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Hay poke, treatment

nesa

New Born Pup
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Hi guys, we just experienced our first hay poke and I felt the need to make a post about the details as I struggled a bit getting the right info and wish that I knew all of this.
What happened:
We ordered some emergency Timothy hay as our larger batch was going to arrive later. I’ll explain later why this is relevant. We found out she had an eye poke when my partner noticed that her eye was cloudy. I was worried it was a cataract because that’s what it looked like, however from what I found cataracts do not trigger inflammatory responses and don’t get infected so they won’t look inflamed nor will they cause discharge around the eye. While hay pokes will result in discharge likely due to infection.
Prevention:
The best treatment is prevention which is where the hay comes in. Timothy hay is known to be coarse however another factor is the cutting. First cuttings are always higher in fibre and coarser so getting second cuttings is a much better option as they tend to be softer decreasing the risk of hay pokes.
Why is the eye cloudy:
The issue with hay pokes is they cause damage to the cornea which is a very thin layer of tissue, when it has any lesions it will lift off of the eye surface and liquid will fill the pocket causing the cloudiness. She likes to thrust her face in the hay bag and this combined with the emergency hay coarseness was our baby’s downfall. I think she has learnt her lesson as she has since been eating from the top of the bag 😂😂
Treatment
Now for the treatment, you HAVE to get an appointment to ensure it is healing, they’re responding to medicine well and they don’t have any reactions or worsening infection.
The main reason why I am writing this is because often it will be difficult to get a same day appointment because the vets may not see it as an emergency but eyes can deteriorate very quickly. It is understandable, your Guinea pig isn’t the only pet in need of treatment and most of the time they will be fine however for us we wanted the best odds.
So, here is what we did, I’m not a professional but if you find yourself in the spot where you need to take action i think having accurate information could be the difference between losing an eye or not. We bought optrex infected eye drops from the pharmacist, these have an antibiotic called chloramphenicol and so you can only get it at a pharmacy, anything you get online with no prescription is likely fake. Chloramphenicol is used to treat conjunctivitis in humans and they will not sell it to you if you are buying it for your Guinea pig so we didn’t tell them that. Please let your vet know you are giving antibiotics because you do not want to double dose your piggie’s eyes. It is unsafe so whatever action you take without the vets advice you must let them know. They need to be kept in the fridge, applied 3 times a day UNTIL the eye is healed. I saw a post mentioning 4 day use which I now assume is how long it took for them to heal, likely a minor scratch and thought we should give it for 4 days but don’t do that, you don’t want to come off and on an antibiotic which we now have to do.
The vet will likely give you remend drops, these provide the ideal conditions for your piggies eyes to heal, the right moisture and all. You get this at the vets but you may be able to buy this online. Not sure, we didn’t so if you do I cannot guarantee it is the real stuff but I don’t see why you couldn’t get it online. The vet will likely tell you this but, antibiotic first, wait AT LEAST 10 minutes and then apply the remend, the antibiotic gets absorbed quicker but if you apply remend first, it will affect the antibiotic absorption so make sure you do it in the right order.
This is the stuff I wish I knew and wish was easier to find.
TL;DR:
1. Prevention is key: softer hay and softer cuttings will lower the chances
2. If I can’t get a same day appointment I would take action of my own accord
3. I’d get hold of optrex for infected eyes, there are other chloramphenicol drops for humans but I haven’t used them so I would just stick to the optrex, believe it was like £13
4. When I’m able to see the vet, mention the optrex, let them know it was from the pharmacy so they don’t worry about the legitimacy
- I don’t think it is a vets place to judge acting with urgency to save your piggies eyes, all the vets we saw about the hay poke were understanding so make of that what you will
5. Consider seeing an eye specialist because of the equipment available in case of really bad ulcers, it does cost more so if you can’t just see your usual vet. Godard’s Group South Woodford branch has an eye specialist, Adam
6. Antibiotic first, wait at least 10 minutes but ideally longer. Then apply the remend when you have it This should be 3 times a day until the eye is healed which the vet will tell you. Please do not assume that it is healed because you can’t see anymore cloudiness, you don’t to want risk your piggies eyes.
7. Antibiotic drops should be spaced as evenly apart as possible, we try to do every 8 hrs but it’s not always possible unfortunately but just do your best.
 

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I'm pretty sure we do have a guide on hay poke on the forum in the guides section. My old boys gave me quite a lot of experience with hay poke. I'm not sure I'd recomend useing products made for humans on piggies its best to see your vet first if there's still a bit of hay in the eye you could wash it further in by using eye drops without clearing the eye first.
 
