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Blood in Urine

Ooh you beat me to it Claire - but I'll post this anyway now I've typed it!

Stones are something vets have to think about but it's not a death sentence. Smaller ones can be quite 'do-able'. And sows have a much better chance than boars as their urethra is a bit wider.

A bit of terminology: a pig has 2 kidneys and a bladder. Between them is a tube called a ureter, so pigs have 2 of those, 1 from each kidney going into the bladder. Then you have another single tube called the urethra going from the bladder to outside. Remember it with You-wee-thra your U-re-thra!

Stones often form in the bladder and just bomp around in there. Small bits of grit or sludge (a mass of sandy, gritty solids) can pass through the urethra although some pigs can get a bit bunged up. Stones which are too big to leave the bladder must at some point be surgically removed unless piggy is too old or has a history of repeated stones forming (that was my old boy) in which case, if they can be kept comfortable with painkiller and glucosamine food supplements, they live with it. And that can be fine for quite a while for as long as there are no other complications.

A stone stuck in a piggy ureter is a difficult situation, but much more commonly we have people posting about stones further down in the bladder or urethra. They can be identified by x-ray, and this doesn't necessarily mean anaesthetic. My vet swaddles piggies firmly in a towel to get the shots. Stones light up bright white. Sludge can look similar. An infection does not mean you must also have a stone - and a stone does not always mean there's infection BUT you can have both. The thing to watch out for is forgetting all about any infection because you've seen a stone on an x-ray and they get everyone all worried. You've had antibiotics which seemed to clear up Toffee's symptoms within the first few days. To me that would suggest they were killing off a bacterial infection. The timing is about right - if they're going to work they generally work fast. If her problems were caused by a stone and no infection the AB shouldn't have made any difference. If you just need a longer course you should still see a quick improvement again as most of the bugs are killed off - it's just the last 1% that have survived and multiplied back up.

I've had a couple of incidents with stones and grit in girls. One girl chirped when she peed and there was blood. She was white, and looked like she had a dirty bottom all the time because she was dripping pee and muck stuck to the wet fur. Her stone was found by the vet just by feeling round her lady-bits and was actually extracted with a pair of forceps and it was a hooching spiky monster! Easily 4 or 5mm in places. It had probably started as a smaller stone which got wedged in the urethra and grew bigger as she couldn't get a good flow going past it. On another occasion a girl suddenly started peeing what looked like neat blood and we think she must have passed a stone. On x-ray there seemed to be either another small stone or a collection of sludge at the exit of the bladder. The vet reckoned she might pass it without surgery (they need a good eye to be able to tell) and gave her an opioid injection for pain and a big sub-cutaneous fluid bolus (where they injected about 10ml or more of fluid under the skin of the shoulder like a giant blister). She was stoned out of her gourd and it was a real shame for her but she peed that fluid out like a tap and the next x-ray was clear. She didn't eat for hours until the stuff had worn off though. I've had two in boys that has meant a surgery. I lost Panda (4-ish we think) to the anaesthetic but George (6) came through with flying colours - and promptly formed another one. My vet has an old boy herself who is living with his comfortably enough. So there are ways to manage these things depending on whether you have boys or girls and where any stone happens to be sitting. It's just part of some piggy's lives.

If the blood clears up in the first few days again my money's on some sort of infection BUT looking at the trail of drips I'd also be thinking about an x-ray. The blood-tinted pee that happens with a pure infection tends to be less 'blood' looking. People will typically post a pic on a white towel and we're all squinting at it to work out whether it's a dried puddle of pink-y (worrying) or orange-y (normal) pee. But one step at a time...

PS: did she get either metacam or loxicom painkiller?
 
