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Post-op pain and trouble breathing

Laszlo&Pollen

New Born Pup
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Hello all,

I have a boar named Laszlo who is unknown age (someone dumped him outside and I found him) but estimated to be at least 4yo. Long story short, we have been dealing with chronic UTIs with multiple negative x-rays for months. I see a great exotic vet who I trust. 3 days ago, he had a recheck appointment and was found to have a ton of bacteria in his urine after 3 weeks on bactrim. We sent it for culture (pending) and switched from Bactrim to Cipro. Of note he’s also been on metacam for discomfort associated with the UTI.

By the middle of the next day, Laszlo completely stopped eating, and was just sitting puffed up under his blanket. I immediately started syringe feeding Critical Care and continued with his metacam. Yesterday as soon as the vet opened I brought him in, the vet did an X-ray to evaluate for bloat and found not only the beginnings of bloat/stasis, but a bladder stone! He went into emergency surgery to remove it hours later (cystotomy), which was successful.

I got him home after surgery around 10:45AM and continued syringe feeding Critical Care and giving his bactrim as instructed. I was instructed to not give any more metacam that day because he’d gotten a large dose after surgery. Things were going okay - he ate a couple large leaves of green leaf lettuce and started to have darker, larger, more well-formed stools.

Suddenly around 5:30PM I check on him and his breathing is rapid and labored, with a distinct “click”. He is again sitting hunched and puffed up, looking really unwell. My primary vet was closed for the day, but I am lucky enough to have an emergency vet clinic nearby affiliated with a veterinary school who sees exotics regularly. I brought him in thinking I was going to have to put him to sleep, but the vet said his lungs were clear, and he thought the breathing was due to postop pain. Notably Laszlo did pass a large blood clot in his urine shortly after arriving to the vet, which the vet said was not unexpected the day of surgery. He gave him a dose of buprenorphine and some subQ fluids and sent him home with me.

I continued around the clock Critical Care overnight. This morning I found him still totally immobile, puffed up under his blanket, breathing the same rapid noisy respirations. He ate another leaf of lettuce overnight by himself but nothing else, and is still making (better) poops.

I brought him to my primary vet again this morning at opening, and told him about our emergency visit. My vet determined that the breathing was definitely due to pain. He gave him another larger dose of buprenorphine, syringe fed him, and kept him for a few hours of observation during which he ate another leaf of lettuce. When I came to pick Laszlo up, his breathing was not any better than when I dropped him off. This made me ask the vet if it would be kinder to put Laszlo to sleep, because I hate the thought of him suffering, but the vet said he thinks he’s overall doing quite well for post-op day 1, and that if we can get him through the next 2 days by controlling his pain and keeping his gut working, he thinks he’ll do really well. He sent me home with 6 doses of buprenorphine to give every 4-6 hours as needed, and said that should be enough to get him over this hump.

Laszlo is still not moving, with the same breathing pattern. I’m in tears constantly the past few days watching him in so much pain, and I’m really afraid that the buprenorphine won’t control it well enough to make him comfortable. Has anyone had a similar postop experience, or has any advice or words of wisdom? I’m not sleeping, not eating, and a total mess. I just want to do what’s right for my little buddy.
 
Hello and welcome to the forum. I’m so sorry you are going through this with Laszlo. You really are doing all you can. You and your vet are giving him the very best chance.

I recently had a piggy have a stone removed. He was only 2.5 years old. Unfortunately he didn’t make it. But I tried all I could to help his recovery. That’s all you can do too. Good Luck. I’m sending you a hug as I know how sad and stressful it is.
 
Hello and welcome to the forum. I’m so sorry you are going through this with Laszlo. You really are doing all you can. You and your vet are giving him the very best chance.

I recently had a piggy have a stone removed. He was only 2.5 years old. Unfortunately he didn’t make it. But I tried all I could to help his recovery. That’s all you can do too. Good Luck. I’m sending you a hug as I know how sad and stressful it is.
Thank you so much. I really appreciate the support, I’m a wreck. And I am so sorry to hear about your piggy. They are really so delicate.

