HELP! Care for Lethalergic Post Surgery Sulcata

Pedro3737

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Aug 14, 2024
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5
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Jakarta Indonesia
Hi, Very sorry i'm new here but i don't really know what else to do.
I really need some help or information for my 2.5 year old male sulcata named Pedro. He is around 23CM in carapace length and about 1.3kg. (i assume he is a male since the plastron is staring to convex a bit)

i need to ask a few questions:
1. Does Pedro need herbivore critical care food?
2. Or do i need to follow vet instruction and just give a saline solution and antibiotics?

Here is the looooong back story, sorry i want to put all info that might be of any help.

Just 3 days ago i noticed he does not eating his normal portion (mixed veggies) and when i try giving him food pellets he ate just a really small portion. Furthermore, He is trying to poop/pee really hard until his eyes get red and puffy. I immediately hurried him to the nearest vet. I've done a bit of research and they have performed carapace repair surgery for sulcata before in my research so i went to them and they found a bladder stone (3.8x4.5 CM).
WhatsApp Image 2024-08-13 at 18.03.35_e557e9a6.jpg

Having analyzed the image, they suggest performing BS removal through cloaca since its really close, so i left Pedro with the Vet overnight for monitoring and surgery in the morning. Around 2PM the next day i inquire Pedro's condition since they have no news and they informed currently Pedro is in surgery queue and ask to wait, not until about 6PM they informed that the surgery cannot be performed since the BS position has moved and require opening the plastron but they had no available doctor. at this point they had put feeding tube on my boi. before you blame me, yeah i'm ashamed at myself, we Chinese don't trust doctor until things get real bad :(

WhatsApp Image 2024-08-13 at 17.51.37_c76f6503.jpg

Ofc i'm disappointed since we arranged the surgery first in the morning and this might be avoidable. a bit of drama later they flat out admit they had done the surgery but failed and in doing so pushed the BS inwards, its also stated in the overnight care reports afterwards. i did some research and went straight to another vet (this 2nd vet is in another city but looks legit, having published a journals and books on tortoise care). Pedro is quite active on the car, walking around exploring, scratching, and trying to climb the transport container. (sorry for the blur, i was driving while taking pic)
WhatsApp Image 2024-08-14 at 12.52.22_e05a52d8.jpg
when i arrived at the 2nd Vet, they drew blood sample (through neck area) and some antibiotic and vitamin injection on Pedro (twice on the hind legs), and also repair the feeding tube stitches since they deemed it's a bit sloppy. This is all performed without anesthesia since they worried it might damage the organ, having anesthetized the night before in the 1st vet. Pedro is very scared and hide but the vet really forced him open, damn this vet might be a sadist tho its sickening but okay,,, necessary. They tried to feel with the pinchy thingy to locate the BS but failed since it is too deep inside.

So the 2nd vet gave me some saline solution (Pedialyte brand) and antibiotics to push through his feeding tube. no food, water soak, and sunbathing until next visit in 3 days, but heat lamp and uvb is 24/7 on. i kept him in the yellow transport container since i'm worried his enclosure and substrate might have some bacteria that harm especially after surgery and feeding tube. heat and humidity is fked ikr but i suppose he is smart enough to move searching for the comfortable temp.
Now the first night, Pedro is able to poop and pee quite a bit, and several time also, but is currently passive and doesn't move around much, i don't know if it is the pain or the fear but he seemed laying down a lot. i tried moving the heat lamp several time and he seemed to annoyed but move following the heatlamp as well. he is not really sleeping just laying down and doing nothing. i'm worried sick having one sulcata died last year.

Today he is about the same, i noticed he moved a bit and nodding his head like nothing happened but still does not walk around and climb much. saline and antibiotics is religiously applied. he has not touched his water bowl yet. peed a bit of urates but nothing significant. but really i was wondering why he can't eat solid food or liquid through the tube? i might not have biology degree but i think everything need energy to recover?

I found oxbow critical care for herbivore online but i don't know the dosage and if it is the wise thing to do.. you now, defying your doctor?
and also what is with the antibiotics? is it just precaution? i really worried since before 2nd vet visit he is just being Pedro but now he is sad.

Pedro is a gift from my ex and i really love Pedro like a family. if you have any information and advise i will deeply appreciates them. money for medicine or treatment is not an issue i just want to see Pedro passed to my future child.

Many thanks
 

Pedro3737

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Joined
Aug 14, 2024
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5
Location (City and/or State)
Jakarta Indonesia
Oh after the failed attempt, the 1st vet also suggest they performed a plastron opening surgery. luckily the surgeon is away on business trip and the have no one. the 2nd vet outright reject to do open surgery due to Pedro size, condition and BS size and rather to monitor until the BS go closer to cloaca.
 

Megatron's Mom

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Oh poor Pedro he's gone through so much. I would get him in his normal enclosure. He has no open wounds so get him in his safe space so he can feel safe again. I don't know how a tortoise handles sedation but when I get it it takes me days to get back to normal.

