help now! (prolapse)

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Maggie Cummings

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I've taken in a very deformed adult 3-toed box turtle. This morning he has a prolaspe. I've read all what ya'll have said, but I've never had one. He's in warm water now, the emergency Vet wants $95 to start, saying she knows nothing about turtles. I've tried the sugar. I've tried pushing it in gently, nothing works. What do I do?
 

Kori5

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I have no idea what to do but good luck Maggie. Hope someone knows what to do. Keep it moist.
 
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Maggie Cummings

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I've got him in sugar water. I've tried to oil it and push it back in, but its so big I can't find his cloaca. And of course. my wonderful Chromebook won't download the pix for you....
 

Kori5

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Could you try a sugar paste, thick one and wrap some plastic around it. I've been searching the net for you and that's what they say.
 
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Maggie Cummings

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OK pictures won't download. Anybody have a laptop that works, I'll buy it...As long as it's not a chromebook
 
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Maggie Cummings

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@deadheadvet @Yvonne G @mike taylor @tortadise I've done everything we always suggest. Then I called my Vet at home....she says IF it was fixable it would cost hundreds of dollars. If I asked her to euthanize him, it would be $150. I really don't believe in euthanasia (nor do I have $150), so I have 2 choices. 1. Do I continue to allow him to suffer? You know it must be damned uncomfortable to have your guts outside your body. 2. I would have to euthanize him myself.
So do I put him in the refrigerator for 24 hours putting him to sleep, then put him in the freezer, hoping he's asleep and he doesn't feel his blood's getting icy. Can I overdose him on Baytril? It's an antibiotic as you know. I gave him a small dose of Metacam hoping to lessen any pain. There's not enuf to OD. Someone, please give me some advice....I really need input here.
 

Lyn W

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Poor thing - Googled this if it's any use.
Emergency Treatment of a Intestinal Prolapse in a Juvenile Tortoise

By Nadine Highfield
prolapsse_1.jpg


A two year old Libyan tortoise was discovered in the afternoon with a intestinal prolapse. The prolapse was too large to be replaced, so to quickly reduce the swelling and prevent tissue damage, the prolapsed intentine was covered with table sugar and secured with plastic wrap taped to the top and bottom of the shell.

The sugar, which quickly began to draw out the fluid, was replaced each time it became saturated.. By late evening, the swelling had gone down considerably. The tortoise was regularly checked during the night and in the morning was taken to our specialist veterinarian, Lance Jepson, to replace the prolapsed intestine and determine the cause.

prolapse_2.jpg


prolapse_3.jpg


prolapse_4.jpg


prolapse_5.jpg


prolapse_6.jpg



A x-ray confirmed that a bladder stone had formed, and the prolapse was the result of the tortoise straining to pass it. Unfortunately, the stone was slightly larger than the space between the pelvic bones, and could not be passed. Surgery was a very risky option with such a small tortoise, so the decision was made to begin a daily dose of allopurinal, and to simply allow the tortoise to grow to a size where it could pass the stone. This tortoise always had access to water, which it drank regularly, but several daily baths were also given to ensure adequate hydration.

prolapse_7.jpg



The prolapsed intestine was replaced and a purse string suture was put at the edge of the cloaca to prevent another prolapse from occurring if the tortoise was to strain to pass the stone again. It allowed enough space, however, for the passage of normal excretions.

One month later, the bladder stone was found next to the tortoise which outside of a some minor swelling around the cloaca, was in perfect condition. The swelling went down by the next day, and the tortoise has been quite lively and with an increased appetite. We are continuing a daily dose of allopurinal until progress is reviewed by our vet, and we have continued daily baths to insure that the tortoise is drinking.

prolapse_8.jpg



The use of table sugar can be an effective method to reduce swelling of a prolapse as a prelude to surgical replacement. The method has previously been used in sheep and cattle, and even in human medicine. Sugar is an excellent growth medium for bacteria, however, so it is imperitive for the tortoise to receive antibiotic cover to prevent infection. Any tortoise found with a prolapse should be brought to a specialist vet without delay. Do, however, protect the prolapse with plastic wrap to keep the area clean and prevent the tortoise from causing any tissue damage with its back claws.

Bladder stones are often the result of dehydration, however, other metabolic conditions can also be underlying causes. A tortoise showing signs of straining or painful urination should be promptly taken to a specialist vet for diagnosis and treatment.



(c) Tortoise Trust 2008
 

Pearly

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Ok, I found: make sugar paste, apply very thick to and around the area, then cover with soft moist cloth/gauze and cover with Saran Wrap, but loosely as not to cut off circulation. This area is also probably swollen. Not sure if there is anyway you could use gravity to make the fluid go back where it belongs. With humans we give antiinflammatories (Tylenol or Advil) apply cool or moist warm compress and elevate the area above the level of the heart. That's all I can come up with Maggie for now. I'll keep looking
 

Kori5

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I wouldn't put him in the fridge. It sounds as a horrible way to die. I hope there is another solution.
 

