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Vets can't find the problem with my pig (2yo sow)

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New Born Pup
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Hello, I apologize for the long story (and the broken English). I'm from Brazil, and I have a 2yo sow.

She has always been in great health until the beginning of December, when she started to refuse pellets, to eat more slowly than her sisters and to lose weight (930g to 890g in two weeks). I suspected a dental problem, and since my usual vet was traveling, I tried to put off the problem until the beginning of the new year. But in December 20, I noticed her front teeth were slanted. Fearing a complication, I took her to an emergency clinic.

In there, the vet asked to keep her hospitalized for more tests and to receive medication. But all their staff was on vacation, so there is no one to analyze the xray or trim her teeth. So she basically stayed there taking critical care (which I could have done at home by myself — lol).

She was lonely, afraid and in pain, and there was also a snake hospitalized in the same ward! So she ended up developing capture myopathy (blood in urine, lethargic, losing coordination). In the end, the xray showed a suggestion of overgrow molars, but it was not conclusive. Very upset, I brought her home thinking that, if she were to die, I would prefer her to be surrounded by love and familiar smells, close to her sisters, not in a hospital.

She was in a really bad state. I was expecting her to pass within hours. But a friend called me and recommended a second vet who could see her as an emergency (even though it was December 23th). He fixed her teeth in the middle of the night and came out with a giant medication plan to try to save her (antibiotics, painkillers, probiotics, vitamins etc).

Miraculously, she survived! Few days later, she started to slowly regain her movements and look like a happy little pig (popcorns and stretching included). She's eating hay, grass and veggies, slightly slower than her sisters, but improving. But she still refuses pellets — I've tried the 3 brands sold here in Brazil —, she sometimes cries when she pees and she still sleeps a lot. Her usual vet returned, and we made blood tests and an ultrasound — all clear. The only change was in a liver enzyme, but it was something very subtle, just 2 points above the average, and the hepatic protector was the only medicine she is still taking. We don't know what else to do.

I'm writing to know if anyone has already gone through something similar. I'm still afraid to completely cut out her critical care (I'm feeding 20ml daily just to keep her weight) since I'm very traumatized — I always think she could die if I blink. I love her so much...

Any advices?
 
Amazing news that your girl is okay and managed to have her dental surgery and is recovering.

Not eating pellets isn't the end of the world as piggies can live without them, make sure she has lots of nice hays and keep up with the critical care feeds and try to weigh your piggie everyday in the morning at the same time to monitor her weight.

Popcorning and stretching out is a really good sign. If she is squeaking when she wees and her blood tests have all come back clear she may have developed sterile IC which is like a UTI but not caused by bacteria and can often be bought on by stress, it sounds like she did have a stressful time while at the first vet so there could be a link there. For sterile IC glucosamine supplements are usually recommended, we use feliway cystease in the UK, I am not sure what the Brazilian equivalent is.

I can completely relate and emphasise (as everyone on here can) with the worry that our babies cause us but try to also take care of yourself.

This is just my thoughts, I'm sure someone more knowledgeable will be along soon 😊

Hope your little girl feels better soon x
 
Amazing news that your girl is okay and managed to have her dental surgery and is recovering.

Not eating pellets isn't the end of the world as piggies can live without them, make sure she has lots of nice hays and keep up with the critical care feeds and try to weigh your piggie everyday in the morning at the same time to monitor her weight.

Popcorning and stretching out is a really good sign. If she is squeaking when she wees and her blood tests have all come back clear she may have developed sterile IC which is like a UTI but not caused by bacteria and can often be bought on by stress, it sounds like she did have a stressful time while at the first vet so there could be a link there. For sterile IC glucosamine supplements are usually recommended, we use feliway cystease in the UK, I am not sure what the Brazilian equivalent is.

I can completely relate and emphasise (as everyone on here can) with the worry that our babies cause us but try to also take care of yourself.

This is just my thoughts, I'm sure someone more knowledgeable will be along soon 😊

Hope your little girl feels better soon x
Thank you for the kind words <3
Hmmm, sterile IC sounds like a good candidate! I'll talk to her vet to find out the equivalent medicine here in Brazil.
 
Hello, I apologize for the long story (and the broken English). I'm from Brazil, and I have a 2yo sow.

She has always been in great health until the beginning of December, when she started to refuse pellets, to eat more slowly than her sisters and to lose weight (930g to 890g in two weeks). I suspected a dental problem, and since my usual vet was traveling, I tried to put off the problem until the beginning of the new year. But in December 20, I noticed her front teeth were slanted. Fearing a complication, I took her to an emergency clinic.

In there, the vet asked to keep her hospitalized for more tests and to receive medication. But all their staff was on vacation, so there is no one to analyze the xray or trim her teeth. So she basically stayed there taking critical care (which I could have done at home by myself — lol).

