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Guinea pig not recovering

ForeignKey

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Hello,

I've been reading these forums for many years now for advice for my guinea pigs, but this time I need some help with a case of my own. English is not my first language so be warned lol

One of my pigs is called Harry and he is about 6-ish years old. I've been struggling with his health for a few months now and the vet and I cannot get it under control. It started late last year with coughing during dinnertime but I didn't think too much of it because they all do it sometimes. This turned into a crackling sound, like walking on fresh snow, combined with a typical -help me I can't breathe- sound like we humans make. Not constantly but it got worse and he started to lose a lot of weight also. A few trips to the vet eventually thought me he had a pneumonia and I've treated it with antibiotics and painkillers.

The poor thing really struggled trough this treatment and he got visibly sick from it. His poops got really disgusting, very sticky, very stinky, and in big chunks instead of little poops. We've powered trough though and I was hoping he would recover when the antibiotics were done. And he did a bit, the poops slowly started to normalize a bit, but he still was not eating enough.

I know what you're probably thinking; it's his teeth. It was what I had been thinking because that's pretty much the only explanation the internet gives me when I search his symptoms. He was so sick and weak though that the vet and I were both afraid how/if he would recuperate from an anesthesia, and without that there was no way to check his back teeth. I've tried to strengthen him a bit with painkillers and medication to get his guts going and to approve his apatite but it was not enough. After a few days of this I've decided to take the risk and he got to surgery. They straightened his front teeth, because they were growing crooked and sharp because he hasn't been eating properly for months now, and they removed tiny sharpish angles from his back teeth. The vet told me however that it wasn't bad at all and the chances that this is causing his eating problems was very tiny. Yeah, it did not improve after his surgery.
We keep keeping on and I'm still hoping he magically starts eating more himself but so far, not so much. A few weeks ago he started crackling again, and another trip to the vet thought me his lungs still sounded "not too bad" but a little irritated. So we started the antibiotics back up the tackle a possible infection from starting up again. This resulting in him completely stopping with eating any food. So back to the vet, and I quit the antibiotics because it was definitely not helping him this way.

Where are we now? The little chad went from weighing 1.22 kilos last year to a small 835 grams now. He is so skinny, it makes me cry every time I pet him. I can feel all his little bones and he just looks so small.. His body temperature is a little over 36°C, so way too low. I keep him separate so I can see the input and output, he mostly lays on a warm water heating pad (not sure what the English word for it would be), he has hay and pellets available all day every day, I give him at least 4-5 different vegetables/fruits/herbs during dinner time and he gets extra vitamin c and d. He chews very slowly so he usually takes all night to finish his dinner, he drools a lot, and he pukes up green looking stuff. When he is relaxing/laying down he sometimes jumps up like something bit him? Other then all the bad things, he looks relatively happy! He gets up when I enter the room in the morning, he takes his treats, gets up for dinner, loves playtime with his girlfriend (who lives in the cage right next to him so they can interact), he is alert and awake, just doesn't move around much.

I am at my limit here, I have no idea how to help him anymore and neither does my vet. So please, if anyone has any advice or suggestions I would be very grateful.

Sorry for the long post, and thank you for reading.
 
I’m so sorry to hear this

Antibiotics can deplete the good gut bacteria which will then affect their appetite.
When this occurs you must switch to weighing him every morning (instead of the weekly lifelong weekly weight checks) and step in with syringe feeding a fibre rich recovery feed (or mushed pellets as the emergency alternative). You syringe feed as much as is necessary to to keep his weight stable every day - that is a minimum of 40ml of syringe feed but ideally at least 60ml of syringe feed per day.
They can also need a gut stimulating medication prescribed by the vet.
We also advise a probiotic which can help but is not a medication.

Separating him will not allow you to monitor input and output. Hay intake cannot be monitored hy eye - the weight checks are the only way to monitor input. Hay is the main part of the diet and they lose weight if they don’t eat enough.
Poop output is 1-2 days behind food intake so is out of date information and not helpful.
Again this is where the importance of weight checks comes in.

As he is still losing weight, please start syringe feeding him to prevent any further weight loss.

The drooling and bringing up green gunk means he is likely not quite swallowing properly which can be due to there still being something wrong in his mouth.

Is he still on a painkiller? If so, what dosage?

I would recommend you properly reunite him with his friend (assuming he is neutered and able to live with a female given you mention a girlfriend). Separating them causes a lot of stress which can lower the immune system.

It would also be a good idea to return to the vet.

I’ve added some guides below to help further

Weight and Weight Loss Explained: BMI, Weighing, Poos and Feeding Support
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures
How to Improvise Feeding Support in an Emergency
Probiotics & Live Gut Microbiome Transfer ('Poo Soup'); Recovery Formula Foods And Vitamin C: Overview With Product Links and Transfer Recipe
 
Thank you for your fast reply!

I am weighing him daily and have been doing that since he got sick. His weight is mostly stable now, if very slowly going down, but definitely not going up which he does very much need.

He gets 0.25ml of Cisapride once a day, which I've been told is to get his guts going, and 0.2ml of Metacam once a day.

I'm not sure about reuniting him with his girl fulltime to be honest. She is quite mean to him now he is weaker then she is. She steals his food and pushes him off his sleeping spots. They are separated during the night and when he has vegetables/pellets. I cannot have her eating pellets all day, she will get very chonky very fast lol. So checking the input is mostly just making sure he gets a chance to eat what I give him, checking the output is me keeping an eye on the poop health.