Hi guys, we just experienced our first hay poke and I felt the need to make a post about the details as I struggled a bit getting the right info and wish that I knew all of this.
What happened:
We ordered some emergency Timothy hay as our larger batch was going to arrive later. I’ll explain later why this is relevant. We found out she had an eye poke when my partner noticed that her eye was cloudy. I was worried it was a cataract because that’s what it looked like, however from what I found cataracts do not trigger inflammatory responses and don’t get infected so they won’t look inflamed nor will they cause discharge around the eye. While hay pokes will result in discharge likely due to infection.
Prevention:
The best treatment is prevention which is where the hay comes in. Timothy hay is known to be coarse however another factor is the cutting. First cuttings are always higher in fibre and coarser so getting second cuttings is a much better option as they tend to be softer decreasing the risk of hay pokes.
Why is the eye cloudy:
The issue with hay pokes is they cause damage to the cornea which is a very thin layer of tissue, when it has any lesions it will lift off of the eye surface and liquid will fill the pocket causing the cloudiness. She likes to thrust her face in the hay bag and this combined with the emergency hay coarseness was our baby’s downfall. I think she has learnt her lesson as she has since been eating from the top of the bag 😂😂
Treatment
Now for the treatment, you HAVE to get an appointment to ensure it is healing, they’re responding to medicine well and they don’t have any reactions or worsening infection.
The main reason why I am writing this is because often it will be difficult to get a same day appointment because the vets may not see it as an emergency but eyes can deteriorate very quickly. It is understandable, your Guinea pig isn’t the only pet in need of treatment and most of the time they will be fine however for us we wanted the best odds.
So, here is what we did, I’m not a professional but if you find yourself in the spot where you need to take action i think having accurate information could be the difference between losing an eye or not. We bought optrex infected eye drops from the pharmacist, these have an antibiotic called chloramphenicol and so you can only get it at a pharmacy, anything you get online with no prescription is likely fake. Chloramphenicol is used to treat conjunctivitis in humans and they will not sell it to you if you are buying it for your Guinea pig so we didn’t tell them that. Please let your vet know you are giving antibiotics because you do not want to double dose your piggie’s eyes. It is unsafe so whatever action you take without the vets advice you must let them know. They need to be kept in the fridge, applied 3 times a day UNTIL the eye is healed. I saw a post mentioning 4 day use which I now assume is how long it took for them to heal, likely a minor scratch and thought we should give it for 4 days but don’t do that, you don’t want to come off and on an antibiotic which we now have to do.
The vet will likely give you remend drops, these provide the ideal conditions for your piggies eyes to heal, the right moisture and all. You get this at the vets but you may be able to buy this online. Not sure, we didn’t so if you do I cannot guarantee it is the real stuff but I don’t see why you couldn’t get it online. The vet will likely tell you this but, antibiotic first, wait AT LEAST 10 minutes and then apply the remend, the antibiotic gets absorbed quicker but if you apply remend first, it will affect the antibiotic absorption so make sure you do it in the right order.
This is the stuff I wish I knew and wish was easier to find.
TL;DR:
1. Prevention is key: softer hay and softer cuttings will lower the chances
2. If I can’t get a same day appointment I would take action of my own accord
3. I’d get hold of optrex for infected eyes, there are other chloramphenicol drops for humans but I haven’t used them so I would just stick to the optrex, believe it was like £13
4. When I’m able to see the vet, mention the optrex, let them know it was from the pharmacy so they don’t worry about the legitimacy
- I don’t think it is a vets place to judge acting with urgency to save your piggies eyes, all the vets we saw about the hay poke were understanding so make of that what you will
5. Consider seeing an eye specialist because of the equipment available in case of really bad ulcers, it does cost more so if you can’t just see your usual vet. Godard’s Group South Woodford branch has an eye specialist, Adam
6. Antibiotic first, wait at least 10 minutes but ideally longer. Then apply the remend when you have it This should be 3 times a day until the eye is healed which the vet will tell you. Please do not assume that it is healed because you can’t see anymore cloudiness, you don’t to want risk your piggies eyes.
7. Antibiotic drops should be spaced as evenly apart as possible, we try to do every 8 hrs but it’s not always possible unfortunately but just do your best.

Hi

Please contact an out-of-hours vet; that looks pretty sore and should not wait until regular opening hours tomorrow.

The sooner you can start treatment, the better and easier the recovery. Because eye injuries can deteriorate very quickly, they count as an emergency with UK vets and are always squeezed in if at all possible. Since treatment and medication is the same as with dogs or cats, they can be treated by any vet.