Pearly

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Poor thing - Googled this if it's any use.
Emergency Treatment of a Intestinal Prolapse in a Juvenile Tortoise

By Nadine Highfield
prolapsse_1.jpg


A two year old Libyan tortoise was discovered in the afternoon with a intestinal prolapse. The prolapse was too large to be replaced, so to quickly reduce the swelling and prevent tissue damage, the prolapsed intentine was covered with table sugar and secured with plastic wrap taped to the top and bottom of the shell.

The sugar, which quickly began to draw out the fluid, was replaced each time it became saturated.. By late evening, the swelling had gone down considerably. The tortoise was regularly checked during the night and in the morning was taken to our specialist veterinarian, Lance Jepson, to replace the prolapsed intestine and determine the cause.

prolapse_2.jpg


prolapse_3.jpg


prolapse_4.jpg


prolapse_5.jpg


prolapse_6.jpg



A x-ray confirmed that a bladder stone had formed, and the prolapse was the result of the tortoise straining to pass it. Unfortunately, the stone was slightly larger than the space between the pelvic bones, and could not be passed. Surgery was a very risky option with such a small tortoise, so the decision was made to begin a daily dose of allopurinal, and to simply allow the tortoise to grow to a size where it could pass the stone. This tortoise always had access to water, which it drank regularly, but several daily baths were also given to ensure adequate hydration.

prolapse_7.jpg



The prolapsed intestine was replaced and a purse string suture was put at the edge of the cloaca to prevent another prolapse from occurring if the tortoise was to strain to pass the stone again. It allowed enough space, however, for the passage of normal excretions.

One month later, the bladder stone was found next to the tortoise which outside of a some minor swelling around the cloaca, was in perfect condition. The swelling went down by the next day, and the tortoise has been quite lively and with an increased appetite. We are continuing a daily dose of allopurinal until progress is reviewed by our vet, and we have continued daily baths to insure that the tortoise is drinking.

prolapse_8.jpg



The use of table sugar can be an effective method to reduce swelling of a prolapse as a prelude to surgical replacement. The method has previously been used in sheep and cattle, and even in human medicine. Sugar is an excellent growth medium for bacteria, however, so it is imperitive for the tortoise to receive antibiotic cover to prevent infection. Any tortoise found with a prolapse should be brought to a specialist vet without delay. Do, however, protect the prolapse with plastic wrap to keep the area clean and prevent the tortoise from causing any tissue damage with its back claws.

Bladder stones are often the result of dehydration, however, other metabolic conditions can also be underlying causes. A tortoise showing signs of straining or painful urination should be promptly taken to a specialist vet for diagnosis and treatment.



(c) Tortoise Trust 2008
Ah! So I gave wrong advise! Sorry, Maggie! The sugar needs to be dry!!!! That makes more sense!
 

Lyn W

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Ah! So I gave wrong advise! Sorry, Maggie! The sugar needs to be dry!!!! That makes more sense!
Not necessarily Ewa, the advice varies - some say sugar paste. One forum recommends icing sugar. I didn't realise the sugar was to draw out moisture, so dry would make more sense I suppose. I hope I never have to use any with Lola.
 

Pearly

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Not necessarily Ewa, the advice varies - some say sugar paste. One forum recommends icing sugar. I didn't realise the sugar was to draw out moisture, so dry would make more sense I suppose. I hope I never have to use any with Lola.
Hmm... Icing sounds interesting
 
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Maggie Cummings

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The sugar paste has done nothing. This is a big round red thing with what looks like intestine on one side. I was told maybe it caused from constipation, so I gave him some Miralax. He did pass something, more mucus then poop. So now he's wearing a dry sugar diaper, made mostly of tape to hold it all in. He wouldn't cooperate with his legs so they are taped in as well. He's sleeping under a CHE right now.
 

DutchieAmanda

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I really hope he gets better!
But if not, please, please do not try to euthanize him yourself. It will cause him unneccessary pain. I believe every animal deserves a most painless death...

Good luck, I'm hoping the prolaps will get back in!
 
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Maggie Cummings

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Thanks for your help, I've got him in a dry sugar diaper now, I'll change it in a bit. I hesitate to give him any Baytril. Then there's an appetite problem as well. If I can just get the swelling down....
I really hope he gets better!
But if not, please, please do not try to euthanize him yourself. It will cause him unneccessary pain. I believe every animal deserves a most painless death...

Good luck, I'm hoping the prolaps will get back in!
I'm not sure I could euthanize him, but I also don't have $150.....
 
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