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Very sick little piggy...

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SpinningNickel

Junior Guinea Pig
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Hi all,

I have a very sick piggy on my hands.

I own two boys (Machu and Picchu) who are about 5-6 months old. Picchu had a slight ear infection three weeks ago -- no symptoms, but a little discharge in his left ear when I took him to the vet for a routine check. I was given some drops and told to treat him twice a day for five days. I did, discharge SEEMED to go down (as much as I could tell, hard to hold this pig still) and he was eating/drinking/running around normally. No head tilt, obvious balance issues, etc.

Yesterday morning he didn't come out of his hidey hole for breakfast. Went to work and didn't think much of it since it was so early. After work, I've found him lying on his side in the cage, breathing a bit ropey and with his fur a bit matted as if he's been there awhile. He didn't seem to be able to move his back end, almost as if it were paralysed. Picked him straight up with no fuss (VERY odd for Picchu) and to be honest, I really didn't think he was going to last the night.

I took him to an emergency vet straight away, fearing a respiratory infection (took his cage mate to be safe as well). They found a lot of pus in the same ear, thought the infection was particularly resistant and the weakness was all due to balance issues, and gave him a 50/50 chance of pulling through. They gave him three injections (Baytril, Metroclopromide? for nausea, and Metacam) and gave me some Science Recovery to syringe feed him through the night. They also took his temperature and said it was fine. He perked up within half an hour of the injections -- seemed more alert, was trying hard to pick himself up, even dragged himself a metre or so across the floor.

I put him in his little travel carrier apart from his cage mate and fed him every couple of hours through the night. Sometimes he took it, sometimes he fought. When he didn't seem to want to swallow I'd syringe him a couple ml water to wash it down. Initially he obviously hadn't had much to drink all day and was obviously very thirsty. He continued to cycle through resting and kicking hard trying to right himself between feedings.

We made it through the night and by morning he was wheeking in mild protest when I reached in to pick him up. I called my boss and asked if I could bring him to work with me to continue nursing him at my desk, then take him to a vet near work for another round of injections this afternoon. On the way in, he was able to haul his front half properly upright and sit twice, although he couldn't quite get his back end under himself. He seemed very alert and much better.

He's had another feed since and produced his first poop, so I know he's swallowing and digesting at least some. However, he's gone quite listless and weak again, and was shaking slightly as if cold. I've wrapped him in a tea towel in a little box on my desk, with some hay underneath; he's resting and breathing pretty fast (though being honest I've never paid much mind to how fast pigs normally breath, so I don't know if it's normal) but has stopped shaking. His eyes are open but he seems to be asleep (again, as they're normally hiding away to sleep I don't know if they normally close their eyes..?), not moving or responding really.

Has anybody had this kind of infection treated this way, and what do you think his odds are having made it through the night? Are we still at 50/50? What about after the second round of injections? Should I be concerned by the sudden listlessness, or has he just over-exerted himself picking himself up twice this morning? What are good signs and bad signs?

Also, with regard to syringe feeding -- they didn't mention water, just the recovery diet (which obviously has water in it), but I've been following every feeding with plain, cool water. Is that a good idea? They gave me one sachet, so assuming he makes it through another night he'll probably need supplementing for awhile with the syringe and that will be gone. I'm planning to just grind down and make a warm paste from his usual pellets, thinking he might take to those better and they'll get him that all-important vitamin C. Again, is this good or should I get some more recovery powder from the second vet for fibre? If so, should I alternate the two, mix them together, what? How much should I aim to get down him in terms of food and water while he recovers? He's managing about 1.5-2 ml every two hours of food, and about the same of water, but he sometimes fights it or doesn't want to swallow the food and I'm concerned he's not getting enough as I've seen only one poo so far.

Sorry for all the questions, but I'm worried sick. The injections obviously helped his nausea and made him feel better in himself, but I don't want to get my hopes up as I don't know what's happening with the infection in the background. These are my first pigs and I'm very worried for him. :(
 
oh heck, i cant give you advice sorry, just bumping up for you.

Hope your little piggy makes it x
 
Syringing water is a good idea so definitely keep at it. With regards to ear infections I do know a bit. Try tempting him with mushed up favourite veggies too.

As you have a pus discharge you might want get the vet to take a swab and have that sent off to the lab. They can work out which antibiotics will work best as not all work on different infections. It is possible that ear mites have caused the infection so has he been treated for mites? You are probably going to need to sort out antibiotics and metacam to syringe him as a course of treatment over a couple of weeks. As you mentioned he has had baytril you are going to need to give probiotics (speak to your vet about that) to replace the good bacteria in the gut.