Just a 'PS'
Looking back at the pics there seems to be quite a lot of dark hair on some of the fleeces. It could just be that these are used regularly or that pigs are warming up and shedding a bit. But one sign of pain or discomfort can actually be loss of hair. When George had an active infection but he didn't yet show peeing symptoms he actually shed loads. I didn't realise till he got out of the clean donut bed one day and left a nest of hair behind. That was when I weighed him and realised we had some sort of issue (again!) Something to watch out for...
donut George.webp
 
That’s interesting, as I have an 8 month old neutered boar who’s fully black, so the fur would be coming from him, I weigh him weekly and he has been steadily putting on weight since we first rescued him back in January, so there has been no weight loss issues with him, Ill give him a full check over tonight though just to make sure.
 
Ooh you beat me to it Claire - but I'll post this anyway now I've typed it!

Stones are something vets have to think about but it's not a death sentence. Smaller ones can be quite 'do-able'. And sows have a much better chance than boars as their urethra is a bit wider.

A bit of terminology: a pig has 2 kidneys and a bladder. Between them is a tube called a ureter, so pigs have 2 of those, 1 from each kidney going into the bladder. Then you have another single tube called the urethra going from the bladder to outside. Remember it with You-wee-thra your U-re-thra!

Stones often form in the bladder and just bomp around in there. Small bits of grit or sludge (a mass of sandy, gritty solids) can pass through the urethra although some pigs can get a bit bunged up. Stones which are too big to leave the bladder must at some point be surgically removed unless piggy is too old or has a history of repeated stones forming (that was my old boy) in which case, if they can be kept comfortable with painkiller and glucosamine food supplements, they live with it. And that can be fine for quite a while for as long as there are no other complications.

A stone stuck in a piggy ureter is a difficult situation, but much more commonly we have people posting about stones further down in the bladder or urethra. They can be identified by x-ray, and this doesn't necessarily mean anaesthetic. My vet swaddles piggies firmly in a towel to get the shots. Stones light up bright white. Sludge can look similar. An infection does not mean you must also have a stone - and a stone does not always mean there's infection BUT you can have both. The thing to watch out for is forgetting all about any infection because you've seen a stone on an x-ray and they get everyone all worried. You've had antibiotics which seemed to clear up Toffee's symptoms within the first few days. To me that would suggest they were killing off a bacterial infection. The timing is about right - if they're going to work they generally work fast. If her problems were caused by a stone and no infection the AB shouldn't have made any difference. If you just need a longer course you should still see a quick improvement again as most of the bugs are killed off - it's just the last 1% that have survived and multiplied back up.

I've had a couple of incidents with stones and grit in girls. One girl chirped when she peed and there was blood. She was white, and looked like she had a dirty bottom all the time because she was dripping pee and muck stuck to the wet fur. Her stone was found by the vet just by feeling round her lady-bits and was actually extracted with a pair of forceps and it was a hooching spiky monster! Easily 4 or 5mm in places. It had probably started as a smaller stone which got wedged in the urethra and grew bigger as she couldn't get a good flow going past it. On another occasion a girl suddenly started peeing what looked like neat blood and we think she must have passed a stone. On x-ray there seemed to be either another small stone or a collection of sludge at the exit of the bladder. The vet reckoned she might pass it without surgery (they need a good eye to be able to tell) and gave her an opioid injection for pain and a big sub-cutaneous fluid bolus (where they injected about 10ml or more of fluid under the skin of the shoulder like a giant blister). She was stoned out of her gourd and it was a real shame for her but she peed that fluid out like a tap and the next x-ray was clear. She didn't eat for hours until the stuff had worn off though. I've had two in boys that has meant a surgery. I lost Panda (4-ish we think) to the anaesthetic but George (6) came through with flying colours - and promptly formed another one. My vet has an old boy herself who is living with his comfortably enough. So there are ways to manage these things depending on whether you have boys or girls and where any stone happens to be sitting. It's just part of some piggy's lives.

If the blood clears up in the first few days again my money's on some sort of infection BUT looking at the trail of drips I'd also be thinking about an x-ray. The blood-tinted pee that happens with a pure infection tends to be less 'blood' looking. People will typically post a pic on a white towel and we're all squinting at it to work out whether it's a dried puddle of pink-y (worrying) or orange-y (normal) pee. But one step at a time...

