Blood in urate!! Pinworms??

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Mermaider26

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Sorry for how long this post is, I just want to be as specific as possible.

Starting about 3 weeks ago, my bd Sonny (approx 57g, 10-11", approx 3 months old) began to act as if he/she was going to poo, but only urates would come out. There were still about 3 poops/day, and 4 urates a day, on top of the urates that would come out with the normal poop. We figured that this meant that Sonny was just really hydrated, and even asked our vet, who confirmed that it was fine. (The vet had done a fecal test a week earlier, and said Sonny had +2 pinworms, but didn't recommend treatment)
About a week later, there was one urate with a salmon type color in it. After much research, it seemed to be caused by too much calcium, so we decreased the amount of calcium we added during feeding.
A couple days after that, there was a small amount of blood in one of the urates that Sonny released in the bath (Also with no poop). After that, it continued for a couple of days (during which I tried contacting our vet, but never was able to get ahold of him), and then stopped. I figured that it was probably a small tear in Sonny's intestine or something from possibly eating a cricket that may have been too big.
This past Saturday, after about 3 days with no discoloration, and Sonny having acted normal the whole time, we went to visit family in New Jersey (about 3 hours from home). I held Sonny the entire ride with the heat cranked to ensure he was warm enough. He loved the ride and was very active and happy the entire time. When we arrived, and set up his travel tank, he began refusing to eat anything. We assumed it was because of the relocation stress, but kept a close eye on him to be sure.
The next day, we went out to eat, and when we came back there were 2 tiny poops with urates and more blood than had been coming out at home the week before. It still wasn't a lot of blood, but it was concerning. We rushed him to an animal hospital before taking him home. There, the vet gave him antibiotics for pinworms, and said he was otherwise healthy.
I've read a lot on bloody urate/poop in bds, but nothing about pinworms comes up.
Today, Sonny is slightly more sluggish than usual, but he also had a 4 hour vet visit and 3 hour drive yesterday, so I'm not too concerned about that since he is still moving around and has eaten for the first time in 2 days today.
I'm mostly concerned that the issue may be something more serious than the pinworms. Has anyone had a similar situation?


We have eco carpet for substrate, 40 gal breeder for now, uva, uvb & heat lights (Unfortunately my partner bought them and threw the packaging away so I'm not sure exactly the make of the bulbs, but he did research on it first, so I assume that he got good lights, but am not 100%). We feed live crickets, veggies (usually carrots, butternut squash and green beans, sometimes with fruit as a treat, but that is rare), and dark greens (collards and dandelion greens usually, but we sometimes use bok choy). We clean the tank with diluted vinegar, bake all wood at least once a week, scrub all rocks with hot water, or boil them depending what it is, and we offer fresh water in the pool daily).

Unfortunately I didn't get a pic of the blood yesterday, but there is a pic from today on the eco carpet. (Sorry in advance for the pics haha)

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Thanks in advance for helping, we are a little freaked out!
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

So he does have pinworms, which medication did they give? If he is having blood, the load of pinworms are causing him some grief.
Be sure the crickets are smaller than the space between his eyes, also to avoid impaction issues.
How often do you give calcium? Usually too much calcium wont cause blood in the stool, but can cause harder urates. If he was straining to go to the bathroom, that can sometimes cause blood also.
The UVB bulb, is it a long tube bulb? You can look on the base of the bulb & see the brand & the percentage/strength stamped on the bulb. If you have pictures of the tank setup you can post those also so we can see the light placement, etc.
Is he losing weight right now?
Let us know how he is doing.

Tracie
 

Mermaider26

New member
Original Poster
Drache613":31zbxdec said:
Hello,

So he does have pinworms, which medication did they give? If he is having blood, the load of pinworms are causing him some grief.
Be sure the crickets are smaller than the space between his eyes, also to avoid impaction issues.
How often do you give calcium? Usually too much calcium wont cause blood in the stool, but can cause harder urates. If he was straining to go to the bathroom, that can sometimes cause blood also.
The UVB bulb, is it a long tube bulb? You can look on the base of the bulb & see the brand & the percentage/strength stamped on the bulb. If you have pictures of the tank setup you can post those also so we can see the light placement, etc.
Is he losing weight right now?
Let us know how he is doing.

Tracie

Tracie,
Thank you so much for the reply! I posted pics of the meds in the original post, but here they are again (I would try to type it out, but figured I would be better off posting pics of the actual labels):
92319-1321666786.jpg
92319-5216669911.jpg

Our vet at home was the one who told us that Sonny had the pinworms (+2) and did not want to do any treatment. Then, about a week after we got the results, the blood began. We have been feeding the extra small crickets, but there is a chance that there may have been a couple that may have been too big. I cannot think of a specific large cricket, however Sonny has caught 2 crickets at a time before- maybe this could have played a role?

