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Persistent bladder problems

Lils29

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Our Tilda is a 3 year-old female guinea pig living in Finland. She has pain while urinating and pooping (only after urinating) and also has had blood in urine (not at present). The problems have persisted for several months now with a few intermittent symptom-free episodes. The symptoms also seem to be getting worse.

She has had three courses of antibiotics, the first two were sulfadiazine/trimethropin 50/16 mg/ml 0.3 ml twice a day for 10 days and the second course for 15 days.

The last antibiotic was enrofloxacin 50 mg/ml 0.25 ml twice a day, but we had to stop giving it after 7 days due to diarrhea. She is still, a month later, having somewhat soft (and big) poops and she hasn’t reached her normal weight. We have given her Science Selective recovery plus feed about twice a day for a month to help with the weight gain. She seems to eat completely normally, but struggles to gain weight. Healthy poop from other piggies has been given to her.

During the first vet visit in October an x-ray was taken, which revealed no stones.

She has also been given meloxicam 1.5 mg/ml 0.3 ml twice a day for some days during every antibiotic.

All the antibiotics (or the meloxicam) seemed to have helped for some weeks, especially the first course, but the symptoms have always returned. After the last antibiotic, which we had to to stop giving after 7 days, the symptoms stayed away only for two days.

We have tried giving bottled water, a low calcium diet and she also has had half a capsule of cystaid (cystease equivalent) a day for 22 days, but none have proven effective. We have had some troubles testing the low calcium diet though, since the gut problems restrict the amount of veggies we can offer.

We have seen three different vets, but none of them are specialized in guinea pigs. They seem to have three possible diagnoses: a stone, TI or ovarian cysts. With the first two diagnoses somewhat ruled out, our vet is inclined to the diagnosis of ovarian cyst, even though there are no other symptoms. Sludge or cystitis have not been suggested.
  • What could be the correct diagnosis?
  • Are the gut problems and the bladder problems linked or are the gut problems a separate problem relating to the aftermath of the last antibiotic (a month later)?
  • We are planning to see a vet again soon. We are inclined to have another x-ray. Is there something else we could ask our vet? Could blood tests reveal anything?
  • Is there some way to rule out kidney failure?
We really appreciate any help we can get! <3
Awh I am the same 1 year in. It started with what appeared to be normal uti symptoms. Antibiotics would work for a short time and back to the same. So far over the past year we have had her tested for bladder stone, bladder sludge, diabetes, cysts,overactive thyroid, X-rays and ultrasound. Nothing found. She is now wheeking in pain every time she urinates for the last two weeks and I’m heart broken. We’re currently waiting on a urinalysis results where they check for bacteria by growing a culture in the lab and testing different antibiotics on it to see what works. I really hope we get some answers. If not I’ll have to consider putting her to sleep because I can’t keep letting her deal with the pain. The meloxcam doesn’t work at all really. I’ve tried cystaid . We removed pellets as they make her worse, she has vitamin c tablets. I only give her fresh hay and lettuce/cucumber/ peppers. I’ve had piggies for 30 years and never seen anything go on this long 😢
 
Welcome to the forum

Is your vet piggy savvy? Have they considered sterile cystitis? It’s not something which is well known if the vet isn’t specialist but is something we see quite a bit on the forum.
It isn’t bacterial so cannot be treated with antibiotics (although antibiotics can temporarily suppress symptoms) and is instead something which can only be managed with pain relief and diet. Being given glucosamine is also recommended

How much meloxicom is she given?

This guide has details of the suggested diet for IC piggies. Although each case is different and some things work for some and not for others so you do need to find a balance for your own case

Long Term Balanced General And Special Needs Guinea Pig Diets

Ive popped your post onto its own thread so we can assist you going forward. It enables us to have all the information available in one place so we can see the previous advice you have been given
 
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