Overheating, previous penile amputation.

cooky_luvs

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I don’t post here much, but I am a longtime follower and have dived deep into threads over many years here and have learned so much. I am currently completely lost with the situation going on with my tortoise Smaug. It’s a long story but I feel leaving parts of it out wouldn’t give the full picture.

Poor Smaug had to have his penis amputated back on February 14th, what a sad Valentine’s Day for him. The prolapses that led to the amputation never made any sense. He had bloodwork done, x-rays, fecal, the works, and they couldn’t find any of the general causes for prolapse. It was assumed that it was likely a mating injury.

His first prolapse was in August last year he got tucked back in and got a purse stitch. He was isolated for months then in late October he prolapsed again. Got another purse stitch, but then prolapsed again the next day even with the stitch. They wanted to amputate at that time, but I wasn’t ready to give up so I had them remove the stitch that was keeping him from retracting again by that point, took him back home and worked with him, and he was able to retract himself.

He remained in isolation in doors all winter but then suddenly prolapsed on February 12th. This was after being isolated for four months straight. It made no sense. He was able to retract himself again after a couple hours but I was still very concerned, it shouldn’t have been happening again. Then the next day he prolapsed again, and was never able to retract it leading to the amputation on the 14th.

Anyway, it’s been about two months since surgery and he should be on the mend. In fact, the vet recommended keeping him isolated for only 10 days post surgery, and then he could finally rejoin the group but I was overly cautious and kept him isolated for an entire month and a half. He also had a full round of antibiotics (fortaz).

During that month and a half his energy never really came back up, but he was eating every day and we were doing daily soaks. About two weeks ago I tried putting him back with the group, hoping it would perk him up and reinvigorate him. It was pretty much more of the same. I wouldn’t describe him as lethargic but definitely low energy, but would always come over and eat. Always a good appetite.

It’s getting warm here so they are getting outside time most days, but then I have to put them back into their insulated shed at night. Well today I was running around busy so I didn’t get a chance to let them out to enjoy the weather until about three pm. When I did I found Smaug struggling to walk basically looking like he was swimming in the dirt, unable to lift his body up. I went to pick him up and he was extraordinarily hot to the touch. I took him outside and put him down but he still couldn’t move so I put him in his water dish and he drank so incredibly deeply. I left him sitting there for a few minutes to cool down but then he started wanting to get out and trying to walk, but was unable to.

I watched the camera footage in the shed, and he walked over to bask under the UVB light (Arcadia T5) around 1:30 he looked like he was walking pretty good. He splooted and basked for a little while then walked over to the corner where my CHE was on and just sat there for about an hour. That CHE wasn’t even supposed to be on, I’m mad at myself for that. Then on the camera, I can see him start to try to move and struggle to get away because I guess he was overheating and he wasn’t able to. There was lots of movement of him trying to basically swim through the dirt until I found him around three.

It was only a high of 80 today and my alarms are set to alert me if the shed temperature gets above 90. If that would’ve happened, I would’ve noticed that the CHE was on and was driving up the temperature. The ambient temperature in the shed was only 88 but it could very likely have been over 100 under that CHE with the ambient being so high. But the most baffling part is why he sat there and didn’t move when that area of the shed is 8 x 8. There is plenty of room to get away. I could understand overheating if he was stuck in a tiny space, but this was not the case.

I took him into the house, and he started walking again and even devoured a whole plate of food. I let him rest for a while but when I went back to check on him, he was unable to walk again so we went to the emergency vet. They confirmed that it looked like he overheated but I just could not imagine how a healthy tortoise would do what he did. He hasn’t seemed right for months now, so I had them do bloodwork.

Well, the blood work came back as only mild kidney elevation likely due to the heat stress but also alarmingly, he has hyperglycemia. I asked the vet what that means and couldn’t really get a good answer. So overall, I am just absolutely baffled why this even happened or what is even going on with him.

