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3rd intestinal prolapse ... any miracle

jocovo May 19, 2006 04:57 PM

Hi!

Our cham Luigi is going thru his third intestinal prolapse in 2 weeks. each time the amount of intestines sticking out is less which our emergency vet said is a good sign. but he had his 3rd today but yesterday there seemed to be some blockage at what appeared to be the end of his intestines (i assume chams are setup like humans with a sphincter,etc so it didn't seem to make sense for the location of the blockage and the prolapse). he kept pushing and if that blockage wasn't there it appeared to me that he would have passed his poopy.

anyone have any additional experience with details of panther cham gi tract to know if simply cutting the blockage (i.e. which could have been necrotized intestine) could help? but then are we cutting the sphincter?

believe me we are going to the emergency vet as soon as it opens and will ask him the same but he doesn't seem (and admits it) he knows chams very well.

1st prolapse was major (~4" of inflated intestine came out, 2nd was ~1", and this last time is ~0.5". we know about keeping intestines moist with sugar water, etc but what we would like to know if there have been any miracle recoveries after 3 prolapses?

Luigi has been thru 2 surgerys, baytril treatments, etc and he is still as strong and active as he normally is except his poopy tract isn't working. worried about toxifying his blood but he is showing no lethargy or anything. he just seems mad & frustrated he can't poopy!

I kinda feel like he has a good chance because of his strength but i don't want to be selfish and inhumaine by putting him thru another surgery.

any advice is appreciated!

joe

Replies (8)

ChAMOUFLAGED May 19, 2006 07:34 PM

Ok.... Wow, I do feel your pain. I have a panther that has had 2 intestinal prolapses and is still with me now.

I have to ask, what exactly did the vet do when you took your cham in?

Usually with an intestinal prolapse, if the affected area is still viable, it gets pushed back in, necrotic tissue gets trimmed and then a "purse-string stitch" is used to hold things in place during healing. This stitch is usually in place for a couple weeks. A cause for the prolapse needs to be determined and treated (remove impaction... enema, direct injection of fluid into mass ect.) The cham should have a restricted diet during these 2ish weeks (fairly liquid ie; carnivore care ect. NO bugs) along with oral antibiotics and pain meds. Hopefully this fixes the problem and the stitch is removed in 2 weeks....
My guy prolapsed again shortly after the removal of the first stitch. So, back we went for pretty much a repeat of all of the above, but this time an abdominal stitch (Tack) was added that will remain permanently. This stitch enters on one side of his body, very low abdominal area, goes completely threw the intestine/abdominal wall and exits on the other side, then goes back threw again and is tied off to the start. At this time the vet suggests he remain on a restricted diet of NO chitin.... (I have since altered this due to nutritional issues)

Obviously there is much more to it, I gave my experiences as simply as possible as I am not a vet.
I can't say a vet name for sure right now, perhaps someone else knows, but there is a Vet in California(?) Dr Greek maybe (?) that does phone consultations with other vets, perhaps you could check into this.

Best of luck to your little one!

Here are some pictures that I took that may help you understand what I described.

Prolapse

This is the purse string stitch

This is the intestional tack- Look for the bright pink spot

And this is my man Archimedes!

-----
~Jamie

Pic's! pg.photos.yahoo.com/ph/herphappy/my_photos

jocovo May 19, 2006 07:56 PM

OMG!

If anyone knows the name of the vet that our vet can call that would be wonderful! We can't loose Luigi! He was actually in our wedding we care so much for him!

Any help greatly appreciated!

Thanks chamo!
Joe

lele May 19, 2006 08:43 PM

I can offer NO experience here (thank goodness!!), but when I saw Dr. Greek's name mentioned it rang a bell. I saw an article in current Reptiles Magazine by him, just yesterday (don't recall what, didn't read) and I also know that Kammer's recommend him. He is in CA and I do not know if he is a consulting vet but here is a link for you to Kammer's page. chameleonsonly.com/veterinary_referral.htm
and another is Ivan Alfonso in FL..again, I have no idea if he does consult but here is his website with contact info
www.mythicalchameleons.com/
I wish you the best with him and I think it is adorable that he was in your wedding!! Was he the ring bearer - carrying them on his trusty tail??

lele
http://www.mythicalchameleons.com/

-----
Chameleon Help & Resource Info
1.0 Nosy Be Panther Chameleon - Cyrus
0.1 Veiled Chameleon - Luna. She's now hanging from her big jungle gym in the sky
1.0 Beardie - Darwin
1.1 Side-blotched lizards - Ana and Stan for now
0.2 felines - Kyndra and Lita
0.1 African Clawed Frog - Skippy
0.1 Chilean Rose Hair Tarantula - Rosa Leigh, Died 4/21/06
0.1 Goliath Bird-Eater Tarantula - Natasha, donated to science 4/4/06
?.? Pinktoe Tarantula - no name yet

jocovo May 20, 2006 12:17 AM

Yeah he was at the wedding and he was on our wedding invitations (see attached). The collar was real (my wife's mother made it with comfortable padding so it wouldn't iritate him) and the flowers were real. We Photoshop'd the martini glass. Luigi really was very calm and seemed strangely happy to be doing the photo shoot. We thought he would get upset and were ready to stop quickly if he did but he never did. He's a real trooper!

Just got back from the Emergency vet. The hard mass was urate entangled in a stitch and when it was removed he poopy'd and his intestines sucked back up inside of him!

I told the vet about the contact number for the cham pro and he is very excited to consult with him so that is a good sign.

There was no parasites, no other apparent infection, and he seemed well hydrated. He did take in a large number of tiny meal worms accidently about 3 weeks ago which is what we think did it. Our small beardy (Sasha) likes meal worms and while moving them from container to Sasha's tank Luigi saw them and shot his tongue out and grabbed them all (his door was open).

