Helsbell
Junior Guinea Pig
hi thanks for your reply.I’m sorry to hear this
The situation is still as I have explained before, either:
1 - it’s a bacterial infection but the antibiotics were not the right ones for the type of bacteria, or the course was not long enough.
Determination of diagnosis would likely be that the vets can taken Cultures, their cultures can check which bacteria is present to know antibiotic would be the right one, identify whether it is actually blood or whether it is porphyrines, and then another appropriate course of antibiotics may help
2 - a stone may be in there. A scan or x ray would be needed to determine.
If no stone, then back to potential bacterial infection or sterile cystitis (see below)
If stone present, then depending upon size or position of stone next steps would need to be determined as to whether the stone can come out on its own (possible in sows provided the stone is small) or whether surgical removal would be needed
3 - If multiple rounds of antibiotics don’t work, if no bacteria present on cultures, if no stone present on scan or x ray, then a vet could determine a diagnosis of sterile cystitis ( non bacterial bladder inflammation). Sterile cystitis is usually only diagnosed once every other possibility including stones is ruled out. There is no test that can be done to diagnose sterile cystitis. It can only be done by ruling out everything else first.
Sterile cystitis can be suppressed by an antibiotic but symptoms return once the antibiotic is stopped because there is no bacteria in this condition so antibiotics are of no use.
There is no cure, only management with glucosamine and pain killers. Plus ensuring the diet is appropriate
The strip tests you are using don’t tell you specifics.
For example leukocytes mean there is inflammation but inflammation would be present in all three possible causes ie they show up whether it is bacterial, stones or sterile cystitis.
Protein will also be raised if there is a bacterial infection or a non bacterial infection. Also If there are bladder stones and the stone is bashing the bladder and causing an infection then proteins will also show as raised on a strip test.
So the tests are showing you that she has an issue but it doesn’t tell you what is actually wrong
Did the vet tell you to use potassium citrate? I don’t think I can see it mentioned on the thread before now.
Potassium citrate may be given when a piggy has had a stone but that stone has been removed. Potassium citrate might help reduce the risk of further stones forming (but it isn’t a miracle drug so it may not) but it definitely will not do anything to dissolve or help any stone which already exists. Any stone which is already in the bladder has to come out as explained in 2 above
Wiebke's Guide to Pees and Stones
Been to vets this morning
The vet I seen was more clued up on guinea pigs.
She gave her a good look over a felt everywhere.
She said she can’t feel anything but doesn’t mean there’s stones there.
She thinks she hasn’t been on antibiotics long enough. And now it’s retuned the infection.
She suggested 30 days of baytrill ans they have a urine sample that’s getting sent off.
She said carry on with everything I’m doing.
Potassium citrate was some advice off the previous vet. If she had bladder sludge or any crystals forming would stop them from growing into a stone.
I’m still giving her Cystease everyday.
If it is a small stone will she pass it her self?
Kind regards Helen