?
 
Thank you so much. I will ask the doctor to prescribe Meloxicam. Do you think this painkiller is okay? I will give her 0.1 on the first day and then 0.05 daily. Do you think that's okay? Also, she weighed 900 grams yesterday!
As for the ovarian medication, I am looking for other drugs.
In addition, she has a bacterial infection in her ears. Should I continue to use the ear drops prescribed by the doctor to clean her ears once or twice a day?

Meloxicom is absolutely fine.

I cannot tell you what to give though - only a vet can do so.
What I can tell you is that the dosage you plan to ask for is so low it would be pointless as it would not relieve any pain at all. Particularly if it is the cat version at 0.5 mg/ml.
Piggies need their pain meds twice a day and can take considerably higher doses. If you can search the forum for meloxicom doses you will see the dosages we are all advised to give are so much higher. But you also have to remember that dosage is based on weight and clinical need.

I can only tell you to Continue with the ear treatment as your vet had advised
 
Being on pain meds for the bladder issue might be a good idea. It will also help if she is experiencing any pain with the cysts. Whether she is in pain with the cysts depends on many factors which we don’t have the information for.

What meds and procedures are done for the cysts depends on the cysts. Some sows do need hormone treatments (which is not often done in the Uk at present, but is done more commonly in the US), some need to have their ovaries removed, others need a full spay.
I don’t have sows so my knowledge on cysts is just general information.
Additionally, the results of my pig's stool test yesterday showed 2 positive results for plant cells, positive for plant fibre, 2 positive results for yeast, and weak bacterial activity.
Based on the results of the stool test, do we need to adjust the hay and probiotics we are currently feeding?
Based on my research on probiotics in the forum, I found a specific probiotic product. Could you please help me determine if it is suitable for my guinea pig, or if there are any probiotics with active bacterial strains specifically effective for guinea pigs? I have shared my experiences with treating my guinea pig in my domestic guinea pig breeding group, and many fellow enthusiasts have started learning from the websites and forums I recommended, seeking my advice on which probiotics are effective. Recently, many guinea pigs in the group have experienced bloating followed by medication use, which later led to liver and kidney damage. My guinea pig also experienced bloating followed by medication use, which triggered a recurrence of otitis media. and eventually had to be euthanised due to uncontrollable inflammation and severe liver damage. Given this situation, I believe we all need to find a probiotic with truly active bacterial strains. I have found this product, and if possible, I will use it for my guinea pigs and recommend it to parents in need of probiotics.
Generic Name: Dried Yeast Tablets
English Name: Dried Yeast Tablets
【Ingredients】Each tablet contains 0.3 grams of dried yeast (calculated as dried yeast). Excipients include: sucrose, calcium carbonate, and magnesium stearate.
【Characteristics】This product is a light yellow to light yellow-brown tablet with a characteristic yeast odour, a slightly bitter taste, and should not have any unusual odours.
【Pharmacological Category】This product is an over-the-counter digestive aid.
【Indications】Used for malnutrition, indigestion, loss of appetite, and B-vitamin deficiency.
【Specifications】0.3 grams (calculated as dried yeast)
Product Benefits
Yeast tablets (also known as "food mother") contain abundant B-vitamins, as well as enzymes such as amylase and maltase.
Vitamin B1 enhances appetite in pregnant women, promotes the secretion of digestive juices, and supports foetal development; Vitamin B2, also known as riboflavin, not only helps maintain smooth skin in the foetus and prevents skin conditions such as angular cheilitis and glossitis in pregnant women but also plays a role in promoting the development of the foetal visual system; Vitamin B6 has a significant ameliorative effect on nausea and vomiting during early pregnancy; Vitamins B2, B6, B12, and folic acid are essential components for the synthesis of haemoglobin and the stimulation of red blood cell proliferation in pregnant women and foetuses. Additionally, adequate levels of vitamin B12 and niacin ensure good mood, normal mental activity in pregnant women, and healthy development of the foetal nervous system.
Adequate levels of vitamins B2 and B6 can enhance the body's immune function, which is crucial for maintaining normal immune function during pregnancy and after the infant's birth. The niacin in yeast tablets has vasodilatory and lipid-lowering effects, thereby benefiting the blood circulation of both the foetus and the pregnant woman. The recommended daily dose during pregnancy is 4–6 tablets.
 
As I have explained, your guinea pig needs to eat hay every single day as the main part of the diet.

Probiotics can be given during a period of digestive illness or a during the use of oral antibiotics. They do not need to be given long term in an otherwise healthy piggy.
The probiotics we most commonly use are called Fibreplex which is available in several countries but I don’t know if china is one of them; or pro-c.

What I can’t tell is tell you anything about the other information you have provided. I’m incredibly confused as to why it has anything to do with pregnant women.
You are looking for a probiotic suitable for rodents and small animals.
 