PS: did she get either metacam or loxicom painkiller?
And thanks for this, as this was really helpful!
 
That’s interesting, as I have an 8 month old neutered boar who’s fully black, so the fur would be coming from him, I weigh him weekly and he has been steadily putting on weight since we first rescued him back in January, so there has been no weight loss issues with him, Ill give him a full check over tonight though just to make sure.
Now that I look back on the photos, there is quite a lot of black hairs on the fleece, but I guess Ive always just assumed it’s from shedding
 
He's a sweetie!
I've never had a UTI spread between pigs so that's not something I'd be concerned about at all. BTW Did you mean 0.2mg of cat metacam or 0.2ml. Because 0.2mg would be 0.4ml (of 0.5mg/ml).

Some pigs do shed more than others and some fleeces do hang on to the hair even after washing. But if you put him on a clean fleece and notice he's shedding more than the other two have a think about whether he's scratching a lot too. Black and white Flora came to us with a low level of mites but I didn't notice because George was black and Louise was mainly white I just thought the hair I saw was normal shedding from all the pigs. Flora had good skin and seemed happy and not really itchy, nothing stood out. The one day she got up from a fluffy white mat where only she slept and left a 'shadow' of herself behind - I realised it was just her! They all got treated though, with xeno spot-on at the same time, and the shedding stopped... mystery solved.
 
He's a sweetie!
I've never had a UTI spread between pigs so that's not something I'd be concerned about at all. BTW Did you mean 0.2mg of cat metacam or 0.2ml. Because 0.2mg would be 0.4ml (of 0.5mg/ml).

Some pigs do shed more than others and some fleeces do hang on to the hair even after washing. But if you put him on a clean fleece and notice he's shedding more than the other two have a think about whether he's scratching a lot too. Black and white Flora came to us with a low level of mites but I didn't notice because George was black and Louise was mainly white I just thought the hair I saw was normal shedding from all the pigs. Flora had good skin and seemed happy and not really itchy, nothing stood out. The one day she got up from a fluffy white mat where only she slept and left a 'shadow' of herself behind - I realised it was just her! They all got treated though, with xeno spot-on at the same time, and the shedding stopped... mystery solved.
Yeah, I did notice him scratch a little bit when I checked him over yesterday, his skin looks normal though, I do have some spot on treatments on hand, so I’ll treat him tonight, to see if that slows down the rate of the shedding.

All the fleeces come out the dryer pretty much fur free, so that amount of shedding usually occurs within one week I guess, and it’s definitely a lot more that Toffee sheds, so hopefully the spot on stuff helps.
 
Hi all,

Toffee has recovered from her cystitis and is acting her usual self, however with weekly weight checks I have noticed that she has gained weight to 980g which is the highest she has ever weighed, as before she had cystitis her weight was around the 900g-930g mark, during her cystitis her weight went up to around the 960g mark, and she was stable around that for a few weeks, but now she is all the way up to 980g which is unusual for her. I weigh her at the same time of day each week to keep it constant, but I’m just puzzled what could be triggering this. Could it be the hot weather? I haven’t fed her any extras, she just gets her cup of veggies, her 15g of pellets, (which equals to around 1 tablespoon according to google) and unlimited hay. Should this weight gain be anything of concern? And is it normal for pigs to put on weight during the summer months?
 
Hi all,

Toffee has recovered from her cystitis and is acting her usual self, however with weekly weight checks I have noticed that she has gained weight to 980g which is the highest she has ever weighed, as before she had cystitis her weight was around the 900g-930g mark, during her cystitis her weight went up to around the 960g mark, and she was stable around that for a few weeks, but now she is all the way up to 980g which is unusual for her. I weigh her at the same time of day each week to keep it constant, but I’m just puzzled what could be triggering this. Could it be the hot weather? I haven’t fed her any extras, she just gets her cup of veggies, her 15g of pellets, (which equals to around 1 tablespoon according to google) and unlimited hay. Should this weight gain be anything of concern? And is it normal for pigs to put on weight during the summer months?

