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GI bleed? My poor caique.

Akoni

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I uncovered my caique's cage this morning per the usual morning routine and found something highly unusual. River, an 8-year-old female, was hunched over at the bottom of her cage, feathers fluffed, with her eyes half lidded. I also discovered her water dish was dry, so I refilled it and she drank a lot. My cockatiel, who lives in a neighboring cage, was fine. I called her local vet but they were closed, so the next call was to Cornell University Animal Hospital. I had to leave a message and waited 20 minutes for them to call me back, only to have the call get disconnected due to poor service at my house. At this point, I was in a full panic because she was not improving, cell service was horrible, and my toddler was whining for his breakfast and had thrown a bunch of papers all over the floor, one of which had the vet's number. My husband arrived home, helped me get everything under control, then we made the long drive to the vet. I checked on her frequently, terrified that she wouldn't survive the drive.

The first update was very grim. They said she was regurgitating a lot so they couldn't really do any diagnostic testing for fear that she would aspirate. They suspected heavy metal toxicity or PDD. They gave her water under her skin and sugar water for electrolytes. The vet told me that I could visit her if it became time to say goodbye.

The vineyard about 3 miles from the animal hospital was a very smart idea; kudos to them. I spent the afternoon crying and drinking wine.

The evening's update was better. Her feces looked like coffee grounds, so she had a GI bleed. They put water under her skin again and offered her food and water, which she accepted. The vet said she was even perching. The goal is to keep her comfortable overnight so that they can do diagnostic blood work and x-rays tomorrow.

Does anyone have any advice or thoughts? I know there is no chance if she has PDD, but she has not been around other birds and my cockatiel is fine. Knock on wood. I've been checking him obsessively since returning home; he's been pretty distressed to be alone. I don't think she has gotten into anything that would cause heavy metal toxicity. She's been in a different cage temporarily for the last month and a half, but it is in good condition and the toys inside are from our AA vendors. The reason for the temporary cage (normally my cockatiel's cage; he's in a smaller one) is that we are living at my family's lake house, which we do every Summer. I'm slightly concerned about the water- it's not potable due to a well that hasn't been maintained throughout the years. We tested it years ago and it wasn't horrible but has high Iron. We get town water from family members' houses and give that to the birds too. But I don't know if tiny amounts of it when we wash their dishes could harm them? Is a GI bleed even consistent with the earlier concerns that it could be PDD or metal toxicity?

Hopefully we'll know more tomorrow. In the meantime, any positive thoughts you want to send our way would be appreciated!
discovered her water dish was dry, so I refilled it and she drank a lot. My cockatiel, who lives in a neighboring cage, was fine. I called her local vet but they were closed, so the next call was to Cornell University Animal Hospital. I had to leave a message and waited 20 minutes for them to call me back, only to have the call get disconnected due to poor service at my house. At this point, I was in a full panic because she was not improving, cell service was horrible, and my toddler was whining for his breakfast and had thrown a bunch of papers all over the floor, one of which had the vet's number. My husband arrived home, helped me get everything under control, then we made the long drive to the vet. I checked on her frequently, terrified that she wouldn't survive the drive.

The first update was very grim. They said she was regurgitating a lot so they couldn't really do any diagnostic testing for fear that she would aspirate. They suspected heavy metal toxicity or PDD. They gave her water under her skin and sugar water for electrolytes. The vet told me that I could visit her if it became time to say goodbye.

The vineyard about 3 miles from the animal hospital was a very smart idea; kudos to them. I spent the afternoon crying and drinking wine.

The evening's update was better. Her feces looked like coffee grounds, so she had a GI bleed. They put water under her skin again and offered her food and water, which she accepted. The vet said she was even perching. The goal is to keep her comfortable overnight so that they can do diagnostic blood work and x-rays tomorrow.

Does anyone have any advice or thoughts? I know there is no chance if she has PDD, but she has not been around other birds and my cockatiel is fine. Knock on wood. I've been checking him obsessively since returning home; he's been pretty distressed to be alone. I don't think she has gotten into anything that would cause heavy metal toxicity. She's been in a different cage temporarily for the last month and a half, but it is in good condition and the toys inside are from our AA vendors. The reason for the temporary cage (normally my cockatiel's cage; he's in a smaller one) is that we are living at my family's lake house, which we do every Summer. I'm slightly concerned about the water- it's not potable due to a well that hasn't been maintained throughout the years. We tested it years ago and it wasn't horrible but has high Iron. We get town water from family members' houses and give that to the birds too. But I don't know if tiny amounts of it when we wash their dishes could harm them? Is a GI bleed even consistent with the earlier concerns that it could be PDD or metal toxicity?

