Problem With Gout

lbesok

Avid Member
Chameleon Info:

*Your Chameleon- Lula. Female Ambilobe Panther Chameleon. She is over 3 years old, has been in my care now for a little over a year, and was cared for by a close friend of mine prior to that.
* Handling - I currently only handle her when necessary to feed, provide meds, or move to a more comfortable position.
* Feeding - Strictly silk worms (for now) she is accepting ~2 per day. Silkies only eat their chow.
* Supplements - Plain calcium 2-3x per week calcium w/d3 1-2x per month multi vit. 1-2x per month.
* Watering - Professional misting system 3x a day 2.5min each cycle. I also place her in the shower to stimulate her to drink and then carefully offer her water from a baster.
* Fecal Description - Does not seem as consistent as normal, last fecal looks a little liquidy. Cham has been tested for parasites, but not at this past vet visit.
* History - Lula is a very sweet natured and strong willed chameleon. She has been through parasites and a URI with me. I hate to see her the way she is and hope that some advice may be offered to alleviate her.


Cage Info:

* Cage Type - Standard screen cage, 16*16*20.
* Lighting - Standard Lighting 60W heat bulb and repti-sun 5.0 UVB light. On at 7 off at 6.
* Temperature - Temps seem to be standard when measuring with temp gun. Daytime ambient is ~80* in the lizard room. Cage gradiant 68*-88* Does not drop below 63* in the house at night.
* Humidity - Humidity changes from 40-60% during the day. The misting system along with buckets to catch the water underneath the cage help to maintain humidity. A hygrometer is used to measure the humidity.
* Plants - One pathos and vines are located in her cage. Plastic chicken wire is also lined around the cage.
* Placement - The cage is amongst others in the Lizard room. Lula lives between Vega and Joppa. Her cage is straight ahead as soon as you walk in to the room. A heat vent is near her cage but not blowing on her cage. Top of the cage is 4.5ft from the floor.
* Location - Just moved from Lake Wales/Tampa, FL to Valdosta, GA.

Current Problem - A couple of weeks ago (right after I moved) I noticed that Lula's joints seemed to be getting swollen. It seemed similar to what I've seen before on chams with MBD but with my current husbandry situation, it did not fit. She's been falling the bottom of her cage. I have draped a cloth over the top of branches to make her more comfortable, and mom made her a bed to sleep in at night. She is still eating, but having a hard time gripping and staying up on her branches, though she still seems very active, and roams around the cage grabbing the chicken wire hanging vetically. Her back ankles/elbows are the worst. Almost swollen but a hard swollen. Also appears that one hip bone is even a bit swollen.

She went to the vet about a week after symptoms were first noticed. A blood test was done to indeed classify her condition as gout. Her uric acid levels were high at ~12 and the other ratios seemed normal. The vet recommended keeping her well hydrated and to offer her watery foods like silkies and horn worms. She was also prescribed, Allopurinol, which was received 2-10 after compounding, to help decrease the fluid/mass? in her joints.

Does any one have any other advice to offer in regards to Gout and methods or procedures I could utilize to increase her chances of making it through this. I have never dealt with this condition, so any help or advice is greatly appreciated.

I was wondering if soaking her in warm water would possibly reduce the swelling? Was also wondering if a light massage to those areas may also help to disperse the mass, but I don't want to hurt her. When humans acquire gout oftentimes organic cherry juice is recommended to help reduce the symptoms, would this be a possibility in her case, by either gutloding with it or diluting it??

Was debating whether or not to add the photos because they are so sad :(
Swollenleg10.jpg

Swollenleg7.jpg

Swollenleg8.jpg

Swollenleg9.jpg


Seems like two things may have come as a result of the gout. The tip of her tail has become necropsic, since the condition was diagnosed, and looks similar to previously dealt with juvenile niptails. I am treating it, like so with a topical. Also she has grabbed her front arms with her back feet so hard that their are scratches and cuts on her front arms, I thought at first might be some sort of skin infection. After further examination, pieces of leftover black skin were found on her toenails leading me to believe this was self inflicted.
Thank you in advance for any advice.
 
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o no.. Sorry to hear about your chameleon.

I think your vet already explained better than anyone.
One thing for sure is to boost hydration.
I would not massage the leg.. it already painful as it is. Perhaps, put her into a special environment where she does not have to support herself to much with those legs.

The other option is to have a surgery to remove the tophi.
 
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Im sorry that i cant help but i really hope she gets better for you.

I dont know much about what to do but i think what dodolah said would work
 
Poor little girl! Did the vet (or anyone else on the forum) have any suggestions for pain relief? I know gout is painful. Easing that somewhat could really help her.
 
This is so odd...the grasping of her own legs...IMHO doesn't fit with any case of gout that I've heard of. Most of the cases I have seen/heard of were panther chameleons...I wonder if they are like Dalmation dogs and have a genetic predisposition for it?

