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Hay poke ☹️ (photo included)

Spaghetti & Noodles

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Just back from the emergency vet, Noodle had managed to get a roughly 1cm piece of hay stuck, I carefully removed it as I could see it sticking out but it's caused a massive ulcer. We've been given loxicom dog, once a day, isathal antibiotics twice a day and a corneal repair gel to put in every 4 hrs, although that will prove difficult when we are all at work and school next week, any advice on that would be appreciated.
So girls are in my daughter's bedroom in the temporary cage so she can do the drops overnight.
The overnight vet said it would be a long treatment, antibiotics for 2 weeks but the repair drops for over a month.
I've photographed so we can see any difference when we go back to have it checked in a week.
IMG_20230224_221023873.webp
 
Just back from the emergency vet, Noodle had managed to get a roughly 1cm piece of hay stuck, I carefully removed it as I could see it sticking out but it's caused a massive ulcer. We've been given loxicom dog, once a day, isathal antibiotics twice a day and a corneal repair gel to put in every 4 hrs, although that will prove difficult when we are all at work and school next week, any advice on that would be appreciated.
So girls are in my daughter's bedroom in the temporary cage so she can do the drops overnight.
The overnight vet said it would be a long treatment, antibiotics for 2 weeks but the repair drops for over a month.
I've photographed so we can see any difference when we go back to have it checked in a week.
View attachment 220144

Hi

Ouch! I am very sorry. Eye infections can come up and deteriorate very quickly in a matter of hours but - unless the damage is too bad - usually also heal pretty straight forward. You are in with a good chance, having had Noodle
seen promptly.

Please give the loxicom (metacam) twice a day. Guinea pigs have a faster metabolism than cata or dogs. How much have you been prescribed so we know whether it is better to split the dosage or to give it twice? It will help to get the inflammation in the eye down as well as acting as a painkiller.

You can also up the isathal to three times a day if needed; especially if you struggle to get enough gel in.
Please wait with the repair gel at least half an hour after the isathal to allow the antibiotic eye drops to be fully absorbed before you apply any gel and do the same with the gel.
Give at least one lot (if possible two but it may be too much of a stretch) of the repair gel in the morning before school/work and then try to get another 2-3 lots in beween coming back home and before you go to sleep. Try to space things out as much as you reasonably can - i.e. as soon as soon as you (or anybody reliable) is coming home in the afternoon/evening and last just before you go to bed.
If you wake up in the middle of night, then please apply a bit more gel in the first week but do not get up extra because this will take about 10-14 days at least and you'll need your sleep with a busy family life and a job. Rather get up a little bit earlier in the morning to try and get two lots of gel in around the isathal in the first few days.

Isathal is mainly effective with the surface healing whereas the repair gel works also in the deeper levels of the eye and also helps with hydration and comfort, especially if the eye has lost the cleaning reflex initially and is rather itchy after the isathal. Since in your case the main damage is in the chamber under the cornea, your vet is prioritising the gel application up to 6 times a day in order to speed up the recovery if that makes sense to you?

If you can't quite keep to the 4 hour rhythm, the eye will still heal; just not quite as quickly. Just try to get in as much as you can but wait 2-3 hours minimum between each gel application if you need to squeeze things into the time you are around. Try to aim at least 4 applications during work days in the next week.

Please don't get spooked when you see blood vessels bringing fresh oxygen to the damaged areas once the ulceration/infection has gone and the eye suddenly looks worse for a time about a week into it; it is actually a good sign since means that the healing process is in full swing. The blood vessels will disappear on their own as soon as they have done the job. The eye may also go a bit opaque in the last stages of the healing process.

Try to get as much in as you can over the weekend in order to stop the infection in its track as quickly as possible and get on top of the ulceration as quickly as you can.

For applying eye drops, you gently pull down the lower lid a little and aim the drops into the gap. Gel you gently dab on the eye surface. If Noodle can't see and has lost sensationg at the moment, it is going to be relatively easy but there will be more of a fight once things get better. Don't worry about spillage; it is par for the course.
If needed use our piggy whispering tips to assert your authority in combination with lots of praise and fussing: Who is the Boss - Your Guinea Pig or You?

I hope that this helps you.
 
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@Wiebke Thank you so much for such a detailed reply it is really reassuring and helpful.
It is good to know that we are in with a good chance of healing, I have to admit when I first saw it I did wonder if we would lose the eye.

We have been given a 15ml bottle of the dog loxicom and are to give a 1 kg dose, I did wonder if she could have it twice a day as I am aware their metabolism works fast.

