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Bladder Stones & Pain Advice Needed

Squashface

New Born Pup
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Our almost 6 year old pig Willow started hunching over and squeaking in pain when weeing on Thursday this week. We took her straight to the vet. He managed to manually extract some wee and tested it. He found blood and signs of stones. They kept her over night and did x-rays. They found 2 large bladder stones. They didn’t feel comfortable doing the surgery so referred us to a local exotics vet. The earliest they can fit us in tomorrow (Monday) for the surgery. They thought she was ok to wait til then.

So the problem is, since she came home she’s clearly in varying amounts of pain. She still squeaks loudly when weeing and pooing, and only a small amount comes out. It’s happens about every 10 mins at the mo. They upped her metacam to 0.26ml twice a day (the type for dogs) and she has antibiotics. When not weeing she’s less active but still eating and has been drinking a bit. She’s also been wandering around a bit and seems interested in her surroundings.

But I feel cruel leaving her in pain until tomorrow given we can’t increase the metacam. She’s an old pig, would it be fairer to put her to sleep? I feel so awful and sad suggesting that, but given she is clearly in pain, might not survive the surgery and the stones are likely to come straight back, is that the fairest thing given her age?

She used to weigh 1.2kg, so a big girl. But in the last year her weight has dropped to around 1kg to 1.05kg. We were told she was overweight and should reduce her treats and dry food. I have to admit we hadn’t weighed her recently because she was seeming fine until this week. But on Friday she had gone down to 875g, but has gone up to 890g this morning.

Any advice or thoughts would be very much appreciated.
 
Aw I am so sorry that she has bladder stones and is in pain :( Could you phone your vet and ask them if you can increase the metacam dosage?

Personally, I would let her have the surgery as if she doesn't make it, at least you have given her a chance but it really has to be your choice whether to have her pts or not and whichever decision you make will be the right one.

Please weigh her daily whilst she is unwell and if she is losing weight, it means she isn't eating enough and you may need to step in a syringe feed her. You may find the following threads helpful Emergency Information and Care
Wiebke's Home Care Support Guides
 
Thank you for coming back to me so quickly! The vets open at 11am, so I’ll give them a call. I feel really bad because it’s the specialist vet’s weekend off. He was kind enough to speak to us yesterday for a long time. Hopefully someone else might be able to help us when we call.

She’s had some critical care yesterday (which she clearly enjoyed) and that perked her up for a few hours. It’s just so hard hearing her in pain! We’ll keep weighing her twice a day.

I should also mention her poos were very infrequent and small and thin on Friday. But yesterday and today after the CC and fresh picked grass they’ve been much closer to normal. So I wonder if the increased frequency of pained noises is due to her passing larger poos more often- this must push on her bladder!
 
I hope the vet can help. The small and thin poos will be because she wasn't eating enough (poo output runs a day or two behind) which is why you're now seeing normal poos again if you have been feeding her critical care.

I suspect it's the bladder stones that is causing her pain :(
 
I don’t think she ate a lot during her overnight stay at the vet. She was probably stressed being away from our other two pigs :(
Luckily the vet doing the surgery has said we can take the other two in with her when she goes in tomorrow, so they’ll be with her when she wakes up from surgery. I was so glad when he suggested that!
She’s happily munching on some hay now and there’s longer gaps between the pained wees which is a relief. It’s just so up and down!
 
:agr: and I’m sorry to hear of the stones.

Its never easy to decide to have surgery particularly in an older piggy. Obviously you need to do what you feel is best.
There is a risk stones can reform - keeping a check on the diet - ensuring pellets are only ever one tablespoon per of per day and are a low calcium variety, that drinking water is filtered and that high calcium veggies are only fed once per week - are the best thing we can do as owners living in a mostly hard water country. However, there is also a genetic element to stones and we can obviously do nothing about that.

Do only pay attention to one weight check per day. If you weigh twice, then you risk picking up too much fluctuation.

You could try calling an out of hours vet and see if they will increase her metacam - it’ll obviously be more expensive to see an out of hours but if she is in considerable pain then you may need to do so.

All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures
 
Thank you.

I think we’ve realised we’ve been giving them a bit too much spinach and probably should’ve filtered their water. I feel very guilty that we may have caused this :( ! We’re making sure to be very careful now.

We’re waiting for a call back from the vet, fingers crossed he’ll say we can up the metacam dose!
 
Our almost 6 year old pig Willow started hunching over and squeaking in pain when weeing on Thursday this week. We took her straight to the vet. He managed to manually extract some wee and tested it. He found blood and signs of stones. They kept her over night and did x-rays. They found 2 large bladder stones. They didn’t feel comfortable doing the surgery so referred us to a local exotics vet. The earliest they can fit us in tomorrow (Monday) for the surgery. They thought she was ok to wait til then.