He barely eats any hay! Fresh grass he eats, but I obviously don't have that every day as it has to grow.

The syringe feeding is an absolute nightmare.. I've fed him critical care at first but he has really started to fight me over it and it has come to a point that I just fail every time. He cries so loud and refuses to swallow any of it. He and I are completely covered in food, but I don't think any of it reaches his belly. I've stopped doing it because I'm afraid it stresses him out too much. And to be honest, because it breaks my heart.

I am out of ideas to ask the vet about. They told me that they're also kinda clueless right now. They gave me the option to give him a shot of prednisone as it is supposed to make him want to eat. But it sounds way too intense for his weak little body. Do you maybe have any experience with it?
 
I'm so sorry you're going through this, we are going through similar with our beautiful Bramble. He doesn't have any drooling, but has virtually stopped eating most foods, including hay and grass - though he does eat a little amount of both at time, but nowhere near enough! He's also lost quite a bit of weight too, although we are syringe feeding him crushed pellets, but he too hates it and fights us so much it really stresses him (and us) out! We have Bramble booked in for a dental exam (under anaesthetic) this Thursday, but not even sure if it's his teeth as he has no drooling whatsoever! Unfortunately Bramble isn't as active as your boy sounds either, he mainly stays still now, unless he's running away from us trying to catch him to feed him! So at least you have the fact that he's active and is eating, although not enough to put much needed weight on. 😟

Anyway, just to say, I know what you're going through, it's so horrible and frustrating, but I don't think that prednisone would be a good idea, because steroids are only a temporary fix and they can also weaken the immune system, so not really ideal in a lot of cases.

Really hope both our boys can be healed soon! 🙏🙏🙏😥
 
Has the vet thought about increasing his metacam dosage to see if that helps him?
His dosage is a low one at present and there is room for increase if your vet thought it necessary and if he is experiencing any pain, piggies can also take pain meds twice a day.

It’s good his weight loss isn’t so great but stabilizing it so it isn’t going down is very important.
Hay is their main food intake though - they must eat hay to maintain good dental and gut health. If your piggy is not chewing any hay and can’t have large amounts of fresh grass daily instead (chewing grass also preventing teeth from overgrowing) then it stands to reason his teeth can overgrow.
Getting enough fibre into him is essential though - it’s the only thing their gut needs for proper function.
Can you leave a bowl of critical care in the cage for him to eat at himself?

Guinea pigs should not be given steroids. The guide below explains.

The Problems With Steroids And Why They Shouldn't Be Used.
 
Has the vet thought about increasing his metacam dosage to see if that helps him?
His dosage is a low one at present and there is room for increase if your vet thought it necessary and if he is experiencing any pain, piggies can also take pain meds twice a day.

It’s good his weight loss isn’t so great but stabilizing it so it isn’t going down is very important.
Hay is their main food intake though - they must eat hay to maintain good dental and gut health. If your piggy is not chewing any hay and can’t have large amounts of fresh grass daily instead (chewing grass also preventing teeth from overgrowing) then it stands to reason his teeth can overgrow.
Getting enough fibre into him is essential though - it’s the only thing their gut needs for proper function.
Can you leave a bowl of critical care in the cage for him to eat at himself?

Guinea pigs should not be given steroids. The guide below explains.

The Problems With Steroids And Why They Shouldn't Be Used.
Thank you! I wasn't a fan of the prednisone idea before but thanks to your information I know it's definitely a bad idea. Ill try the bowl of critical care, lets hope he decides to eat some.

I'm so sorry you're going through this, we are going through similar with our beautiful Bramble. He doesn't have any drooling, but has virtually stopped eating most foods, including hay and grass - though he does eat a little amount of both at time, but nowhere near enough! He's also lost quite a bit of weight too, although we are syringe feeding him crushed pellets, but he too hates it and fights us so much it really stresses him (and us) out! We have Bramble booked in for a dental exam (under anaesthetic) this Thursday, but not even sure if it's his teeth as he has no drooling whatsoever! Unfortunately Bramble isn't as active as your boy sounds either, he mainly stays still now, unless he's running away from us trying to catch him to feed him! So at least you have the fact that he's active and is eating, although not enough to put much needed weight on. 😟

Anyway, just to say, I know what you're going through, it's so horrible and frustrating, but I don't think that prednisone would be a good idea, because steroids are only a temporary fix and they can also weaken the immune system, so not really ideal in a lot of cases.

Really hope both our boys can be healed soon! 🙏🙏🙏😥
I'm very sorry for you as well! I only noticed the drooling when I had him lay on my lap because my clothes got soaked and it did not smell like pee at all. After that I kept a closer eye on him and I noticed he keeps like chewing on liquid? No idea how to describe it in English, sorry.

And you're right, I almost forgot how much better he is already doing! In December/January he was not moving at all, just like you described. He didn't even run away or get up at all when I went to grab him. I could put him on the table at the vet and he would just belly flop, didn't use his paws at all. It was so sad to see.. So yeah, my boy is actually doing much better and I'm hoping yours will too soon! Hopefully in your case its a "simple" tooth problem and they can fix it for him 🙏
 
I can’t add anything to the advice but want to assure you that I am holding you in my thoughts
 
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