Ultimately I truly feel whatever was causing his prolapses was never found so the true problem was never addressed, whatever was happening then is likely still happening. To me how he overheated today makes no sense, I don’t know how a healthy tortoise would do that and his bloodwork showed he’s not healthy, but I honestly don’t know the full extent of what hyperglycemia means in a tortoise. All I found on Google is that it is ‘ an uncommon clinical abnormality in reptiles ‘.

Also, of note he’s had extremely strange mucous / jelly come out with his poops ever since the surgery. And at first I just figured it was healing in there and all the stress and trauma, but I found one of those type of poops underneath him just yesterday. Seems odd to be still like that two months after surgery. I also brought that up to the vet, but couldn’t get a satisfactory answer. He will be having a follow up with his primary vet, and they are very good board-certified veterinarians. But they couldn’t find anything when he was prolapsing so I don’t feel confident I’ll find answers this time either. He even had blood work before but I don’t remember anything alarming so I will definitely have to have them compare his bloodwork now versus his prior bloodwork.

I don’t know if I’ll find any answers from this post, but just hoping maybe to get some ideas. Really lost at this point. After everything my guy has been through, I would hate to lose him. I know this post is a lot, thank you for taking the time to read. If you have any ideas, please let me know.


Attached are his discharge papers and bloodwork.

Edited to add that the group he is in consists of 13 other red-footed tortoises besides himself and not a single one of them are exhibiting any issues so that helps rule out a lot of possibilities. It’s solely a problem with my one guy he is the outlier.
 

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Tim Carlisle

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Wow. Poor thing. I really have no advice for you per se. However (being familiar with hyperglycemia), I know that heat increases metabolism. Perhaps being overheated lowered the blood sugar enough to result in lack of energy to move. Perhaps an adjustment to its diet may be in order? Will at @Kapidolo Farms may be able to advise you on that. Hope you get some answers! I'll certainly be following your thread.
 

cooky_luvs

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Wow. Poor thing. I really have no advice for you per se. However (being familiar with hyperglycemia), I know that heat increases metabolism. Perhaps being overheated lowered the blood sugar enough to result in lack of energy to move. Perhaps an adjustment to its diet may be in order? Will at @Kapidolo Farms may be able to advise you on that. Hope you get some answers! I'll certainly be following your thread.


I thought she meant hypoglycemia at first as well and was thinking of it that way but then when I checked the paperwork it’s actually hyperglycemia so the blood sugar is too high.

I was reading about Diabetes mellitus occurring in Chelonians as a possible cause but still researching. There’s a frustratingly small amount of information so far. I would definitely love to figure out if I should make diet changes or if this is more of a genetic thing, I definitely don’t want anyone else in my groups to develop anything similar.

I use Will’s offerings on their meals on a regular basis, great stuff!
 
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Tim Carlisle

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I thought she meant hypoglycemia at first as well and was thinking of it that way but then when I checked the paperwork it’s actually hyperglycemia so the blood sugar is too high.

I was reading about Diabetes mellitus occurring in Chelonians as a possible cause but still researching. There’s a frustratingly small amount of information so far. I would definitely love to figure out if I should make diet changes or if this is more of a genetic thing, I definitely don’t want anyone else in my groups to develop anything similar.

I use Will’s offerings on their meals on a regular basis, great stuff!
Your correct about the HYPERglycemia. Not sure why I read HYPO. I guess I needed to wake up more when I read the post. lol. My bad.
 

Tom

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I have no answers for you, but you are certainly thinking logically about all of this and your thought process mirrored my own as the story progressed. I would have done what you did, and I'm thinking the same things you are thinking about the situation. Whatever was the original cause of this problem appears to be the missing link here... Please educate us if you ever discover what is going on.
 