She was lonely, afraid and in pain, and there was also a snake hospitalized in the same ward! So she ended up developing capture myopathy (blood in urine, lethargic, losing coordination). In the end, the xray showed a suggestion of overgrow molars, but it was not conclusive. Very upset, I brought her home thinking that, if she were to die, I would prefer her to be surrounded by love and familiar smells, close to her sisters, not in a hospital.

She was in a really bad state. I was expecting her to pass within hours. But a friend called me and recommended a second vet who could see her as an emergency (even though it was December 23th). He fixed her teeth in the middle of the night and came out with a giant medication plan to try to save her (antibiotics, painkillers, probiotics, vitamins etc).

Miraculously, she survived! Few days later, she started to slowly regain her movements and look like a happy little pig (popcorns and stretching included). She's eating hay, grass and veggies, slightly slower than her sisters, but improving. But she still refuses pellets — I've tried the 3 brands sold here in Brazil —, she sometimes cries when she pees and she still sleeps a lot. Her usual vet returned, and we made blood tests and an ultrasound — all clear. The only change was in a liver enzyme, but it was something very subtle, just 2 points above the average, and the hepatic protector was the only medicine she is still taking. We don't know what else to do.

I'm writing to know if anyone has already gone through something similar. I'm still afraid to completely cut out her critical care (I'm feeding 20ml daily just to keep her weight) since I'm very traumatized — I always think she could die if I blink. I love her so much...

Any advices?

Hi and welcome

I am so sorry about your poor little girl's ordeal. The holidays are always the worst time, so it is great that your girl has won through and is well again in herself.

As to the ongoing feeding support, please be aware that the more hay and fresh dog pee free grass you get into her, the more the crucial back teeth are ground down by the silica in the grass/hay fibre - this is what guinea pig teeth have evolved their growth rate against. See whether she can hold her own weight without the top up and only supplement if she is not yet able to.

 
Hi and welcome

I am so sorry about your poor little girl's ordeal. The holidays are always the worst time, so it is great that your girl has won through and is well again in herself.

As to the ongoing feeding support, please be aware that the more hay and fresh dog pee free grass you get into her, the more the crucial back teeth are ground down by the silica in the grass/hay fibre - this is what guinea pig teeth have evolved their growth rate against. See whether she can hold her own weight without the top up and only supplement if she is not yet able to.

Thanks for the advice!
I'm decreasing the amount of critical care she's given every day and weighing her. So far, she's managed to maintain her post-hospitalization weight (810g), but it doesn't seem like she's getting back to her usual weight (900g). But I know that without pellets it's normal for the weight to decrease and stabilize. I read the section on BMI and I think she's fine, I just feel the ribs slightly, but I can't identify each one.
I also took the opportunity to read the section on pet owner anxiety and oooooh boy, I can relate... kkkkrying
 
I'll leave a picture of my girl so you can get to know her. <3
Her name is Dilma, in honor of an activist who fought against the dictatorship in Brazil. So I know she's a fighter.
(pre-treatment photo: in her prime chubbiness)

1736335022121.webp
 
Thanks for the advice!
I'm decreasing the amount of critical care she's given every day and weighing her. So far, she's managed to maintain her post-hospitalization weight (810g), but it doesn't seem like she's getting back to her usual weight (900g). But I know that without pellets it's normal for the weight to decrease and stabilize. I read the section on BMI and I think she's fine, I just feel the ribs slightly, but I can't identify each one.
I also took the opportunity to read the section on pet owner anxiety and oooooh boy, I can relate... kkkkrying

HUGS

I would recommend to do a little top up but as she is in a good weight range to not worry as long as she is over 800g.

Very sorry that you suffer from anxiety but I hope that the practical advice in the guide will help you cope a bit better.
 
Welcome. I studied Portuguese in college. I am ashamed to say, I have forgotten most of it.

My boy has lost weight from an ear infection so I give him critical care in a little dish every morning. Because of it he gains about 20 grams every five days.
 
Your darling girl is stunning! Those perfect whiskers :wub:

Do keep us updated on her health ❤️
 
Hi everyone!
Some updates on Dilma's health: The vet did a re-evaluation and even looked at her back teeth with a mini camera. Everything seems to be fine. She's also more lively and active during her waking hours.
As for the pellets, she still won't go to the bowl on her own. But she's started to accept some if I offer them slowly throughout the day. Yesterday she ate 40 units (a tablespoon of the brand I use has approximately 60 units).
I also talked to the vet about glucosamine. We don't have an equivalent medicine here in Brazil; they all contain other substances that aren't safe for guinea pigs. But the vet said we can make a compounded version and have it on hand whenever necessary (at the moment, she's stopped squeaking when she pees).
I'm considering that the problems were solved, and that we're now in a "rehabilitation" phase until she learns to eat on her own again. Her weight remains at 810g by the way.
 
