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Advice with fluid on lungs - breathing worse on diuretics?

CJMC

New Born Pup
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Hi all! I've posted on here a while back to ask for advice on what to do with my Loki, who's having a very hard time at the moment. Two weeks ago, he was diagnosed with molar issues, and Thursday before last he was put under to correct them. Even though the procedure was a success, he still hasn't started to eat on his own again, and we've been syringe feeding critical care round the clock for two weeks now.

In a last bid to find out what was the matter, our vet took an x-ray of Loki, which she sent off to a dental specialist for their opinion. However, the x-ray revealed that Loki's lungs had filled up with fluid, and that the molar issues - which we thought were the cause of all his problems - were really just the result of his having been poorly for some time, which led him to eat less and less (causing the overgrown teeth). Since 3 pm yesterday Loki's been put on furosal (a diuretic) and vetmedin (for his heart), alongside metoclopramide (he's been on this for a while now, as he's not eating on his own) and orniflox (an antibiotic). He also got a shot of steroids yesterday afternoon, as we're not giving him any other pain medication, and this seems to make him a little less listless.

One thing we noticed is that Loki's breathing has been very audible since noon today - it's crackling and hooting, whereas before now this crackling sound only occurred very occasionally, and always in short bursts. We found this very surprising, as we thought surely the diuretic would make his breathing less, not more, audibly laboured. Is this normal? Does anyone have any experience with a diuretic making matters (seemingly) slightly worse before they get better?

Finally, I wanted to ask if there's anything else I need to be paying attention to? I've been googling pretty much non-stop since the diagnosis, and based on that I've been avoiding any food that's high in calcium (as we read diuretics might cause bladder stones), sticking mainly to little hay-based treats and whatever else we can get him to eat (which is very little - half a cherry tomato at 2am yesterday; only half, as I'm torn between giving him whatever I can get him to eat, as there's so little he accepts, and making sure his blood sugar and gut stay balanced, as his poos aren't looking good). I'm also supplementing his critical care feeds with little syringes of water every hour or so, as he's not drinking on his own, but does seem thirsty (and I figured his diuretics might cause him to get dehydrated).

My apologies for the long post - any advice would be most welcome! Loki is a very special, gentle, loving pig, and seeing him so weak and ill has been unspeakably painful.
 
Hi!

Diuretics, if they are working should make the breathing better but it can unfortunately be that he continues to deteriorate. :(

Please be aware that around 80% of what a piggy eats in a day is hay, hay and more hay. The silica in the grass fibre is what guinea pig teeth have evolved against and what the gut is laid out to break down in two runs through it. If you only feed a little veg is basically the equivalent of an ice cream. You need to step in with syringe feeding fibre round the clock asap, especially as your boy is dealing with a double whammy between overgrown teeth and the need to breathe coming well before the need to drink and only thirdly the need to eat. The minimal survival portion is 40-60 ml over the course of 24 hours. A healthy piggy eats the equivalent of 90-120 ml of food in a day.
You control the food intake by weighing daily at the same time (instead of the usual life-long once weekly health monitoring weigh-in) and adjust the frequency according to how much he can take on and process in one go. If you struggle to get 5-10 ml into him in one go (never just squirt it in), then you need to feed every 2 hours during the day and ideally once in the night.

PLEASE take the time to read our practical step-by-step support guides below. A piggy that is getting too little feed is a dying piggy.
Emergency, Crisis and Bridging Care until a Vet Appointment (includes tips on how you can improvise feeding in an emergency and crisis etc.)
Not Eating, Weight Loss And The Importance Of Syringe Feeding Fibre
Complete Syringe Feeding Guide

Fingers very firmly crossed.
 
Hello! Thank you so much for your reply. I've read all the resources on here (they've been life-saving!) and I'm syringe feeding him round the clock, aiming for 90 ml of (thick, as he prefers that over more watery) critical care formula every 24 hours, which is slightly more than the prescribed amount of the particular brand my vet recommends. I feed him every 4 hours, night and day, so I get up to feed him and offer him food at 2am and 6am as well. I'm still giving him a little bit of vegetable alongside his formula as my vet was a bit concerned about him not eating at all for such a long period, but it's just little vegetable treats to supplement his main food source, which is critical care :)

Do you happen to know if there is anything I can do to ease his breathing? I've been looking into maybe positioning him differently (like over a rolled-up towel), or letting him lay in his sling, but I'm very concerned about making things worse. I'm also so surprised about the diuretics making matters worse - his breathing has never sounded even half this bad, though of course he's only been on his meds for 24 hours. I'm praying things turn around soon :(
 
Hello! Thank you so much for your reply. I've read all the resources on here (they've been life-saving!) and I'm syringe feeding him round the clock, aiming for 90 ml of (thick, as he prefers that over more watery) critical care formula every 24 hours, which is slightly more than the prescribed amount of the particular brand my vet recommends. I feed him every 4 hours, night and day, so I get up to feed him and offer him food at 2am and 6am as well. I'm still giving him a little bit of vegetable alongside his formula as my vet was a bit concerned about him not eating at all for such a long period, but it's just little vegetable treats to supplement his main food source, which is critical care :)

Do you happen to know if there is anything I can do to ease his breathing? I've been looking into maybe positioning him differently (like over a rolled-up towel), or letting him lay in his sling, but I'm very concerned about making things worse. I'm also so surprised about the diuretics making matters worse - his breathing has never sounded even half this bad, though of course he's only been on his meds for 24 hours. I'm praying things turn around soon :(

Fingers very firmly crossed. Thank you for assuring me that you are syringe feeding. So many people are not aware of the need of it.

You can see whether a bowl of steaming water by the cage is easing the breathing or not. It can go either way so the method is a good little tester for whether nebulising may help or not.
 
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