Oxymiocysu
Member
Pancake (7, almost 8 y/o female) has been through a very hard time recently and I need a second opinion on what's going on and how I can help her.
4/9/25 - pancake was seen for random swelling observed in her back foot. An x-ray and bloodwork were done. The x-ray revealed bone decay in one of her toes but nowhere else on her body. The bloodwork showed very low liver values. She was started on metacam every other day. A prescription for enrofloxacin was sent to a compounding pharmacy.
4/17/25 - enrofloxacin filled and shipped.
4/25/25 - pancake was seen for a recheck. The xray of her foot showed no change in the bone, but an xray taken of her full body suggested we do an ultrasound. The ultrasound showed free fluid, which we usually see with pancake around the time she starts getting follicles. Bloodwork showed higher liver values, suggesting the previous levels may have been erroneous. She was started on calcium gluconate daily. Enrofloxacin finally arrived and started daily.
The theory at this point is that frequent inflammation of her reproductive tract may have sent a bacterial embolus to her foot, so this is what we're trying to treat.
5/9/25 - recheck with no improvements to her foot. Started on ceftazidime injections every three days.
Between 9th-23rd - double antibiotics has left her with minimal appetite, barely touches her greens. Eventually have to start assist feeding repta-boost with nutribac mixed in for probiotic support but she won't take much. Ordered reptophilus in hopes that will help too.
5/23/25 - recheck. Very dehydrated. Down 25 grams. Ultrasound reveals possible fully formed eggs with some follicles still present. The swelling in her foot has reduced, but could be because she's dehydrated. Decide having her on antibiotics is doing more harm than good and discontinue enro and ceftaz. Subcutaneous fluids administered. Meticam increased to daily.
Vet gets a second opinion on ultrasound results and orders oxytocin injection and tramadol.
Very shortly after the oxytocin injection Pancake starts black bearding. Once we get home she basks for a short while and vomits some greens from the day before (first time she's ever done this in her life). I'm not sure if this is from the oxytocin or the stressful day, or a combination, but the immediate black beard makes me think the oxytocin didn't sit well with her.
Once she stopped looking like she was going to throw up again I offered her .25ml water and reptophilus/nutribac mix to see if she would keep it down before trying to administer the tramadol. So far she's tolerated it and her beard is starting to lighten up. I will try another .25ml soon. If you handles it, I will give another .25ml with the tramadol mixed in so it's not so bitter.
Can someone provide a second opinion on what could be going on with her? Is this the result of egg binding or is something else going on inside her abdomen? Unfortunately I do not have her bloodwork or many pictures of her ultrasounds, but I'll attach what I do have.
I'm looking into ordering horn worms for their hydration and wax worms for their calories - she never turns down insects. A new uvb bulb will going in today just in case, even though it shouldn't need replaced yet. Nighttime temps are elevated with a CHE. How can I further support her?
4/9/25 - pancake was seen for random swelling observed in her back foot. An x-ray and bloodwork were done. The x-ray revealed bone decay in one of her toes but nowhere else on her body. The bloodwork showed very low liver values. She was started on metacam every other day. A prescription for enrofloxacin was sent to a compounding pharmacy.
4/17/25 - enrofloxacin filled and shipped.
4/25/25 - pancake was seen for a recheck. The xray of her foot showed no change in the bone, but an xray taken of her full body suggested we do an ultrasound. The ultrasound showed free fluid, which we usually see with pancake around the time she starts getting follicles. Bloodwork showed higher liver values, suggesting the previous levels may have been erroneous. She was started on calcium gluconate daily. Enrofloxacin finally arrived and started daily.
The theory at this point is that frequent inflammation of her reproductive tract may have sent a bacterial embolus to her foot, so this is what we're trying to treat.
5/9/25 - recheck with no improvements to her foot. Started on ceftazidime injections every three days.
Between 9th-23rd - double antibiotics has left her with minimal appetite, barely touches her greens. Eventually have to start assist feeding repta-boost with nutribac mixed in for probiotic support but she won't take much. Ordered reptophilus in hopes that will help too.
5/23/25 - recheck. Very dehydrated. Down 25 grams. Ultrasound reveals possible fully formed eggs with some follicles still present. The swelling in her foot has reduced, but could be because she's dehydrated. Decide having her on antibiotics is doing more harm than good and discontinue enro and ceftaz. Subcutaneous fluids administered. Meticam increased to daily.
Vet gets a second opinion on ultrasound results and orders oxytocin injection and tramadol.
Very shortly after the oxytocin injection Pancake starts black bearding. Once we get home she basks for a short while and vomits some greens from the day before (first time she's ever done this in her life). I'm not sure if this is from the oxytocin or the stressful day, or a combination, but the immediate black beard makes me think the oxytocin didn't sit well with her.
Once she stopped looking like she was going to throw up again I offered her .25ml water and reptophilus/nutribac mix to see if she would keep it down before trying to administer the tramadol. So far she's tolerated it and her beard is starting to lighten up. I will try another .25ml soon. If you handles it, I will give another .25ml with the tramadol mixed in so it's not so bitter.
Can someone provide a second opinion on what could be going on with her? Is this the result of egg binding or is something else going on inside her abdomen? Unfortunately I do not have her bloodwork or many pictures of her ultrasounds, but I'll attach what I do have.
I'm looking into ordering horn worms for their hydration and wax worms for their calories - she never turns down insects. A new uvb bulb will going in today just in case, even though it shouldn't need replaced yet. Nighttime temps are elevated with a CHE. How can I further support her?