MBD Metabolic Bone Disease

In general, metabolic bone disease is the weakening of the bone caused by an imbalance in vitamin D3, calcium, and phosphorus. Several foods, which have a high calcium content, such as spinach, carrots, collards, chards and other thick leafy greens, also contain oxalates, which bind to calcium. When foods high in oxalates are eaten by a beardie, the oxalates attack the calcium and make it useless in their body.

Vitamin D3, calcium, and phosphorus interact together to perform a number of functions besides bone growth and maintenance, including muscle contractions and blood coagulation. Too much phosphorus can throw this balance off, as can too much or too little vitamin D3 or too little access to UVB light. As the dangers of calcium deficiency become more widely known, there is also the risk of too much calcium (hypercalcemia), which is rare.

Signs of metabolic bone disease include hard knobs in the long bones of the legs, bumps along the vertebral column of the back and tail, and softening or hard swelling of the lower jaw. Regular physical exams are important as these bumps may be felt before they can usually be seen. Visible signs of moderate to severe MBD include jerky movements when walking, repeated tremors, twitches, or spasms in the limbs and muscles of the legs and toes when at rest or after exercise, and shakiness when being held. More advanced cases of MBD include all the above signs plus constipation, anorexia, and fractured bones. Severely deficient Beardies tend to be lethargic and may only be able to drag themselves along the ground.

There are several treatment options available for Beardies suffering from MBD. Moderate to severe cases of MBD require the proper diet, temperatures, and UVB as well as a more powerful calcium supplement than those found in pet stores. Oral administration of calcium glubionate (NeoCalglucon®, 1cc/kg) or injections of calcium lactate (Calphosan, 250 mg/kg) or calcium gluconate (100 mg/kg) are generally prescribed by veterinarians. Studies have shown a faster recovery with calcitonin (Calcimar, Miacalcin, 50 IU/kg in the front leg, repeated once a week for two weeks) when it is administered to Beardies who have a normal serum calcium level. A blood test by your vet will determine your Beardies serum calcium level. The use of calcitonin before normal levels have been established, may cause hypocalcemic tetany and death. In mild cases of MBD, where the signs are felt or just barely visible, can be treated by correcting the diet and environment.

The proper amount of UVB light is important and necessary in treating and preventing MBD. Vets have prescribed the use of self-balasted mercury vapor UVB/heat bulbs as part of the treatment for MBD. These bulbs have a UVB element and a heat element, all rolled into one. I have these bulbs in all of my Beardie enclosures and am astonished with the results. After a few weeks of installing the new bulbs, I noticed a major color enhancement in all of my beardies!

Along with proper day and night temperature gradients and a nighttime dark period, proper diet is essential to recovery. During recovery, your beardie should be fed calcium-rich, nutrient dense foods such as squashes, green beans, mustard greens, dandelions, escarole, and papaya. The food should be supplemented with additional calcium and a multi-vitamin formulated for reptiles. See my Nutrition page for more info on calcium rich foods http://www.freewebs.com/kirbydragons/nutrition.htm

 

Written by Veronica from Beautiful Dragons.com

Respitory Infections

Beardies are very resistant to respiratory infections. However, prolonged exposure to low temperatures, improper humidity, and poor cage conditions could result in respiratory problems. Treatment for this type of infection usually involves administering antibiotics and raising the ambient temperature of the environment. Symptoms include gaping, forced exhalation of air, puffing of the throat, a puffed up appearance of the body, and lack of appetite. In some cases, the mucus may accumulate in the mouth and/or emerge from the nostrils. If these symptoms are present the illness is usually well progressed and an immediate visit to the vet is necessary for treatment. Respiratory infections are nothing to something to take lightly. I have seen many reptiles die as a result of RI's and all of them could've been saved if their owner would've taken them to the vet sooner. At the first sign of trouble - take your beardie to the vet.

