Thursday, April 29, 2010

2 female hamster cases - lip ulcer and pyometra

CASE 1
Young lady. Hamster 1 year. Not eating. Right fore paw not putting down. Big swelling up to right shoulder was obvious. What's the problem?

1. Instant diagnosis: Right pouch impaction and/or abscess?
2. Right fore paw swollen 2 x compared to the left. Occasionally he does put weight on the right fore paw.
3. Not eating. Why?

Isoflurane gas anaesthesia. Hamster's pouch everted and food empty. Big ulcer. Took digital

CASE 2
Young lady starting her wedding gown rental business. Female, 1.5 years old, dwarf hamster had been passing blood for one month. "After antibiotics and Biolapis electrolytes were finished, the hamster started passing a pool of smelly red blood. Now, her back legs are hair-less. She eats and passes a lot of well-formed stools. When she lies down, a pool of red blood flows out. Her urine is normal and clear. What's the problem?

1. Instant diagnosis: Wet Tail? Rectal growth? Anal growth? "But stools passed out are normal and well-formed," the lady said.

2. I saw the patches of reddish brown blood on the tissue paper. Now the blood is much more smelly.

Is this a case of pyometra?









Today, v.vigorous scratching after spraying with disinfectant spray all over body. Already scratching for 2 weeks. After scratching, bites paws fo 2 weeks. Bathed by pet shop warm water. 50% less scratching. Can walk and run. Pupils not reactive to bright light.

Don't clean the rabbit with wet cloth with anti-bacterial Dettol.

Can't house-train. Barks when confined, so let out

Case of the female 4-month-old poodle, 3rd vaccination and microchip

The niece who is a career HR girl had no time as she works long hours. Her mum dislikes the puppy. Tension in the relationship. Puppy is always crated in. Finally, gave the puppy to aunty who brought her in for 3rd vaccination. "My niece bought the puppy on impulse," she said. "Now I have to look after it."
"Why don't you sell the puppy back to the pet shop?" I said. "At a loss."
"My 10-year-old daughter will not part with the puppy" the mother said. "Her ankle always get nipped by the puppy. She will scream. The puppy will nip more."

BARKING NUISANCE. The puppy does not bark when not confined. So I asked "Where does the puppy sleep at night?" The mother said, "We put him in the kitchen and close the door." I asked, "Will the puppy barks non-stop?" The mother said, "Yes, but after some hours, she stops barking." So, you can see that there is a solution to barking control.

HOUSE-BREAKING
1. Common problem. Puppy barks loudly when confined in a cage. So, she is let out during the first week. Pees and poops everywhere. Headache of cleaning up for the mum.
2. Toilet area. Sometimes on newspapers. She likes to pee on the rug.

SOLUTION
1. Confine to kitchen. Baby gate. For 2-4 weeks.
2. Put newspapers in 2 places. Change to new ones frequently.
3. Focus on newspaper training. Newspaper with urine smell in early stages.

43. Should the vet cure the hamster wart with oral medication? ELECTRO EXCISION OR SURGICAL EXCISION

"Can you remember you did house-calls to a house in Ewart Park 30 years ago?" the mother brought in a 2-year-old hamster with a wart and 2 yellow upper eyelid abscesses asked me.

"I do remember Ewart Park," I said. "It is one of those secluded exclusive quiet leafy housing residential areas. You were a baby then" I could not recognise this mother of two teenaged daughters. "I wasn't a baby," she laughed. I was joking with her. She was a teenaged girl when I did the house-calls. At that time, I was 29 years old. But I remembered a Pekinese with maggot wound in the nose area and happy children running up and down a terraced patio, if my long-term memory served me right. I had never been to Ewart Park since. This was such a long time ago and now this teenaged child is a mother of teenagers. Her hamster looked thin and was a bit dehydrated when the hamster skin remained upright when pulled. But this hamster was very well cared for and was still active. He wanted to exercise but just could not reach the wheel. He would just fall off. It was not a laughing matter and the mother lowered the wheel for him. How to excise the wart completely? Freezing or just use scissors to cut it off at the stalk? I wanted to use electrosurgery to cut and kill off any surrounding wart viruses and stop bleeding. 

