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Dental/bladder issue- casper

beccimarie

beccimarie

Mama Doe
Yes, i have been to the vets after casper was not eating and his back molar is causing him grief.. lucky i got to see my savvy vet, she said his back molar has not got spures but dental disease there causing him pain.. so she explained how far the roots go down on a molar and with his respiratory issues being bad the chances on him pulling through the GA are very slim :cry: so we are now giving him metacam everyday, she said she will book him in for dental thursday but if it works just giving him metacam and he is not in pain it would be better giving metacam long term then trying to get the molar out so if he seems ok i must cancel the dental :cry: poor casper there is obviously going to be one day where casper will need the dental :roll: so.. i guess we are just living life on a knife edge :cry:

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I'm so sorry to see this update. :( Hopefully the metacam will help postpone the dreaded dental. Thinking of you and Casper. xx
 
I'm sorry to hear this news :cry: I know prettylupin has a bun on permanent metacam if that helps.
 
Schuette said:
I'm sorry to hear this news :cry: I know prettylupin has a bun on permanent metacam if that helps.
Click to expand...

Thank you :( i just feel so bad he is going to have this untill the metcam stops working, but i guess if the metacam keeps him painfree he should be ok shouldnt he :cry:
 
I'm no expert...

but would your vet do a conscious dental? Or does that carry the same risk?
 
Schuette said:
I'm no expert...

but would your vet do a conscious dental? Or does that carry the same risk?
Click to expand...

we usally do have conscious dental, but this would acctually be taking out a back molar , with a very deep curled root, she would have to either go in from the cheek as its right at the back or go right down and open the mouth so wide the only way is under GA :cry:
 
Little poor Casper.
I see your dilemma. Does he still eat anyway?
'Cause when he still eats, I think you can better treat him as soon as posible, now he's got any strenght left. For when he's not eating well, his strenght also decrease. So the GA will be even more dangerous.

Real dilemma... I wish you all the luck with your Casper.
 
Trice said:
Little poor Casper.
I see your dilemma. Does he still eat anyway?
'Cause when he still eats, I think you can better treat him as soon as posible, now he's got any strenght left. For when he's not eating well, his strenght also decrease. So the GA will be even more dangerous.

Real dilemma... I wish you all the luck with your Casper.
Click to expand...

i was thinking this, but i think my vet thinks it is a very slim chance of even being able to get the molar out without causing major problems, so its a "last resort" :( its a very hard situation, keep him pain free untill there is a problem or risk losing him :cry:
 
Terrible... :cry:
The problem is a bit bigger than I thought.
Is there an option to cut/drill the molar in little pieces before trying to take it out?
Pain free or risk of losing him, I really don't know what I would do if I was you...
Again, all the luck for Casper.
 
beccimarie said:
i was thinking this, but i think my vet thinks it is a very slim chance of even being able to get the molar out without causing major problems, so its a "last resort" :( its a very hard situation, keep him pain free untill there is a problem or risk losing him :cry:
Click to expand...

My heart goes out to you .... it is a terrible situation to be in, both for you & Casper :cry:
Have faith, you wll make the decision that is right for Casper ... & for you x
 
Trice said:
Terrible... :cry:
The problem is a bit bigger than I thought.
Is there an option to cut/drill the molar in little pieces before trying to take it out?
Pain free or risk of losing him, I really don't know what I would do if I was you...
Again, all the luck for Casper.
Click to expand...

yes i think that is what they would do but because the root is so deep it would then leave a risk of leaving some of the root being left in which would still cause him pain :cry:

Its so difficult i guess this is the time where you just have to trust your vet, she said if he seems to be pain free on the metacam we will not do the dental, im only starting with a very small dose so if he becomes poorly i can give him more if he then needs a op :( so depressing i love him so much :cry:
 
Hi Beccimarie :wave:

Poor gorgeous little Casper! :love: :cry::cry: He's a very handsome octogenerian bunny. I think he's doing extremely well at 9 yrs old.

I'm just wondering reading back through your thread (sorry this is the first time i've seen it) if an exotics specialist would have a different view point on the risks of removing the offending molar? I appreciate you have a savvy vet and everything they are saying sounds correct, it is risky to operate on a 9yr old bun with respiratory issues, but I do wonder how well the pain relief will control infection... however, if there is no infection at present, then maybe just ongoing pain relief will be enough?

Yes my dutch boy Nino has meloxidyl (a version of metacam) every day and will have for the rest of his life. Not for dental pain but for his osteoarthritis :cry: He is only 4 and a half so very young to be on it for life really but we have no choice, it was either this or him having acute life-threatening bloat/stasis every weekend last winter. :cry: His OA is degenerative and for life and will eventually deteriorate to the point that even the pain killer will no longer help him, but hopefully that is a few years away. There is also the risk that the ongoing NSAID (meloxidyl) will eventually affect his kidneys and liver. This is the risk of long term NSAID in rabbits. BUT it is a risk very worth taking because for now his pain is controlled, he is happy and hoppy and full of beans and has an excellent quality of life which he simply would not have without the pain relief. We originally had blood tests done every couple of months to monitor his response on his kidneys/liver and so far no changes at all, all is well, so he now has his bloods checked every 6 months, we are due another check next week. There is no excessive drinking or weight loss so we are confident that all is still ok.

