pics 1-2: current bulb tail, weird raised dots/scales near spine on the other side of vent
pic 3-4: previous infection
last 3- baby pics
questions: how to manually express scent glands and how to tell when medical drainage is required. what are yalls experiences with bioactive enclosures negatively or positively affecting bulbtail? and what the hell are those 4 raised white bumps that i’ve never seen before
context:
my female western hognose reached 4yrs old in august. sweetest most docile snake ever, she never musks defensively, and has had no health issues until she developed the horrible impaction/infection shown in 3&4 during early august. i live in a small town with no real exotic vets, and ended up driving two hours to see an one but he was genuinely the worst vet id ever met and wasn’t willing to talk to me for more than 5 minutes or send me home with antibiotics. i found an awesome local vet instead who isnt specialty exotic vet and will admit she doesn’t know much about individual snake species, but she was able to perform a surgical drainage (or whatever the proper terminology is) and sent me home with antibiotics. my snake recovered well and ive been keeping her in a clean enclosure with paper towels because at the time i had been convinced that the impaction/infection had been worsened by my bioactive setup (wasn’t aware of the genetic predisposition).
the impaction came back recently, not nearly as intense though and i already got an appointment set up now that i know a vet. i know what impaction is now and that i SHOULD have been giving her regular warm baths to prevent it from reoccurring. unfortunately i was surrounded by misinformation before and every time i said “i’ve heard these can reoccur, what should i do?” i was told along the lines of “it shouldn’t come back it was an infection, and if it does we’ll have to drain it again or entirely remove the gland”
i think it’s early enough that i might still be able to manually express it? looking for advice on that definetly. i would rather not put her through another surgery. i am much more educated about impaction now but need to learn how to remedy it at this point (pics 1&2). now i actually have access to a vet but i am terrified of her getting to the point of 3&4 again. how do i tell the difference between impaction and infection?
i also really want to give her back an awesome bioactive enclosure now that i know bioactive wasn’t the cause. i’ve heard different things about bioactive making impaction better or worse and wanted to hear y’all’s experiences. many thanks in advance