You should be given antibiotic eye drops or gel, some analgesic (anti-inflammatory/painkiller) and ideally a lubricant. if not, please ask for the latter two. Make sure that you give the lubricant before the eye drops or wait for at least half an hour after the medicated eye drops to allow them to be fully absorbed.
Only if you do not get a lubricant like remend, then please get some plain tear gel from a pharmacy; it not only helps to comfort the eye be rehydrating it but also helps with the healing process in the deeper layers where the antibiotic eye drops do not reach. If you can only get plain human tear drops, then you give them 6 times a day (always leaving that gap after the antibiotic); the gel you can give 3 times a day as it is longer lasting and more effective.
Ask your vet for confirmation about what each med does and in which order/dosage and how often to give them at the end of the consultation if you are given several. I always do that with several meds if there are new ones I am not familiar with. I also like to know what each does.

For getting the eye drops into the eye, gently pull down the lower lid and aim into the gap. The gel you just need to dab a little into the eye. There is usually some spillage as piggies are not all that cooperative.

All the best. Please brace that the eye will look worse at certain stages of the healing process when temporary blood vessels bring extra oxygen to the injured area. This is the normal healing process, only that you never get to see it in the rest of the body.
 
I'm pretty sure we do have a guide on hay poke on the forum in the guides section. My old boys gave me quite a lot of experience with hay poke. I'm not sure I'd recomend useing products made for humans on piggies its best to see your vet first if there's still a bit of hay in the eye you could wash it further in by using eye drops without clearing the eye first.
Hiya, so when we noticed the eye, the soonest appointment available was 2 days later. I’m the reason why optrex for infected eyes is what I used is because the antibiotic which is the active ingredient is safe for guineas. The dosage was 3 times a day and the vet agreed that it is safe. Yes seeing. A vet is important but I think correct immediate action before seeing the vet is just as crucial especially if you don’t have. Access to the vets. Thank you for your replies 💖
 
Hiya, so when we noticed the eye, the soonest appointment available was 2 days later. I’m the reason why optrex for infected eyes is what I used is because the antibiotic which is the active ingredient is safe for guineas. The dosage was 3 times a day and the vet agreed that it is safe. Yes seeing. A vet is important but I think correct immediate action before seeing the vet is just as crucial especially if you don’t have. Access to the vets. Thank you for your replies 💖

Hi

Have you actually googled for other out-of-hours vet services in your area? There are usually more than one open place in any urban area.

If your vet says it is OK to use optrex for two days sight unseen, fine - they are qualified to make that decision while we as a public owners' forum are definitely not qualified and in legally hot water for recommending the use of antibiotics used for other species. All antibiotic use for pets is in the UK prescription only.

However, the sooner you can have that eye seen and fully assessed, the better. It is already ulcerated.

PS: I have also given you further advice on lubricants that support the healing process in addition to any antibiotics. Articificial tear drops/gel are not classed as a medication but have been given to me and explained by an expert vet for my own guinea pigs.
 
Hi

Have you actually googled for other out-of-hours vet services in your area? There are usually more than one open place in any urban area.

If your vet says it is OK to use optrex for two days sight unseen, fine - they are qualified to make that decision while we as a public owners' forum are definitely not qualified and in legally hot water for recommending the use of antibiotics used for other species. All antibiotic use for pets is in the UK prescription only.

However, the sooner you can have that eye seen and fully assessed, the better. It is already ulcerated.

PS: I have also given you further advice on lubricants that support the healing process in addition to any antibiotics. Articificial tear drops/gel are not classed as a medication but have been given to me and explained by an expert vet for my own guinea pigs.
Hi, I understand your point, I feel like my post wasn’t really read at all. We have seen the vet and her eye is healing. It was ulcerated but as I mentioned we have used chloramphenicol and the biohance remend. This post was written once we have done all the treatment and seen the vets. Again I feel that the post wasn’t read or maybe just wasn’t well written but that either way that’s ok. Yes we looked for other emergency vets but they are hours away and at the time I was told by one vet that it isn’t an emergency so I took the appointment. I then looked into it and to be honest hours journey to a vet there and back would be extremely stressful for my piggie which could worsen her condition a lot faster including being in a hot car. The pictures were of her eye on the day and 2 days later at the vets. It is healing and we already have another vet appointment with an opthalmologist. I’m attaching a picture of both eyes. Lastly I wouldn’t recommend lubricant get like remend before the antibiotic because it prevents the antibiotic from absorbing properly while the antibiotic doesn’t take long to absorb, this was told to us by the vet. The point of the gel is to stay on the eye and provide ideal conditions for healing, it would essential dilute the antibiotic. My post isn’t recommending using optrex instead of a vet appointment, it is just detailing what we did when we were in a pinch along with the fact that you must be transparent with the vet about it due to dosing issues. Would I buy human eye drops if she had another hay poke and not see the vet? No because I don’t have the tools to tell the extent of the damage.
 

