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Q: Baby Retic mouth rot help D:
Posted By:

Candicarnifex

I need second opinions! So, I just got a new baby retic (3 months old) and when I got her I noticed one side of her upper gums were swollen a bit and overlapping her bottom jaw. I inspected her mouth and she has little whiteish balls (very similar to tonsil stones) throughout her upper jaw. Her lower jaw is fine, and there isn’t really any discoloration or swelling outside her mouth. I figured mouth rot, so I obviously took her to the vet immediately. The vet checked her out and prescribed me chlorohexadine mouth rinse, once per day, and a silver sulfadiazine cream to be applie on the roof of her mouth and outside of her lips once every other day. She didn’t recommend manually removing any of the ‘stones’ even though some pop out when I swab her mouth, and some of the stones are covered by skin tissue and unable to pop out from swabbing. She didn’t give her any antibiotic shots, so I’m concerned that the antiseptic/cream won’t penetrate deep enough to reach the embedded stones, and won’t do much good without removing what ones I can because how would it reach the gum tissue beneath it? Basically my question is, can topical antiseptics and antibiotic cream dissolve the embedded bacteria/pus/whatever and penetrate deep enough to actually do anything? I mean she is a vet, so I assume she knows best, but most cases of mouth rot I’ve seen have pretty superficial pus pockets instead of ones encased in a thin layer of skin. Her treatment will take a month at least, but I would have thought it would have dissolved some of the more superficial stones already, so I’m worried that she needed antibiotics or at least more frequent cleanings than once per day. I’m afraid it won’t heal as fast as the infection spreads internally and will effect the bone or be too out of reach. Also, I hate doing the rinse, because even though I do it as the vet showed me, I feel like she aspirates some every time because she blows bubbles out her nose for a second and crackles slightly when she breaths for a minute afterward. The vet says she doesn’t show signs of a RI or other infection, no bubbles or mucus action. I also inquired about a small lump about 6 inches above her cloaca, but the vet didn’t seem concerned with that either. Maybe just poo, who knows. What do you guys think? I’ll attach a picture of her mouth
Attached Photos:


Points: 150
Topics: General Health , Respiratory , Mouth
Tags: Abscess, Babysnake, Medicine, Mouthrot, Reticulatedpython, Sick, Stomatitis, Treatment
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Member Comment 12/18/2017 11:02:50 PM

Sonja K. Reptiles

I am also thinking mouth rot.

I have to say while silver sulfide is awesome for wounds and burns, I have never heard of it being used within the mouth.  I would research that and need to get a second opinion about that. I have only heard of it used externally. I also know that one time I was using it near an eye and was told not to get it in the eye. 

 
Member Comment 12/18/2017 11:34:15 PM

Sonja K. Reptiles

What temps does she have access to in her enclosure?

 
Author Comment 12/19/2017 1:38:40 AM

Candicarnifex
Right now her temps are between 80 on cold side and 95 on warm side, hoping it helps her immune system. And i was curious about the ointment being used in the mouth also, but the vet told me to apply a small amount Inside on her upper jaw and externally around the swollen parts of her mouth as well, even wrote it in the instructions on the script 0.o I’ve used it as such twice now, and although I feel like it may have goofed up some in her inside upper mouth nose hole (she whistles when she breaths for a while after treatment) it doesn’t seem to have negative effects on her, although it could also be from the rinse getting in there also. Maybe that’s why she only recommended every other day for the ointment so it doesn’t build up in that spot
 
Author Comment 12/19/2017 1:39:53 AM

Candicarnifex
Gooped up*
 
Author Comment 12/19/2017 1:42:11 AM

Candicarnifex
She did diagnose it as stomatitis, which I agree it is too. I’ve shown/discussed it with several big name breeders that should have seen everything by now, and none of them have seen that particular presentation of mouth rot. So I’m curious if anyone else on here has had a similar type and if they had any luck treating it with topical substances
 
Member Comment 12/19/2017 11:40:07 PM

Sonja K. Reptiles

The recommendations just don't seem "right" to me. It has continued to concern me that the vet recommended you to apply the Silve Sulfa inside the mouth. Did you go to an experienced reptile vet? 

Per literature, it is stated: "Silver sulfadiazine cream is for external use only. Do not let silver sulfadiazine get into your eyes, nose, or mouth, and do not swallow it." 

I would be dipping a q-tip in the rinse and applying like that.


 
Author Comment 12/20/2017 12:19:05 AM

Candicarnifex
I probably start doing that tomorrow. The vet is one of the only exotic vets within several hours of me. I asked if she was going to give her a shot of antibiotics at least in case the stomatitis was just a secondary infection but she didn’t think it necessary. Now I have to take her back because she started showing signs of an RI today :/ she’s lethargic and making piping noises when she breaths, which I noticed was from her breathing from her mouth like her nose was stuffed, unless the ointment just clogged in her nose. Either way though, another vet trip needed. Thanks for the input!
 
Accepted Answer 12/21/2017 4:21:13 PM

Sonja K. Reptiles

You were right to question. Mouth rot is typically secondary to something else.

I'd love to hear an update after you've brought her in again.

 
Author Comment 12/22/2017 2:29:39 AM

Candicarnifex
Update: she is now showing signs of RI as well. She has thick saliva in her mouth and has taken to breathing with her mouth slightly open, she keeps her head propped up on things more often than not, and blows saliva bubbles out the end of her mouth occasionally. I’m not 100% sure if she has an RI as well or if the excess saliva from the mouth rot is just clogging her nose, making her have to breath with her mouth open. It’s hard to tell. The vet says she will see her again after Christmas and is ordering antibiotics for her in case it’s RI. She’s also dehydrated pretty bad it seems. Her skin is really wrinkly and she even has like a consistent flap of skin going down either side of her body. The vet told me to mix pedialyte with her water, so I’ve done that, give her soaks, and I picked up reptiboost today to feed her since it’s supposed to help with dehydration and in case she hadn’t eaten in a while before I got her, since she has no interest in eating atm, and malnutrition can cause more infections. It’s a mess ~_~
 
Author Comment 12/23/2017 4:12:14 AM

Candicarnifex
Another update : I apparently jumped the gun on the dehydration thing. She may still be, but oddly she shed like 1.5-2 weeks ago and just started shedding again today. Not sure if it was the increase in temps and humidity or some other factor O_o but it’s odd. Anyway, that would be why her skin has been so dry and wrinkly as of late.
 
Member Comment 12/30/2017 10:15:58 AM

Sticksdw

People in the reptile community, particularly GTP, use collodial silver for bacterial infections like RI or mouth problems, a few drops administered orally. https://www.tapatalk.com/groups/moreliaviridis/swollen-lip-t25447-s10.html. You can search the entire forum for various posts on collodial silver. https://www.tapatalk.com/groups/moreliaviridis/morelia-viridis-forum-f63/

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