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Ear infection

Fennel

New Kit
Sorry for the long post.
Back in January I noticed something stuck to the outside of my Lops ear, on closer inspection I saw pus at the bottom of the ear canal.
I took him to the vets the next day who put him on Baytril and Metacam for a couple of weeks, the next appointment showed no improvement so a swab was sent off to be cultured.
I waited for the results to come back and finally they said the laboratory had been unable to culture the pus because it had been put in the wrong tube.:?

I asked for a different vet and another sample was sent off, the results came back that it was Streptococcal bacteria.
The vet gave me some Otomax eardrops but said he may need pennicillin injections.
I used the eardrops for several weeks but to no effect:(

After searching the web I came across (perhaps on this forum?) Zithromax that had been succesful treating ear infections.
I asked the vet if I could try that and he agreed but said it may not treat Streptococcus.
My bun was on that for eight days but it made no difference, I wondered it he needed over a longer period of time and the vet was willing to try but then he started getting some sticky poos so the vet said he wouldnt prescribe at that time.
Cutting out carrots, apple and giving more in the way of wild greens and hay that is now OK.

The vet really thinks the only answer is pennicillin injections but I either have to give them myself which I'm afraid I am reluctant to do or take him daily for the vet to give.

He was a rescue rabbit so I am not sure of his age but I have had him for three years and think he must be getting on for six.
He is still active and has a good appetite but has lost weight.

My husband thinks I have spent enough already on ' a rabbit ' but can any knowledgeable members tell me ifI was able to give the injections would they be likely to work?
Are there any known alteratives? Thankyou.
 
Hi

sorry to hear about the problems you and Fennel have been having.

Inner ear infections are a real problem to treat BUT with the correct diagnosis, testing of the sensitivities of the bacteria, and correct prescribing, they can be overcome.

Injections (often actually of something like penstrep - a combined abx, or dupaphen - penicillin - MAY work IF the pus is not penicillin resistent. Penstrep may work even if it is.

Having looked at your post I would actually suggest that you perhaps try a more rabbit savvy vet and start by posting a thread asking for Rabbit Savvy vet needed in . . .

A good vet will save money in the long run as they will know what they are doing and not waste time on treatments that wont work.

Re your husband - that is for the two of you to sort out I guess. However I know where my partner would be heading if he said that about one of our rabbits -

Please do not give up on Fennel.
 
Hi

sorry to hear about the problems you and Fennel have been having.

Inner ear infections are a real problem to treat BUT with the correct diagnosis, testing of the sensitivities of the bacteria, and correct prescribing, they can be overcome.

Injections (often actually of something like penstrep - a combined abx, or dupaphen - penicillin - MAY work IF the pus is not penicillin resistent. Penstrep may work even if it is.

Having looked at your post I would actually suggest that you perhaps try a more rabbit savvy vet and start by posting a thread asking for Rabbit Savvy vet needed in . . .

A good vet will save money in the long run as they will know what they are doing and not waste time on treatments that wont work.

Re your husband - that is for the two of you to sort out I guess. However I know where my partner would be heading if he said that about one of our rabbits -

Please do not give up on Fennel.

I agree with pb's comments. I had a Rabbit with a chronic outer ear infection who responded well to Depocillin injections. Sometimes he also had other antibiotics at the same time, these included Baytril and Metronidazole. Whilst his infection did relapse at times and he also required some surgical intervention, overall he coped very well and his passing was actually due to a completely unrelated issue (an inoperable abdominal tumour) at the age of 8.5 years. He had lived with the recurring ear problems for over 5 years.

As pb mentioned, obtaining an accurate diagnosis is important and if you feel that your Vet may not be sufficiently experienced in Rabbit medicine then you could seek a referral to a Specialist or register your Rabbit with another Vet and explain to them why you are doing so. That Vet will then be obliged to contact your previous Vet to obtain all of Fennel's medical history.A Vet cannot take on a Client if their Pet is already under the care of another Vet, it would go against their Professional code of conduct to do so. The 'new' Vet could then offer you a second opinion on treatment options for Fennel.