And to also add regarding the pain meds, there is no need to lower the dosage from the second day:
That is never done here. They are given their dosage and it stays like that for the entire duration that the pain meds are needed.
 
Meloxicom is absolutely fine.

I cannot tell you what to give though - only a vet can do so.
What I can tell you is that the dosage you plan to ask for is so low it would be pointless as it would not relieve any pain at all. Particularly if it is the cat version at 0.5 mg/ml.
Piggies need their pain meds twice a day and can take considerably higher doses. If you can search the forum for meloxicom doses you will see the dosages we are all advised to give are so much higher. But you also have to remember that dosage is based on weight and clinical need.

I can only tell you to Continue with the ear treatment as your vet had advised
Now there is such a problem, due to the problem of Chinese doctors, it is more that we need what kind of medicine he will give us what kind of medicine, because they do not understand, so I need to tell her how many specifications.MeloxicamHow to mix the concentration, and how many sticks are needed, they need me to tell her, she will give me a prescription, if I don't ask, she doesn't know anything, this is why many of our pigs end up suffering so much before they die.
 
And to also add regarding the pain meds, there is no need to lower the dosage from the second day:
That is never done here. They are given their dosage and it stays like that for the entire duration that the pain meds are needed.
I understand. I told the doctor that the dosage I was given was
0.5 mg/ml oral suspension (specially designed for cats),
to be taken twice a day for
7-14 days.
 
Meloxicom绝对没问题。

我不能告诉你应该给什么-只有兽医可以这样做。
我可以告诉你的是,你计划要求的剂量太低了,这将是毫无意义的,因为它不会减轻任何疼痛。特别是如果它是0.5 mg/ml的猫版本。
小猪每天需要服用两次止痛药,并且可以服用相当高的剂量。如果你能搜索论坛的meloxicom剂量,你会看到剂量我们都被建议给这么高。但你也必须记住,剂量是基于体重和临床需要。

我只能告诉你按照兽医的建议继续进行耳朵治疗
cbu01.alicdn.webpYou mean the one on the far right, right?
 
Yes 0.5mg/ml is the cat version. It is weaker than the dog version so piggies tend to need much higher doses of it.
However we are legally not allowed to tell you what to give. We have to follow the law in the UK and as such only a qualified vet can tell us the dosage that is needed. It is worked out based on their weight and clinical need. There is a scale they can give in a dosage depending on how much pain a piggy is experiencing and the condition it is for.

All I can say is that if you were told to give 0.1ml and then 0.05ml, then it is considerably underdosing to the point of being worthless.

If you search the forum, you will see that dosages given of cat metacam to piggies of that weight range from mild issues of around 0.3-0.4ml right up to 0.7-0.8ml dosages. These being both twice a day. So you can see how 0.05ml once a day is nothing at all.
To be clear, this is just the information owners have provided in forum posts. It does not mean your piggy needs that amount.

What dosage has your piggy been put on now?

Whether 7-14 days is enough very much depends on what happens - whether the bladder issues resolve and she feels better vs if the crystals form a stone or if her ovarian cysts get bigger and cause issues then she may need to be on pain meds for much longer particularly if she cannot have surgery.
Again, only a vet can diagnose and assess these issues. We cannot do this.
 
Yes piggies do have alkaline urine. It can lead to crystals and then to stones. This can become a big issue. Crystals can cause pain and can damage the bladder as they can be sharp.
Very tiny crystals and stones may be able to be passed but it can be painful. A larger stone can block the urethra.
Kidney issues are usually not treatable in guinea pigs.

I’ve added a guide below which details ovarian cysts. Spaying can need to be done in some cases.

Sows: Behaviour and Female Health Problems (including mounting and ovarian cysts)
In addition, I gave her Bactrim and Meloxicom
0.5 mg/ml cat version. I gave her both together, and for Meloxicom, I plan to give her 0.4 twice a day. What do you think?
 
In addition, I gave her Bactrim and Meloxicom
0.5 mg/ml cat version. I gave her both together, and for Meloxicom, I plan to give her 0.4 twice a day. What do you think?

It sounds a better dosage - but I cannot legally confirm whether the dosage is right
 
In addition, I plan to give her compound Bactrim and meloxicam 0.5 mg/ml cat version. I will give her both drugs together, and for meloxicam, I plan to give her 0.4 ml twice a day. What do you think?
 
It sounds a better dosage - but I cannot legally confirm whether the dosage is right
I think you're the best, hehe😁! But how many days do you think these two should be taken? Bactrim -- Oral Dosage: 30 mg/kg q12h (i.e. 30mg/kg is given every 12 hours, for a total of 60 mg/kg in 24 hours) Is this dosage okay for her at 900 grams? Can these two medications be taken together?
 
I think you're the best, hehe😁! But how many days do you think these two should be taken? Bactrim -- Oral Dosage: 30 mg/kg q12h (i.e. 30mg/kg is given every 12 hours, for a total of 60 mg/kg in 24 hours) Is this dosage okay for her at 900 grams? Can these two medications be taken together?