Cutting off usually leads to bleeding, so electro-surgery which coagulates and cuts is useful in this case. But would this old hamster be able to stand to electro-surgery and not die of a heart attack during the procedure? I asked my intern Tanya to stand by with the camera and take a picture as I electro-incise the wart. "It will be less than a second," I said. "Be ready snap the picture as I cut." 

Well, Tanya managed a second too late and got a picture of the wart after cutting. Better than nothing. As for the upper eyelid, I would not use electro-surgery as the area is too near to the eye. I used small scissors to snip off the abscess. There was a gap in the right upper eyelid of 1 mm x 2 mm but the wound healed well the next day.

"Why do you board the hamster at the pet shop?" I asked the mother who was glad to meet up with me after 30 years. "Did he get the wart after boarding?" The domestic worker was frightened of the hamster and so he was boarded when she was overseas. She did not know when the wart appeared but judging from the long finger nails of the left fore paw, it could be a few weeks. The second day, she visited with a new packet of Japanese-made hamster food and paper litter. This hamster was on a flooring of big solid pellets which I consider sharp and rough for this paws. But these big pellets were absorbent and not so smelly. 

Warts do occur in older hamsters. It is best to get them excised when they are small.  However, not all  vets in any country perform hamster surgery. Some prescribe oral medicine. Warts don't disappear with oral medication. Warts irritate the hamster as he tries to bite them off. They get infected and become painful. Search for a vet who will operate and excise them. Hamster warts grow bigger daily. They never disappear and the hamster may try to bite them off if they are present in the paws. The hamster is irritated and stressed by their growth and infection. As to why some vets merely prescribe oral medication when presented with hamster warts, I just cannot understand the rationale. Each vet has his or her approach to treatment in a case but all vets should be careful about the legal consequences of straying from the standard treatment of warts. More pictures are at "Hamsters", www.toapayohvets.com




-------------------------
INSTAGRAM POSTING ON 20 OCT 2021. This was a case done 11 years ago!

Warts do occur in older hamsters. Warts don't disappear if your vet prescribes oral medication. Warts are licked. They get infected, become painful and the hamster loses weight. Not all vets perform hamster surgery. You need to look for a hamster vet. 

Dr Sing Kong Yuen’s 2010 case study is at: 
https://2010vets.blogspot.com/2010/04/should-vet-treat-hamster-warts-with.html

42. Follow-up on No. 41 --- crate training a puppy

DRAFT REPORT

EMAIL REPLY FROM DR SING APRIL 29, 2010


SAW ONE PICTURE.

FORTUNATELY, YOU EMAIL PICTURES AS I WAS WONDERING WHY YOUR PUPPY PEES IN THE CENTRE ALL THE TIME. FROM YOUR PICTURE, YOU HAVE RUBBER MATS WITH HOLES ON THE LEFT 1/3 AND RIGHT 1/3 WITH THE MIDDLE BEING THE ORIGINAL WIRE FLOORING OF THE GRATE.

IN THE LEFT 1/3, THE BACK HALF OF THE LEFT IS THE POOPING AREA, THE FRONT PART IS THE FEEDING AND WATER AREA.

THE BACK HALF OF THE RIGHT IS THE SLEEPING CLEAN AREA.


THE RIGHT 1/3 IS THE CLEAN AREA AND SO HE DOES NOT PEE AND POOP THERE. HOWEVER THE LEFT 1/3 IS ALSO THE DRINKING BOTTLE AND FEEDING AREA. SO THE POOR PUPPY HAS TO WALK DIAGONALLY PAST THE SOILED CENTRE (WHERE HE PEES) TO GOTO THE WATER BOTTLE ON THE FRONT RIGHT.

I WILL RECOMMEND THAT THE FRONT OF THE RIGHT 1/3 AREA BE THE AREA WHERE THE PUPPY EATS AND DRINKS. THAT MEANS THE WATER BOTTLE SHOULD BE ON THE RIGHT, NOT ON THE LEFT.