We were giving calcium daily on his salad (just a light dusting- not enough to coat any of the veggies), and dusting crickets approx every 2-3 days. We stopped the calcium for a day, then cut back to just dusting the salad. Was stopping the calcium for a day a bad idea?

He never has strained while going to the bathroom until today. He strained every time he tried to go, and only the smallest amount of urate came out. He is not eating too much- since the weekend, he has not touched his veggies in days, wont take baby food from a syringe, and will only eat about 8 small crickets a day. Today while straining, his beard went dark, which is something that has never happened. He also tried going to the bathroom 2 times within 20 minutes, with barely any urate (no blood) coming out.

When the vet first weighed him on May 10th, and he was 50g. On Sunday he was 57g, but I have not weighed him since. I was planning on trying to weigh him before his bath tonight.

I tried to get good pictures of the lights, but I do not want to turn them off to get a good picture, so I will have to wait on the brand till the lights go off for the night. I took pictures of everything light-related I could, but I am unsure if any of it will be helpful until I can touch the bulbs to really see.

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Here is a pic of the set up right now - we moved the lights over to one side (they are normally side by side) and added a ceramic heater because the temperatures were not as high as usual, and we wanted to increase the temp while he is ill. We also removed all unnecessary decorations from the tank to decrease the likelihood of re-infestation, and to hopefully encourage more rest.

92319-6890795356.jpg

While I was just finishing up this post, Sonny seemed to try to go to the bathroom, so I decided to wait posting this in case there were any changes. He was able to release a tiny poo, with a nearly microscopic urate (which he struggled to get out for under a minute), then walked away with a black beard, opened his mouth, blew out his beard and started violenty wiggling his whole body (not a shake, more like a snake/worm slither-type movement) and projectile vomited. This is a picture of the vomit (sorry for the nasty picture, but this is terrifying):
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And of the most recent poop:
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He has not moved since vomiting, but I have cleaned it from the tank, and saved a sample of it, which is in our refrigerator and will be joining Sonny and my partner to the vet tomorrow morning (we could not get in any sooner).

I am planning on trying to give the oral medication to Sonny, as I do not want to mess up his treatment schedule and possibly make things worse. I am keeping a close eye on him until tomorrow. Any ideas on if pinworms could cause this, or does this sound more like impaction? He has slightly more energy than yesterday, but is certainly not as energetic as he usually is. He has been walking around the viv, keeping his eyes open, head lifted, and is alert to any noises or movement in the room. Any ideas on how to make him more comfortable?

Thanks,
Brooke
 

Drache613

BD.org Sicko
Staff member
Moderator
Hello,

It sounds like he could be partially impacted or just having trouble digesting. If he vomited maybe whatever didn't set right has gotten out of his system somewhat.
I would recommend getting some probiotics such as non dairy soy yogurt or non dairy acidophilus to help his digestion.
The compact/coil UVB will need to be replaced with a better one. The compact/coil lights don't emit good enough qualilty of UVB so he may not be absorbing his calcium very well. The better choices would be either the Reptisun 10 or the Arcadia D3 12% for better exposure.
Is he eating a fair amount right now?
Let us know how he is doing.

Tracie
 

Mermaider26

New member
Original Poster
Drache613":2vrdx82w said:
Hello,

It sounds like he could be partially impacted or just having trouble digesting. If he vomited maybe whatever didn't set right has gotten out of his system somewhat.
I would recommend getting some probiotics such as non dairy soy yogurt or non dairy acidophilus to help his digestion.
The compact/coil UVB will need to be replaced with a better one. The compact/coil lights don't emit good enough qualilty of UVB so he may not be absorbing his calcium very well. The better choices would be either the Reptisun 10 or the Arcadia D3 12% for better exposure.
Is he eating a fair amount right now?
Let us know how he is doing.

Tracie

Tracie,
Thank you again for the response, and I apologize for my late reply. We took Sonny to the vet on Wednesday, where we learned that the meds the animal hospital had prescribed were causing his more serious symptoms, and we immediately got a new prescription. Every day he has been getting better, eating more, showing more energy and alertness, and just seems to be getting back to his old self. Phew! As for the lighting, I was planning on getting one of the tubes this week, but with all of the vet/hospital trips we cannot afford it this week, but definitely the week after. We are also looking into building a custom tank that opens from the front, and would allow the lighting inside the tank, rather than on/above the screen, which is not ideal. If you have any other set up/viv recommendations, feel free to share! And thank you for your help, we really appreciate it. It's comforting knowing that there is such an amazing reptile support system.❤

Brooke
 
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