Most of the time Luigi eats large mealworms, crickets, green giants, silkworms, and an occasional pheonix worm.

Everyhting seems ok now but we have to watch him and stay mainly on liqui diet and soft skin worms (silk worms, green giants, occasional wax worm) and give pedialyte.

Thanks to everyone who responded!

My wife and I thank you very very much!

Will keep you all posted and maybe put up normal pictures of Luigi later.

Thanks again!

Joe

kinyonga May 20, 2006 08:08 PM

Just one word of caution...if he starts going downhill and there is no more prolapse or blockage, get your vet to check for fungus. Sometimes when "parts" that are supposed to be inside are outside for a time can pick up fungal infections.

Hope all goes well for the poor chameleon! He sounds like he has a real will to live!

eric adrignola May 19, 2006 08:09 PM

What are you feeding him? I have seen lots of intestinal prolapses in constipated chameleons.

ChAMOUFLAGED May 20, 2006 12:29 AM

I e-mailed a friend that I think may know the Vet that does the consults, though Lele’s suggestion to try Dr. Alfonzo is a great one!

Along the lines of Eric’s question.... I have some thoughts... or more a story, Archimedes “short” story....

Archimedes prolapses were caused by an obstruction, but there were many factors that caused the obstruction.... prey being primary. His problems began about a month or two into the “silkworm virus” nightmare. It was also about this time that I changed gutloads, not sure that it had an effect, but it was a change. Up to this point, his staple diet consisted of crickets and silkworms with the random super, wax, hornworm, roach etc. thrown in to round it out. Obviously I had to make up the loss of the silkies with the other mentioned items, but few of them contained the same moisture content that the silkworms did.
Archimedes hydration had never been a concern as he drank readily from a dripper, auto mister and hand mistings. His bowel movements had been “regular” up to this point at usually a couple times a week. They were always well formed and the urates white.
I believe the causing factor of the obstruction was appropriately sized, de-legged hissers. He had refused the hissers for quite some time, so unfortunately I didn’t limit his intake of them and allowed him to take 4 at one sitting. This by itself without the other factors I don’t believe would have been a problem, but he prolapsed within about a week of eating the hissers... I did not recognize any outward signs of trouble until about day 3 or 4. This was when I started to worry as he hadn’t had a bowel movement for about 5 days, although he had, on occasion, been known to go as much as a week between.
I increased his misting durations, added more warm showers/soaks and even tried a small amount of psyllium in a tsp. of watered down prune juice (ok’d by vet).... No go....Within a day he quit drinking and was “antsy”. When I checked on him the next morning he had prolapsed. Off to the vet.
The vet was able to push the tissue back in and put in a purse string stitch. Fluids were injected directly into the impacted mass threw his side inhopes of softening and making it easier for him to pass. He was put on antibiotics, pain meds, a strict diet of carnivore care 1-2 mls 2 x daily and sent home. During this 2 week time he only had one bowel movement and it was small, but enough to be tested for parasites, negative as were the next 2 tests. When the stitch was removed at the 2 week mark, he immediately had a large movement. He remained on the carnivore care for 2 additional weeks after the removal of the stitch, but prolapsed again not long after going back on bugs. So, there was a repeat of the first time around at the vet as well as the addition of the abdominal tacks. He went back on the carnivore care for another 2 weeks before returning to a diet of NO chitin. For the most part he has been ok ever since, despite a huge weight loss. He dropped from 180g’s to just over 140....
I have recently started introducing medium sized, newly shed, de-winged, de-legged , well gutloaded crickets! (What a mouth full!) The difference I see in him already is amazing, though I am being very careful not to over do it as there is concern that things could get “tangled up” in the tacks..... I don’t believe his bowel movements will ever be the same... They are very “loose”.
But alas, he is coming around. His colors are coming back, he is alert, bright eyed and curly tailed and as of a few days ago back up to 163g’s!!!
I blame myself for the problems with Archimedes and wish that I had seen the potential for disaster when I still could have done something to prevent it. Chameleons systems are so sensitive to even the slightest of changes and unfortunately the results of some of these may not be seen for days, weeks, months ......... or longer. Time is crucial.

I continue to hope for the best with Archimedes, he is a very gentle tropper that truly seems to enjoy living.

I’m sorry this was so long (and I know there were things I didn’t mention!), but I hope that Archimedes story can give you some hope.
-----
~Jamie

Pic's! pg.photos.yahoo.com/ph/herphappy/my_photos

lele May 20, 2006 09:32 AM

Jamie & Joe,

Of course I have read about prolapses on the forums and glanced at some article and always felt terrible for the poor cham involved! But I had a female veiled at the time so this was not a potential issue (she had plenty of others and is now sadly gone ), but I do now have a male nosy be (5 1/2 months). Since the prolapse discussion only comes up occasionally I am glad to read about all of this NOW to keep in the back of my mind. I intentionally did not want another female b/c of the infertile egg issue figuring I was "safe" with a boy! So thanks for this reminder! I am sorry that it is at Luigi's discomfort and truly hope that all is OK with him - he surely has a great mom and dad

lele
Cyrus

-----
Chameleon Help & Resource Info
1.0 Nosy Be Panther Chameleon - Cyrus
0.1 Veiled Chameleon - Luna. She's now hanging from her big jungle gym in the sky
1.0 Beardie - Darwin
1.1 Side-blotched lizards - Ana and Stan for now
0.2 felines - Kyndra and Lita
0.1 African Clawed Frog - Skippy
0.1 Chilean Rose Hair Tarantula - Rosa Leigh, Died 4/21/06
0.1 Goliath Bird-Eater Tarantula - Natasha, donated to science 4/4/06
?.? Pinktoe Tarantula - no name yet

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