IF YOU CAN, SEND ME 2 PICTURES IN .JPG FOR MY RECORDING PURPOSES.

SEE MORE REPLIES BELOW.

On Wed, Apr 28, 2010 at 10:42 PM, XXX@yahoo.com.sg> wrote:

Hi Dr Sing,
as promised, I've attached 2 pictures of Cookie's crate & pee pan. By the way my mum is a housewife but she goes out like 2 - 3 days a week and hence Cookie is not under full supervision on these days. I'll have to follow the way a working adult trains his/her puppy.

Hope it helps. I've also added further comments in the email below.

From: Kong Yuen Sing <99pups@gmail.com>
To: XXX@yahoo.com.sg>
Sent: Wednesday, 28 April 2010 10:05:11
Subject: Re: Toilet Training Chihuahua x Pom

Thank you for email. It is best that you email 2-4 pictures of Cookie's crate + pee pan with the positioning of water bottles, bowls and sleeping area as every puppy is housed differently.

The following is my reply to you:

On Tue, Apr 27, 2010 at 5:36 PM, Sharon Soh wrote:

Hi Dr Sing,

I’ve been reading up your toilet training blog and find it very useful when toilet training my puppy. However, I still have a few queries. I’m a first timer raising up a puppy and hence has been quite stress up. I’ve accompanied my puppy for the first 3 days (almost keeping him within my sight) and observed the following:



My puppy is a mix breed of Chihuahua and Pomeranian, 3 months named Cookie. He was with us since 24 Apr 10.




The pet shop owner came with a crate with wire flooring and a pee pan below. Initially I try to carry Cookie to the bathroom after nap/food with newspapers laid on the floor but was unsuccessful. Cookie usually poos twice a day, 1 in the early morning and another one in weird timing. I realized that he only pees in the middle of the crate; I supposed it’s due to the urine smell. He pooed everywhere though.


COOKIE IS USED TO THIS WIRE FLOOR SYSTEM. HE WAS IN THE PET SHOP WITH SUCH A SYSTEM. AS TO POOPING EVERYWHERE, ARE YOU SURE? Where is his sleeping area? Is the crate too small?

XXX: So far we've not really let him outta his crate for too long, only wanted him to get some exercise and will put him back aft 10 - 15 mins. We try to bring him outta his crate at least 3 times a day. He drinks a lot too esp aft play outside the crate. As for the crate size, please advise if it's too small or too big based on the attached pictures.

CRATE SIZE OK



Qn 1: Do you think Cookie will poo in the middle like where he used to pee if I spray those anti-pee/anti-poo spray (given by my friend) on those area that I don’t want him to do pee/poo? The spray has a strong smell and I'm contemplating to use it.

YOU CAN TRY. THE BEST IS TO ENSURE THAT HIS SLEEPING AND EATING AREAS ARE FURTHEST AWAY FROM THE POOPING AREA AND

THE MIDDLE OF THE CRATE.



XXX: I tried spraying on the red rubber mat and Cookie refused to eat after that. I guess its due to the pungent smell. He continues his eating after I wiped the mat.

SPRAY IS NOT VERY USEFUL IN MANY CASES




Qn 2: It seems like he’s trained to pee/poo in the crate. Is that a good idea? It’s ideal for us since we are working. However, if we bring Cookie out eg. to a friend’s place, will he pee/poo everywhere since there’s no crate?

YOU MAY NEED TO BRING YOUR CRATE ALONG. COOKIE WILL PEE AND POOP ANYWHERE IF LET ALONE FOR THE FIRST 2-4 WEEKS as he is not fully house broken.



XXX: how do we determine if a puppy is fully house broken?

WHEN THE PUPPY KNOWS WHERE TO PEE AND POOP IN AREA REQUIRED BY THE OWNER. E.G. PAPER TRAINED PUPPY WILL ELIMINATE ON PAPERS ONLY AT ALL TIMES, UNLESS THERE IS NO PAPER. OR HOP INTO CRATE WHEN HE NEEDS TO ELIMINATE AND NOWHERE ELSE. OR TO A SPOT IN THE GARDEN.