Hi everyone, I'm back to give you some updates and ask for opinions.

Dilma is still active and curious, with no signs of pain, and the cystitis seems to have gone away. I stopped syringe feeding 5 days ago. Every day she eats a little better on her own, but she is still losing weight consistently. Not much, ~3g a day. Here is the chart for the last few days:

09/01 — 812
10/01 — 810
11/01 — 805
12/01 — 802
13/01 — 799

Also, we had some strange urine yesterday, the vet thinks it is just pigment and not blood, but I would like to know your opinion. The urine became clear again an hour later.

1736768023528.webp

I am trying to trust the process and give her a few more days to try to stabilize her weight on her own (I don't think it is fair to subject her to more medical procedures, I don't know if the stress is worth it). Maybe she's just transitioning to the weight of a piggie who doesn't eat much pellets? What do you guys think?
 
New update: after two wonderful happy todays (eating by herself, gaining weight, walking around with her sisters), Dilma woke up again in a poor condition. She doesn't want to eat and is sleepy, tucked in her bed. I resumed syringe feeding her, but I'm starting to lose hope. It's been a hard blow to see her unwell again after so much improvement.
 
Hi everyone, I'm back to give you some updates and ask for opinions.

Dilma is still active and curious, with no signs of pain, and the cystitis seems to have gone away. I stopped syringe feeding 5 days ago. Every day she eats a little better on her own, but she is still losing weight consistently. Not much, ~3g a day. Here is the chart for the last few days:

09/01 — 812
10/01 — 810
11/01 — 805
12/01 — 802
13/01 — 799

Also, we had some strange urine yesterday, the vet thinks it is just pigment and not blood, but I would like to know your opinion. The urine became clear again an hour later.

View attachment 263379

I am trying to trust the process and give her a few more days to try to stabilize her weight on her own (I don't think it is fair to subject her to more medical procedures, I don't know if the stress is worth it). Maybe she's just transitioning to the weight of a piggie who doesn't eat much pellets? What do you guys think?

This looks more orangey than bloody urine. Did it dry that colour?
 
New update: after two wonderful happy todays (eating by herself, gaining weight, walking around with her sisters), Dilma woke up again in a poor condition. She doesn't want to eat and is sleepy, tucked in her bed. I resumed syringe feeding her, but I'm starting to lose hope. It's been a hard blow to see her unwell again after so much improvement.

Glad to hear she had a couple of good days. Has anything changed since then? Reduced meds etc?

What is Dilma currently on? Any pain relief? Glucosamine? Etc
 
Glad to hear she had a couple of good days. Has anything changed since then? Reduced meds etc?

What is Dilma currently on? Any pain relief? Glucosamine? Etc
For the past ten days, she's only been taking a liver protector and vitamin supplements (all other meds had already run out the prescribed days). I stopped the critical care completely six days ago. Other than that, no changes in her routine. And in the last two days, she was finally managing a tablespoon of pellets on her own, eating all her vegetables, and eating hay and grass.
And yes, her urine eventually dried orange, it didn't seem alarming to me and it hasn't happened again.
 
For the past ten days, she's only been taking a liver protector and vitamin supplements (all other meds had already run out the prescribed days). I stopped the critical care completely six days ago. Other than that, no changes in her routine. And in the last two days, she was finally managing a tablespoon of pellets on her own, eating all her vegetables, and eating hay and grass.
And yes, her urine eventually dried orange, it didn't seem alarming to me and it hasn't happened again.

Bless her, if she doesn't want to eat, it would usually indicate discomfort somewhere, so may be worth a call to the vets to see if they can dispense you some pain relief for her.

Has she been squeaking when peeing?

I know you mentioned that there wasn't a Brazilian version of Cystease, but do you have any guniea pig safe joint supplements that contain glucosamine which might help.
 
Bless her, if she doesn't want to eat, it would usually indicate discomfort somewhere, so may be worth a call to the vets to see if they can dispense you some pain relief for her.

Has she been squeaking when peeing?

I know you mentioned that there wasn't a Brazilian version of Cystease, but do you have any guniea pig safe joint supplements that contain glucosamine which might help.
I spoke to the vet and gave her a dose of pain relief right now, let's see how she reacts.
She doesn't squeak to pee anymore. Apart from 3 brands of pellets, we don't have any specific products for guinea pigs in the market here. All the supplements and medicines are "borrowed" from dogs and cats, it's really difficult. The vet said that the only way would be to contact a compounding pharmacy.
The vet also says that her hands are kind of tied, because all Dilma's recent tests have come back clean — we don't understand what could be wrong.

(By the way, to thank you so much for your answers. It is comforting not to be alone in these times. People who do not take care of exotic pets usually do not understand.)
 
