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Bladder stone surgery or the dreaded PTS

ladymary86

New Born Pup
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Hi. Please help me if you can.

My little boy Merry has a large bladder stone. It’s come out of the blue as until yesterday he was absolutely fine.

He’s a rescue pig that I got from horrific circumstances. With his two brothers, who I also rescued, he was kept in a filthy tiny cage, with no water, no hay and no nuggets. He had severe impaction, and shows signs of malnutrition and deformity.

However since I’ve had him he’s really come on, impaction improved and is generally a well, happy and cheeky little man, although he’s never put on much weight despite eating!

Yesterday, he stopped eating, drinking, and is hunched with pain, and his wee is bright red.

I took him to the vets this morning and an X-ray has shown a large bladder stone. He’s also dropped from 1.1kg to 870g. He’s skin and bone. He’s about 4 years old and is very frail. He’s not moving, is just huddled in his hay looking puffed out, and is making little screechy groans. My heart is breaking for him. He’s on meta cam, antibiotics and syringe feed and water, Although he’s refusing most of the feed.

The vet said we can push for an op, but he would have to spend a few days in hospital beforehand just to try and get his health somewhere near good. He also has a little gas in his tummy. The vet also warned that bladder stones do have a tendency to reoccur.

The alternative is to let him go.

My question is, has anyone had a similar experience? I’m so torn between wanting to take the risk, try to save him because I love him. Or am I putting him through a scary, pain filled time just to assuage my guilt. The thought of him passing away alone in the vets without me and without his brothers is too much to bear. Is it kinder to let him stay home with me and the people that love him, and let him go?

Any advice is gratefully received.
 
A lot depends on how experienced and confident your vet is.

It is a shame he has clearly been ill for a while, as that is a lot of weight to have lost.
This is one of the reasons that weekly, life long weight checks are so important.

But at the end of the day, you know your boy best.
Four is certainly not too old to have a bladder op, particularly if your vet is experienced.
And if he had to stay in for a few days beforehand then I assume they would be happy for him to have a companion with him?

You need to be honest with yourself and make the decision that is right for you and him.
There is no clear answer in this case so listen to your heart.
You have clearly given him an amazing life with you and his brothers, and like all animals they measure the greatness of their life in the quality of the days not the quantity.

Be kind to yourself - it is a difficult decision you are facing.
 
I've had 2 piggies with stones,Zac was coming upto 4,but like you he just stopped eating, ot lost much weight at that time.Zac had kidney stones,there was no treatment for that...he was PTS.another was a female....she was 5 years old,haha op to remove...she did really well.its a difficult decision,but either way will be right for you.but 4 is not too old,and if he puts on weight prior to op ,it could be a good decision. You would be advised to change the diet....as forum suggests.to reduce the risks of stones reforming,but you have done all you can,it's not your fault at all. My exotic vet believes it's very much a genetic reason.i wish you all the best.xx
 
Thank you all for your lovely replies.

I spoke to my regular cavy vet (the cavy vet I saw was his colleague) and he was so confident and really comforted me, so Merry went for his operation today. They also found a large lump in there which they also removed. He’s recovering well and I’m to pick him up this evening.

To say I’m relieved is an understatement and I’m so glad we went for it!

I’ve got some critical care and Emeraid to feed, so I was just wondering what pellets are the best for low calcium? He’s currently on Science Selective Grain Free. He has fresh veg each day, the mains being round lettuce and bell peppers, along with a bit of cucumber, herbs and occasionally a bit of carrot or sliver of apple. I’ve just switched them from tap to bottled water too, as we live in a hard water area.

I’m so pleased he’s come through the surgery, I’m aware we’re not out of the woods yet and I want to make sure I do everything I can to help him.
 
I’m so glad he is doing well

He is already on the recommended pellets for low calcium. The important thing is making sure he only has one tablespoon per day and no more - that’s the case whichever pellets they have.
 
I'm so pleased your piggy is doing well. You have done an amazing job with all 3 of them.
 
Thank you guys. He’s home and I’ve got a little critical care into him, he’s nibbled a bit of hay and took a sliver of cucumber. He’s peeing but no poops yet. He seems very subdued and sad, my poor little guy. He seems to be hunched, he’s on painkillers but his breath is a bit jerky, should I ring the vets tomorrow just to ask? Or is this normal post op by about 11 hours? I’ve never had a pig with surgery before, so apologies for all the questions!
 
Thank you all for your lovely replies.

I spoke to my regular cavy vet (the cavy vet I saw was his colleague) and he was so confident and really comforted me, so Merry went for his operation today. They also found a large lump in there which they also removed. He’s recovering well and I’m to pick him up this evening.

To say I’m relieved is an understatement and I’m so glad we went for it!

I’ve got some critical care and Emeraid to feed, so I was just wondering what pellets are the best for low calcium? He’s currently on Science Selective Grain Free. He has fresh veg each day, the mains being round lettuce and bell peppers, along with a bit of cucumber, herbs and occasionally a bit of carrot or sliver of apple. I’ve just switched them from tap to bottled water too, as we live in a hard water area.