These links may be useful to read:

http://www.medirabbit.com/EN/Neurology/Otit/otitis.htm

http://www.medirabbit.com/EN/Surgery/Ear/ear_surgery.pdf

http://wildpro.twycrosszoo.org/S/00dis/Bacterial/BacterialOtitisMediaInterna.htm

http://www.sevc2015.com/index.php/e.../other-companion-animals/225-otitis-in-rabbit
 
Hi

sorry to hear about the problems you and Fennel have been having.

Inner ear infections are a real problem to treat BUT with the correct diagnosis, testing of the sensitivities of the bacteria, and correct prescribing, they can be overcome.

Injections (often actually of something like penstrep - a combined abx, or dupaphen - penicillin - MAY work IF the pus is not penicillin resistent. Penstrep may work even if it is.

Having looked at your post I would actually suggest that you perhaps try a more rabbit savvy vet and start by posting a thread asking for Rabbit Savvy vet needed in . . .

A good vet will save money in the long run as they will know what they are doing and not waste time on treatments that wont work.

Re your husband - that is for the two of you to sort out I guess. However I know where my partner would be heading if he said that about one of our rabbits -

Please do not give up on Fennel.

Penstrep is a really useful antibiotic, as Parsnipbun says, which may work even if the pus is penicillin resistant. Not used as often by vets as penicillin on it's own.

I agree, please don't give up on your rabbit - try and find another vet who can help you more.

Good luck xx
 
The other option on actually swapping vets is to ask your vet to 'refer' your rabbit to a specialist vet. This way they stay in charge of the rabbit but the other vet gives their opinion. However tbh I would always take a rabbit to a rabbity vet.
 
The other option on actually swapping vets is to ask your vet to 'refer' your rabbit to a specialist vet. This way they stay in charge of the rabbit but the other vet gives their opinion. However tbh I would always take a rabbit to a rabbity vet.

You never actually *need* a referral to consult another vet. The new vet you see will ask your permission to contact your normal vet for the history, but vets are used to this and never mind. You keep your normal vet and simply book in at another one. You can still go back to your existing vet.

This has been confirmed by two veterinary specialists, and has been the case for loads of us :D
 
Thankyou for your helpful replies.

He was a rescue rabbit which I have had for three years and I'm wondering just how long he has had this, he has a asymmetrical face which he came with and I just assumed he was born with a defect.

I am concerned about not being able to give injections, and would like to know if anyone had succesfully treated this orally.
 
Thankyou for your helpful replies.

He was a rescue rabbit which I have had for three years and I'm wondering just how long he has had this, he has a asymmetrical face which he came with and I just assumed he was born with a defect.

I am concerned about not being able to give injections, and would like to know if anyone had succesfully treated this orally.

You are very welcome :)

Sadly, penicillins of *any* kind cannot be given by mouth.

Giving injections is something many of us have got used to, whilst not liking the idea to begin with. It's not very scary when you realise that rabbits have a 'gap' between their skin and muscle, and it's easy to grasp a bit of fur, pull it up and inject just under the skin.
 
A bunny of mine had an ear infection which we tried different abx with but tbh penicillin was the most successful at keeping the infection under control.At first I was nervous about giving the injections and got a vetnurse from the surgery I used to come for the first two days to show me what to do and realised it wasn't as scary as I first thought.He did have to stay on penicillin for awhile but it did help him.
He was also on Marbocyl at the same time which I believe also played a part in helping him.

I agree that a rabbit savvy vet would give you the best help and advice with this.To help you locate one in your area,you could start a thread in "rabbit chat"section stating your town or county and someone might know of one near to you.

Lots of luck with treating the infection and please let us know how you get on.x
 
Well my bun was started on Depocillin injections two days ago and had his third today.

The first day he seemed OK, yesterday not so good, which I put down to the stress of the vet trip.

Today I am not happy with him, he is quite humped up with little appetite, any advice please?
 
Well my bun was started on Depocillin injections two days ago and had his third today.

The first day he seemed OK, yesterday not so good, which I put down to the stress of the vet trip.

Today I am not happy with him, he is quite humped up with little appetite, any advice please?

