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Post-op dental issues

DebiGliori

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Hello, husband and I are the loving slaves to two rescue boars who ,up until three weeks ago, were both healthy, contented boys. The poorly one, Merry, started having strange poos that were soft and would leave streaks across the GuineaDad mats in the boys' pen. So, at first I took out all veg and kept both boys on loads of hay and small amount of Burgess mint nuggets. Initially, this paid off, Merry's poos went back to normal for a week and then it started again. I stopped taking them outside to browse on grass thinking that might be the issue - but no change, still soft, mat-streaking poos. So I swapped to grain-free nuggets and hoped that might be the answer. Finally, when it became apparent that all was still not right, I weighed him.

I know - I should have done that ages before, but like an idiot, I had forgotten that weight loss was the clearest indicator of a need to visit the vet asap.

He's lost 20% of his weight, down from 1300 to 1050g. I panicked, phoned the emergency vet and in we went. Vet had a look at his teeth and listened to his tummy, and decided gastrointestinal stasis was probably present, so prescribed Emeprid and Metacam and gave Merry both in injectable form, sent me home with both in liquid form and advised syringe feeding CC till he was better.

Two days later, still losing weight despite six critical care fine grind feeds to a daily total of 60ml, still a poorly pig, still trying to eat but nuggets falling back out of his mouth, and little or no hay being eaten either.

Back to vet. Vet had a good look at his teeth and decided to remove spurs from rear teeth under a GA next morning. We continued with critical care feeding, plus metacam plus Emiprid and next morning, in went my little boy.

He tolerated the GA, came home that afternoon and on we went with critical care, pain relief, Emiprid and nothing improved. He was doing tiny little poos, which made me think if we just kept going, he'd eventually work up the strength to begin eating hay again and everything would sort itself out. We were due for a post-op follow-up check up two days after the GA, so in we went, two days on. ( Just to clarify - Merry went to the emergency vet on Saturday 27th August, had the GA on Wednesday 31st August and we had the check-up on Friday 2nd September)

2nd September, saw a different vet ( same practice) who asked if I'd consider a specialist. I said yes, and two hours later we were at a new vet's practice who had more experience with dental issues in exotics. After a thorough examination, the specialist vet said he recommended another GA and some reasonably conservative work to try and rectify Merry's malocclusion which he couldn't determine was pre-vet 1's GA/operation, or was the result of inexpert work being done by Vet1. Obviously a second GA in such quick succession was highly risky, but I had no idea what to do otherwise. I signed the consent forms and left my poor little piggy in what I sincerely hoped were good hands.

All went well, they reported that he was doing well post-GA2, was eating, drinking and pooing and sent a photo of Merry with a basil leaf to prove...I have no idea what. He was kept in overnight because vet specialist preferred to keep post-op patients under observation overnight.

So. Next day I picked him up, was told he was eating, drinking, munching hay and greens and no meds or Emiprid was required. I took him home and he retreated into his Haypigs pavilion and pulled it down over himself which has always been his signal to Leave Me Alone, Hoom. So, I left him for an hour to decompress and smell the familiar smells of home and hear us bumbling around in the background and then I thought, food. Let's get some food down him because he's gone from 6 syringe feeds a day to...nothing.

He didn't want to eat anything ( none of his favourite parsley, basil, coriander, dandelion, cucumber insides, shavings of carrot) but together with my husband, we administered a syringe feed with Merry lying back in my arms in such a relaxed and floppy way that at first we found endearingly funny and then we suddenly were convinced that he'd died.

Truly. His breath stopped, the tiny flaps inside his nostrils stopped moving, he flopped completely and I held him for what felt like at least a minute/month and then he gave a twitch, twisted in my arms and came back from the foothills of the Other Side. Reading this forum told me that piggies do that - post-GA bright, chipper, eating etc and then suddenly the rapid decline and give you the fright of your life. Yup. That happened. That was Saturday.

Since then, we've been syringe feeding him 70ml CC per diem, two lots of Emiprid and two x 0.2ml of Metacam, poking parsley into his mouth ( he sort-of plugs away at it, doggedly grinding from side to side, slowly, oh so very slowly trying to process it with his weird new configuration of teefs) offering him hay ( nope, he just sits in it, as if he's forgotten how it works) nuggets ( he tries, bless him but they fall out his mouth) and the only thing we've had any success with was a dandelion leaf this morning that, in desperation I took him outside on the grass in the garden ( to try to alleviate his obvious depression at losing the ability to chew his own food) and gave him every single good thing I could think of ( plus the grass in their pen) and the dandelion leaf was chosen. He ate that. It's nothing, but after the week the poor little mite has had, it's a major victory.