You can give both medications together.

But again I cannot confirm whether the Bactrim dosage is right.

I also cannot tell you how long they need to be taken. A course of antibiotics depends on how the bacteria responds and the reason they are being taken. For example, for a bacterial urinary infection 7-10 days is the expected time frame but it could need to be different given you are dealing with the effect of crystals and how big the risk they pose to causing damage to the bladder. A bladder support called glucosamine would also be recommended to help protect the bladder from the effects of crystals. It won’t cure them but it can help strengthen the glucosamine layer in the bladder.
A course of painkillers depends on how long your piggy is in pain and also how quickly the antibiotics resolve an issue.
However because the painkillers are also being given for the ovarian cyst issue, it may be that she needs to be on them for a differing amount of time than the course of antibiotics.
It’s simply not possible for us to answer this question.
 
It sounds a better dosage - but I cannot legally confirm whether the dosage is right
I think you're the best, hehe😁! But how many days do you think these two medications should be taken? I can only buy Bactrim in tablet form, which is called Compound Sulfamethoxazole Tablets containing 0.4g of SMZ and 0.08g of TMP, *10 tablets/bottle/box. How much should I give her? This is really stumping me. She weighs 900 grams. Can these two medications be taken together? My mum saw me giving her the pain reliever, 0.4 mL, and she was terrified. She sent me countless messages asking, "Are you sure? Are you sure?" Hahaha.
 
I think you're the best, hehe😁! But how many days do you think these two medications should be taken? I can only buy Bactrim in tablet form, which is called Compound Sulfamethoxazole Tablets containing 0.4g of SMZ and 0.08g of TMP, *10 tablets/bottle/box. How much should I give her? This is really stumping me. She weighs 900 grams. Can these two medications be taken together? My mum saw me giving her the pain reliever, 0.4 mL, and she was terrified. She sent me countless messages asking, "Are you sure? Are you sure?" Hahaha.

I answered these questions in my reply above but I will copy it again below.

You can give both medications together.

But again I cannot confirm whether the Bactrim dosage is right.

I also cannot tell you how long they need to be taken.
A course of antibiotics depends on how the bacteria responds and the reason they are being taken. For example, for a bacterial urinary infection 7-10 days is the expected time frame but it could need to be different given you are dealing with the effect of crystals and how big the risk they pose to causing damage to the bladder. A bladder support called glucosamine would also be recommended to help protect the bladder from the effects of crystals. It won’t cure them but it can help strengthen the glucosamine layer in the bladder.
A course of painkillers depends on how long your piggy is in pain and also how quickly the antibiotics resolve an issue.
However because the painkillers are also being given for the ovarian cyst issue, it may be that she needs to be on them for a differing amount of time than the course of antibiotics.
It’s simply not possible for us to answer this question

The dosage for the meloxicom is much more in line with what would be expected but I cannot tell you whether it’s right for the level of pain your piggy is experiencing
 
You can give both medications together.

But again I cannot confirm whether the Bactrim dosage is right.

I also cannot tell you how long they need to be taken. A course of antibiotics depends on how the bacteria responds and the reason they are being taken. For example, for a bacterial urinary infection 7-10 days is the expected time frame but it could need to be different given you are dealing with the effect of crystals and how big the risk they pose to causing damage to the bladder. A bladder support called glucosamine would also be recommended to help protect the bladder from the effects of crystals. It won’t cure them but it can help strengthen the glucosamine layer in the bladder.
A course of painkillers depends on how long your piggy is in pain and also how quickly the antibiotics resolve an issue.
However because the painkillers are also being given for the ovarian cyst issue, it may be that she needs to be on them for a differing amount of time than the course of antibiotics.
It’s simply not possible for us to answer this question.
Bactrim
 
If I can't find a better dose of Bactrim, can I skip it for now and just give him meloxicam to stop the pain, then make him drink lots of water? If he also exercises a lot, will the crystals in his body be flushed out?
 
If I can't find a better dose of Bactrim, can I skip it for now and just give him meloxicam to stop the pain, then make him drink lots of water? If he also exercises a lot, will the crystals in his body be flushed out?

I cannot tell you what dose to give and I also cannot tell you whether it’s ok not to give the antibiotics.
If she is struggling with any bacteria in the bladder then not giving antibiotics could be harmful.
Only the vet can advise you here

Whether the crystals can be flushed out by urinating (they won’t be flushed out by exercise but movement can be helpful for health anyway) very much depends on the size of the crystals. If small then they may pass naturally but if they get bigger they form more into stones and particularly if they get too big then surgery would be needed.
Again, this is advice a vet would need to give you

I know it’s hard for you to communicate with your vet but I cannot give any medical advice whatsoever. I am just an owner and not a professional in any way
 
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