You need to contact your Vet ASAP. In rare cases Depocillin can cause GI tract problems and in such circumstances the treatment may need to be stopped and additional treatment for the adverse reaction given.

Is your Bun receiving sufficient pain relief ? It could be ear pain that is causing the anorexia rather than a reaction to the Depocillin.

What is Bun's poo output like ?

Really, the best thing to do is to give the Vet a call now and let him/her know what is happening

Good luck x
 
Well my bun was started on Depocillin injections two days ago and had his third today.

The first day he seemed OK, yesterday not so good, which I put down to the stress of the vet trip.

Today I am not happy with him, he is quite humped up with little appetite, any advice please?



I should call your vet this afternoon. You don't mention (sorry if I have missed it) whether he's on any pain relief? If he isn't, please mention this to your vet, and also check the dosage because the vet may see fit to increase it temporarily whilst things get under control.

It's difficult to know what's making him inappetant. It's unlikely to be the injections, as they rarely interfere with the digestive tract.

Are you giving the injections yourself, or are you going back to the vet for them?

Good luck xx
 
No he is not on pain relief but was quiet bright and happy before the injections despite the ear infection.
I am going to the vets for the injections, he doesnt react to them but hates the journey.
The vet asked if he had diahrea and he hasnt.
 
No he is not on pain relief but was quiet bright and happy before the injections despite the ear infection.
I am going to the vets for the injections, he doesnt react to them but hates the journey.
The vet asked if he had diahrea and he hasnt.

Yes, stress of travelling can bring them down, even if short term.

Can you ask the vet or nurse to show you how to give them at home? He will be on them some time if they are to work, and it would surely be a bit more convenient for you too?
 
I asked the vet this morning, and he said he would rather the nurses did them until next Monday, when I will see him again.
He knows I wasnt keen on giving them (although I am now prepared to try ) and says by Monday he should be able to tell if they are working, if there is improvement and they need to be continued I can then take over.

I have just got him to eat some dandelions.
 
I asked the vet this morning, and he said he would rather the nurses did them until next Monday, when I will see him again.
He knows I wasnt keen on giving them (although I am now prepared to try ) and says by Monday he should be able to tell if they are working, if there is improvement and they need to be continued I can then take over.

I have just got him to eat some dandelions.


It sounds like a good plan with the injections. When you go in next, do ask about pain relief for him. Ear infections are very painful, even if a bunny doesn't show their pain (as they don't tend to). It may help with his eating and general recovery :D

Glad to hear about the dandelions :D
 
I wonder if he had ingested some fur as he is molting, anyway the good news is he perked up the next day and has his usual good appetite back.

The vet will review him tomorrow, IF he shows signs of improving we carry on but I cant see any change in his ear unfortunately.

Does anyone know how long this could take, or should there be an improvement after a weeks injections?
 
I wonder if he had ingested some fur as he is molting, anyway the good news is he perked up the next day and has his usual good appetite back.

The vet will review him tomorrow, IF he shows signs of improving we carry on but I cant see any change in his ear unfortunately.

Does anyone know how long this could take, or should there be an improvement after a weeks injections?

Does he have any signs of headtilt ?

I ask as it may be necessary for him to have his ear canals thoroughly flushed out under GA. This can only be done if the tympanic membranes (ear drums) are intact, so your Vet would need to make that judgement call. IME it is near on impossible to clear up an outer ear infection with just systemic antibiotics, it almost also requires ear canal flushing and then topical antibiotic treatment aswell as the systemic antibiotics. Even then it can take several weeks for any real improvement to occur and the Rabbit may also require more than just one ear canal flushing.
 
I wonder if he had ingested some fur as he is molting, anyway the good news is he perked up the next day and has his usual good appetite back.

The vet will review him tomorrow, IF he shows signs of improving we carry on but I cant see any change in his ear unfortunately.

Does anyone know how long this could take, or should there be an improvement after a weeks injections?

I really doubt there would be any improvement of significance in one week's treatment. It's a long road - look at 4/6 weeks and then review.

Has your bunny had an X-ray to determine the extent of the problem? Apologies if you've already mentioned this.

I am glad to hear the appetite is coming back :D
 
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