Gizzard impaction - X-ray confirmed. How to proceed?

Tonight is day 9. She was slow during most of the day and poops were small and dark green as usual. When inspected there is grasses and grit in them though so it isn’t all digestive enzymes. I did another smear and found nothing remarkable and did my first gram stain on a slide but only found the probiotics - so no bacterial infections (providing I got something in the sample, I did not make a culture plate). She is still happy painting the patio with her tiny poops and hunting for anything she can find - she managed to catch a lizard today and swallowed it before I got to her, so I guess she had a nice treat from her usual liquid meals much to my upset. Foods are primarily egg yolks now - she is having 3 per day with some puréed pellets and as a treat she gets some apple sauce. She refuses to drink on her own and gets hand watered whenever her crop feels doughy - so 10cc’s 4-5 times per day at least. She was on electrolytes in the water today. She had her last digestive enzyme dose thismorning but to be honest I did not see the grasses in her poop breaking down any better - it all seemed the same. She had her anti fungals today as well. She picked right up tonight when she and her friend came in for the night which was a first. She went out of her way to try to beat up her broody pal as much as possible and followed her around the house making trouble. There was also one better looking poop tonight that had a section of brown in it - it smelt absolutely horrible and may have been cecal but it was nice to see something other than urates and bright green.
The impaction seems to be much the same although now I am wondering if it is actually her gizzard that is the problem or something else. Her poops are very thin so something is squeezing them somewhere along the lines. The space between the gizzard and the crop on the X-ray is also quite large so perhaps it is the bowel or pancreas? I’m not sure and only a necropsy will tell me unfortunately. Her crop is still the same as it was on day one although I am fairly confident it is emptying as the food she has had over the last week would be much more than what it reduces down to (although there is at least one lizard stuck in there now). Here is a pic of her poop for reference incase anyone else ever has the same problem - I did not get a picture of her good one, this is just the usual.
6936DBAB-502B-4157-A633-46CA62C1E104.jpeg
 
I remember reading long ago that if you put a tooth in a bottle of coke, the next day it will be completely dissolved. I've never done it, but I know it does a number on my innards.
That is awful!! Lol
I think i lost some brain cells drinking coke zero. I had to quit because i could feel it affecting my memory!
 
Have you tried the Moro carrot soup? It works wonders restoring the gut balance and even catches bacteria resistant to antibiotics.

https://www.backyardchickens.com/threads/ascites-not-eating-scaly-leg-mites.1441960/post-23973664

Other than that, you could still try the rather drastic method of giving her Coca Cola, as it is known to dissolve almost everything. I use it for crop impaction treatment and it works just fine.
It’s so odd that you mention Coca Cola! At the start when I was under the impression it was packed full of grit I ran some experiments on shell grit in citric acid at different concentrations with the amount of grit I guessed would be in her system. I tied the top of the jars off with an elastic band and a glove and waited to see what happened. They produced so much gas - it inflated the glove!! It worked at dissolving the grit though - it became fine and easily crushable after 20 minutes. I was still contemplating giving it a go in hopes she could expel the gas but ultimately decided against it because I did not know how her body would process all the liquid calcium it produced. It also created a plaque around the bottom of the jars that needed to be scraped off so I decided it may do more harm than good for her (probably would give her a heart attack knowing my luck). Great idea though :)
 
I just lost a hen with an impacted gizzard. I'm so sorry your sweet little Moe didn't make it. It's so sad but I'm really impressed with your care and all of the reporting you have done. I hope this helps one of us with our own little girl or boy in the future.
 
Hi LaFleche, thank you for replying :). Her crop is doughy but good considering, it empties but incredibly slowly (days). Her gizzard is the problem unfortunately you can feel it in her lower abdomen - it fills up most of her lower body cavity (soft tissues area behind the legs). I’m guessing this is a secondary problem to something else but she is happy plotting and doing her thing just very slowly so I wanted to give her a chance. The other vets recommended euthanasia but until she is suffering it’s worth trying to treat, they only get one life and so far she is happy. If she makes it through and I can treat this I think it is going to be a very long process - there is a lot of poop in there for her to get out.
Well, then I would feed her lots of coconut oil, chilled to break it into little lumps easy to eat. And multi vitamins (Vitamin B complex+Vit. D3+K+E+A+ electrolytes.
 

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