With my piggy Bingo he had four to six weeks of twice a day septrin (an antibiotic) and metacam, both of which he loved the taste of. I cleaned the discharge from his ear daily with warm water and cotton wool. We got results of his swab after a week of treating him like that and discovered that septrin was the only medicine which could work against this particularly nasty infection.

It sounds like you are doing a wonderful job and I wish you the best of luck in getting him well soon.

Amy
x
 
Thanks so much! I've secured him an appointment for this evening at a vet near my work so we can go straight there after I finish for another round of injections. Not our usual place but a colleague takes her rabbits there and says they're very good. Have written down some of the things you've mentioned so I can ask!

To be honest, if either one of my babies had to fall ill I'm glad it's Picchu -- he's a proper little fighter, so if any pig can pull through it he can! He's kept his character throughout so far. When he feels well he's just so darn mad he can't stand up!
 
awww bless him, sending healing vibes his way....sounds like the pus has got into his system. Was it an abscess that had burst?
 
Bingo was the same. Trying really hard to popcorn and falling over the bouncing up to try again. One of the most important things I forgot to mention is to weigh him daily. That way you can see if he is loosing weight or getting worse.

Good luck at the vets, please keep us updated.

Amy
x
 
Can really add much, other than making sure you are getting as much recovery food, pellet mush in as you can, this will give him energy to fight and keep his digestive system going. Also giving him watery veg as already suggested and daily weighing.

Fingers crossed x
 
One of my guinea pigs has had his culture results back yesterday for an ear infection. It is a multi-drug resistant Pseudomonas and only gentamycin will kill it. The normal antibiotics used for guinea pigs such as baytril, marbocyl, septrin and azithro-mycin etc won;t work against this particular bug. He now has to have daily injections of gentamycin for 7 days.

It is essential that a swab is taken and sent off for culture/sensitivity testing but this will take a few days and I'm not sure your little one can hang on that long given his current condition. I suggest you disucss with the vet alternative antibiotics to baytril.

Hope this helps
x
 
Again, thanks everybody. Writing down all your suggestions to ask tonight.

He's stayed pretty weak all day and just kind of lies there, but I reckon he doesn't feel very well as the Metroclopromide will have worn off. He's perked up a tiny bit since his last feeding but he's really stopped trying to stand or anything. I've tried tempting him with some solids (obviously can't blend any veggies at work) but no joy at all. He doesn't seem to want to swallow the Recovery diet sometimes and I have to squeeze his mouth a little so he'll chew whatever paste he's holding in his mouth and get it down him.

I reckon if Baytril isn't the right one for him, he won't make it until a culture comes back, so I'm going to ask them about a broader-spectrum of antibiotics, and if we can maybe try another one (preferably orally as daily vet visits will be very difficult for me, let alone expensive. I don't mind spending the money if his odds continue to improve, but I don't want to throw good after bad and keep him in pain if his chances are low) once he's had this second injection. Will ask about probiotics as well.

His respiratory rate is about 110-115 breathes per minute, up from around 90 when I posted this morning, so that's really worrying me. He appeared to have some hiccups or something though just now after a feeding, so maybe that's all that is (hope!).

He is hanging in there though and after seeing how bad he was last night I never would have thought he'd have even made it this long... Hopefully he can just hang in there for another 3 until vet visit #2, and they tell me something encouraging.
 
Hope all goes ok, lots of love to him x
 
Haven't got any experience with this but just want to send healign vibes to your little guy. Got my fingers crossed for you.
 
Hi all,

Just got back from the vet, so I thought I would update you. With any luck your healing vibes are reaching him...

The vet was great, and seemed reasonably cavy-savvy. His temperature according to the emergency write-up was a tiny bit low last night (98.9) but is spot-on today. His chest was a little wheezy last night; it doesn't sound too bad this afternoon. His ear is still milky if you look right down in it, but she took a swab and there wasn't a huge gunk build-up like what they found last night. She has given him another Baytril injection and another anti-nausea injection. No more anti-inflammatories just now as she said the dose the emergency vet gave him will still be in his system. She's also given me some Baytril to start him on orally from tomorrow night, twice a day.

I asked about other antibiotics. She said Baytril is really the only thing specifically licenced for guinea pigs in the UK and is the first thing on their treatment cascade, so best practice says they have to try that first. The next thing she would want to try is a paediatric suspension (she didn't say which drug) which isn't specifically licenced but is fairly common for them. She said she'd want to see him after the weekend and we'd know by then if the Baytril was making an impact.

With a cat or a dog, she said, they would consider surgery to flush the infection out of the ear canal, but it's difficult on a cat due to the size of the ear canal, so incredibly difficult and major surgery for something as small as a piggy, and not something she would be in a hurry to consider.