Hopefully we'll know more tomorrow. In the meantime, any positive thoughts you want to send our way would be appreciated!
river and lobster.jpg
 

enigma731

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Severe infection can also cause GI bleeding, so it could be something relatively straightforward to treat. It sounds like she's in great hands.
 

finchly

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Wow! What a scary situation. Great that you were able to get her to the vet.
 

Tiel Feathers

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I hope she’ll be okay!
 

fashionfobie

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Sending positive thoughts. Great avian school at Cornell, you will get the best care available. :fingerscrossed:
 

Love My Zons

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Good morning, hoping to hear good news on your next update. Thinking of you two.
 

CrazyKozmo

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Hoping for good news today! Please keep us posted. Sending positive energy~~~~~~~
 

Akoni

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She made it through the night with a slight improvement from yesterday evening. She wants to eat, but is regurgitating a lot of it. They took blood which the lab will process tomorrow. As of this morning, they were waiting to do other testing until she had more strength. Hopefully we'll have an answer tomorrow.

I washed and bleached the bird cages just in case. My cockatiel has been anxious and pacing in his cage, but he got some quality time riding on our shoulders and sunning. IMG_20200809_134717535_HDR.jpg
 

iamwhoiam

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It's good that your 'tiel is doing a little better. Hope she will continue to improve. Did they give you anything to help with her vomiting/nausea?
Sending positive thoughts.
 

Akoni

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It's good that your 'tiel is doing a little better. Hope she will continue to improve. Did they give you anything to help with her vomiting/nausea?
Sending positive thoughts.
Tiel is fine, just sad that his sister is gone. It's my caique that is sick. She's still at Cornell receiving great care.
 

Akoni

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Tonight's update was that she is curious and walking around her incubator, but still sitting fluffed up other times. Her liver enzymes are elevated, which the vet said could be bacteria traveling in her bloodstream from the GI bleed. She has not lost her appetite, which is surprising to them, although she's still having some trouble keeping food down. They swabbed her crop and looked at her feces, but there's nothing too abnormal there.

They are still looking at heavy metal toxicity as a possible cause. If this is the case, I strongly suspect our well water/old pipes. We're going to arrange for a water test as this has implications for the whole family, including our other bird, dog and toddler son. While we all drink safe town water, there could be trace amounts from washing their food and water bowls with well water.

They said she's very friendly and that they've fallen in love with her, so it's good to know that some of her personality is shining through. When I left her at the hospital, she was almost catatonic, so this is encouraging.
 

iamwhoiam

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Tiel is fine, just sad that his sister is gone. It's my caique that is sick. She's still at Cornell receiving great care.
Don't know why I typed 'tiel when I knew it was your Caique.
It's good that River is getting excellent care at Cornell.
 

iamwhoiam

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How is River doing today?
 
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Akoni

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The complete blood count showed slightly elevated white blood cells, but nothing else too remarkable. The heavy metal results didn't come back yet. I was really hoping we'd have an answer tonight.

I mentioned our water situation to the vet and the possibility of copper leaching from the pipes, but he doesn't think her lab results are consistent with copper toxicity. The water is alkaline, so lead leaching is less likely. They haven't done an x-ray but got some less clear pictures of her in her box (I'm not sure exactly what that means) and thought they saw a mass, like she swallowed something. We examined her cage pretty closely and did not find any missing toy parts or parts where the finish was scraped off. We're slightly afraid that our toddler found something and put it in her cage. I tried interrogating him, but as his language is pretty limited, he just agreed with everything I said.

The vet said she was preening as we were talking. He said they try to give her attention, not just when she's getting treated, so she got a lot of head scratches today. He said she seems a little stronger.

Thanks for asking! Hopefully we'll have answers tomorrow.
 

Karen

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I hope she continues to get stronger and you get more answers soon. Interesting what was noted with the box xray. A box xray is just that, they put the bird in a clear plastic bin and xray (no need for sedation that way). You can see general things like; an egg, a mass, lead shows up easily, etc.

Is Dr. Morrisey still there?
 
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Akoni

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I hope she continues to get stronger and you get more answers soon. Interesting what was noted with the box xray. A box xray is just that, they put the bird in a clear plastic bin and xray (no need for sedation that way). You can see general things like; an egg, a mass, lead shows up easily, etc.

Is Dr. Morrisey still there?
That makes sense. Thanks.

Yes, Dr. Morrisey is one of the two veterinarians that have been overseeing her care. He's been great about explaining everything and updating me.
 

Karen

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That makes sense. Thanks.

Yes, Dr. Morrisey is one of the two veterinarians that have been overseeing her care. He's been great about explaining everything and updating me.
I love Dr. Morrisey. Being at Cornell you have every specialist at your fingertips but he is the best of the best! How is River doing?
 
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