Hello,Thank you for requesting me. I'm sorry to hear of Sheila's problems. Some additional information will be useful.What temperatures do you maintain under the basking light and on the cool side of the cage?What foods have you tried feeding her?What was she eating before all this began?What substrate do you use on the cage floor?What types of lighting and heating equipment do you have?How long has she been on the Ponazuril?Why was Questran prescribed?
Are the vets you've been seeing actual reptile vets?Thank you.Anna
If nothing is blocking her ability to go, she needs food. Without it, she'll get weaker and weaker, then die of malnutrition. The present treatment is not working. the vets seem unsure of themselves, too. They told you there isn't anything there blocking her ability to go, but then they told you if there is a blockage, further treatment could cause rupture. If the blockage is in her esophagus, an enema can't possibly reach it. If they didn't do a barium x-ray, ask for one. that will give abetter picture of what is going on. You're the only one who can make the decision, but if this were my beardie, I would seek a second opinion.Regardless of what you decide to do, begin giving the Pedialyte soaks. As an additional step, you can gently massage her underside from snout to vent while she's in the water. Try to get her to swim, as that can get things moving. Try dropping a dollop of prune baby food on her snout to see if she'll eat it. That is very effective with constipation. Anna
Now I'm confused, too. I was going by the Association of Reptilian and Amphibian Veterinarians (ARAV) directory, which lists vets who are members. At one point on their website, they state these are board-certified, but at another point, they state that they are vets who specialize in reptiles. You can see all of those listed for Florida here:http://www.arav.org/find-a-vet/#FloridaNeither of the vets you saw at Broward Avian and Exotic are listed anywhere as reptile specialists. However, there is supposed to be another vet on staff there who is. She is Dr. Susan Kelleher. In fact, she is active in some of the same reptile rescuer activities as is our expert here, Joan. You might want to request Dr. Kelleher. I also wanted to find some links for you on the medications you are using. That way, you'll have some information to discuss with whatever vet you see.
I found the published results of the original Ponazuril study. Here's what it says:
A single pilot study has been performed to evalu-ate the efficacy of ponazuril in lizards. Bearded drag-ons given 2 doses (30 mg/kg) of ponazuril by mouth48 hours apart were cleared of Isospora amphiboluri The author reported that the animals remained coc-cidia-free for over 1 year posttreatment.
You can read the rest here:
Here are two other reputable sources that state it is to be given only twice, 48 hours apart. They also emphasize that if a lizard has a heavy enough infestation to justify using Ponazuril, supportive therapy, including administration of fluids, will probably also be needed.
Animals treated with it for longer time periods tend to lose their appetites and lose weight.
I could find nothing at all on using Questran in reptiles. You'll have to ask the vets for the reasoning behind it. There's some evidence that it can bind bacterial toxins, so that may be it. It can also prevent diarrhea under certain circumstances.
Your beardie is being treated for infection and impaction at the same time, and perhaps the treatments are not very compatible. Regardless of the reasoning behind the medications, they are not working for your beardie. His condition is deteriorating, rather than improving. This is why a second opinion is prudent.