So the problem is, since she came home she’s clearly in varying amounts of pain. She still squeaks loudly when weeing and pooing, and only a small amount comes out. It’s happens about every 10 mins at the mo. They upped her metacam to 0.26ml twice a day (the type for dogs) and she has antibiotics. When not weeing she’s less active but still eating and has been drinking a bit. She’s also been wandering around a bit and seems interested in her surroundings.

But I feel cruel leaving her in pain until tomorrow given we can’t increase the metacam. She’s an old pig, would it be fairer to put her to sleep? I feel so awful and sad suggesting that, but given she is clearly in pain, might not survive the surgery and the stones are likely to come straight back, is that the fairest thing given her age?

She used to weigh 1.2kg, so a big girl. But in the last year her weight has dropped to around 1kg to 1.05kg. We were told she was overweight and should reduce her treats and dry food. I have to admit we hadn’t weighed her recently because she was seeming fine until this week. But on Friday she had gone down to 875g, but has gone up to 890g this morning.

Any advice or thoughts would be very much appreciated.

Hi

You can up the dog metacam safely to about 0.4 ml twice daily if a piggy of that weight is in real pain.

Step in with syringe feeding top up; in a pinch you can use mushed up pellets as long as you prep the syringe tip accordingly. Pain usually translates into eating less hay (which makes around three quarters of the daily food intake) and therefore weight loss, which can be quite dramatic.
Lots of practical advice in these guide here, including emergency and bridging care as well as improvising tips in a pinch:
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures
Emergency, Crisis and Bridging Care until a Vet Appointment

I really wish vets would not just go by average weight but by whether a guinea pig is really overweight or not since healthy piggy sizes and weights can vary much more than they are aware of. I have had piggies that were on the overweight side at over 800g and a boar who was on the skinny at 1500g.
Here is more about weight monitoring and how to check whether a piggy is actually overweight or underweight by checking the 'heft'/BMI around the ribs. The guide also tells you how the weight changes over the course of a life time - that is another aspect that is not always taken into account.
Weight - Monitoring and Management

All the best for the operation! The good thing with a bladder stone op is that the relief from pain caused by the stones is pretty immediate and that operation recovery is generally surprisingly smooth - it all depends on whether it is just the two stones or also more crystals, though.
Tips For Post-operative Care
 
Thank you all so much for your advice! She’s seeming much better this evening and her appetite is definitely up again. The vet said we can up her dose and she seems a lot more like herself since. Hopefully it will have got her strength up a bit ready for the op tomorrow. I’ll give an update after the op.
 
Thank you all so much for your advice! She’s seeming much better this evening and her appetite is definitely up again. The vet said we can up her dose and she seems a lot more like herself since. Hopefully it will have got her strength up a bit ready for the op tomorrow. I’ll give an update after the op.

Fingers firmly crossed!
 
Hi Everyone! Good news- Willow’s surgery went well and she’s now at home recovering. Poor girl had 1 massive stone and 1 smaller one blocking her urethra. She’s already chomping on food but she does seem a little quiet
Now everything has gone smoothly, I feel awful that I even thought about potentially putting her to sleep. It was just so horrible watching her in pain and it really didn’t seem like she was doing well. The increased metacam dose made such a difference. I’m so glad we had a local vet who was confident carrying out the surgery.
I guess we’re not out of the woods quite yet, but for now she seems to be doing really well :)
 
Hi Everyone! Good news- Willow’s surgery went well and she’s now at home recovering. Poor girl had 1 massive stone and 1 smaller one blocking her urethra. She’s already chomping on food but she does seem a little quiet
Now everything has gone smoothly, I feel awful that I even thought about potentially putting her to sleep. It was just so horrible watching her in pain and it really didn’t seem like she was doing well. The increased metacam dose made such a difference. I’m so glad we had a local vet who was confident carrying out the surgery.
I guess we’re not out of the woods quite yet, but for now she seems to be doing really well :)

It is a very good sign that she is chomping away already. And very normal that she is quieter than normal; tomorrow is 'hangover day' when the operation drugs are running out but the fast healing process has not yet really started. There can be a little bleeding in the first 24 hours due to the operation; that is nothing to worry about unless it is a steady drip of fresh blood. After that, things should get better with every passing day.

Please keep weighing her daily at the same time (first thing in the morning before breakfast is a good time to exclude the daily 30-40g swing over the course of 24 hours); this will give you the best feedback how she is doing.

As mentioned before - bladder stone removal can make an instant improvement in your piggy's wellbeing. :)

If you however notice signs of bleeding or infection some days after the op, please contact your vet for either bladder trauma/bacterial cystitis as a result of bladder damage due to the stone banging around in there with every pee. It's thankfully fairly rare but can happen, especially with larger stones.
 
Thank you so much for your advice :) it’s so useful to know what we might expect!
 
Thanks for taking the time to come back and update, and it is wonderful to hear that Willow is doing well.

And you should never feel bad for considering all the options for your piggies (even pts).
Any decision made with love and the best interests of your piggies at heart is never a bad one.
We are all just doing the best we can with the information we have at the time, and you are doing a great job.
 
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