Qn3: Cookie seems to be stepping hard on his own poo when all of us are asleep. He’s also seems to be shifting them around. I can see portions of it at different areas of the crate. We also caught him eating his own poo once. How do we prevent such action from happening especially when we are all asleep?


EATING STOOLS IS A COMMON COMPLAINT. YOU MAY NEED TO REMOVE STOOLS PROMPTLY. IF NOT PRACTICAL, YOU MAY NEED OTHER METHODS I had mentioned in my blog. These are not guaranteed to succeed.

XXX: Will try a few of the methods and update you on the improvement.



Qn4: When I let him out to play in the living room, will it be better to leave the crate door open and let him run to the crate to pee/poo? YES. HOWEVER, MONITOR HIM CLOSELY SO THAT HE DOES NOT PEE/POOP OUTSIDE THE CRATE. KEEP ALL DOORS OF BEDROOMS CLOSED.

XXX: So far he hasn't poo outside but has an accidental pee just outside the toilet.



Or will it be better to lay newspapers on a pee pan (given by my friend) with Cookie’s urine smell at a corner so he can pee/poo when he’s out playing and need not rush back to the crate? DECIDE ON ONE METHOD - CRATE WITH WIRE FLOORING OR NEWSPAPERS FOR THE NEXT 2-4 WEEKS IF YOU WANT EARLY SUCCESS. In the Crate method, your dog will then use the Crate as the toilet area and outside as his den in 2-4 weeks, in most cases. So, you just clean the crate. Later, you can buy the GRATE + PEE PAN which is actually the same as the lower half of your present crate, without the enclosed vertical walls.

XXX: "In the Crate method, your dog will then use the Crate as the toilet area and outside as his den in 2-4 weeks, in most cases. So, you just clean the crate." When you said "outside as his den in 2 - 4 weeks", are you saying that Cookie will want to sleep outside of his crate in 2 - 4 weeks?

DEPENDS ON THE TYPE OF TOILET TRAINING PROVIDED BY THE OWNER IN THE FIRST 2-4 WEEKS.

MOST PUPPIES WILL SLEEP OUTSIDE THE CRATE AS THERE IS FREEDOM. JUST GOES INTO THE CRATE'S WIRE FLOORING TO PEE AND POOP. OTHER SMALL BREEDS WILL SLEEP INSIDE THE CRATE AND ELIMINATE OUTSIDE (ON NEWSPAPERS).

As for Grate & Pee Pan, can I just used the current pee tray and removed the vertical walls since it's similar to the one you recommended?

OK



I've let him out of the crate twice on 26 Apr and surprisingly, he climbs back to his crate when he's thirsty after running a few rounds. I see that as a good sign of recognising his own den?


FOCUS ON CRATE TRAINING FOR THE NEXT 2-4 WEEKS, SINCE YOU ARE WORKING AND HAVE NO TIME. IF YOU START PAPER-TRAINING, YOU WILL NEED TO FOCUS ON PAPER TRAINING. The puppy gets confused as to what you want.

XXX: Will heed your advice and focus on crate training for the next 2 - 4 weeks.




YOUR PICTURE SOLVES THE MYSTERY OF WHY YOUR PUPPY PEES EXACTLY IN THE CENTRE. THE PUPPY 'FEELS' THE FLOORING AND IS USED TO THE WIRED FLOORING OF THE PET SHOP. SO HE PEES IN THE CENTRE SINCE YOUR LEFT 1/3 AND RIGHT 1/3 HAS RUBBER MATS WITH A DIFFERENT FEELING.

IN THEORY, YOU SHOULD HAVE ONLY RUBBER MATS ON THE RIGHT 1/3, THE WATER BOTTLE ON THE RIGHT 1/3 FRONT PART AND FEEDING NEAR THE WATER BOTTLE.

SO THE LEFT 2/3 IS THE WIRE FLOORING INTENDED TO BE A TOILET AREA. WIRE FLOOR GRATING. THIS WILL NOT CONFUSE THE PUPPY AS IT DOES "FEEL" THE FLOORING AS WELL AS DETECT THE URINE SMELL IN THE NEWSPAPERS BELOW FOR PEEING AND POOPING.