Written By Veronica from Beautiful dragons.com

Brumation

Brumation is like hibernation, but the Beardie's body doesn't completely shut down. Brumation is largely a result of temperature and light changes when the days get shorter and nights get longer. In captivity, you may keep your Beardie's enclosure fairly consistent as far as temperatures and lights go, and his activity levels may stay the same. However, your Beardie's internal clock might just tell him it's time to brumate, regardless of what you do.

Generally, brumation occurs in the fall or winter. Your Beardie will likely become less active and eat less, or stop eating all together. If your beardie decides to brumate, he may sleep for weeks or months at a time or he may just be lethargic for a while. Also, a brumating dragon may dig under his substrate, hide under something, or just lay around his tank. I continue to provide veggies and occasional mealworms, crickets, or silkworms just in case they want to snack. That's another reason to provide a basking spot, so need to be able to digest food if they decide to eat. Even without eating, a healthy Beardie shouldn't lose much weight while brumating, unless ill or infected with parasites.

There are many theories on what to do when and if your Beardie decides to brumate. Some owners think that forcing brumation by lowering temperatures and light to simulate winter is the way to go while others try to hinder it. Personally, I feel it is best to let your bearded dragon do whatever comes naturally.

If you think your Beardie is about to brumate or is brumating, make sure he is healthy. Have a vet perform a fecal exam to check for parasites. If the dragon is healthy, he will likely brumate for extended periods without any problems. Continue to offer food and water, but don't force it. Continue to offer a basking site in case he wants to bask. If your Beardie decides to eat something he will need the heat for digestion. Monitor your Beardie's weight and check for dehydration during brumation. If you lightly pinch the skin on the back of your Beardie and it goes right back down, your beardie is probably not dehydrated. On the other hand, if the pinched skin stays in place for a few moments and slowly goes back into place, your beardie needs water. Surprisingly, most dragons won't lose much weight or become dehydrated even after brumating for a few months. If you are concerned about dehydration, give your dragon a warm soak once a week.

Also, see our page on Dehydration for more info, it is on the Health Page..

Above all, use common sense. If your dragon begins to lose a noticeable amount of weight, develops smelly/runny stools, or has dark circles under his eyes, consult a vet immediately, as these are often signs of dehydration, parasites, and illness.

 

written by Veronica from Beautiful Dragons.com

Dehydration

Beardies need water just like we do. Proper hydration is very important in the health of a beardie and is even more important to a sick beardie. When a beardie becomes ill they are often too weak to drink fluids on their own, and if they are not drinking or eating they become even more lethargic and weak. Severe dehydration may lead to shock and even death.

 

A beardie that is dehydrated will often perk up after given fluids. If the beardie does perk up some, you will often have a better chance of curing the health problem. Of course, if a beardie acts ill, it's often very ill and should be taken to a reptile vet immediately. Also, most medications can be damaging to the kidneys and should be given with plenty of water. Ask your vet to make sure that the fluids will not interfere with the medicine.

Symptoms of dehydration are sunken eyes, wrinkled skin, lack of appetite, and lethargy. A good way of checking to see if your beardie is dehydrated is to gently pinch the skin on the side of their back between your fingers. If the skin rolls back into place almost immediately then the beardie is likely well hydrated. In a dehydrated beardie the skin may stay in a pinched, or tented position. Depending upon the cause of the beardie's illness, fluid should be offered by mouth, or by subcutaneous injection. Ask your vet for details. Remember, dehydration is nothing to mess around with. It can quickly cause an already ill beardie to become much sicker.

 

Warning: Force feeding a severely dehydrated beardie may result in shock and possibly death. The digestive tract requires fluids to process foods, if there are not enough fluids available they will be taken from other critical systems. When dehydrated, having a loss of appetite may be one way the beardie's body tries to protect itself. However, when the beardie has been properly rehydrated, it may still fail to eat on its own. Force feeding may be necessary, but only after rehydrated. The bottom line is that a beardie must be rehydrated before started on solid foods.