For long term pain use it's all about the dose - getting that dose right, and sometimes you might need to vary it. In winter because of the cold we have found he needs a higher dose, but by summer we will drop it down again hopefully, i'm sure Casper will have good and bad periods too. Sometimes an initial high dose can really bring down any inflammation in the soft tissues - and this will apply to Casper also, and then you might be able to drop down to a maintenance dose that is lower. It may be a bit of trial and error but you are aiming for the lowest dose to give good clinical effect, that's the safest way to do it. Like you I was extremely worried about long -term NSAID use but Liz at Rainbow Rabbits and many other owners of buns on long term NSAID have all found that their buns have been fine for years on high doses daily, and this really put my mind at rest. The most important thing is Casper's quality of life and so I don't think you should worry at all, much better a happy pain free bunny with a few more risks don't you think?! ;):) Good luck and I really hope he feels better soon xx
 
prettylupin said:
Hi Beccimarie :wave:

Poor gorgeous little Casper! :love: :cry::cry: He's a very handsome octogenerian bunny. I think he's doing extremely well at 9 yrs old.

I'm just wondering reading back through your thread (sorry this is the first time i've seen it) if an exotics specialist would have a different view point on the risks of removing the offending molar? I appreciate you have a savvy vet and everything they are saying sounds correct, it is risky to operate on a 9yr old bun with respiratory issues, but I do wonder how well the pain relief will control infection... however, if there is no infection at present, then maybe just ongoing pain relief will be enough?

Yes my dutch boy Nino has meloxidyl (a version of metacam) every day and will have for the rest of his life. Not for dental pain but for his osteoarthritis :cry: He is only 4 and a half so very young to be on it for life really but we have no choice, it was either this or him having acute life-threatening bloat/stasis every weekend last winter. :cry: His OA is degenerative and for life and will eventually deteriorate to the point that even the pain killer will no longer help him, but hopefully that is a few years away. There is also the risk that the ongoing NSAID (meloxidyl) will eventually affect his kidneys and liver. This is the risk of long term NSAID in rabbits. BUT it is a risk very worth taking because for now his pain is controlled, he is happy and hoppy and full of beans and has an excellent quality of life which he simply would not have without the pain relief. We originally had blood tests done every couple of months to monitor his response on his kidneys/liver and so far no changes at all, all is well, so he now has his bloods checked every 6 months, we are due another check next week. There is no excessive drinking or weight loss so we are confident that all is still ok.

For long term pain use it's all about the dose - getting that dose right, and sometimes you might need to vary it. In winter because of the cold we have found he needs a higher dose, but by summer we will drop it down again hopefully, i'm sure Casper will have good and bad periods too. Sometimes an initial high dose can really bring down any inflammation in the soft tissues - and this will apply to Casper also, and then you might be able to drop down to a maintenance dose that is lower. It may be a bit of trial and error but you are aiming for the lowest dose to give good clinical effect, that's the safest way to do it. Like you I was extremely worried about long -term NSAID use but Liz at Rainbow Rabbits and many other owners of buns on long term NSAID have all found that their buns have been fine for years on high doses daily, and this really put my mind at rest. The most important thing is Casper's quality of life and so I don't think you should worry at all, much better a happy pain free bunny with a few more risks don't you think?! ;):) Good luck and I really hope he feels better soon xx
Click to expand...

Hello i have just PMed you but thank you so so much for this, it has made me feel so much better, my vet is very good she said there dental specilists in manchester would do it through the side of the mouth but even for them it is a extremly risky op and with caspers added problems it needs to be a last resort, so my vet has said see if metcam helps his pain relief if he is happy and eating we will carry on, if not he will have to have the op, he seems brighter this afternoon and is eating so fingers crossed he is happy. He doesnt have an infection exactly its like a wobbly molar and my vet said that the side its on the teeth are discoloured n that side :(

My vet says to start on the lowest dose poss and maybe give every other day depending on how he copes, like you said its all about trial and error, he has not lost any wieght which is very good news, i have not asked her about blood tests but im sure at his next check up we will discuse about 6 monthly blood tests. Im starting him on 4 drops :oops: seems hardly worth having but i will see how he goes, he is a very small bun.

i think im finding it hard to come to terms with him always being on meds and will i know if he is in discomfort as bunnys hide there pain as they are prey animals :cry: im just constantly thinking of him.. iv just sat in my room for 4 hours, i just remebered i havnt drunk anything today :oops:

im so sorry to hear about your bun, it must be awfully stressful for you :( it seems we are in the same sort of situation, i hope it doesnt effect his kidneys i spose casper being older means he is more likely to have kidney problems :(
Again thank you for your time it really truely means alot xxx
 
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U/D Positive day

Well, today he has been wiping stuff out my hand before i have even put it on the floor! they have just been out for a free range and iv never seen him binky so much in ages! he has been out digging all the plants up and laughing to himself, which is lovely to see him so happy :love: i think he has obviously got a bit arthriticy in his old age and the little bit of metcam has made his joints feel better too :love:

He has also been eating sticks, and i caught him upstairs knawing on his knawing stone which is very hard to chew so he must feel great chewing somthing as harsh as that!! im happier about the situation now i know he is happy, and hopefully not in any pain.

This is casper knawing a stick a few hours ago

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Casper digging up the rose bush :lol:

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This is casper saying thank you for all his RU vibes :love:

DSC01696.jpg


Lets prey he stays happy and pain free for the rest of his life, im just enjoying the extra time with have together

xxx
 
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just give him is little dose of metacam seemed to like it :shock: he was licking the end of the syringe :lol: maybe he knows its good for him
 
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