Generally it would not be of concern. Continue the routine checks and see what happens.

I would suggest you use an actual tablespoon measure to measure out pellets rather than going by a weight advised by google.
My tablespoon of pellets actually weighs around 6g, so it is possible you are overfeeding pellets if you are going by a weight
 
Generally it would not be of concern. Continue the routine checks and see what happens.

I would suggest you use an actual tablespoon measure to measure out pellets rather than going by a weight advised by google.
My tablespoon of pellets actually weighs around 6g, so it is possible you are overfeeding pellets if you are going by a weight
Thanks for the response,
I’ll start using an actual tablespoon from now on, and see if that makes a difference.
 
My Flora started putting on weight when she was eating competitively with fat Louise. Flora was easily the dominant one, Louise was happy being the under-pig, but Flora still wanted to be biggest pig it seemed and eventually she got there! It calmed down as Louise got older. If you've introduced a new piggy that could have triggered something similar. There are also a lot of tasty treats available at this time of year. If they have access to lush grass that might be doing it 😅

The other thing... I'm thinking back to that shedding now. If you're sure it was your new boy then no problem. If Toffee is shedding - especially from the flanks - one thing to consider is whether she might have ovarian cysts. And I'm really only saying this because it's fresh in my mind so don't panic - if she's bopping around like normal she's doing fine. You see, Flora has just been spayed because she had almighty cysts and 48 hours after her op she'd lost 200g and I was pretty shocked because she had actually been eating syringe food and a bit of salad and grass. But then we thought those ovaries - both 6cm and full of fluid - probably made up at least a part of that weight. It's been a week now and she's very cheerful in herself, she's gained 60g back and is still going up, so I'm not worried. She might well have had those ovaries for quite a while before I noticed anything amiss, and if they weren't causing her discomfort I would probably just have left it. I suppose I'm saying bear it in mind for the future - if you see her weight creeping steadily up and up, and she starts to shed and her behaviour gets a bit grumpy or she starts to isolate herself it might be worth considering. But if she's just eating like a monster and looking happy well, more power to her. I'm a big girl myself! ☺️
 
My Flora started putting on weight when she was eating competitively with fat Louise. Flora was easily the dominant one, Louise was happy being the under-pig, but Flora still wanted to be biggest pig it seemed and eventually she got there! It calmed down as Louise got older. If you've introduced a new piggy that could have triggered something similar. There are also a lot of tasty treats available at this time of year. If they have access to lush grass that might be doing it 😅

The other thing... I'm thinking back to that shedding now. If you're sure it was your new boy then no problem. If Toffee is shedding - especially from the flanks - one thing to consider is whether she might have ovarian cysts. And I'm really only saying this because it's fresh in my mind so don't panic - if she's bopping around like normal she's doing fine. You see, Flora has just been spayed because she had almighty cysts and 48 hours after her op she'd lost 200g and I was pretty shocked because she had actually been eating syringe food and a bit of salad and grass. But then we thought those ovaries - both 6cm and full of fluid - probably made up at least a part of that weight. It's been a week now and she's very cheerful in herself, she's gained 60g back and is still going up, so I'm not worried. She might well have had those ovaries for quite a while before I noticed anything amiss, and if they weren't causing her discomfort I would probably just have left it. I suppose I'm saying bear it in mind for the future - if you see her weight creeping steadily up and up, and she starts to shed and her behaviour gets a bit grumpy or she starts to isolate herself it might be worth considering. But if she's just eating like a monster and looking happy well, more power to her. I'm a big girl myself! ☺️
I am actually not sure wether it’s just Oreo shedding now as I held her tonight just to feel her stomach as I just wanted to make sure it wasn’t firm to the touch to see if she was bloated, thankfully it wasn‘t as it was quite squishy, and I read that that is meant to be normal. I was stroking her gently and there was some shedding coming off her back and sides, but I’m pretty sure the amount of shedding was similar to the amount that comes off of Oreo, but I’m not 100% sure. Both are definitely shedding tho. She is acting fine, in fact she was popcorning this morning for her hay, so that’s a good sign. I wouldn’t say she is grumpy yet, as she always comes out to the front of the cage when I go into the room and always wheeks for her veg .She was quite comfortable on my lap and didn’t show any signs of pain when I was feeling her stomach, unless licking is a sign, as she quite enjoyed my fingers. Her appetite is strong as she gobbles up her veg, she’s learnt to eat quickly as she is the dominant pig and wants to get the most food possible 😅. It’s quite funny watching her run with her veg into a tunnel to keep it safe from Oreo. I hope she doesn’t have cysts, but i will keep an eye for any of the observations above, was there any other observations you made with Flora that really stood out to you? Thanks for bringing it to my attention though as I never really knew much ovarian cysts, I will definitely be more aware now.
 