I’m so pleased he’s come through the surgery, I’m aware we’re not out of the woods yet and I want to make sure I do everything I can to help him.

Hi

Please step in with feeding and watering support. The gap in pooing reflects the gap in the food intake during the op and recovery; the first poos will be rather mis-shapen. That is normal.

As long as he is nibbling and taking water, the internal conveyor belt (i.e. the gut) is working. There is currently just not a lot on it and it may be a little slow.

The first few days after an operation are usually the worst as the operation cocktail is wearing off and leaving your boy sore and hung over but the healing process has not yet kicked in fully.

Please take the time to read the very practical step-by-step advice in these guide links here, which will talk you through all aspects in the kind of detail we cannot repeat in every post:
Tips For Post-operative Care
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures
Emergency, Crisis and Bridging Care until a Vet Appointment

Long term diet recommendations (please be aware that they will take several weeks to be fully processed through the system). Most calcium comes actually with the water and the pellets than with the veg. It is not so much about cutting out all calcium (can be as problematic as too much calcium) but finding the soft spot in the diet where things are balanced. Cut out all food groups that are high in oxalates and can contribute to the formation of stones. Our diet guide will help you.
Long Term Balanced General And Special Needs Guinea Pig Diets (see chapter special diets)
Nugget Comparison Chart

All the best!
 
Well done, you sound like you’re doing a great job and you have given this little guy excellent care and love since rescuing him from his difficult start in life. Hopefully he’ll just go from strength to strength now. I can’t add to the great advice you’ve already had here but just wanted to wish you all the best. And I’m sure your vets will be quite happy to answer any questions or discuss any concerns you may have over the coming days - my vets always say they’d much rather someone asked questions than kept quiet, even if it turns out to be nothing to worry about. ‘No such thing as a stupid question’ and all that!

All the best.
 
Sadly he’s not improving, he’s so listless and I’m not happy with his breathing, so he’s gone back to the vets for fluids and stronger painkillers. I’m so worried, I can’t bear to lose him so I’m trying my best, hopefully I can pick him up tonight and get more feed down him. He did have a few poos tho, and some wees. Please pray for my little guy x
 
Sadly he’s not improving, he’s so listless and I’m not happy with his breathing, so he’s gone back to the vets for fluids and stronger painkillers. I’m so worried, I can’t bear to lose him so I’m trying my best, hopefully I can pick him up tonight and get more feed down him. He did have a few poos tho, and some wees. Please pray for my little guy x

HUGS

Fingers very firmly crossed!
 
Hi guys. Terrible news. My little boy died today. I take comfort in that he went in his sleep peacefully, and is with his brother Sam now. He just reacted so badly to the anaesthetic and there was nothing to be done. I can’t stop crying and I miss him so much. My herd is very subdued and sad, they know he’s missing and so soon after losing Sam too. Just going to give extra extra cuddles and love. Thank you for the support and advice, I’m just sorry to be passing on such sad news.
 
So sorry to learn this. He had a bad start to life and you gave him lots of happy todays and gave him lots of love. He needed the operation or else he would have been in agony. You gave him the best chance. He is out of pain, in his prime and with his brother once more at the Rainbow Bridge.
 
I’m so very very sorry to hear this news and can understand how utterly heartbroken you must be feeling. You did all you could for him to give him the best chance and his time with you was a happy time. You did everything you could but sometimes it’s just not enough and that’s just really horrible and hard to take. Take care as you grieve and I hope the rest of the herd cope okay. Well done on being such a wonderful caring owner.
 
Hi guys. Terrible news. My little boy died today. I take comfort in that he went in his sleep peacefully, and is with his brother Sam now. He just reacted so badly to the anaesthetic and there was nothing to be done. I can’t stop crying and I miss him so much. My herd is very subdued and sad, they know he’s missing and so soon after losing Sam too. Just going to give extra extra cuddles and love. Thank you for the support and advice, I’m just sorry to be passing on such sad news.

BIG HUGS

I am so, so sorry. I have given Merry a chance at a pain-free new life. Sadly it was not to be; but you can always only ever buy your beloved ones that precious chance. The outcome is out of your hands.

Please be sad and upset but do not feel like you have failed Merry in any way. You haven't!

I've had a piggy put through an emergency bladder stone op with a rabbit sized stone who had gone down to just 520g despite support feeding by the time she got to the operation table; it was as borderline an operation as could be. In my case, the gamble bought her a few more months of life but in other operations I have sadly lost several piggies of mine and have found it a devastating experience every single time - but seeing the greater number of piggies that have really profited, I will always commit again if that feels the right way and as long as there is a reasonable chance of it coming off. You just can never predict it. :(

Be kind to yourself in the coming days. Try to think of Sam and Merry together again; that will hopefully help you.

Here is our very practical but sensitive grieving guide, which you may find helpful as it will take you some time to digest this if I go by my own experiences. You can never know how you'll react as every bond and every loss is different and unique; and you can certainly not hurry it on. Some of the strong emotions and turns may take you by surprise and quite throw you. The guide also contains links to free support places if you feel you need to talk confidentially, which can really help: Human Bereavement: Grieving, Coping and Support Links for Guinea Pig Owners and Their Children
 
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