The good news is that he's eating, drinking, pooping and peeing normally. He is just as active as he normally is. It doesn't seem to be causing him any pain or discomfort either. The lump is gone down after all of the puss came out. It was halfway between his nose and his eye and just off to one side. I'm not seeing any discharge from his eye or nostril. I'll have to keep a very close eye on him until I can get ahold of the vet on Monday. Maybe we'll get lucky and it will be ok since it was drained already. I'm not counting on it though.
I have a little bit of orbax, but I'm not inclined to give it to him just yet for a couple of reasons. For one, I don't know what type of abscess it is or what caused it and second, I don't have enough for a full course. I have enough for 2, maybe 3 doses. If this is one of those abscesses that needs to be left open to heal from the inside out, it's going to be very uncomfortable for Gilligan because of where it is located. I suppose it could be from his teeth, but it seems a little bit forward of where his molars are and behind his incisors. Plus he's not having any problems chewing his food. I'm not ruling it out either.
I think you are right not to start on antibiotics. Better under veterinary supervision and with a complete course of treatment.
And yes, a photo could be helpful. Esp if you have a before photo.
You can see the lump , even though it is still quite a bit smaller than it was before it drained last night. He had just finished eating his veggies, so there is some moisture around his mouth from that. I suppose it could be from Skipper nipping him sometime and it's been festering. I see all of my guinea pigs multiple times daily but if there was a small enough puncture wound from Skippers incisor, I could have missed it. There's still the possibility that the cage nibbling he does to get food and attention could have caused a problem with the roots of his teeth. There's also the possibility that he picked up some kind of parasite from the last time he went outside to graze and it burrowed into his skin.
I just hope I can get him into the vet tomorrow. I could always have Ava look at it if Dr Hardy is booked too far out although they'll probably have to refer him out. At the very least, maybe they'll be able to recognize the infection and get him started on antibiotics. If it is parasitic, I'm sure they're knowledge of local parasites will be useful in recommending treatment. It's helping that his appetite and activity is unchanged and he doesn't appear to be having any pain or discomfort. Still no discharge from his nostril. His eye does have a tiny bit of white stuff in the corner of it which you can see.
- And got the T-shirt
This is from the page you linked to. Does it matter that the abscess is on his nose and not his neck? Are there even any lymph nodes in or around the area of his abscess?1. What is CL?
Cervical Lymphadenitis is a swelling or abscess of the cervical lymph nodes in a guinea pig's neck.
After reading what was posted by bpat about hard vs soft, I'm a little bit relieved that Gilligan's is soft. It also ruptured and drained. When I say ruptured I don't mean popped like a pimple. It was more like an ooze to start with and gentle pressure from my finger easily pushed out the puss and there was a lot of it. If I had to wager a guess I'd say between a half and a whole teaspoon, although I can't swear to the amount.
If there is a hole where the puss came out, you might even be able to flush it gently with a curved tip syringe and warm sterile saline solution. If you do so, watch for any unusual drainage. Because of the location, there may be communication with the oral cavity.
I'm sorry for the grotesqueness of the picture, but this is what I'm getting out of a small hole in his skin. Notice that the lump has gone down once the puss is out. You can't see because it's underneath the clump of puss, but there's a small trace of blood in it.
I should also note that the drain hole is about in the middle of the pocket of infection, so I have to run from his nose back and from his eye forward to get all of the pus out. Gilligan lets out a little squeak now once the pocket is empty. Tonight is the first time that's happened. It also bled a little bit. Not profusely, but it did ooze a spot or two. Not sure if that's good or bad, but I know that in humans it is good for an infected wound to bleed.
The hole on his face where the abscess drains scabbed over, but what little pus that was in there came out around it and it came off when I flushed the wound. There is still no change in appetite or activities. He loves his carrot treat and forgives me for torturing him. Skipper is the lucky recipient of a carrot to keep him from stealing Gilligan's. The carrot they get is in addition to the daily treat all of the guinea pigs get.