I’m happy to do anything to give him the best shot I can at recovery, just want to be sure that I am not prolonging suffering needlessly. So far both vets have reassured me that’s not the case, so we’ll carry on doing all the things and see what happens I guess.
 
I have not had any piggies post op for stones but I have had many post op for different issues. Some do need more pain relief and round the clock syringe feeding for longer than others. All you can do is be guided by your vets and also your own heart.
 
I have not had any piggies post op for stones but I have had many post op for different issues. Some do need more pain relief and round the clock syringe feeding for longer than others. All you can do is be guided by your vets and also your own heart.
Thank you for replying. I’m ready to do whatever I can to help him through, but not at the cost of him having uncontrollable pain. Really hoping that my vet is right and that supporting him intensively for the next couple days will get him past this level of postop pain. Anything else you can think of that I should be doing? I’m handling him as minimally as possible, keeping his bedding clean and dry, and keeping him swaddled up with extra blankets to keep him a bit warmer with a variety of food within reach of his head.
 
BIG HUGS

I am so very sorry about your nightmare.

The clicking is not an unusual post-op reaction to the GA but should disappear within a day or so. Loss of appetite can also happen post-GA. What is not normal is the fast breathing. I assume that the vet has checked the heart?

Was the stone located in the bladder or had it already passed down into urethra? Boars have an awkward inglenook in the urethra in which a stone often fetches up and can block the flow of urine or embed in the wall. It is a much riskier operation to get it out of there.

All you can do is hang in there and support feed round the clock. Keep him warm but not hot and in a way that he can move away from the heat source without losing his comfort.
Here is our emergency and crisis care advice:
Emergency and Crisis Care as well as Bridging Care until a Vet Appointment
Tips For Post-operative Care
Signs of Pain in Guinea Pigs
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures

I don't post this link lightly since it doesn't make for cheerful reading but if your boy is not picking up or suddenly deteriorating and especially in view of us being in a very different time zone to you, you may find the very practical advice in this guide helpful in order to determine whether it is worth keeping on fighting or not: A Practical and Sensitive Guide to Dying, Terminal Illness and Euthanasia in Guinea Pigs

I am keeping my fingers very firmly crossed for you and your poorly boy!
 
BIG HUGS

I am so very sorry about your nightmare.

The clicking is not an unusual post-op reaction to the GA but should disappear within a day or so. Loss of appetite can also happen post-GA. What is not normal is the fast breathing. I assume that the vet has checked the heart?

Was the stone located in the bladder or had it already passed down into urethra? Boars have an awkward inglenook in the urethra in which a stone often fetches up and can block the flow of urine or embed in the wall. It is a much riskier operation to get it out of there.

All you can do is hang in there and support feed round the clock. Keep him warm but not hot and in a way that he can move away from the heat source without losing his comfort.
Here is our emergency and crisis care advice:
Emergency and Crisis Care as well as Bridging Care until a Vet Appointment
Tips For Post-operative Care
Signs of Pain in Guinea Pigs
All About Syringe Feeding and Medicating Guinea Pigs with Videos and Pictures

I don't post this link lightly since it doesn't make for cheerful reading but if your boy is not picking up or suddenly deteriorating and especially in view of us being in a very different time zone to you, you may find the very practical advice in this guide helpful in order to determine whether it is worth keeping on fighting or not: A Practical and Sensitive Guide to Dying, Terminal Illness and Euthanasia in Guinea Pigs

I am keeping my fingers very firmly crossed for you and your poorly boy!
Thank you for replying and for the support.

Both vets extensively examined him and said no cardiopulmonary issues, all pain-mediated.

The stone was luckily in his bladder, and the vet described the surgery as very successful and uncomplicated. From time of anesthesia to closure was a little less than an hour!

