Amphibian and Reptile Emergencies – Prolapsed Cloaca
A prolapse of the cloaca (the organ into which the digestive and excretory systems empty, and which houses the penis) is a situation that most herp keepers face at one point or another. I have observed it most commonly in frogs, less so in salamanders and reptiles. In a prolapse, the cloaca protrudes through the anus, and is dragged about behind the animal. If untreated, the tissue dries out and becomes necrotic (basically, the tissue dies). A veterinarian may be able to remove the organ, but often the animal cannot be saved at this point.
A cloacal prolapse should be treated immediately upon discovery. A long-established and often effective measure that you can take is to place the afflicted animal in a shallow bath of sugar water. The amount of sugar is not very important – go with 1 tablespoon per 3 ounces of water if you prefer to measure. The sugar will draw fluids from the cloaca, allowing the animal to withdraw the organ. You can assist with a Vaseline-coated cotton swab.
If this does not help within 20 minutes, your pet should be taken to a veterinarian (a follow-up visit is a good idea even if you are successful). It is important that you then look at the conditions that may have led to the prolapse – dehydration, constipation, straining to expel eggs and trauma caused by scent marking (rubbing the cloaca along the substrate) – are most common. Of course, environmental conditions must be evaluated with each species’ biology in mind – conditions that are suitable for a White’s Treefrog may cause dehydration in a Budgett’s Frog, for example.
Please write in if you have encountered this condition among your pets, and I will try to help in finding the root of the problem. Thanks, until next time, Frank.
You can read an excellent article on other amphibian emergencies at the web site of the Arizona Exotic Animal Hospital:
http://www.azeah.com/Care-Sheets.asp?id=97
Until Next Time,
Frank
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about 1 year ago
My giant african bullfrog suffered from dehydration and constipation and since then (over a month long period) he has had two prolapses. The first was after a few vet visits and it was his first poo after being ill.
The second was also when he was going to the toliet and it was after he was given the all clear by the vet.
Both occured when he was in the bath (vets orders that he has one a day), could the fact that he is in water being causing this?
Also, he usually only has crickets as he refuses most other food but last two days he has had grasshoppers-could these be another possible cause of the prolapse?
Hope you can help, Rachel.
about 1 year ago
Hello Rachel, Frank Indiviglio here.
Thanks for your interest in our blog and sorry to hear about your difficulties.
It’s not uncommon for a prolapse to recur the first time the animal defecates. Was a stitch put in? Often a stitch and a long fast is an effective way of addressing a prolapse, but vets have varying opinions on this, and, unfortunately, there are no easy answers.
Even without stitches, I would fast the animal for as long as possible – if he is in good weight, fasts of 4-6 weeks or longer are possible. Temperatures in the low 70’s allow for longer fasts, but your vet will need to weigh the value of this against a possible reduced healing time at lower temperatures.
Being in water for a time is not a problem, and would help in defecating. Vets I’ve worked with often advised soft foods, such as earthworms, or even tube-fed liquid nutrients, for the first few meals after healing. I would stay away from crickets and grasshoppers for now, as both contain a good deal of indigestible material that must be passed by the frog (legs, wing covers, thicker parts of exoskeleton.
Good luck and please keep me posted.
Please also feel free to write in with details concerning diet, temperature, terrarium set-up etc., as such factors may have a bearing on his condition.
Best regards, Frank Indiviglio.
about 6 months ago
hi, we have a 1 year old ball python and she pooped and got aspen bedding in her cloaca. it got really swollen and did not go back in.. we soaked her in warm water and let her sit outside the terrerium for about 20 minutes and it eventually went down.
about 6 months ago
Hello Dianna and Dean, Frank Indiviglio here.
Thanks for interesting post; Ball Pythons do not often have such problems, so your experience is most interesting; I’ll keep it on file for future reference.
Good luck, enjoy and please keep me posted.
Best regards, Frank Indiviglio.
about 6 months ago
Hi. I have a Nothwestern Tree-Frog that I believe prolapsed. He had a clear bubble and larger hole on his bottom. It dissapeared and only a tiny little pinkish-clear bubble remains. Now, there is a small, gell-like bubble on his stomach. How do I treat him, because the sugar-water didn’t work? And I can’t take him to the vet because he’s wild and I don’t want to disturb his peace.
about 6 months ago
Hello Kyra, Frank Indiviglio here.
Thanks for your interest in our blog. Unfortunately, you will need to bring the frog to a vet as the remaining bit of exposed tissue will soon become infected or necrotic; the other bubble you describe is a likely site for infection as well. Untreated infections are invariably fatal, and cannot be addressed without professional help. Please let me know if you need assistance in locating an experienced veterinarian.
Please let me know if you need any further information. Good luck, enjoy and please keep me posted.
Best regards, Frank Indiviglio.
about 6 months ago
Hey Frank,
I have a magnificent green three frog that had a prolapsed cloaca last night. I took him to the vets and they put it back in. Im not sure what has caused it and I was wondering should I starve him like you suggested above for the giant african bullfrog? He is of good weight.
about 6 months ago
Hi Tarah,
Yes, best not to feed the frog for at 7-10 days, as the area should heal fully before feces are passed for first time. feed very small meals after that; best to avoid large meals entirely, in fact. If prolapse re-occurs, vet will likely need to stitch for a time.
Best, Frank
about 5 months ago
Hi Frank,
very informative blog thanks!
We have an adult axolotl, Ákka’ laid eggs about a month ago (all 680 of them!!!! and most still alive in another tank). All was good until a few days ago, we thought she was going to pass more eggs but instead her cloaca has protruded and is now really red and quite large.
Is it worth trying the sugar water treatment you suggest above? We are all hoping its not too late…..
thanks
Eddie and family
about 5 months ago
Hello Eddie, Frank Indiviglio here.
Thanks for your interest in our blog and the kind words.
Ordinarily I would say give it a try; however, the axolotl could very well be ready to lay another clutch. If she is unable to pass the eggs and has prolapsed for that reason, the treatment would not be effective. Unfortunately, a veterinarian is needed to diagnose and treat this (oxytosin injections can be used to help her expel the eggs). Please let me know if you need help in locating a vet with amphibian experience (it’s a small field…a “typical” vet in your area may also be able to refer you).
If temperatures have risen recently, try cooling the animal down in the meantime …float a bag of ice, move to cool room, etc).
Please let me know if you need any further information. Good luck, enjoy and please keep me posted.
Best regards, Frank Indiviglio
about 3 weeks ago
Frank,
We want to say thank you for your suggestions on this blog. We have 14 month old axolotl, (Toothless is its name) who sustained a cloacal prolapse 2 days ago and with the sugar water/Qtip manipulation we were able to reduce the prolapse. Toothless is looking good now 2 days later and has even eaten a couple of tubefex worms. We understand we probably not yet out of the woods but are appreciative to have found this website for your insight.
Thanks, Toothless, Jenny and Nate
about 3 weeks ago
Hello Jenny
Thanks for the kind words, much appreciated.
I’m happy to hear all went well…congrats, not always easy by any means. Although eating is a good sign, it would be best to withhold for at least 1 week. Passing wastes will put pressure on the surrounding tissue, and can cause another prolapse. A 7-10 day fast will do no harm at all.
Please let me know if you need any further information. Good luck, enjoy and please keep me posted.
Best regards, Frank Indiviglio.