 

The best fluid to give in my opinion is Pedialyte. If you don't have Pedialyte on hand, don't wait to get some, offer water right away. And bottled water would be best because of all the added chemicals that they treat our tap water with. If you have to, sports drinks like Gatoraid will work, but must be diluted 1:1 with water. Pedialyte is the better choice as it is metabolized quicker and contains less sugar.

 

Before forcing your beardie to drink, try to coax him to drink from a needleless syringe or eye dropper. I discovered that my beardies will eagerly drink a mixture of 25% all natural juice with no additives, sugar, or preservatives (apple, grape, cranberry, etc) with 75% water. 

 

 

This article was written by Veronica from Beautiful dragons.com

Constipation 

Feeding and heating your Beardie properly and enabling it to engage in a regular daily activity routine will result in an eating-and-pooping machine, with feces deposited regularly.

A Beardie who stops pooping for several days while continuing to eat daily, could have a problem. The longer it goes without defecating, the more serious the situation. As wastes back up in the system, the chances of organ failure and death increase. First, check the enclosure temperatures. Constipation occurring during the winter is generally caused by the ambient enclosure temperatures dropping unnoticed by the owner as the overall temperatures in the home fall in response to colder winter weather. Adjusting the heating sources to provide the proper basking temperatures is generally all that is required to restore regularity.

Bathing and massaging may be required. Bathe the constipated Dragon in warm (about 95-99º F) water for 10-15 minutes and gently massage the belly for several minutes or so while it is still in the water. Be careful not to push too hard. Let the Beardie stay in the warm water (rewarming as necessary to maintain the proper water temp.) for at least another 5-10 minutes. The Beardie should defecate within 24 hours if the blockage is due to being too cool, having a very small piece of ingested substrate, or a very mild case of internal parasites. If the blockage is due to heavy parasite infestation or a larger blockage, then the bathing and increased heat will have little to no effect and the Beardie must be seen by a vet. I do not recommend the use of laxatives, especially without a veterinarian's supervision. Severe MDB and paralysis may also lead to constipation. Again, a vet visit will be required to determine the cause and treatment.

Egg-binding (Dystocia)

This condition could possibly be caused by a biological malformity (that may cause an obstruction) which may not allow enough room for the eggs to pass through. Or it could be caused by very large or malformed eggs that simply won't fit through the oviduct. Proper nesting sites and materials must be provided at acceptable temperatures. Malnutrition and dehydration are also attributing factors to egg-binding. Diagnosis and treatment should be performed by your vet. Treatment can vary from removal of the eggs and organs through surgery - to simple massage.

 

this is common in females who are bred too young (under 1.5 years) left untreated it will cause death.

 

this article was written by Veronica from Beautiful Dragon.com

Eye Problems

Known Eye Conditions

Droopy Eyes (Bloodhound Eyes):
This could be a sign of acute or chronic kidney failure. In any case, the beardie would need to be seen by a reptile vet as soon as this is noticed, whether on one side or both.

Hypovitaminosis A:
This disorder has become associated with swollen eyes and all too often some vets assume that swollen eyes mean that the beardie has a vitamin A deficiency. The beardie is given vitamin A without the vet doing anything to investigate the cause of the swelling. Since the health problems associated with hypervitaminosis A (overdose of vitamin A) are as bad in their own way as too little vitamin A, the poor beardie's pain and health problems are just made worse.

Early on, there is some swelling of the eyelid, some mild swelling around the iris, and some tearing of the eye in cases of hypovitaminosis A. In addition, there are changes in the orbital glands. As the condition progresses untreated, the swellings become more pronounced and the conjunctiva becomes visible, swollen and reddened. Reptiles that depend on sight to feed can no longer see well enough to feed, and slowly starvation sets in, further weakening the animal.

Along with the necessary correction of the diet and environment, and the administration of vitamin A, the cellular changes in the cells of the eye cause the already stressed beardie into infection. So, the application of a suitable topical antibiotic ointment is recommended. During recovery, artificial tears may also be useful. (Ciprofloxacin and similar opthalmic drops have been recommended over gentamicin drops because of a reported epitheliotoxic (kills epithelial cells) effect of the latter.)