I weighed her this morning and she’s now a kilo, I know it’s best to keep the times constant, but wanted to see if she had stopped putting on weight, but she still is. Another thing to note is that her poops have become rather small and tear dropped shape. I didn’t give them any pellets this morning to try encourage them to eat more hay for fibre, to try sort out the digestion. Is there anything else I can do to try help her to sort out her digestion and to help her stop putting on weight?
 
I weighed her this morning and she’s now a kilo, I know it’s best to keep the times constant, but wanted to see if she had stopped putting on weight, but she still is. Another thing to note is that her poops have become rather small and tear dropped shape. I didn’t give them any pellets this morning to try encourage them to eat more hay for fibre, to try sort out the digestion. Is there anything else I can do to try help her to sort out her digestion and to help her stop putting on weight?

Any sudden weight gain beyond 50g requires a vet check.
Small poops generally indicate that they aren’t eating enough but in this case with weight gain it doesn’t match so I would see a vet to find out if there is anything medically going on

Weight Monitoring and Management
 
I just weighed her again this afternoon and she’s back down to 960g 🙈😅, I guess I was just overthinking it a bit. Although she does have a bit of a digestive upset, so I’ll keep her off veg for 24 hours.
 
I woke up this morning to another bit of blood on the fleece (it’s dried browny so I’m pretty sure it’s blood), I will have to look at getting her x-rayed to rule out bladder stones. Would it be cystitis again cause it cleared up, and now the blood has come back exactly 2 weeks later to the day.
 
was there any other observations you made with Flora that really stood out to you?
I can't remember us having any cyst issues before Flora actually - I usually take in older singletons and I've had girls in that have already been spayed in their younger years so I don't have much experience. The vet diagnosed them by just feeling down her sides but that's because ours were big (you can get littler ones but you'd expect to see behavioural changes if the hormones are causing her problems). The diagnosis was confirmed by ultrasound. This is conscious and painless but they do have to shave the bit of pig they want to look at so they aren't popular. Flora had two 'windows' shaved in her sides - they also shaved a 'trapdoor' underneath to see if the issue might be bladder related. She'd had no blood tinted pee or bloodied discharge but in the early stages she had made a few noises while peeing - not the usual pained chirp of a UTI but more like breathy rasps. After a week the belly fur had grown back but her sides have only started to grow back since her spay - the cyst hormones give them a distinctive sort of 'male-pattern balding' so for a few months she looked like this:
Flora windows.webp Now she's a bit thinner but has more fur! Luckily there was nothing wrong with her womb but it all came out anyway. It was a big op though - not something to be undertaken lightly. For us it worked out OK.
 
