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Pig Struggling after Dental

seasalt

New Born Pup
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Nov 27, 2022
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Hi! I found this lovely forum while researching ways to help my boy. I am hoping that perhaps there is advice on how I can better advocate for him at our vet and maybe make him more comfortable. My little dude is miserable. We have been to the vet three times now and each time has felt more hopeless than the last.

This is a boar who is only 1.5 years old.

16 days ago I noticed he was acting off and had stopped eating. He had lost weight and refused food and water so I rushed him to an exotic vet the next day who found that his bottom incisors and back teeth were overgrown. He also had very crusty eyes.

They did dental work under anesthesia and sent me home with only antibiotics, nothing for the pain.

Ever since I noticed him refusing food I have been syringe feeding oxbow critical care and he fights me very hard each time. This did not improve after the dental.

After 7 days I ran out of antibiotics and he was not improving at all and still losing weight. I returned to the vet but the original exotic vet we had seen was out and we saw another in the same clinic who did not seem to know much about guinea pigs. She checked his teeth and said there was 'no reason for him to be acting this way'. He has lost about 150 grams at this point. She said there was a small sore on the gum near the back of one of his molars but that his teeth were fine. I insisted that there must be something wrong, or something more that can be done for him. She sent me back home with more antibiotics which she underfilled (Instructed to give for 7 days but was only given a 5 day supply), Meloxicam, and Metoclopramide. I have been giving all medication as instructed as well as continuing to syringe feed and we have seen no improvement and he continues to decline.

I returned to the vet two days ago and the original vet we saw is still out. The vet we saw the second time said to just keep syringe feeding and he will come around. They have so far refused to do any further diagnostics and check on him further, and that this is all normal for a post-dental piggy. They said to come back in two more weeks if he doesn't improve. So now currently I only have the Meloxicam and Metoclopramide, and we are averaging about 90ml of critical care a day before he starts resisting so hard I am not sure if I should keep pushing him. I feed him a few ml every hour, as much as he will tolerate.

He seems very weak and at this point he has lost 230 grams over two weeks. His eyes are still crusty, although there is no nasal discharge and his lungs sound fine. His hair is starting to fall out and he is just a zombie. I am so worried I am going to wake up one day to find him having passed. Worse, he has been so miserable and lethargic he just sits in one spot until I grab him for syringe feeding. He has been quarantined from the other piggy in the house which I think has added to the misery for them both.

While feeding he moves his head strangely and he grinds his teeth very hard on one side only, like it is bothering him. I just feel like there is something more here going on, but I think the lack of support and pain management after the original dental may not have set us up for success. Any advice would be so appreciated as this is my first piggy with dental issues. My vet thinks I am being paranoid, so maybe! But I would like to know if there is something more I could be doing for him.
 
I’m so sorry to hear this.

It does sound as if he is in some discomfort.
What dosage of pain relief is he on?
Is it cat or dog meloxicom?
Is he being given it twice a day? Piggies need their pain meds twice a day as they metabolise them in around 12 hours.

Can I ask why he is quarantined from the other piggy? Being alone is not good for them so that probably won’t be helping. Can they at least be living side by side if you cannot reintroduce/rebond them?

Secondly, I know finding vet care in the US is not easy but is there a different vet practice you can try?
 
Thank you so much for taking a look.

He is quarantined because the vet was convinced he had a URI and recommended he be quarantined while on antibiotics so I have been complying for the safety of the other piggy. They can see and hear each other, but I did want to be cautious as the other piggy is elderly and fragile (But not showing any signs of illness even after 16 days).

He is on dog meloxicam and the dosage prescribed and given is .25 ml every 12 hours.

There are other exotic vets in town I have been considering calling but I was unsure if I was just being paranoid like my current vet says, and I don't have any experience with them. The current vet has been seeing my piggies for years but the most they have ever needed in the past was the occasional URI check up, we have never needed care this serious.

I’m so sorry to hear this.

It does sound as if he is in some discomfort.
What dosage of pain relief is he on?
Is it cat or dog meloxicom?
Is he being given it twice a day? Piggies need their pain meds twice a day as they metabolise them in around 12 hours.

Can I ask why he is quarantined from the other piggy? Being alone is not good for them so that probably won’t be helping. Can they at least be living side by side if you cannot reintroduce/rebond them?

Secondly, I know finding vet care in the US is not easy but is there a different vet practice you can try?
 
Thank you so much for taking a look.

He is quarantined because the vet was convinced he had a URI and recommended he be quarantined while on antibiotics so I have been complying for the safety of the other piggy. They can see and hear each other, but I did want to be cautious as the other piggy is elderly and fragile (But not showing any signs of illness even after 16 days).

He is on dog meloxicam and the dosage prescribed and given is .25 ml every 12 hours.

There are other exotic vets in town I have been considering calling but I was unsure if I was just being paranoid like my current vet says, and I don't have any experience with them. The current vet has been seeing my piggies for years but the most they have ever needed in the past was the occasional URI check up, we have never needed care this serious.

I can completely appreciate you wanting to protect your other piggy in the event of a potential/diagnosed URI.
But the other piggy would likely already exposed before treatment even started so we don’t tend to recommend separation.
if you wish to reunite them, do ensure you go through the proper bonding process and reintroduce them on neutral territory.

They can lose confidence in eating after a dental issue and it can take some time for them to regain that confidence. However, there is nothing wrong with seeking a second opinion even if for nothing more than peace of mind.

Is he eating anything at all independently?
 
Hi

I am very sorry. Could your piggy have CBS syndrome as you are dealing with a combination of respiratory symptoms, dental issues and 'strange' head movements? It is not a problem that is known to vets but has only recently been identified by Los Angeles Guinea Pig Rescue and the exotics vet they use. It is mainly a problem with US pet store bought guinea pigs. It is the only health problem I know off that would explain the disparate symptoms you are dealing with.
CBS (Calcified Bulla Syndrome) and Neurological Problems - Symptoms and Care

I am keeping my fingers very firmly crossed. You are clearly a very caring owner.
 
Aw what a shame for you and your piggy. Its so hard when they're really poorly 😔
I hope you can figure out the issue and get him on the mend soon ❤️
 
After the advice on this thread I did reintroduce him to his cagemate and they had a few good days together and morale improved for a bit but he never did eat on his own and I have been unable to get him in to another vet appointment or eat a full dosage of critical care. I have kept trying with the philosophy of something is better than nothing. He seemed to be on the mend and suddenly declined very rapidly today, it seems almost out of nowhere. He cannot seem to lift his head or open his eyes and is overall just very weak. The late night vet that takes exotics is already closed so I am just trying to make him as comfortable as possible since he seems so weak I am just not sure if he will make it until the vet opens in the morning. He has starts making little noises as if he is struggling to breathe.

The page on CBS was very illuminating. I was unable to get him into an x-ray but I feel in my gut this is something much more than just a dental issue. He is a rescue but his origins are definitely big box pet store.
 
I’m so sorry to hear this. Sending you a hug. It does sound like he’s on his way over the rainbow bridge. You’ve done all you can. ❤️
 
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