I’ve read all the linked resources, they are great and have helped me so much! I have also read the link concerning euthanasia; I’m a lifelong pet owner of all varieties and sadly am no stranger to making that decision, but I truly believe it’s one of the most important ways we can advocate for our animals’ comfort and quality of life. Right now as both vets seem reassured I’m willing to throw everything at him for the next couple days, but if nothing gets better and I can’t control his pain adequately, I’m not going to prolong his suffering. 🤍
 
One of my piggies had a bladder stone removed and refused to eat after surgery. She was hospitalized at our vets for three days as they don't like to send them home until they are eating.

After the 3 days of syringe feeding and pain relief at the vets she came home and made a full recovery. Although, we did have to do some support feeding for another couple of days (just a syringe feed morning and evening).

Hope your piggy is feeling better soon.xx
 
One of my piggies had a bladder stone removed and refused to eat after surgery. She was hospitalized at our vets for three days as they don't like to send them home until they are eating.

After the 3 days of syringe feeding and pain relief at the vets she came home and made a full recovery. Although, we did have to do some support feeding for another couple of days (just a syringe feed morning and evening).

Hope your piggy is feeling better soon.xx
Thanks so much for replying, that makes me feel better. I guess I feel like I understand the not eating, but the quality of his breathing is really bothering me and makes me feel as though he’s suffering a lot.
 
Update: since getting home from the vet around 12:00PM (it’s now 4:30PM), he hasn’t had any more stool output and seems more bloated. I just finished another 10cc of Critical Care and am hoping that helps. :(
 
Update: since getting home from the vet around 12:00PM (it’s now 4:30PM), he hasn’t had any more stool output and seems more bloated. I just finished another 10cc of Critical Care and am hoping that helps. :(
Called the vet and he recommended offering pedialyte.
 
Hiya, my girl had a bladder stone removed 5 weeks ago. First 24 hours were AWFUL, she didn’t move, stayed hunched over and fluffed up, her breathing was so rapid I couldn’t count her resp rate properly and she sounded very clicky and crackly. We went straight back and they heard crackles in her lungs and said she may have aspirated during surgery. With the syringe feeds she perked up and started eating more. She was also on gabapentin which really helped her. After about 2-3 days post op the breathing settled, wasn’t very laboured but still rapid. About 4-5 days her breathing was normal again. However she has had a heart scan so heart was fine and has had a CT scan prior to surgery which found a lesion/scar on her lung potentially from trauma from an infection or genetic. So it could even had been something to do with that as she has random episodes of honking for a day or so and then not again for months-she’s had tests but no cause was ever found. Every piggie is differant and definitely be guided by your vet on what’s best to do. My girl was sent home with her breathing like that and it was never brought up to me until I noticed it on the way home. I knew something wasn’t right so I brought her back. Stand your ground, you know your piggie best. We are very lucky poppy did so well post op. If piggie still isn’t pooping I wonder if they can give you metaclop or emeprid to help things move along. Keep syringe feeding him and offering tasty treats. Big hugs. I feel your pain so much ❤️
 
Hiya, my girl had a bladder stone removed 5 weeks ago. First 24 hours were AWFUL, she didn’t move, stayed hunched over and fluffed up, her breathing was so rapid I couldn’t count her resp rate properly and she sounded very clicky and crackly. We went straight back and they heard crackles in her lungs and said she may have aspirated during surgery. With the syringe feeds she perked up and started eating more. She was also on gabapentin which really helped her. After about 2-3 days post op the breathing settled, wasn’t very laboured but still rapid. About 4-5 days her breathing was normal again. However she has had a heart scan so heart was fine and has had a CT scan prior to surgery which found a lesion/scar on her lung potentially from trauma from an infection or genetic. So it could even had been something to do with that as she has random episodes of honking for a day or so and then not again for months-she’s had tests but no cause was ever found. Every piggie is differant and definitely be guided by your vet on what’s best to do. My girl was sent home with her breathing like that and it was never brought up to me until I noticed it on the way home. I knew something wasn’t right so I brought her back. Stand your ground, you know your piggie best. We are very lucky poppy did so well post op. If piggie still isn’t pooping I wonder if they can give you metaclop or emeprid to help things move along. Keep syringe feeding him and offering tasty treats. Big hugs. I feel your pain so much ❤️
Thank you so much for your reply & support, and I’m so glad your piggy did well!