I also asked about probiotics. She said it was a good idea but again, over the weekend her main concern was that we got food down him, and between syringing food, water, and Baytril I should be careful not to over-stress him, so it may be best to hold off a few days as stress can really impede their recovery. If we moved onto other antibiotics they would probably supplement with probiotics automatically, however.

I asked about feeding; I've been given some more Recovery, but said I wanted to get some pureed/blended veg or blended paste from his usual pellets in to get some vitamin C in. Again, she said the main thing was getting food in, and they weren't so concerned with what that was as long as he was being fed more or less constantly, but that if we could get him back onto his normal food (blended if necessary) that was a good sign.

It's touch-and-go for the next 48 hours or so, but there are good signs. The fact that he's made it through the first night is good; the fact that he can, albeit with difficulty and a head tilt, hold himself upright after a feed is good; the fact that he's eating, pooping, and fighting us a bit when he gets injections etc. is good.

We've made a dinner time appointment so I can take him again on my lunch break Tuesday. If there isn't a significant improvement by then, the vet said she "wouldn't be happy -- for his well-being as well." I think this is really her way of saying we might want to think about saying goodbye if there isn't a noticeable improvement by then, and I'm inclined to agree as four or five days is an awfully long time for such a wee thing, and I don't want to put him through weeks of different drugs for something that will only continue to progress. He picks up a bit after an anti-nausea drug but overall he's clearly miserable and at a certain point, it's just not fair, is it?

Anyway, he's sitting upright now on my desk, and has been for 20 minutes or so while I type all this, without falling over, although his head is listing pretty harshly toward the side of his bad ear. Every now and again he twists himself halfway round in a circle, or crawls forward or back a little bit, so although he seems quite weak and not as perky as he did after his first anti-nausea injection last night, I'm daring to be a little tiny bit hopeful for now, and I'll feel awfully darn good if he makes it through the night again. Will let you all know as I hope some of this info might be useful for someone else with a similar problem in future!
 
aw bless his heart, hes a fighter which is good. Sounds like you are doing your best for him, and thats all you can do. I think its great that your boss has let you take him into work, I m quite lucky and spend most of my life in my car so could probably if I had to, take my boys out with me if they were poorly lol!

Fingers crossed he continues to improve.
 
aww poor piggie
but your doing a wonderful job, such a lucky piggie to have a mommy like you xoxo
 
Just to warn that these things do take time. The great thing about probiotics is that you can usually put them in water when syringe feeding it and it seems to improve the flavour as Bingo loves his! You can buy probiotic powder in Pets At Home and that's the one I use.

The paedtric suspension is likely Septrin which is cheaper and smells pretty nice for an antibiotic.

Another thing that occurred to me is have you got any pain relief medicine like metacam to give him? When Bingo recieved that he improved in leaps and rather wobbly bounds!

It is really exhausting doing syringe care so if you ever find it a bit much or need to chat we are all here. Keep us updated!

Amy
x
 
Another thing that occurred to me is have you got any pain relief medicine like metacam to give him? When Bingo recieved that he improved in leaps and rather wobbly bounds!

No, and as for how he is this morning... In pain. I think, anyway. His respiration is very high and he keeps making this little grunt with every breath. She thought his chest sounded pretty OK last night (as opposed to Thursday, when that vet said it sounded a little rattly), so I think it's distress rather than respiratory infection. I reckon the metacam has worn off and he's now in pain. The vet he saw yesterday is only open until midday today; I'm going to try and ring them and if the same vet he saw yesterday is in, my hope is that she'll feel pretty confident prescribing him some metacam and letting me swing by to pick it up this morning even without another appointment. She did only see him yesterday evening, after all.

He's great though, in some ways. His feeds were wonderful from half four yesterday afternoon and all through the evening into the night. He was sitting up, actively trying to chew the Recovery paste and swallowing on his own. I also made a carrot and red bell pepper smoothie, which I warmed up and alternated with the fibre feed through the night. He loved that and took a total of 4ml in one feeding, which got some vitamin C and water into him.

This morning, when I picked him up, I'd left his back feet dangling as I pulled him to me and he kicked them up and down like they do when they're well -- the first time his reflexes haven't just kept his back end rigid and unresponsive.

He hasn't been keen on the recovery paste this morning; I got about 2ml into him, but he was holding it all in his mouth and I had to get a syringe of water right in there to force it back and down as he just would not chew. I don't know if he's just sick of fibre paste, or if the car ride to work and pain are stressing him out too much to chew. I've prepared a paste of some normal feed pellets as well which we've yet to try. I'm hoping that if I keep alternating through these 3 different foods I can keep him interested and eating.

Vet line was busy when I tried but going to have another go and keep my fingers crossed I can get him some Metacam as he was only seen last night. That first injection must have worn off by now.