I can't remember us having any cyst issues before Flora actually - I usually take in older singletons and I've had girls in that have already been spayed in their younger years so I don't have much experience. The vet diagnosed them by just feeling down her sides but that's because ours were big (you can get littler ones but you'd expect to see behavioural changes if the hormones are causing her problems). The diagnosis was confirmed by ultrasound. This is conscious and painless but they do have to shave the bit of pig they want to look at so they aren't popular. Flora had two 'windows' shaved in her sides - they also shaved a 'trapdoor' underneath to see if the issue might be bladder related. She'd had no blood tinted pee or bloodied discharge but in the early stages she had made a few noises while peeing - not the usual pained chirp of a UTI but more like breathy rasps. After a week the belly fur had grown back but her sides have only started to grow back since her spay - the cyst hormones give them a distinctive sort of 'male-pattern balding' so for a few months she looked like this:
View attachment 226484 Now she's a bit thinner but has more fur! Luckily there was nothing wrong with her womb but it all came out anyway. It was a big op though - not something to be undertaken lightly. For us it worked out OK.
Thanks for this, do you think an X-ray can show up cysts, because I was on the phone with the vets this afternoon and they suggested the next course of action would be an X-ray to rule out bladder stones, and I’d assume they would be able to tell if she would have cysts by that, if they showed up?
 
Also this is the bloodied patch on the fleece, would this definitely be blood or just intensely porphyrine coloured pees.
 

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I couldn't tell you blood or porphyrin, or whether cysts show up on x-ray (although generally x-ray is less good with soft tissue things) but I would say that when discussing with the vet I'd be keeping my options open. It's not just pee that comes out of there, you can also get discharge from the reproductive tract, which can be rinsed out with a pee. Take your photos or the fleece itself to show them and see what they think. Usually with either urinary infection or sterile cystitis one of the main symptoms people report on here is crying while peeing because an inflamed bladder hurts a lot.

I'd make a list of her symptoms - the things that are bothering her as well as the things that are bothering me - and use that as a starting point for discussions x
 
Hi,

I was just on the phone with the vets, and we are going to go for an x-ray tomorrow morning, but they said if they find something which they need to operate on, like stones, it would cost between £1500 - £2000 to remove them, which is quite a lot, and it pains me to say it but I won’t be able to afford it. I couldn’t bare losing her though 😣. Can Guinea pigs live with stones, or it is it just kinder to put them to sleep? And it it normal to cost this much?
 
Also, I would like to add that, which i find a bit confusing, is that Toffee doesn’t seem to be in any pain, as there is none of the pained behaviours when she urinates. When I saw her urinate, she made no painful squeeks, no chattering, nothing, which I find a bit weird as the symptoms of uti’s and bladder stones include this. Also when I felt her bladder area, she wasn’t in any discomfort she just sat there happily eating her lettuce, like nothing was happening. She has her usual appetite as she gobbled down her veg, and I’ve seen her drinking water. I’ve also been weighing her daily and her weight is very stable. She was even popcorning tonight and did a lap of zoomies around her cage!
 
George had less discomfort with his big round stone than with his UTIs (which were horrible for him) so for a while we were just going to keep him on twice daily metacam and glucosamine because he was actually fine. My vet still has an old boy with a big round stone and she suspects that what happened to George would also happen to him - the stone would reform within a few weeks (possibly a few days). George would have been OK even with his new stone but another UTI meant more ABs and that was too much for my lovely old boy 😔

Don't panic about surgery - sows can actually pass small stones or a build up of grit. Even larger ones can be 'encouraged' through without surgery. Costs will vary. George was £700. Some ops are more. Specialists tend to be more expensive. Some parts of the country are more expensive. Pigs haven't evolved to understand what medicine is and certainly aren't judging you. Toffee is living for today... every day. If a stone shows up but she isn't suffering from it there's no rush. And if she doesn't seem to be unhappy so much the better. It is confusing, but better this sort of confusing than pain with an unknown cause x
 
I have some pretty good news, we just had Toffee x-rayed, and she is clear from bladder stones and cysts, which I am over the moon about. She has just been diagnosed with another blot of cystitis and she has another course of antibiotics. I’m just so pleased 😄.
 
They also recommended to sprinkle a vitamin c tablet over her pellets each day to boost her immune system, is this alright to do? As i haven't heard of many other people doing it.
 
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