Parasites:
The problems caused by parasites rarely cause any swelling or tearing. Mites find the area around the eye to be quite hospitable. The overall problems caused by mites lead to shedding problems.

Puffed-Out Eyes - Pre-Shed:
This is common in bearded dragons and considered normal for healthy beardies.. As the skin on the eyelids is undergoing the changes associated with getting ready to shed, the beardie will puff out the eyelids when its eyes are closed. These distensions look frightening to the unknowing beardie owner, but they apparently help loosen the old layer of skin, getting it ready to shed.

Later, once the old skin is ready to break and start coming off, beardies will often rub their closed eyes against something in their enclosure or area. This might be to soothe an itch associated with the coming shed, or might be done to help gently break the skin so that the final step in the shedding process. Mist your beardie during pre-shed and shed times to help keep the skin moist and easy to shed.

Swollen/Distended Eyeball:
Swelling of one eye or both may be associated with an infection inside the eye itself, or behind the eye in or behind the socket. If left untreated, it can lead to retinal detachment, blindness or enucleation (removal of the eyeball). This might be due to an increase in intraocular pressure, which is often a sign of infection, injury, or some other health problem. Since the cause cannot be determined by the herp keeper, and appropriate treatments cannot be purchased over-the-counter, the beardie needs to be seen by a reptile vet as soon as possible.

Infections Causing Ocular Changes:
There are a variety of organisms that can cause changes in the eye and surrounding structures (lids, glands, ducts). They include:

Viral infections

Pox virus (generally identified by the appearance of small, white papules on the skin; may be seen earlier in the palpebral integument)

Herpesvirus (generally in conjunction with proliferative and ulcerative skin lesions)

Bacterial infections (Aeromonas, Pseudomonas, Pasturella, Salmonella)

Other Diseases of the Eye:
Other conditions which are not diagnosable or treatable by the herp owner are:

Corneal lesions (caused by accidental injury to the eye, such as rubbing against a rough branch, improperly concealed nail or screw in the enclosure, or scratched by a claw or tooth)

Corneal deposits (lipids, often secondary to an underlying eye or general health problem)

Uveitis (may be related to bacterial infection)

Hypopyon (may be related to bacterial infection)

Cataracts

 

Written by Veronica from Beautiful dragons.com

Diarrhea

Parasite infections, including worms and protozoans, may cause loosening of the fecal mass to the point where it no longer holds its shape (see photo below). The urates (white part) may be tinged reddish or rusty in the case of some protozoan infections. The feces of such Beardies often smell rank. When infected with Giardia, they may smell quite strongly and very unpleasant. Stress, a change in diet, or eating a food item that does not agree with the Beardies digestive system may also cause temporary diarrhea.

Parasites should never be treated with over-the-counter medications found in pet stores. A fecal test is required to determine what organism is causing the problem. A vet may be needed to prescribe the proper medication. Always do a second fecal test after the meds are over to make sure the parasites have been irradicated. A second round of meds might be needed.

When collecting a fecal sample, make sure that it is not more than a few hours old. To collect a sample, simply turn a small Ziploc baggie inside out and place it over your hand like a glove. Scoop up the poop and turn the baggie right side out. Seal it up and take it to the vet right away. It's also a good idea to write your Beardie's name, age, your name, and phone number on the baggie.

A good poo will hold it's shape. The fecal mass is usually brown or green in color. Beardies that are on diets that are mostly greens and pellets tend to have a greener poo. The white part (urates) should be fairly white. Or it could be slightly discolored if your beardie is on meds. it should not be runny or smell uterly horrible, if it does, your dragon should get a faecle sample tacken to the vet and checked.