TammyJ

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I think he must sometimes be in pain, and it may be quite some time before he heals completely. That's a lot for one little tortoise to go through. If he was mine, I would immediately provide him with his own exclusive enclosure totally separate and far away from the group, permanently. I would give him his normal diet, if it's a correct one for Redfoots. I would make sure his temperatures are right. And then just watch how he progresses. @Yvonne G @ZEROPILOT @zovick
 

cooky_luvs

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Yes, that’s what I have been doing since last August, but never saw any improvement but certainly at this point he’s back in his own enclosure and isolated again. And possibly indefinitely, it’ll be a long time before I’d be comfortable even trying to reunite him again.
 

cooky_luvs

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As far as diet goes they get a diverse amount of variety that I rotate through. At least two different types of greens every day and fruit about 2 to 3 times a week.

Turnip greens, collard greens, dandelion greens, arugula, radicchio, endive, escarole, prickly pear cactus, kale.

Typical fruits are papaya, mango, dragon fruit, guava, prickly pear cactus fruit, strawberries, raspberries / blackberries.

Occasional protein from mazuri, mushrooms, earthworms, black soldier fly larvae.

I even make a point to grow them as many native foods as possible, so in the summers they get peperomia pellucida, pereskia aculeata. They’ve got other native foods growing, but not established enough that I actually feed it yet.

They also get dried plantain, moringa, clover, and mulberry rotated through and added to meals to increase nutrition.

I really think if diet related I would be having more issues with other tortoises. The group he lives in is only 13 others. But there’s 26 adult Redfoots in all and then a bunch of other separate juveniles, surely someone else would be having issues as well.
 
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Yvonne G

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When I was doing rescue I had several prolapse cases where the penis had to be amputated. They were all related to constipation or stones that couldn't pass, and all were fine after the surgery and constipation/stones were addressed. But these were all sulcatas. I did have an egg bound yellowfoot that prolapsed her lady parts but once we were able to get the eggs to pass the prolapse was no longer a problem. I have no words of wisdom for you. Your tortoise's problem is way beyond my experience level. Just to be sure - he wasn't constipated or had stones, right?
 

cooky_luvs

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When I was doing rescue I had several prolapse cases where the penis had to be amputated. They were all related to constipation or stones that couldn't pass, and all were fine after the surgery and constipation/stones were addressed. But these were all sulcatas. I did have an egg bound yellowfoot that prolapsed her lady parts but once we were able to get the eggs to pass the prolapse was no longer a problem. I have no words of wisdom for you. Your tortoise's problem is way beyond my experience level. Just to be sure - he wasn't constipated or had stones, right?
Yes, no stones were found and no constipation when he was having the prolapses. The whole thing has been so strange.
 

JoJosMom

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Yes, no stones were found and no constipation when he was having the prolapses. The whole thing has been so strange.
I am no expert by any means so if this doesn't make sense, then forgive me. If the doc is stating that the baby is hyperglycemic, then his blood sugar levels are high. Keep in mind that with this type of condition, when the blood sugar spikes, it will cause many symptoms to include but not limited to extreme thirst, the urge to urinate frequently and lethargy. This heightens the risk of urinary tract infections, stress on the bladder and so on. The urge to urinate constantly could have caused the prolapse as well? I'm no vet, but from what you have described at the beginning to now, it makes me think that it is all linked. Elevated kidney levels also coincide with the bladder, urinating and high sugar levels. From all the information you have provided, this is the only thing that would make sense to me. Again, I am no expert.
 

cooky_luvs

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I am no expert by any means so if this doesn't make sense, then forgive me. If the doc is stating that the baby is hyperglycemic, then his blood sugar levels are high. Keep in mind that with this type of condition, when the blood sugar spikes, it will cause many symptoms to include but not limited to extreme thirst, the urge to urinate frequently and lethargy. This heightens the risk of urinary tract infections, stress on the bladder and so on. The urge to urinate constantly could have caused the prolapse as well? I'm no vet, but from what you have described at the beginning to now, it makes me think that it is all linked. Elevated kidney levels also coincide with the bladder, urinating and high sugar levels. From all the information you have provided, this is the only thing that would make sense to me. Again, I am no expert.
Yes, I also agree that it is all probably linked but I don’t remember them saying anything about hyperglycemia on the previous blood test, so I’m definitely going to be asking the vet what the levels were before, I’m impatiently waiting for the primary vet to be open again on Monday. The hyperglycemia is new as far as I know.