He's still losing weight ( down to 957g) but that may still be the lag from the day of op/GA2. His poos are now cow splats of green squish - pretty much like what you'd expect from someone eating critical care papaya flavour ( I can smell it in my sleep). I'm outside Edinburgh and do not think he'd survive a trip to Northampton to the dental genius there. Should we carry on syringe feeding for a few more days before asking vet 1 or vet 2 what to do? I'll need to go back to one or t'other to get more metacam anyway. Do we discontinue the Emiprid, since he's clearly got a food in/poo out flow going? Should we not panic and just keep on doing what we're doing? All advice gratefully read and sifted.
 
So sorry for you both and poor Merry x
Having a piggie with dental problems is awful. if you can get an appointment at the Cat and Rabbit Clinic with Simon or Kim Maddock then that would really be the best for Merry. I know it’s an awfully long way but at least you will get a good assessment of what’s wrong and he will get a conscious dental to tidy up there and then. You can then discuss a way forward. In the meantime weigh daily at the same time and keep on offering food and syringe feeding. Have you tried a bit of mushed banana in his mush, it’s high in calories and might help hold his weight up. Plain porridge oats in a bowl can sometimes tempt them to try and eat too

All the best x
 
Your vet can afford to go higher with the metacam even if it's the 1.5mg/ml dog version. If it's the 0.5mg/ml cat version 0.2ml twice a day is not very high at all... and his mouth will be tender the week after a dental - well, 2 dentals. If he can grind up a dandelion leaf without choking that's a good sign that the teeth can function but his mouth might still be too sore for him to want to. Whether there are more spurs in there, some sort of infection, or just a very tender mouth I don't know though.

How much emeprid does he get each time? Is he hungry for the syringe food or does he resist? And how about softened pellets, soaked in water, that he might slurp up himself? Or something like tiny lumps of cucumber middle to slurp up? If he is taking in the hard pellets but dropping them out again it looks like he can manipulate his food but not eat it. I'm not sure that emeprid can cause runny poops and tbh I've not heard of pigs having to be taken off it because of unpleasant symptoms or side effects. It might happen I s'pose, but I've not heard of it.

What strikes as pretty unusual me is the runny poops streaking the mat. Initially I'd have been checking for impaction if Merry is an older boy. George's normal poops can get bunged up with his soft caecotrophs and he gets unbunged every night. If I catch him in the evening with a soft 'cork' it certainly makes a mess of my apron! But if you noticed his actual waste poops being soft that's different and that's not really a sign of dental issues as far as I know... unless the spurs caused him so much discomfort he just didn't eat enough fibrous food to bulk them up. But then I think you'd see just smaller, normal consistency poops... at least that's what we've seen after we've had a temporary drop in appetite. And when I had a girl existing solely on syringed Recovery food for weeks and weeks she didn't have runny poos, she just had smaller and drier poos than normal. I think it'd be worth getting back to your vet to up that painkiller and investigate the 'splats' because that's not normal. Is he, or has he been, on antibiotics?

Really well done for everything you've done for him so far. Your devotion is shining through 💕
 
Thankyou so much for this. I’ve just put a wee bowl of nugget mush with a garnish of the smallest imaginable cucumber inside cubes. Merry’s flatmate, Pippin is v impressed.
So-no antibiotics to explain the splats. He’s been on 0.75ml Emiprid twice a day-I’ll carry on with that. I’ll ask vet for an increase in pain relief from 0.2ml cat/Guinea pig metacam twice daily to something a bit more substantial to get Merry through his initial post-op pain. He is hungry for syringe feeds, lying back in my hands with his feet in the air and determinedly grinding his way through each squirt of CC.
I’ll ask the vets to run a poop screen/check on the splats, but initially it’ll have to be vets1 who weren’t as knowledgeable about cavies as vets2.
Again, Thankyou so much.
 
So sorry for you both and poor Merry x
Having a piggie with dental problems is awful. if you can get an appointment at the Cat and Rabbit Clinic with Simon or Kim Maddock then that would really be the best for Merry. I know it’s an awfully long way but at least you will get a good assessment of what’s wrong and he will get a conscious dental to tidy up there and then. You can then discuss a way forward. In the meantime weigh daily at the same time and keep on offering food and syringe feeding. Have you tried a bit of mushed banana in his mush, it’s high in calories and might help hold his weight up. Plain porridge oats in a bowl can sometimes tempt them to try and eat too

All the best x
Thankyou for this. I know the Cat and Rabbit Clinic is the absolute gold standard for cavy dental care, but husband and I are nearly as elderly as our ancioent on-tis-last-legs car, and the thought of a solid ten hours of driving there and back again is sadly out of reach. Merry is keen to eat, he just can’t seem to get the requisite motion from his front teeth, drawing the food in and back onto his back molars. We are weighing him first thing in the morning, and will continue to syringe feed and offer every veg and variety of Timothy hay imaginable.