I am sorry. The worst part is not knowing, I can sympathise with the stress it must cause you.

Hang in there!
 
I spoke to the vet and gave her a dose of pain relief right now, let's see how she reacts.
She doesn't squeak to pee anymore. Apart from 3 brands of pellets, we don't have any specific products for guinea pigs in the market here. All the supplements and medicines are "borrowed" from dogs and cats, it's really difficult. The vet said that the only way would be to contact a compounding pharmacy.
The vet also says that her hands are kind of tied, because all Dilma's recent tests have come back clean — we don't understand what could be wrong.

(By the way, to thank you so much for your answers. It is comforting not to be alone in these times. People who do not take care of exotic pets usually do not understand.)

Glad to hear that she has had some pain relief. Did they give her an injection? Will they not provide you with any pain relief to give at home.

There are a few UK sites (I haven't personally used before) that ship joint supplements that contain glucosamine internationally. Could be worth a try popping it in to Google to see if any other countries close to Brazil can ship them to you. Apart from Cystease, the next highest dose of glucosamine that's safe to pigs that I am aware of is Oxbow joint care.

The problem with Sterile IC is that it can't really be tested for, it's usually diagnosed by process of elimination and can be pretty painful and can take weeks/months to go away and can come back. A lot of people with piggies who have sterile IC just monitor and maintain by using pain relief and glucosamine (which helps with the bladder lining). I understand that your vets hands are tied, but if Dilma does have Sterile IC there aren't really any tests that can confirm it.

Symptoms are usually some or all of the below:

*Painful urination – they may squeak when they pass urine.
*Blood in the urine
*Straining to urinate.
*Abdominal discomfort.
*Weight loss.
*Lethargy.
*Being constantly wet around their back end.
*Licking around their back end more than normal.

I always turn to this forum when one of my girls are poorly and find comfort in the advice and words of others.

I hope Dilma feels better soon - sending lots of healing vibes x
 
I am very sorry. Here is some information on sterile cystitis, which has now become the most common urinary tract infection in indoors guinea pigs. Unfortunately, it is not at all well known and is usually diagnosed by default. It can also not be healed, only managed.

Officially licensed medication for guinea pigs is minimal worldwide and your experience of using dog or cat medication is normal practice everywhere; you are not at all alone in your experience. :(
 
I don't know if it's available to you but another glucosamine is Johnsons 4 joints extra strength for dogs.
 
Hi everyone, we have a major development last night:
Dilma's right eye began to protrude and is releasing a milky discharge (I'm not sure if it's pus or the normal discharge they use to clean themselves), but it's quite excessive. I'll attach a photo. Her head also seems a little assymetrical.
Her vet thinks it could be increased intraocular pressure or an abscess caused by inflammation in the tooth (which would make sense to me: when she started eating normally again and chewing a lot, the tooth became inflamed again).
The pain meds seem to be relieving her, she is walking again and is interested in food, although she cannot chew it and ends up spitting it out if I don't cut everything into very small pieces.
I know it's not exactly good news, quite the opposite, but I'm more relieved that now we know where the problem is and have strategies to discuss.

(The bald patch in her nose was a rash caused by one of the medicines that got stuck in the hairs. They all fell out by the roots a few days ago, but are already growing back. The vet checked and confirmed that there is no fungus)


1737031114045.webp1737031182095.webp
 
Hello, it's me again.
Dilma definitely has a problem with her teeth. With the painkillers, she feels fine for a few hours, then the pain slowly returns and she stays quieter, lying on her bed. But she's walking around, standing on her back legs and is very interested in food, she just can't eat by herself (I'm syringe feeding her). I have to chop all the veggies up in small pieces and she takes a long time chewing, "grimacing" from time to time, as if something is stuck in her teeth.
She had a CT scan on Friday to see if there's an abscess at the root of her teeth (because of the protruding eye). We're waiting for the results. If the abscess is treatable, we'll try. If not, the vet is preparing me to accept euthanasia. If they don't find the abscess, we'll try to wear down her teeth again and see how she reacts.
But I confess that I came here just to talk. It's been very difficult to keep my hopes, especially with the sleep deprivation. Tomorrow will be a month since I have been dedicated to her 24/7. The possibility of fighting so hard and still having to decide on euthanasia is haunting me. Every day, I have been reading Wiebke's guides on the subject to keep me going. It just seems... a big injustice, to lose a healthy pig that has already recovered from so much just because of a tooth. A tooth!
 
I'm also afraid that she'll be stuck in her recovery. Not getting worse, but not getting better either. I don't want to decide on euthanasia just because I'm unable to syringe feed her forever, I think it would be a guilt that I would carry for the rest of my days. It would be so unfair to both of us if we have to say goodbye on these terms.
 
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