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Chronic bloat and GI stasis

barrypetuniajones

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Hi!

I have a 17 month old male guinea pig, Barry. For the past 4 months, Barry has been experiencing chronic bloat. Barry had been neutered in September of 2021. For 3 months after that procedure, he had recurring abscesses in his scrotum. In December of 2021, the cause had been found to be an infected piece of fat that the vet had been able to successfully remove. No issues regarding that since then, but a week after that procedure, the bloating started. I have had guinea pigs before and I currently have another guinea pig along with Barry, but I have never experienced anything like this. Barry seems to go back and forth with intense bloating. His stomach ranges from slightly bloated to extremely large and completely full of air. He is NEVER not bloated. I have noticed that as the bloat becomes more severe, his poops will also change. The larger the bloat, the smaller the poops become and have that "teardrop" shape. Other than those two issues, Barry's personality doesn't usually change. He still runs and plays and eats. Of course we've had several vet visits and have tried several things. He is currently taking 0.5 of metochlopramide three times a day, everyday. If I am being completely honest, I don't know if this medicine has had any impact on whatever is going on. We originally started this medicine back in December at 0.35 twice a day and I really don't know if there has been any difference. We have also tried gas drops (simethicone), gripe water, and cisapride. Neither the gas drops nor the gripe water seem to make a difference. We've tried the cisapride once and it immediately gave him intense diarrhea that led to him having to be hospitalized. The last medicine that he's taken is meloxidyl for pain. I don't give it to him often since he doesn't always seem like he's in pain. At most, I've given it to him maybe three times a month and it definitely helps with those few days where he seems uncomfortable. As I said, he's been to the vet several times regarding these issues. He's had several hospital stays, several X-rays, and several attempts at trying to figure out what the cause of this is. I've only had him stay at the hospital when the bloat has led to extreme pain and diarrhea, but even after being there for a few days, he's still bloated. All X-rays have shown nothing in his system besides just large amounts of air. With his diet, it feels as if we have tried everything. I've limited the variety of veggies and took out veggies completely and that hasn't seemed to make a difference. We've tried grain free pellets and eliminating all pellets from his diet, also seems to have not made a difference. With hay, he has access to it unlimited. We've tried Timothy hay and orchard hay. I haven't noticed much of a difference with that either.
I'm reaching out to this forum out of desperation. I feel as if I have no control over Barry's health and I hate that he's having to deal with this. I don't really know what else to do. He just looks uncomfortable and is constantly going back and forth with pooping issues. I have read almost every single post I could find regarding these issues and haven't been able to find anything helpful. I'm curious as to if anyone else has dealt with anything like this or if anyone has any suggestions for things I haven't tried.
 
Hi!

I have a 17 month old male guinea pig, Barry. For the past 4 months, Barry has been experiencing chronic bloat. Barry had been neutered in September of 2021. For 3 months after that procedure, he had recurring abscesses in his scrotum. In December of 2021, the cause had been found to be an infected piece of fat that the vet had been able to successfully remove. No issues regarding that since then, but a week after that procedure, the bloating started. I have had guinea pigs before and I currently have another guinea pig along with Barry, but I have never experienced anything like this. Barry seems to go back and forth with intense bloating. His stomach ranges from slightly bloated to extremely large and completely full of air. He is NEVER not bloated. I have noticed that as the bloat becomes more severe, his poops will also change. The larger the bloat, the smaller the poops become and have that "teardrop" shape. Other than those two issues, Barry's personality doesn't usually change. He still runs and plays and eats. Of course we've had several vet visits and have tried several things. He is currently taking 0.5 of metochlopramide three times a day, everyday. If I am being completely honest, I don't know if this medicine has had any impact on whatever is going on. We originally started this medicine back in December at 0.35 twice a day and I really don't know if there has been any difference. We have also tried gas drops (simethicone), gripe water, and cisapride. Neither the gas drops nor the gripe water seem to make a difference. We've tried the cisapride once and it immediately gave him intense diarrhea that led to him having to be hospitalized. The last medicine that he's taken is meloxidyl for pain. I don't give it to him often since he doesn't always seem like he's in pain. At most, I've given it to him maybe three times a month and it definitely helps with those few days where he seems uncomfortable. As I said, he's been to the vet several times regarding these issues. He's had several hospital stays, several X-rays, and several attempts at trying to figure out what the cause of this is. I've only had him stay at the hospital when the bloat has led to extreme pain and diarrhea, but even after being there for a few days, he's still bloated. All X-rays have shown nothing in his system besides just large amounts of air. With his diet, it feels as if we have tried everything. I've limited the variety of veggies and took out veggies completely and that hasn't seemed to make a difference. We've tried grain free pellets and eliminating all pellets from his diet, also seems to have not made a difference. With hay, he has access to it unlimited. We've tried Timothy hay and orchard hay. I haven't noticed much of a difference with that either.
I'm reaching out to this forum out of desperation. I feel as if I have no control over Barry's health and I hate that he's having to deal with this. I don't really know what else to do. He just looks uncomfortable and is constantly going back and forth with pooping issues. I have read almost every single post I could find regarding these issues and haven't been able to find anything helpful. I'm curious as to if anyone else has dealt with anything like this or if anyone has any suggestions for things I haven't tried.

Hi and welcome

Have you tried to build up his gut microbiome with benebac and 'poo soup' (i.e. live healthy cavy microbiome transfer from a healthy companion, which mimics natural behaviour when done properly)?
More information on gut support in this guide here: Emergency, Crisis and Bridging Care until a Vet Appointment

Please step in with feeding support when the poos get smaller/his weight drops because they reflect less hay intake due to more intense bloating/pain. You can mix in a bit more probiotics into the feeding mix if needed.
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures

I would not restrict the diet; it is not related to that unless he has specific trigger foods.

Unfortunately, it is very difficult to get on top of persistent long term bloating issues; they are not uncommon in older piggies but can occasionally happen in the wake of an operation or a course of strong medication and an adverse reaction. Especially with zantac/ranitidine off the market, there is no ideal gut medication for guinea pigs; not that there ever was. :(

My experiences with a piggy of mine who has been presenting with irritable bowel syndrome like symptoms for the last two years (sudden intense extremely painful bloating/cramps episodes which tend to flare up badly every few months) who has been on the same cocktail (apart from the simethicone) echo your experiences. I have found that it doesn't make really a difference whether I medicate or not in the downtimes but I really need the meds at the upper limit of what I am allowed to give him during his flares to get on top of them.
It has become more about management rather than cure over time.

I wish I had better news for you.
 
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