Thankyou so much for your kind wishes and help x
 
If Merry is hungry for the CC papaya flavour and gobbling it down this is a good sign. Syringing a reluctant pig is no-one's idea of fun. Don't fret too much about the C&R yet as if he's chewing something already he might well improve further. Focus on those splats. He sounds like an absolute charmer 💕

One of my pigs once had a dental as her back teeth had overgrown. It was the little sow mentioned above who had to be syringe fed for a long long time and no, we never found out what the problem actually was, but we think maybe something to do with swallowing rather than chewing and the overgrown teeth were a result rather than the cause. Now, her back teeth were ground down but her front incisors (2 top and 2 bottom) were not touched. At first this didn't make any difference because they were actually fine, but after a few weeks of not eating these got too long and they interfered a great deal with her trying to chew. Her chewing - and it was only syringe mush - became slow and irregular. My vet burred these down: done consciously with piggy held firmly by an assistant it only takes a few minutes. My girl was actually burred too short and she was sad and a bit gummy at first but within days those teeth were visibly longer so it doesn't take too long if this accidentally happens. Pigs on the forum have managed to eat normally with incisors completely missing. After the incisor burr Ivy's chewing was must faster and smoother. When you ask your vet about the metacam ask about whether the incisors were shortened when he had the dental(s). It's not always needed - but it's worth bearing in mind. Ivy had suddenly started to bite at wooden things in the garden which she had never done before - she was trying to sort out her incisors - that's when the vet noticed her front teeth problem. If you think he's trying to get food into his mouth but failing it's worth a check. If he gets the food in but then can't bite or chew it and drops it back out that's different.
 
Oh, and for reference, my old boy George has approx 0.3ml 1.5mg/ml dog metacam twice a day for his arthritis with no ill effects at all. George is 1.3kilo and has been on it for over a year.
 
Brilliant-I’ll make enquiries with both vets regarding the incisors and up the metacam to give the wee star some proper pain relief. When he eats veg, it’s as if the mechanism by which he draws food into his mouth isn’t working; if I maintain the gentlest of pressure on the stalk of celery or parsley, sort of pushing it into his moth for him, he can do the grind and chew and swallow part perfectly well. Without my help, it’s as if the food gets stuck on a non-functioning conveyor belt and he chews and grinds but the food doesn’t move further into his mouth. Poor wee guy-it’s heartbreaking to watch him try his hardest to make it all work.
 
You could also try videoing yourself feeding him thus to try and show the vet what you mean, as they will usually not 'perform' for the vet.
That's if you have one of these darn newfangled smart phones!
 
Good call. Of course, we set him up for his photo-shootwith a previously unattainable sprig of parley, and guess what? Yup. He ate it. All of it. Slowly, but he managed to engage the conveyor belt and slowly draw it into his mouth. Hurrah! When he can do that with hay, I'll be rejoicing. Meanwhile, vet1 said they 'shortened his incisors and rasped his lower molars' .I'm waiting for vet2 to call back. I do wonder if the lower molar rasp by vet1 was what vet2 was a bit aghast about. Vet2 said the molars sloped in the wrong direction and he wasn't sure if that was a genetic flaw or if it was due to what vet1 had done. Anyhoo - on we go, one syringe feed at a time.
You could also try videoing yourself feeding him thus to try and show the vet what you mean, as they will usually not 'perform' for the vet.
That's if you have one of these darn newfangled smart phones!
 
Thankyou for this. I know the Cat and Rabbit Clinic is the absolute gold standard for cavy dental care, but husband and I are nearly as elderly as our ancioent on-tis-last-legs car, and the thought of a solid ten hours of driving there and back again is sadly out of reach. Merry is keen to eat, he just can’t seem to get the requisite motion from his front teeth, drawing the food in and back onto his back molars. We are weighing him first thing in the morning, and will continue to syringe feed and offer every veg and variety of Timothy hay imaginable.

Thankyou so much for your kind wishes and help x
yes, it’s an awfully long way and I fully understand. We used to travel a 600 mile round trip with our Ted but it is a truly gruelling journey, how we did It I can’t imagine now and we are no spring chickens either. We were lucky in the last year to share journeys with a couple from Devon which helped as Ted and their piggie Mikey needed twice monthly dentals sadly caused by other local vets messing up the teeth in lockdown 🤨
 
yes, it’s an awfully long way and I fully understand. We used to travel a 600 mile round trip with our Ted but it is a truly gruelling journey, how we did It I can’t imagine now and we are no spring chickens either. We were lucky in the last year to share journeys with a couple from Devon which helped as Ted and their piggie Mikey needed twice monthly dentals sadly caused by other local vets messing up the teeth in lockdown 🤨
It has to be said that the devotion that these dear little furries inspire is in inverse proportion to their size! Poor little piggies; I wish some vets would admit that exotics are outside their sphere of expertise and refer their small patients on to vets who make cavies their specialty. Anyhoo-on we go, one day at a time, pouring love and CC and metacam into our wee boy.
 
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