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SquirrelRefuge
03-31-2015, 02:00 AM
I have received a request for help from a man in India with a very sick palm squirrel.

Attached is the picture (its small so Im trying to get a better one). The squirrel has swelling around its mouth. below is the email followed by questions I asked and his responses. I'm thinking it may be an abscess or a infection of the tooth but he said he provided SMZ-TMP with no improvement.

He says he has access to a vet and can get whatever medications are recommended; however, the vet has no experience with squirrels.

I'm thinking the vet should try to drain the area and use a stronger antibiotic with metacam for discomfort. Any thoughts on that?

Original Email:

My daughter rescued a squirrel and looked after her for 31/2 years. She(Choti) has developed a kind of an infection in her right side of the chin and not able to open her mouth and eat. We are feeding her liquid food through the left side. She constantly wants people to hold and caress her. Sending you photos of the infection. Please advise treatment if you can diagnose from the photos. It is very difficult for us as we do not have veterinary doctors who know much about squirrels. Choti is an Indian Palm squirrel.

We have so far tried her on antibiotics septran and then later on aciclovir and local application of betadyne.


Indian Palms are quite small, about 100 grams as adults. This is an adult. Septran is a brand name for SMZ-TMP and acyclovir is an antiviral.

Questions Ive asked so far and responses

Q. When did you first notice the problem and how rapidly did it develop? How long has she been like this?

A. the symptoms appeared a month back. For the first 2 weeks it looked like a small boil but within the next week it swelled up and reddened, the hair around fell. About a month she has been like this.

Q. What was her normal diet like before and what are you feeding her now?

A. She eats cucumbers, corn bread, multigrain bread, tender coconut, sometimes pinenuts and almonds, muesli. Now she is not able to eat from the infected side. Keeps going to the kitchen and drinks milk with some biscuits soaked in it. She is unable to open the mouth so tilts her face and drinks the milk which she never drank before. I will advise that a change in diet is in order

Q. How are her bottom teeth? Do both of them appear healthy and straight?

A. The bottom teeth are yellowish and does not look healthy but are straight He may not be aware that tooth discoloration is normal.
Q. Does the squirrels breath smell different from normal or does the wound smell?

A. breath does smell different. Actually we cannot make out where the smell comes from her breadth or from the wound as she is not able to open the mouth.

Q. When you press on the area is it firm, soft or lumpy?

A. The wound area is slightly soft and lumpy.

Q. Is it warmer than the healthy side of her face?

A. It is warmer than the healthy side.

Q. Is there any fluid or pus draining either from inside the mouth or from the cheek?

A. There is discharge (white) from the eye.

czarina
03-31-2015, 02:24 AM
Hi, we are familiar with Indian Palm squirrels. We actually have a couple of members that have them.

One of the members started a thread about them , probaby in the species soecific area. So, we are fairly knowledgeable about threm.

Obviously, the squirrel is having milk tears, from the pain. I would advise to get the metacam in him ASAP, to get some relief.

Any chance this is a bot fly, or something similar that they have over there?

Is there any drainage coming from the actual lump, either on the outside, or inside the mouth?

If it is mushy, sounds like a boil, or insect bite that needs an I&D (incision and drainage)

If firm, the possibility of a tumor exists.

Has he taken the squirrel to the vet yet?

Some pathology is readily evident.
The vet would not need to be a squirrel exoert to recognize an abcess or tumor.
The basic pathology is the same.

We can help advise on the correct meds and dose it for him.

So first, get pain med in him, then get him to the vet ASAP.

Sadly, we just lost a sweet little squirrel named Izzy to lymphoma. He grew a lump on his neck, and within about a month and a half, it completely encompassed his whole neck.

So, the vet should recognize the basic pathology, and we can go from there.
Can you get more/better pics? I really can't see it well at a, but I just stepped out if the bath, and am on my phone. I will check on the computer.

czarina
03-31-2015, 02:35 AM
Instead of the metacam, Tranadol might be a better choice for pain relief, although it does not have the anti-inflammatory properties of metacam.

BUT, if this is a tumor, the vet will want to give prednisone, and Tramadol is the only pain med that can be given with steroids.

DO NOT ADVISE THEM TO GIVE PREDNISONE.

Find out what it is first! Hopefully, antibiotics can help it.

stepnstone
03-31-2015, 02:50 AM
Although the picture is not that clear what is clear is this squirrel is and has been in serious condition. The abscess does need to be drained as well as finding the cause for it in the first place. Unfortunately for as long as it has gone on the infection may very well have already started deteriorating the jaw bone itself. It is obvious the squirrel is in major pain! The white fluid in the eyes are tears! I'm afraid without draining and cleaning out the infected area no amount of ab is going to get ahead of it to be of any benefit if there is even that chance. If this person has no alternative to pursue professional treatment then the humane thing to do would be to end this babies suffering. It is suffering in this condition and it is horrid for any animal to have to endure.

254678

Annabelle's papa
03-31-2015, 04:24 AM
:grouphug

TubeDriver
03-31-2015, 07:17 AM
I think the advice given above by Czarina and Stepnstone is good advice. Best case scenerio, open up and drain, start antibiotics and keep fingers crossed. With an infection that advanced and in that location, I would consider stacking Clindamycin and Clavamox to broadly cover possible bacteria. We can help with dosing specifics if these ABs are available?