Mites

                                                                                                          Mites, like ticks, are eight-legged bloodsucking organisms. They carry and transmit diseases from one reptile to another. Mites can usually be found roaming the body, tucked under the edges of scales and congregating around the eyes, ears, and any place on the body where the scales are thinner. If you can see them from about three feet away, or your hand comes away with several mites on it, then you have a severe infestation. Beardies who are moderately to severely debilitated may require fluids and nutrient supplementation to help restore fluid balance and provide energy for rapid recovery.

Mites are difficult to kill because the chemicals that we use to kill mites will also kill the Dragon. Mites can be drowned, but if you are not careful, the mites can just scurry up the Beardie's body and emerge from the water, hanging out around the eyes and nose. Favorite hiding places of mites include the neck folds, head, armpits and ears. Some Beardies will let you fully submerge them in water and some may have to have water poured heavily or sprayed over their heads and necks to flush away the mites.

In my opinion, the mite treatment products available at pet stores are ineffective. There is no easy way to get rid of mites. It requires a two-phase attack: you must aggressively treat the environment as well as the reptile. Another problem with eradication attempts is that many people think that simply cleaning and disinfecting the environment will eradicate the mites. It won't. It will get rid of the loose feces and may wash away many of the exposed mites. It will disinfect the bacteria left behind where the mites were squashed or defecated. It will likely not kill the nonfeeding morphs, larvae, and laying females hidden away in deep crevices.

To treat an infected Dragon, first place him in a warm, shoulder-deep bath of diluted Betadine (povidone-iodine): add enough Betadine to water to make it the color of medium tea. Pour the bath water over the lizard, being careful around the eyes. The water will flush most of the mites off and drown them while the Betadine, a topical antiseptic, helps treat all the mites' bites. You may wish to bathe the lizard in a plain water bath first to allow it to drink first, adding the Betadine after it has done so. If the Beardie defecates in the water, drain the tub, clean it, and draw a fresh Betadine bath.

While the enclosure is being fumigated, remove the soaking Beardie from the tub or holding area. Saturate a clean soft cloth in diluted Betadine and run it around the joints between their legs and body, through the folds of skin around the neck, jowls, and dewlap. Use a cotton-tipped swab to apply the diluted Betadine around the eyes and nose. Do not put the medication into the Beardie's eyes.

Let the Beardie soak again in a fresh, warm water, or rinse it off and keep it in a warm place until the tank is done. If the reptile is badly chewed up by the mites, more Betadine should be added to the water and these medicated baths should be repeated at least every couple of days while the bites heal. Watch the Beardie and check the tank carefully for the next two months. If there is any reappearance of the mites or traces of mites (such as their ashy feces), repeat the above procedure. If you don't see a reappearance, you may wish to repeat the procedure in 6 weeks just to make sure that you have caught all the eggs, especially in a wooden tank.

To clean the tank: remove and dispose of all the substrate in the beardies enclosure (bag it in a plastic garbage bag and get it out of your house). Vacuum the inside of the enclosure thoroughly, especially in the angles of the walls. If the tank is made of wood or ungrouted melamine, lightly scrape the inside angles with the edge of a blunt knife, then vacuum again. You are trying to get up all the loose eggs, mites and mite feces (the white dust in the bottom of the tank).

If you have a glass or Plexiglass tank, wipe all surfaces down with hot soapy water. Wooden enclosures may be sprayed with soapy water. Remove all soap residue. For good measure, take the time to thoroughly disinfect glass tanks by swabbing them down with a bleach-water solution (1/2 cup bleach per gallon of water), let the solution sit for ten minutes, then thoroughly rinse out the bleach residue. Disinfecting does not kill the mites, it's purpose is to kill potentially harmful organisms that may be spread around by the mites.