Incidentally, a question: they advised me to put his antibiotic in with just a tiny bit of water and squirt it straight down, but my colleague said they told her to try a tiny bit of sugar-free Ribena with her rabbit's Baytril so he'd take it. That seems like a better idea to me so as not to put him off his water as it seems to taste awful. Anyone reckon that would be ok with a piggie?
 
Many people on here put a tiny drop of ribeena in it to sweeten the taste, but mine wouldn't have it, so i syringed and instantly gave them some greens to take away the taste. Mixing it with the water dilutes it terribly and you cannot control the intake so its therefor useless, but it does taste vile, i tried a tiny bit the other week it was awful, you know the taste of when you put a paracetamol tablet in your mouth before the water to swallow it? That was what it reminded me of.

One thing when i was feeding Critical care and pellet mush to one of my piggies, he wouldn't touch the critical care, so i mashed up some banana into a pulp and mixed that in, then he couldn't get enough, and the sugar from it gave him energy and maintained his weight, so that might be worth bearing in mind.

Big hugs and healing vibes x
 
Thanks Toffeewoffee, I'll buy a banana later if he hangs in there. :) He's never had banana before but when he's well he's a little pig-shaped Hoover and I've yet to find any fruit or veg he really DISlikes!
 
Banana was one of the nly things by boy would touch when he was unwell (dental problems and abscess) so it was nice and soft for him, and parsley, he oculdn't get enough. Try to get a more yellow ripe one as it will be easier to mash, heat it up in the microwave first if need be, but you really need to give it some welly so that is turns into a liquid. xx
 
We've been to the vet about an hour ago and he's had another Metacam injection (I didn't press the issue but it seems like something they're reluctant to prescribe orally). When they stuck the needle in his neck he kicked out with his back legs and propelled himself forward, the first time he's really managed some rear-end strength!

I've gotten a couple ml of watered-down pellet mush down him. He doesn't want to swallow this either but I've forced it down him. His breathing is still very laboured however and he's shaking and squeaking almost constantly. I've wrapped him up to keep warm and am just hoping he'll get some rest, but can't help thinking the injection should have helped by now. I'm so worried! He seems so much better and then he takes these turns and it seems like he's on his way out again.

He looks like he may have lost yet more weight -- he looks so skinny at his back end. Hopefully I can get some banana in him as suggested in a couple hours and he can start piling some on.
 
Bless him, this is the first time i have heard of a vet reluctant to prescribe some metacam... poor little baby, have you weighed him atall? How much weight has he lost? You need to monitor his weight daily. oats are another thing good for poorly piggies, perhaps make up an oat and banan mash and see if he will take that?

xx
 
Well, I asked if it was something that could be prescribed orally and he just said "It's difficult, we'll give him another injection." To be honest I'd be scared of messing the dose up with any painkiller, and the first metacam jab lasted him about 36 hours, so... If that carries him through to Monday, great. By then either the Baytril will have started really working and he'll be eating well, or if he isn't, I'm not sure he'll be with us anymore. :(

He hasn't been weighed today (he's at work with me again), but he was weighed last night at... 520-odd grams, I think? At his routine check 3 weeks ago both he and his cage mate weighed in at .71kg, so he's lost an awful lot quickly. He'll get weighed again first thing in the a.m. at the latest if he's still soldiering on.
 
Hi all,

We're not doing well. I've gotten about 4ml total of Recovery and pellet mush down him and 5ml of carrot/pepper juice in the last 7 hours, but I have seen any poo from him (there was one pellet and a wee puddle on his towel when we woke up this morning), he's twitching a lot as a result of what seems to be chronic hiccups, and whines constantly if he's not being held. I feel like that's surely enough food to keep his little digestive system going but I'm worried he's shutting down..? He doesn't seem bloated (look/feel/sound when I tap his abdomen). Am I over-reacting? Should I keep hand-feeding, or stop? I don't want to stop if things are still moving, but I'm concerned about over-feeding, too.
 
I'm so sorry that your little piggy is so poorly.

Normally the aim when a pig is not eating at all for themselves is to get 120mls of syringe feed in per 24hrs, usually 20-30mls per feed every 3-4 hrs.

When their breathing is poor and pain level is high (the twitching can be a pain response, possibly from the injection site) getting smaller amounts in throughout the day is the main aim. Using a 1ml syringe with the majority of the spout cut off to allow the feed to be sucked up more easily, give your pig as much as they can comfortably eat per mouthful, even if it's only 0.1ml per go, if they do well on this try increasing the amount so that you get 1ml in over 2-3 goes. Stroke your pig constantly once the food is in their mouth to encourage them to chew and swallow (it's a reflex ).

HTH

Suzy x
 
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