We will do our best with the gel, I understand all the reasoning behind the need for 4 hourly but unless I take her to school with me (not sure the headteacher would approve!) I just can't physically do it, but will make sure that it is the last thing we do before we leave and the first thing when we get in, over the weekend we can manage it, so the first 48 hrs should hopefully give it a good chance, I think we will try and do the isathal 3 times a day for the weekend to get on top of it.

Thank you again for your support. 😊
 
What a detailed reply off @Wiebke :)

Sending lots of healing vibes x
 
Just spoken to the vets to pay the bill 💸💸💸💸💸 and make a follow up for weds, they are saying that the loxicom is always once a day no matter the animal?
 
Just spoken to the vets to pay the bill 💸💸💸💸💸 and make a follow up for weds, they are saying that the loxicom is always once a day no matter the animal?

It's not what I have been prescribed for my own guinea pigs by exotics vets and vets experienced with guinea pigs for over a decade now, echoing the experience of many forum members. Guinea pigs do cope differently with metacam than other pet species and tolerate it much better.
But you will of course follow the advice you trust best.

PS: I currently have got two arthritic older sows on a fairly high long term dosage of twice daily metacam/loxicom/rheumocam and am expecting to add yet another one after my next trip to the Cat&Rabbit Care Clinic week after next.
 
@Wiebke Thank you so much for such a detailed reply it is really reassuring and helpful.
It is good to know that we are in with a good chance of healing, I have to admit when I first saw it I did wonder if we would lose the eye.

We have been given a 15ml bottle of the dog loxicom and are to give a 1 kg dose, I did wonder if she could have it twice a day as I am aware their metabolism works fast.

We will do our best with the gel, I understand all the reasoning behind the need for 4 hourly but unless I take her to school with me (not sure the headteacher would approve!) I just can't physically do it, but will make sure that it is the last thing we do before we leave and the first thing when we get in, over the weekend we can manage it, so the first 48 hrs should hopefully give it a good chance, I think we will try and do the isathal 3 times a day for the weekend to get on top of it.

Thank you again for your support. 😊

You can always ask the head teacher or a secretary whether they would be OK for you to bring Noodle to an office out of the way in a carrier so you can medicate her during the lunch break and if needed in the break before after school activities. Even just the one application in the middle of the day would make it all much easier for you and her until her check-up on Wednesday when the ulceration has gone down a lot more and the extent of the damage is better visible and you can hopefully scale down the gel to three times a day.

But I have had a few eyes like that (and even worse) in piggies of mine and they have made a full recovery as long as you keep on with medicating. Rest assured that even if you cannot get the repair gel as often as you'd like, Noodle will still heal up; just not as quickly.
 
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@Wiebke - thank you, I think I might try and split the dose, although it will be very small and then query again on weds. Everything I have read here says twice a day.
We'll keep going with the ointments etc and see what weds brings.
 
Good luck. Our two boys are both very familiar with hay poke. It always looks nasty but you'll be surprised how much better it will look in just a couple of days using the eye drops.
 
Hope the eye heals quickly for Noodle.

After discussion with my vet Priscilla’s Loxicom was prescribed twice a day. Vet appreciated the faster metabolism of a guinea pig
 
Just back from check up appt for miss Noodle and pleased to report that it looks much better, just a small area now as opposed to the initial appt, didn't manage to get a pic this time. The vet thinks that all is going in the right direction, she may be left with some cloudiness in the eye but that would be scarring and as long as there is no infection that is something she will have to live with, we have another appt on Saturday to put the dye in again and we are to continue with the medication until then. We could reduce the repair gel but I think we'll continue as we are until Saturday to give it the best possible chance to heal well.
 
Back to the vet again this morning for a check up and pleased to report that nothing is now showing up with the dye so the vet is confident that it has all healed over, she could see evidence of the blood vessels coming across the eye which is helping with the healing and agreed with what the other vet said in that we might be left with a bit of cloudiness but that will just be scarring. We're to continue drops for a few more days but just twice a day now so the girls are moving out of the"hospital" cage and back to the shed. 😌
 
That's great news it's amazing how quickly hay poke heals.
I agree, from what we found last Friday evening to today is such a huge change.

I'm quite proud of my daughter as she has been doing most of the drops with only the occasional help from us when she has been at school, I think it's important that she learns all aspects of care and not just the fun stuff, whilst ultimately they are my responsibility (and I pay the bills!💸🙈), it didn't do her any harm to get up in the night last weekend to apply drops.
 
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