If you have wooden cage furnishings such as branches, caves, or rocks, bake them in the oven, set at 200-250º F for 2-3 hours (depending on thickness, and longer at the lower temperature); check on them during this time to make sure they do not start to scorch or burn. Rocks may be boiled, completely submerged, for 20-30 minutes. If the wood or rock furnishings are too big to place in the oven or in a pot, soak them in a bucket or bath tub in a solution of bleach and water (use one half cup bleach for each gallon of water) for eight hours or so, to thoroughly saturate into crevices. Rinse thoroughly, spraying fresh water into all the crevices, until they are well saturated and flushed free of any bleach residue. Let dry thoroughly, preferably in the sun, for at least 24 hours. Wash all bowls with the bleach-water solution, rinse well and let air dry. If you have heating pads inside the tank, unplug and remove them. Clean with soapy water, rinse off the soap, then spray them down with the bleach-water. Let them sit for at least ten minutes, then rinse clean and set aside. 
Disconnect all light fixtures and wipe them down with a damp cloth to remove any adventuresome mites and their feces.


Take a "No-Pest" strip (Vapona strip) or cat flea collar out of the package and place onto a piece of foil on the floor of the enclosure. Leave a bit still inside the packaging so that you can slide it back in when done. If the enclosure is a large one, you may need to set out several such strips or collars. If using a flea collar, stretch it out. You may need to cut them into pieces to prevent it from curling up again when you let go of the ends. Close the tank and seal it up as air-tight as possible to keep the toxic pesticide fumes inside the tank where they are needed. Cover large, screened areas and ventilation panels or holes with waste paper or plastic, taping it in place. Tape over the seams and any gaps between the doors and tank. Leave in place for three hours, longer for large enclosures. Vacuum all around the enclosure and wipe down any cabinets, etc. If there are any curtains on windows near the tank, check them carefully for mites, too. Either vacuum or, if heavily infested, take them down and place immediately into large plastic garbage bags, seal the bags, and take to the cleaners. When done vacuuming, immediately dispose of the vacuum's bag in the garbage outside your house. When the time is up, unseal the tank, dispose of all the paper, tape, and strips or collars into a plastic bag for immediate disposal into the trash. Leave the tank open and air it out for several hours. If possible, open a window in the room and turn on a fan to help air out the fumes. The fumes may be undetectable to you but not to your Beardie, so you want them flushed out of the environment.

Put new substrate and any new furnishings into the enclosure. Simple substrates, such as paper towels, are best used for the next couple of weeks. This will enable you to easily see if additional mites have hatched or migrated into the tank from the surrounding area. Drapes and upholstered furnishings near heavily infested reptile tanks should be checked and, if necessary, removed for thorough cleaning. Replace the water bowl, hide box, into the tank. Reinstall and turn on the heating and lighting, warm the tank back up, and place the beardie back inside.

 

Written by Veronica from beautiful dragons.com

Mouth Rot (stomatitis)

Mouth rot is a systemic infection that often shows up as a whitish, or yellow-gray cheesy substance in the soft tissues of the mouth. In advanced cases, the head may be quite swollen, and teeth may be loose. You need to take your dragon to a vet for a proper diagnosis and antibiotic treatment if you suspect he has mouth rot.

Treatment usually consists of treating the mouth with diluted solutions of Betadine and Nolvasan. The plaques that form along the teeth and gums must be dislodged - preferrably by a vet. It is important that the plaques not be injested by the Beardie. After the debris is cleaned out of the mouth, antibiotic treatment can begin. During the course of the antibiotic therapy, the mouth should be checked daily to watch for any regrowth of plaques. It is not unusual for this process to be repeated two or more times during recovery. Particularly severe cases may require more than a single treatment.

If there is any bleeding upon the removal of the first plaque, the Beardie may be started on a 10 day course of antibiotics. 

Beardies can carry a variety of negative bacteria. The bacteria may not be the underlying cause of the stomatitis, their existence may slow the recovery. The presence of negative bacteria may require that two antibiotics be administered simultaneously. Most veterinarians use a broad-spectrum antibiotic, but these may not be effective. The standard culture sampling techniques of swabbing or washes may a yield a confusing mixture of natural and opportunistic buccal and environmental flora. A better method for obtaining a sample for culturing in resistant stomatitis cases is to make an incision into

 
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