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Date:   30 July, 2011  
Focus: Small animals - dogs, cats, hamsters, guinea pigs & rabbits
 
Two squeaky dwarf hamsters came by the internet
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Date:  30 July, 2011  
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
The internet introduced me to two active sibling female grey dwarf hamsters on Thursday, July 21, 2011. They were no ordinary 2-year-old greyish dwarf hamsters in the sense that both gave angry squeaks whenever I tried to handle them. They would sprint away as fast as their legs would carry them. If cornered, they would stare at me ready to nip me if I ever dared to lay a finger on them.

Hamster 1 had a big fiery red right ear. She weighed 28g. Her right ear was as swollen as could be and very oily. As I got near her, she emitted a strong smell of rotten meat in the consultation. Body odour? Not from hamsters. Especially dwarfs as they groom themselves frequently.

"Is it your dirty glove?" I asked my assistant Mr Min. He wore a soiled cotton glove to handle the hamster to protect himself against being bitten. I had strongly advised him to change gloves when they get dirtied but he is the type that needed frequent reminders and wearing down my patience.

"No, no," the slim lady owner in black-rimmed glasses said. "She has this foul smell. My vet gave her this Panalog ear ointment to apply. But there is still the smell. Pieces of white pus comes out from the ear!"

Recently I had a hamster with a similar smell due to it being bitten. Smell of putrefying flesh. "Was this hamster bitten by the sibling?" I asked. "Well, yes," the lady said. "The sibling who is more aggressive bit her.

"Did your vet give any antibiotics?" I asked.
"No," she said. "Just the ear ointment."
This looked like a complex case. "I will have to put her under anaesthesia and check the ear," I said. "Normally, there should be no anaesthetic risk as she is very active and eating. I may have to irrigate the ear with hydrogen peroxide to get rid of the smelly bacteria and tissues."

As simple as that. Irrigate the ear under anaesthesia. What is so difficult when the hamster is not trying to bite you? Well, it was not to be. The ear was swollen with nodules piling one upon the other. Big growths. There was no time to phone the lady for permission as the hamster can't take long anaesthesia without dying off. Less than 10 minutes would be OK. I cut off the whole vertical canal with its tumours. I saw the parotid salivary gland - a small yellow white. Surgery is shown below. The hamster survived and went home the same night.
 
over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore  
  over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore
  over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore
  over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore over-powering bad decaying smell, dwarf hamster, right ear, toapayohvets singapore
UPDATE ON HAMSTER 1.
Three days after the ear ablation surgery, the owner had to bring the hamster back to consult me. The 3 fine nylon stitches closing up the ear wound were OK but the hamster was scratching her right ear madly.

"She also scratches her left ear," the lady said sadly and worriedly. But the hamster has no more vertical ear canal. But she has a gap stitched up.

I got the hamster under gas. As she slept, I syringe her ears with a 1-ml syringe attached with a 25G needle. Hundreds of white granules flushed out. Granules of 2-mm. White like sand.

"Did you buy some special coarse sand for the hamster?" I asked the lady. "They were all pus. I have given her an anti-inflammatory and antibiotic injection under the skin." The hamster was quite difficult to be medicated at home and so I gave the injection which I don't normally do so. 

"Yes, I got her some special sand some time ago."

No more sand for this hamster now. As at today, 2 days after the second ear treatment, there was no news from the lady.

As for Hamster 2, her left leg had a big stone-like disc-shaped lump. "It was just a pimple, last month," the worried young lady told me. "I asked my vet. I was told to wait and see. Now the vet says the leg must be amputated!"

"Your vet is probably correct about amputation as the lump had originated from the bone in the leg above the ankle (hock) and is explosively growing like wildfire fanned by fast winds in summer," I said. It was a big bony hard tumour like a coin involving the bone from below the knee and above the hock.

Anaesthesia was Zoletil 50. 1 drop 1M given. The hamster was not sedated. So I phoned the owner to say I would do the next day.

I knew 1 drop would be insufficient. But how many drops more than one should I give? A drop more than necessary, the hamster would die. A drop less would not make him sleep well for the painful surgery.

I decided on 3 drops IM, given the next day. The hamster suddenly collapsed and went down within 5 seconds after the injection. She looked quite dead. "Is she alive?" I asked my assistant, Mr Min. This is the stress of hamster veterinary anaesthesia. Vets don't want deaths. But deaths do hang outside the door of every hamster anaesthesia as the dosage to be given is based on judgment and experience. 

There was slow breathing. I got the tumour out. Leg had to be amputated above the knee. Stitched 5/0 nylon. Very weak. May die post-op. Tried to exercise with 3 legs still. What a strong hamster. Weighed her. Now 19 gram. And she was 30 grams before he surgery 2 days ago. "She drinks more, and is more aggressive," the young lady said to me. Well, 2 hamsters alive. That is what matters. The bony tumour must weigh 10 grams. Actually it weighed 2 grams.

UPDATE ON HAMSTER 2.
Moe than 7 days after the surgery, as I write this report today, there was no complaint from the owner.

"The amputee keeps going up to exercise on the wheel," the owner smiled when she saw me with the other sibling who had problems at Day 3 (see above).

"I have lowered the wheel, the water bottle as she cannot not stand on two hind legs now and also replace the high feed bowl with a low plate. You know, the type used during Chinese dinners to put soya sauce."

"Did she bite off the stitches?" I asked. "No," she said. "You must have got mixed up with another owner's hamster!" She was correct. The big sized overweight dwarf
hamster of 81 g with the two breast tumours removed had been biting her entangled stitches (picture on the left) and the owner was coming down. The trouble with dwarf hamsters is that they seldom get given names by some owners and so there could be some confusion for the vet.

"It is best that she not climb up and down to the exercise wheel. Remove it," I advise. "The stitches cover a very long skin incision up to the belly."

If you look at the hamster, it is only around 2 cm long. But in human equivalent, it will be from your knee to your belly and it is very long! At least this sibling is doing well.

In fact, both siblings provide good news to me as a vet. They survived the anaesthesia and restraint. They are alive. The owner burns with wrinkles and worries but her beloved companions are alive. Squeaky. Ran away. Refused to take medication. Not easily bribed with food and medication.

But they are living and that is what matters at the end of the day for the owner. Minimal anaesthesia, sedation and handling are what makes hamster anaesthesia and surgery so challenging. Nylon stitches are more lasting but I need to remove them at Day 14. If the hamster's teeth have not got to them first!

I would say, so much problematic to be frank. But nowadays, we use the word "challenging". I don't look forward to such challenges but there will be difficult cases as such is the variety of veterinary medicine and surgery!       

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