I HOPE YOU KNOW WHAT I AM WRITING ABOUT.



Sorry for the long post and thank you for the time to read my email, I would be very much delighted to receive your reply



Regards,

Wednesday, April 28, 2010

41. Focus on one house-breaking method for first 2-4 weeks to succeed

DRAFT

E-MAIL REPLY FROM DR SING DATED APR 28, 2010

Thank you for email. It is best that you email 2-4 pictures of Cookie's crate + pee pan with the positioning of water bottles, bowls and sleeping area as every puppy is housed differently.

The following is my reply to you:

On Tue, Apr 27, 2010 at 5:36 PM, ...yahoo.com.sg> wrote:

Hi Dr Sing,

I’ve been reading up your toilet training blog and find it very useful when toilet training my puppy. However, I still have a few queries. I’m a first timer raising up a puppy and hence has been quite stress up. I’ve accompanied my puppy for the first 3 days (almost keeping him within my sight) and observed the following:



My puppy is a mix breed of Chihuahua and Pomeranian, 3 months named XXX. He was with us since 24 Apr 10.



The pet shop owner came with a crate with wire flooring and a pee pan below. Initially I try to carry XXX to the bathroom after nap/food with newspapers laid on the floor but was unsuccessful. Cookie usually poos twice a day, 1 in the early morning and another one in weird timing. I realized that he only pees in the middle of the crate; I supposed it’s due to the urine smell. He pooed everywhere though.


XXX IS USED TO THIS WIRE FLOOR SYSTEM. HE WAS IN THE PET SHOP WITH SUCH A SYSTEM. AS TO POOPING EVERYWHERE, ARE YOU SURE? Where is his sleeping area? Is the crate too small?



Qn 1: Do you think XXX will poo in the middle like where he used to pee if I spray those anti-pee/anti-poo spray (given by my friend) on those area that I don’t want him to do pee/poo? The spray has a strong smell and I'm contemplating to use it.

YOU CAN TRY. THE BEST IS TO ENSURE THAT HIS SLEEPING AND EATING AREAS ARE FURTHEST AWAY FROM THE POOPING AREA AND THE MIDDLE OF THE CRATE.



Qn 2: It seems like he’s trained to pee/poo in the crate. Is that a good idea? It’s ideal for us since we are working. However, if we bring XXX out eg. to a friend’s place, will he pee/poo everywhere since there’s no crate?

YOU MAY NEED TO BRING YOUR CRATE ALONG. XXX WILL PEE AND POOP ANYWHERE IF LET ALONE FOR THE FIRST 2-4 WEEKS as he is not fully house broken.



Qn3: XXX seems to be stepping hard on his own poo when all of us are asleep. He’s also seems to be shifting them around. I can see portions of it at different areas of the crate. We also caught him eating his own poo once. How do we prevent such action from happening especially when we are all asleep?


EATING STOOLS IS A COMMON COMPLAINT. YOU MAY NEED TO REMOVE STOOLS PROMPTLY. IF NOT PRACTICAL, YOU MAY NEED OTHER METHODS I had mentioned in my blog. These are not guaranteed to succeed.



Qn4: When I let him out to play in the living room, will it be better to leave the crate door open and let him run to the crate to pee/poo? YES. HOWEVER, MONITOR HIM CLOSELY SO THAT HE DOES NOT PEE/POOP OUTSIDE THE CRATE. KEEP ALL DOORS OF BEDROOMS CLOSED.


Or will it be better to lay newspapers on a pee pan (given by my friend) with Cookie’s urine smell at a corner so he can pee/poo when he’s out playing and need not rush back to the crate? DECIDE ON ONE METHOD - CRATE WITH WIRE FLOORING OR NEWSPAPERS FOR THE NEXT 2-4 WEEKS IF YOU WANT EARLY SUCCESS. In the Crate method, your dog will then use the Crate as the toilet area and outside as his den in 2-4 weeks, in most cases. So, you just clean the crate. Later, you can buy the GRATE + PEE PAN which is actually the same as the lower half of your present crate, without the enclosed vertical walls.





