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Respiratory illness and gagging/choking

Tracy

Warren Veteran
I have a feeling I’ve read about choking episodes accompanying respiratory illness somewhere on RU (possibly one of Jack’s Jane’s rabbits?).

Wallace is still very poorly with his lower respiratory infection, he is home now and is on a cocktail of medication plus nebulization.

His lungs are thought to be very damaged. He has intermittent periods of mouth breathing, usually triggered by exertion. Hopping across the room or eating too quickly, or for too long, is enough to trigger an episode. Once the mouth breathing episode has passed, he just goes back to what he was doing previously and continues as normal, or at least what is normal for Wallace.

If the mouth breathing is triggered by eating, it will sometimes be accompanied by a gagging action, like he is trying to be sick. I am sure that he has already swallowed the food by the time he starts mouth breathing, but I wonder if he maybe still has some bits of food in his mouth or at the back of his throat when he extends his neck and this is triggering a minor choking action. No one particular food is responsible, it seems to be quite random and it doesn’t happen every time. His appetite is good and I am giving him his food in small portions, a little and often, to prevent him ‘pigging out’. If he is given too much at once he will try and scoff the lot and end up in even more distress with his breathing. I just wondered if anyone has experience of this or any advice or suggestions on what I can do to help him or to minimise this ‘gagging’ happening.

Just for information, Wallace’s treatment regime is:

Marbocyl (crushed tablet form, administered in solution via syringe once daily)
Duphapen (injection once daily)
Metacam (0.9ml twice daily)
Bisolvon (twice daily on food)
Corvental (twice daily on food)
Nebulisation with F10, three times daily

Any advice would be very much appreciated. I've had experience of lower respiratory infection with my family of three bunnies, but what I am experiencing with Wallace is very different.
 
Has he had chest xrays taken - I am think about excluding the possibility of an actual mass in his chest and/or an enlarged heart.

Have you tried feeding him from an elevated bowl ?
 
Yes he had chest xrays when his problem first came to light a couple of weeks ago and these have been viewed by various specialists, including Molly Varga.

There is no mass in his chest, but all agree that his chest xrays are very strange, his chest cavity is large and not what you would be expecting to see in a rabbit, apparently. His heart is normal size.

I haven't tried an elevated bowl, but he never eats with his head down anyway, he will pick up a piece of food and then sit up to actually eat, I think this position helps with his breathing, particularly while eating.

My vet said his lungs look similar to what she would expect to see in a cat with asthma, they look very inflated.

One treatment that we've not tried yet is to nebulize steriods. This was suggested by one of the specialists as something we could consider further down the line. It's something we've been holding off trying due to the fact that Wallace will have to use the mask which we think will stress him and adversely affect his breathing.
 
Anyone please??

Wallace remains so very poorly and I will not now be able to adopt him, but he is such a very special bunny with the most amazing temperament, and it all just seems so very unfair, that he has already gone through so much, and now the 'hand of life' has dealt him this cruel blow.

Will still keep in contact with Tracy throughout Wallace's life, and visit him as much as possible, as fortunately he is not too far away from me, but any help, advice would really be appreciated, and I am just so very glad that he was being fostered by Tracy, and that she is now able to keep him herself. Really couldn't wish for a better alternative home :thumb:

Hang on in there Wallace, and try to get a bit more better if you can. You are loved so very much, but I am so very, very sad, and so many tears keep on flowing for you :love::love::love:
 
One treatment that we've not tried yet is to nebulize steriods. This was suggested by one of the specialists as something we could consider further down the line. It's something we've been holding off trying due to the fact that Wallace will have to use the mask which we think will stress him and adversely affect his breathing.

Could you not build him a neb chamber from a plastic storage box? We cut a hole for the mouthpiece and just popped Bluebell in with something yummy and he was very content. Much less stressful than trying to use a mask.

My vet suggested Flixotide as Bluebell was showing asthmatic symptoms.
 
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