I was surprised everyone seemed so nonchalant about the breathing, too.

Laszlo was making great poops overnight and then stopped this morning again. I know poops tend to lag behind what is actually going on in their GI systems a bit, so hoping increasing CC feed frequency and adding pedialyte will help. I mentioned the motility meds to the vet and he wasn’t too keen, not sure why.
 
Thank you so much for your reply & support, and I’m so glad your piggy did well!

I was surprised everyone seemed so nonchalant about the breathing, too.

Laszlo was making great poops overnight and then stopped this morning again. I know poops tend to lag behind what is actually going on in their GI systems a bit, so hoping increasing CC feed frequency and adding pedialyte will help. I mentioned the motility meds to the vet and he wasn’t too keen, not sure why.
I’m not familiar with pedialyte? I wonder why the vet didn’t seem keen on those. Oh it’s such a scary time. They wondered about pain with her too and offered buprenorphine but told me it has sedative effects. And at this point she had just started moving around etc so I didn’t end up giving that since she was on metacam and gabapentin. I hope the breathing is slightly better? The first few hours she would only eat if I poked her lips with the fresh food bless her.
I felt the same! They told me at first not to bring her as they thought it may be pain. But I wasn’t happy with that lol and wanted someone to listen to her chest. Really hope little one starts improving 💞
 
I’m not familiar with pedialyte? I wonder why the vet didn’t seem keen on those. Oh it’s such a scary time. They wondered about pain with her too and offered buprenorphine but told me it has sedative effects. And at this point she had just started moving around etc so I didn’t end up giving that since she was on metacam and gabapentin. I hope the breathing is slightly better? The first few hours she would only eat if I poked her lips with the fresh food bless her.
I felt the same! They told me at first not to bring her as they thought it may be pain. But I wasn’t happy with that lol and wanted someone to listen to her chest. Really hope little one starts improving 💞
I hope so too. So far no improvement and we’re now about 7 hours without any urine output or poop.
 
I’m back at the emergency vet (night time here) with Laszlo. Despite getting 0.12mL of buprenorphine every 4 hours since 9:00AM, plus metacam, his pain seems to be worsening. His breathing is much worse and his abdomen is bloated. He is trying to lay down but pushing up with his back feet to keep pressure off his belly. I am afraid our outcome is not going to be a good one tonight, but my priority is his well-being and I cannot in good conscience watch his pain get so uncontrollably bad. Please send him good thoughts.
 
Sad final update. Laszlo has a ton of free fluid in his abdomen. The vet said he either is in fulminant heart failure precipitated by surgery, or his bladder ruptured postop. I had to put him to sleep.

I will say I am happy that he is no longer in pain. I am happy I trusted my gut and took him to be examined again. Always trust your gut when it comes to your animals - we really do know them best. Thank you all for your kindness and support, it made a huge difference to me. ❤️
 
So very sorry to read this sad news. Remember you did everything you could for him and he had a life full of love.x

Popcorn free across the rainbow bridge Laszlo.❤️🌈
 
Sad final update. Laszlo has a ton of free fluid in his abdomen. The vet said he either is in fulminant heart failure precipitated by surgery, or his bladder ruptured postop. I had to put him to sleep.

I will say I am happy that he is no longer in pain. I am happy I trusted my gut and took him to be examined again. Always trust your gut when it comes to your animals - we really do know them best. Thank you all for your kindness and support, it made a huge difference to me. ❤️
I'm so sorry, please be gentle with yourself and take care. You clearly loved Laszlo with all your heart and gave him a life full of love. Popcorn over the rainbow bridge Laszlo 🌈
 
I am so sorry to hear this. You trusted yourself as an owner and stood up for your little piggie. Sending the biggest hugs. You did everything you could have done for him ❤️
 
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