I've let him out of the crate twice on 26 Apr and surprisingly, he climbs back to his crate when he's thirsty after running a few rounds. I see that as a good sign of recognising his own den?


FOCUS ON CRATE TRAINING FOR THE NEXT 2-4 WEEKS, SINCE YOU ARE WORKING AND HAVE NO TIME. IF YOU START PAPER-TRAINING, YOU WILL NEED TO FOCUS ON PAPER TRAINING. The puppy gets confused as to what you want.



Sorry for the long post and thank you for the time to read my email, I would be very much delighted to receive your reply J



Regards,

Monday, April 26, 2010

Microchip error from the vet?

--- On Sat, 4/24/10, Joanne Woo wrote:


From: Joanne Woo
Subject: Error in microchip number
To: judy@toapayohvets.com
Date: Saturday, April 24, 2010, 4:09 AM

Dear Dr. Sing,

We spoke on the phone earlier regarding the wrong microchip number given to me when I first brought my dog, Oreo to be vaccinated and microchipped at your clinic on 30 March 2008.

Basically, I found that the microchip implanted in my dog has a different number from the bar code that is pasted on his first vaccination form. I have attached a scanned copy of the vaccination form to this email for your perusal.

The microchip number in his body is: XXX6618
The microchip number on the bar code pasted on the vaccination form is: XXX6722

As a result of this misinformation, I have been licensing my dog under the wrong microchip number with AVA for the last 2 years. My next license renewal is due on 6 May 2010 and hence, I would like to rectify this mistake with AVA before I renew it. I would appreciate if you could assist me on this matter.

Thank you.

Yours sincerely,
Name of owner


E-MAIL REPLY FROM DR SING.

Thank you for email. There were several Border Collies siblings I microchipped together. I believe that the Seller gave you the wrong microchip paper. I need to scan your Border Collie and give you a report of the correct number.

EXPLANATION FROM DR SING
On the surface, the dog owner must have the misleading impression that I have lost my marbles or my mind. Instead of disputing over the phone, I asked her to email to me a scan of the microchip and vaccination certificate to save time and prevent miscommunications. She was very polite and helpful.

This mystery was solved when the owner emailed me the details of the case as there were more than 1 Border Collie siblings microchipped by me from a home breeder. He must have given any microchip certificate as Border Collies were all black and white and he had no microchip scanner prior to sale.

Hamsters on steroids

From:
To: judy@toapayohvets.com
Date: Saturday, April 24, 2010, 5:28 PM

Hi

My name is XXX, I have been to your place before and I have 2 hamsters that require some medical attention.

Both are about 2 years old, 1 male and 1 female.

Male suffers from having skin lesions and pus filled abcess in skin folds, I clean him regularly and he is on prednisolone, his conditions fluctuate between good and bad, my previous vet has suggested to keeping him in a high dosage of steroids to keep the inflammation and growth down since not much can be done and he is rather old. However recently he has been losing alot of weight and the situation is worse.

The female one has been very healthy for most of 2 years. However she likes getting into fights. She has a little wound above her right eye cause by a fight that simply wouldnt heal. However, the major problems that she has a pus filled growth in her mouth, it was originally very small and on the outside(with no pus), so I also started her on prednisolone. Only this week did I really she was walking weirdly and lethargic, upon further inspection I realized her her mouth sacs were swollen and there was solid pus on the growth. I cleaned off the pus with cotton wool. Also she has a deep red swell on her abdomen, near her right leg. I use the same syringe for both hamsters, but I wash it before feeding medication to each of them. Also, she bit me about 2 weeks ago while I was feeding her, as I pulled away she fell off from about half a meter on the back.

I was wondering if you will be free for a consult on monday evening.

I can be contacted via

Cheers
XXX


I am Dr Sing. From what you described, the infections have overwhelmed the hamsters due to your use of steroids. I will be available during office hours. If you wish, you can leave the hamsters in my Surgery for daily check and treatment rather than just do it yourself.