If this little squirrel does not respond to these ABs or if aggressive treatment with ABs is not possible (or if the vet determines that this is a tumor and not an abscess) then Stepnstone's advice about the gift of relief from suffering should be strongly considered.

:grouphug

HRT4SQRLS
03-31-2015, 07:24 AM
I think the advice given above by Czarina and Stepnstone is good advice. Best case scenerio, open up and drain, start antibiotics and keep fingers crossed. With an infection that advanced and in that location, I would consider stacking Clindamycin and Clavamox to broadly cover possible bacteria. We can help with dosing specifics if these ABs are available?

If this little squirrel does not respond to these ABs or if aggressive treatment with ABs is not possible (or if the vet determines that this is a tumor and not an abscess) then Stepnstone's advice about the gift of relief from suffering should be strongly considered.

:grouphug
:yeahthat AND an X-ray to determine if this is an odontoma due to the poor diet. :sadness

island rehabber
03-31-2015, 08:00 AM
Yes yes yes to Clav, Clindo and an x-ray of the head. If necessary and if the x-ray is a good one, we could even ask Dr Alicia Emerson to take a look at it -- she is wonderful that way and I'm pretty sure she would help a little squirrel so far away with an expert diagnosis. My heart is breaking for this poor little one. Tramadol, maybe, for the pain?

czarina
03-31-2015, 12:01 PM
I was thinking of the clav and clindo stacking, too. It is a very good combo, for this type of infection.

I think Dr. Emerson would agree to look at the x-ray, too.
She is honestly one of the kindest people I have ever spoken with.

I agree with the tramadol, because if this is a tumor, (which I am thinking it might be), it could be given with the prednisone.

And certainly, if this poor baby doesn't respond quickly, help him cross. My heart has been breaking since Step blew up the picture, and I could see how horrible this looks.

And remember, this is a 7 year old squirrel, and obviously very loved. I am thinking that 7 is pretty old for this type of squirrel.

I am wondering if perhaps this could be an insect bite, something that the squirrel tried to eat, that stung him? I remembet hairimu saying that her squirrel ate A LOT of ants. Or, even a splinter that got stuck, but I don't think palm squirrels chew as much as ours.

Lots and lots of prayers going out.:Love_Icon:grouphug:Love_Icon:grouphug:Love_Ic on:grouphug:Love_Icon:grouphug:Love_Icon

SquirrelRefuge
04-05-2015, 02:21 AM
He got back to me today and said he has found a vet willing to treat the squirrel. I will let you know what the vet tells him. Thanks for all of the good advice. Jackie

TubeDriver
04-05-2015, 08:11 AM
Please let us know how things turn out for this little one! Thanks.

czarina
04-05-2015, 10:19 AM
Thank you so much for giving us an update!
We consider all critical cases a learning experience,
and if we can help another squirrel, by the info garnered
here, all the better.

Looking forward to finding out what the vet says.

Lots of prayers going out to this little one.:Love_Icon

:Love_Icon:grouphug:Love_Icon:grouphug:Love_Icon:g rouphug:Love_Icon

SquirrelRefuge
04-06-2015, 12:03 AM
Here is what the finder sent me regarding what the vet said.

Dear Jackie,

we managed to contact a vet from a nearby state park. Upon examining her he said that there is nothing external. The growth/lump is inside and its hard hence not allowing her jaw to open. It has also pushed her tongue to one side hence she tilts her head to the left and attempts to eat. Vet has also asked us to feed her on liquid diet fortified with cerelac or farex and soft fruits. He has also taken an x-ray and awaiting the results. Asked us to put her on a steroid betamethasone, a pinch of it in her food.

Also told us nothing can be done since it is not external and lacerations cannot be made. Will keep you updated.


rgds

Sanjay

****
I recommended that if the steroids or other treatments recommended by the vet do not reduce the size of the mass to a manageable level and permanently resolve the discomfort that the squirrel should be euthanized. I will let you know if he does get back to me after the x-ray results are in.

Sometimes people stop communicating with me when I recommend the hard choices.

TubeDriver
04-06-2015, 04:57 AM
So this is some type of tumor? :( Poor little squirrel. :grouphug

It sounds like the squirrel is getting good care and treatment, I hope she is comfortable.








Here is what the finder sent me regarding what the vet said.

Dear Jackie,

we managed to contact a vet from a nearby state park. Upon examining her he said that there is nothing external. The growth/lump is inside and its hard hence not allowing her jaw to open. It has also pushed her tongue to one side hence she tilts her head to the left and attempts to eat. Vet has also asked us to feed her on liquid diet fortified with cerelac or farex and soft fruits. He has also taken an x-ray and awaiting the results. Asked us to put her on a steroid betamethasone, a pinch of it in her food.

Also told us nothing can be done since it is not external and lacerations cannot be made. Will keep you updated.


rgds

Sanjay

****
I recommended that if the steroids or other treatments recommended by the vet do not reduce the size of the mass to a manageable level and permanently resolve the discomfort that the squirrel should be euthanized. I will let you know if he does get back to me after the x-ray results are in.

Sometimes people stop communicating with me when I recommend the hard choices.