Is it possible that she has some form of renal disease...she's not a "spring chicken"? Is she drinking more than normal? Was she on some medication for the respiratory infection?

http://web.archive.org/web/20060502...als.com/vet/index.php?show=8.Gout.Basics.html

"My first suggestion is to increase the animals water intake and exposure through prolonged, heavy mistings and showers."...
http://www.chameleonnews.com/?page=article&id=140

"I highly recommend getting some allopurinol & if you can get hold of some colchicine"...
this person is not a vet but has "a master's degree in sports medicine & physiology, & 1 year of vet tech schooling, & am currently working on a reptile certification through the Pet Industry Joint Advisory Council."
http://en.allexperts.com/q/Reptiles-704/2009/2/Gout-veiled-chameleon.htm

Colchicine...
http://arthritis.about.com/od/colch...e_Side_Effects_Drug_Interactions_Warnings.htm

"Treatment is successful when action is taken quickly. Advanced cases require surgery to remove the crystals from the joint and be able to provide mobility. Mild cases might still require surgery but some have been able to be managed medically by providing adequate amounts of water and medications that help dissolve the crystals."...
http://www.kirkmanareavet.com/Gout.html

https://www.chameleonforums.com/warning-necropsy-photos-gout-pseudogout-17746/

I'm not recommending any of these, after all, we are talking about a chameleon not a human....just providing it because you talked about using cherries...
http://www.health911.com/remedies/rem_gout.htm

Hope she gets better! Gout is not easy to solve in chameleons.
 
Thanks for your replies. I appreciate all of the great sources Lynda, they have provided me with lots of helpful information, thank you! She does seem to be a drinking a little more than usual lately, but I have been offering more. Before she was on Baytril for the URI, this was a year ago when I got her.
 
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to me a multi-vite 2x a month seems excessive , particularly for an older cham. and also frequency depends alot on dose per instance, if the individual doses were excessive, then 2x a month is definitely overdoing the multivites by 3 or 4x at least and likely the main cause of the problem, also it is not likely that a cham will thrive or even stay healthy, just on one type of feeder for extended periods of time, regardless of the type of feeder, or how it is gutloaded, chams require a varied diet and imho that is probably the secondary cause of the problem. best course of action would be to discontinue all supplementation (except for maybe cal.noD3) hydrate as much as possible, hope the news is better than what i have described, but thats what the given info leads me to believe. im sorry its not better news, but you wanted opinions and thats my 2 c worth./ edit you did not say what type of multivites you were using and that info could be helpful.
 
Howdy Liz,

Here's a paper that Dr. Mader presented on "Reptilian Gout" at a Western Verterinary Conference a number of years ago: http://wvc.omnibooksonline.com/data/papers/2009_V716.pdf#page=1

Here is an excerpt from the short paper:

"Treatment
The treatment objectives for gout in humans are three-fold: lowering the blood uric acid level; increasing the excretion of uric acid through the kidneys; and management of acute, painful gouty arthritis attacks with anti-inflammatory drugs. Allopurinol is the most common medication used to treat gout. In short, it prevents the breakdown of purines to uric acid, thus producing less undesirable byproducts to be eliminated from the body. Allopurinol is safe and effective in reptiles. If the patient has severe gouty arthritis it is possible to surgically enter the affected joint and physically remove the uric acid crystals. However, by the time the crystals have formed there is usually already severe joint damage present. Between this damage and the extra surgical damage done to the joint, even by the best of surgeons, the joint is usually permanently affected."


"SUMMARY
This all points to the fact that gout is a very serious problem in reptiles. Because of their primitive physiology they are more prone to this disease. Although we still have a great deal to learn about gout in reptiles, we do know that in most instances, it is usually preventable. Proper diet, correct ambient temperatures and continuous access to fresh, clean water all thwart the development of gout. In addition, the proper use of medications, especially antibiotics, can ensure against kidney damage and secondary gout formation. The overall prognosis for patients with severe gout is poor. Advanced cases can be maintained for a short period. Keep in mind, based on our knowledge in human medicine, that acute gouty attacks are very painful, and although it is not known for sure how reptiles interpret pain, it can only be assumed that they feel the same discomfort as their human counterparts. As such, gouty patients should be given proper medications to alleviate any pain and suffering that they might be experiencing. When diagnosed early, gout can be managed and the patient maintained comfortably. I have a number of patients on long term gout medications. As long as the owners remember to administer the drugs the pets do fine. On the rare occasion when the owner forgets, runs out of the prescription, or for some reason does not give the medication, the patients often have quick relapses"
 
This is hard because you "know" that she is in pain. My Mom had gout and I can tell you that it is "very" painful. Since she has so many areas that are affected and the lumps are so large, if it were my cham, I would put her down. It doesn't appear that she is going to come through this completely and putting her through the trauma and prolonging the inevitable is cruel and she is suffering. It's a hard decision to make because you want to "save" the animal, but in reality, her time is up. Please don't think I'm being heartless, I brake for frogs. :(
 
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