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Hi, I understand your point, I feel like my post wasn’t really read at all. We have seen the vet and her eye is healing. It was ulcerated but as I mentioned we have used chloramphenicol and the biohance remend. This post was written once we have done all the treatment and seen the vets. Again I feel that the post wasn’t read or maybe just wasn’t well written but that either way that’s ok. Yes we looked for other emergency vets but they are hours away and at the time I was told by one vet that it isn’t an emergency so I took the appointment. I then looked into it and to be honest hours journey to a vet there and back would be extremely stressful for my piggie which could worsen her condition a lot faster including being in a hot car. The pictures were of her eye on the day and 2 days later at the vets. It is healing and we already have another vet appointment with an opthalmologist. I’m attaching a picture of both eyes. Lastly I wouldn’t recommend lubricant get like remend before the antibiotic because it prevents the antibiotic from absorbing properly while the antibiotic doesn’t take long to absorb, this was told to us by the vet. The point of the gel is to stay on the eye and provide ideal conditions for healing, it would essential dilute the antibiotic. My post isn’t recommending using optrex instead of a vet appointment, it is just detailing what we did when we were in a pinch along with the fact that you must be transparent with the vet about it due to dosing issues. Would I buy human eye drops if she had another hay poke and not see the vet? No because I don’t have the tools to tell the extent of the damage.

Thank you for clarifying. I must admit I did find your post somewhat confusing. Was it a question or just information?
We are not a medical forum, just a supportive owners forum which concentrates on providing practical advice and tips as well as emotional support during any treatment - to the best wherever our members are in the world and with respect to what is available and possible for them in their own circumstances. We do not support home treatment on spec.

You may want to post your question for the forum members before the back story, especially if it is a somewhat longer and complicated one or if you have an informative post, then please make that clear from the start. We are often hopping between several threads at once. Since google generally triggers similar recent enquiries, we not rarely face more than one thread with a comparable problem, just to make it even more confusing for us.

The eye is looking a lot better. It just takes time to heal. All the best for a full recovery.

I am very sorry that you haven't got an out-of-hours vet within reach. We do have to check since not everybody in the UK is aware (but there is no out of hours care in countries like the USA, Canada and Australia). London covers quite a huge area.

Anyway, I always use the lubricant after the antibiotics since especially isathal seems to make the eye more itchy. However, I have been prescribed a lubricant once for washing out thick ulcerating gunk in order for the antibiotic to reach the injured surface in the first place.

Thank you for your more in-depth information.

We also recommend soft meadow hay for any enrichment playtime burrowing or travelling as stalky timothy hay can be problematic. ;)
 
my bad admittedly my writing skills are not the best. I mainly just posted it as advice because there were some things that were a bit confusing for me when it happened. I also would see an eye problem as an emergency but the vet didn’t? Which is why I decided to use the optrex. Just thought that if anyone was in my position it would be helpful! I’m happy that her eye is doing ok because she really did give us a scare.
Thanks for your replies !
 
my bad admittedly my writing skills are not the best. I mainly just posted it as advice because there were some things that were a bit confusing for me when it happened. I also would see an eye problem as an emergency but the vet didn’t? Which is why I decided to use the optrex. Just thought that if anyone was in my position it would be helpful! I’m happy that her eye is doing ok because she really did give us a scare.
Thanks for your replies !

Most UK vets do normally treat eye pokes as an emergency and try to fit them in as soon as possible within 24 hours, and not just the ones that bleed. Most vets also leave one or two slots a day open for on the day emergencies so perhaps you were just unlucky that those were already taken or not available due to it being a bank holiday/summer holiday with staff absences and too many emergencies behind the scenes?

Good on you for asking your vet for what you can do in the meantime to prevent the injury from getting badly infected. That is always worth doing when you are dealing with a more serious developing issue that cannot be fitted in quickly.

A lot hangs on your personal local vet access which even in a country like the UK that has generally better vet access than many other countries but that is still very variable on a local basis. Most countries do also not have out of hours services even if those can be a distance away for some; usually in more rural areas or relying on public transport access.

But I am glad that your poorly piggy is getting there thanks you being such a good owner in less than ideal circumstances.
 
Aw thank you, really appreciate that💖💖. Yeah I think we were just unlucky, went to the vet and she just had 2 more days left with the antibiotics and remend. I’m glad she also seems much lore relaxed. Here’s a picture of Nala resting on a plushie
 

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Aw thank you, really appreciate that💖💖. Yeah I think we were just unlucky, went to the vet and she just had 2 more days left with the antibiotics and remend. I’m glad she also seems much lore relaxed. Here’s a picture of Nala resting on a plushie

All the best for her full eye recovery. Nala looks like a very pampered lady.
 
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