I'm just guessing here on why the vet said no food for 3 days is because they do not want that stone with food to cause a blockage and do more harm.

Best wishes for Pedro I hope for a speedy recovery.
 

Pedro3737

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Joined
Aug 14, 2024
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Location (City and/or State)
Jakarta Indonesia
Oh poor Pedro he's gone through so much. I would get him in his normal enclosure. He has no open wounds so get him in his safe space so he can feel safe again. I don't know how a tortoise handles sedation but when I get it it takes me days to get back to normal.

I'm just guessing here on why the vet said no food for 3 days is because they do not want that stone with food to cause a blockage and do more harm.

Best wishes for Pedro I hope for a speedy recovery.
Thankyou for your prayer,
i myself have not experience any sedation so i can't say much.
But a bit of updates, i spent about an hour looking at Pedro today, he seems able to walk tall if he want to.. i don't know if it is my wishful thinking but he is looking a bit more lively everyday, still really shy though.

I plan to move him back to his enclosure after the vet visit tomorrow. here is the little man, he hides soon as i put the phone closer.

WhatsApp Image 2024-08-16 at 11.57.58_85c37723.jpgWhatsApp Image 2024-08-16 at 12.04.31_35b46252.jpg

No food! You run the risk of him aspirating the food into his lungs when he's sedated. He can go several days without eating but the liquid is quite important.
Wow i never thought about this :O
thanks a lot for the heads up Yvonne.
He have never missed a meal in his life and i just hope he got better really soon.
so, no even liquid food through the feeding tube?
 

Pedro3737

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Aug 14, 2024
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Location (City and/or State)
Jakarta Indonesia
Hi Everyone, just want to update on a good news.
So yesterday morning is the scheduled date for vet visit. But i noticed that Pedro is once again groaning like a balloon sound but the gas escaped through his feeding tube. i immediately went to the vet and this is his xrays.

WhatsApp Image 2024-08-17 at 14.54.32_b442bb2c.jpg

The Vet told me its in a good position although its not fully close to cloaca but she can work with this. Operation commence for about 15 or 20 minutes, she really seem to know what she's doing. and here is the aftermath.
WhatsApp Image 2024-08-17 at 15.30.15_e78ed295.jpgWhatsApp Image 2024-08-17 at 15.08.27_ec464044.jpg
He does have some bits and pieces of BS left inside of him that cannot be taken since is a bit deep and he is bleeding a little so the doctor postpone the leftover extraction. Hopefully Pedro will be able to push it out by himself with pees and poop.

He is currently not eating his papaya and salad, (maybe he's in recovery from another round of anesthesia?) , hopefully he will start eating soon since its been a week since he had full meal and snacks about 2 days ago. I also started lukewarm water bath for him and he is dropping a tiny-tiny bits of rocks. no solid poop yet since yesterday.

Any advise in helping him to start eating?

Hopefully he recovers and being active soon, here is the picture of the hot guy.
WhatsApp Image 2024-08-17 at 00.11.56_3020a1be.jpg
 

zolasmum

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5 Year Member
Joined
May 19, 2015
Messages
2,292
Hi Everyone, just want to update on a good news.
So yesterday morning is the scheduled date for vet visit. But i noticed that Pedro is once again groaning like a balloon sound but the gas escaped through his feeding tube. i immediately went to the vet and this is his xrays.

View attachment 377614

The Vet told me its in a good position although its not fully close to cloaca but she can work with this. Operation commence for about 15 or 20 minutes, she really seem to know what she's doing. and here is the aftermath.
View attachment 377616View attachment 377615
He does have some bits and pieces of BS left inside of him that cannot be taken since is a bit deep and he is bleeding a little so the doctor postpone the leftover extraction. Hopefully Pedro will be able to push it out by himself with pees and poop.

He is currently not eating his papaya and salad, (maybe he's in recovery from another round of anesthesia?) , hopefully he will start eating soon since its been a week since he had full meal and snacks about 2 days ago. I also started lukewarm water bath for him and he is dropping a tiny-tiny bits of rocks. no solid poop yet since yesterday.

Any advise in helping him to start eating?

Hopefully he recovers and being active soon, here is the picture of the hot guy.
View attachment 377622
He is really lovely and probably feeling a lot more comfortable, but may not feel like any food for a while yet -I suggest you just let him rest for a couple of days, and give him lots of soaks. Congratulations !
Angie
 

Megatron's Mom

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Joined
Oct 29, 2022
Messages
566
Location (City and/or State)
North Little Rock, Arkansas
I'm happy you found a vet who could get that stone broken. I'm guessing she broke it up without having to cut him open. That will make his recovery easy. Just some soreness to heal from. What did she say about eating? Follow that advice. I'm sure once he feels better he will eat on his own.

No more fruit either. Sulcatas are not fruit eaters their gut can't handle it.
 

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