He never really seemed to urinate constantly, the months that he was housed indoors I would let him out of his enclosure supervised frequently to get some exercise and he would have accidents here and there on the floor but nothing excessive.
 

JoJosMom

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Yes, I also agree that it is all probably linked but I don’t remember them saying anything about hyperglycemia on the previous blood test, so I’m definitely going to be asking the vet what the levels were before, I’m impatiently waiting for the primary vet to be open again on Monday. The hyperglycemia is new as far as I know.

He never really seemed to urinate constantly, the months that he was housed indoors I would let him out of his enclosure supervised frequently to get some exercise and he would have accidents here and there on the floor but nothing excessive.
He may not actually pee, but have the urge to and can't. It will be very interesting to find out what exactly is going on, I am very intrigued. It is sad that he is going through this, we are sending prayers and best wishes from our family to yours.
 

Maggie3fan

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First of all...I want to say that I have never ever heard Yvonne say..."Your tortoise's problem is way beyond my experience level." wow...
so I am taking a semi-experienced kinda guess, but did the blood tests ever show elevated white cells? Did you say if he had a bladder infection? He's beautiful, and such a smooth shell...this is LaylaDSCN2518.JPG
 

ecachuh

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I am not educated in any of this, but just these things came to mind.

Is the UVB bulb still good (Vit D)? Does he need longer soaking? Could there have been any nerve damage from the surgery?
 

cooky_luvs

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I’ve been trying to wait for more news before I post an update, but I’m still waiting. The blood test at the emergency vet did not include white blood cells frustratingly. The primary vet thinks he probably does have an infection so they did the test for the white blood cell count, but we are waiting to hear back. He’s now on antibiotics while we wait. He seems a lot better and is basically back to ‘normal’ but not high energy normal he was months and months ago, so hopefully if it’s an infection, we can clear it up and he will finally be energetic again.

As frustrating as it is, it probably has worked out for the best that he went and overheated to alert me to just how serious his underlying problem may be. Tortoises just hide illness so well!

I think the emergency vet got me more scared than I needed to be talking about how the hyperglycemia was a negative prognostic factor and often has a poor outcome, etc. My primary vet was much better at explaining it to me and also his blood test results before were entirely normal so she is thinking that this is probably an infection for the blood test to be so different this time.
 

cooky_luvs

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I am not educated in any of this, but just these things came to mind.

Is the UVB bulb still good (Vit D)? Does he need longer soaking? Could there have been any nerve damage from the surgery?
Yes, I have a solar meter all of my different T5’s are still good and putting out the right amount of UVB. Gets plenty of soaks, daily when indoors. Under normal instances he also gets lots of outdoor time.


There could be damage from the surgery. That’s what we will have to see or just an infection since they take so long to heal. The first round of antibiotics might not have been enough..
 

Alex and the Redfoot

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I’ve been trying to wait for more news before I post an update, but I’m still waiting. The blood test at the emergency vet did not include white blood cells frustratingly. The primary vet thinks he probably does have an infection so they did the test for the white blood cell count, but we are waiting to hear back. He’s now on antibiotics while we wait. He seems a lot better and is basically back to ‘normal’ but not high energy normal he was months and months ago, so hopefully if it’s an infection, we can clear it up and he will finally be energetic again.

As frustrating as it is, it probably has worked out for the best that he went and overheated to alert me to just how serious his underlying problem may be. Tortoises just hide illness so well!

I think the emergency vet got me more scared than I needed to be talking about how the hyperglycemia was a negative prognostic factor and often has a poor outcome, etc. My primary vet was much better at explaining it to me and also his blood test results before were entirely normal so she is thinking that this is probably an infection for the blood test to be so different this time.
As for the hyperglycemia, I've seen one research paper where overheated aquatic turtles developed higher glucose levels. If I remember correct, you took blood analysys after Smaug got overheated so it might be it.

I hope he will get well soon.
 
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