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  • Please Note - Medical Advice

    Please keep in mind that posts on this forum are from members of the public sharing personal opinions. It is not a replacement for qualified medical advice from a veterinarian. Many illnesses share similar symptoms but require different treatments. A medical exam is necessary for an accurate diagnosis, without which appropriate treatment cannot be given.

    You should always consult your vet before following any suggestions for medication or treatment you have read about. The wrong treatment could make your rabbit worse or mean your vet is unable to give the correct treatment because of drug interactions. Even non prescription drugs can do harm if given inappropriately.

    We are very grateful to members who take time to answer other members questions, but please do be clear in your replies that you are sharing personal experience and not giving instructions on what must be done.

    Urgent Medical Advice: If you need, or think you might need, urgent medical advice you should contact a vet. If it is out of working hours phone your vet's normal number and there should be an answer phone message with instructions on what to do.

Preparing to make 'the call'...

Beapig

Mama Doe
Hi everyone,

My little Hammy boy has gone downhill quite suddenly in the past couple of weeks. As you may know, he had quite a bad episode of stasis during the big heatwave and had to stay in the vet hospital on a drip overnight. He bounced back quite well from that and seemed normal again for a while, until the past couple of weeks.

To summarise, he has lost his appetite somewhat and has little episodes of being bloated. This 'clears up' with critical care in a couple of hours, and then he goes back to seeming totally okay, but these episodes are happening almost daily now. I am always on watch to see if he looks on the edge of having another bloating episode.

We took him to our vet a few days ago - we are now at a new exotic specialist vets, the same people who looked after him overnight when he was on a drip. I have a lot of confidence in their expertise. They did some flexion tests on his legs and they bounced back quite quickly, but he said they can't rule out arthritis, and if he has a lack of appetite, it could be arthritis in the jaw. He looked at his teeth and said they had some very small spurs, but nothing that should cause pain or discomfort. He had a dental roughly 3 months ago.

Hammy has been prescribed Loxicom twice daily, as a maintenance medication to see if it helps with any underlying pain. If this goes well, he will have bloods everyone 3 months to check his kidney function. They were confident to prescribe this going off of his recent bloods. He has lost weight, so I'm desperate to try and help him put some back on, but this is hard with the lack of appetite. He seems to have gone off hay, but still wants to graze grass in the run and eat dandelions.

I'm concerned that it is the sudden cold weather which has triggered the potential arthritis, as he is an outdoor bun, and at 9 years old, he obviously isn't coping as well in general. He gets really down in the dumps being indoors, so I'm not sure what to do. We don't really have enough room in the house to bring all three rabbits in, without turning our lives upside down. But I want to do whatever I can to help make him comfortable. He's had a lot of 'sleepovers' with us the past week.

The vet said I should be prepared to make the call and have him PTS if he doesn't improve. I will absolutely do right by him, but the thought of losing him is heartbreaking. He's the most affectionate bunny I've ever had, and an essential member of our family.

If anyone has been through something similar with an elder-bun, any tips would be hugely appreciated. I'm going to order a huge quantity of dried forage and some hay samples to see if I can tempt him with anything else. TIA everyone.
 
What is his poo output like on a day to day basis ?

As you probably know, it is impossible to get a 100% view of the inside of a Rabbit’s mouth whilst they are awake. There might be more significant issues with the molar teeth at the very back of his mouth that just won’t be obvious without the use of cheek retractors- ie he’d need sedation. So I would not totally rule out the inappetence being due to dental issues

With regards to renal function, a blood test only gives a snap shot of what the situation is when the bloods were taken. Things can change in just a few weeks. Also, compromised renal function does not always show up in blood tests until function has declined to 70% or below. Early stage renal failure may not be detected. Symptoms can include loss of appetite, episodes of gut stasis, weight loss, increased drinking and urination and lethargy.

Age related Heart problems can present in a similar way, but without the increased water intake and urination.

Will he eat Readigrass ? This contains a higher protein content than hay and can help with maintaining weight.

If he will eat it from a bowl then some Emeraid Sustain could also be beneficial. You could syringe feed it, but that would probably cause him stress so could be counterproductive.

https://hyperdrug.co.uk/emeraid-her...7AdR9aLWmOnt8JRS94ElcGCZAxDPdLqBoC74AQAvD_BwE

If he has competition for food then feeding him his pellet ration separate from the other Rabbits will insure he gets the full portion.

Hopefully you will find a treatment plan that will keep him more comfortable than he has been lately. Personally I would prefer to keep a Rabbit with such issues indoors over winter unless they truly hated it. But I realise that for some people this might not be an option.
 
What is his poo output like on a day to day basis ?

As you probably know, it is impossible to get a 100% view of the inside of a Rabbit’s mouth whilst they are awake. There might be more significant issues with the molar teeth at the very back of his mouth that just won’t be obvious without the use of cheek retractors- ie he’d need sedation. So I would not totally rule out the inappetence being due to dental issues

With regards to renal function, a blood test only gives a snap shot of what the situation is when the bloods were taken. Things can change in just a few weeks. Also, compromised renal function does not always show up in blood tests until function has declined to 70% or below. Early stage renal failure may not be detected. Symptoms can include loss of appetite, episodes of gut stasis, weight loss, increased drinking and urination and lethargy.

Age related Heart problems can present in a similar way, but without the increased water intake and urination.

Will he eat Readigrass ? This contains a higher protein content than hay and can help with maintaining weight.

If he will eat it from a bowl then some Emeraid Sustain could also be beneficial. You could syringe feed it, but that would probably cause him stress so could be counterproductive.

https://hyperdrug.co.uk/emeraid-her...7AdR9aLWmOnt8JRS94ElcGCZAxDPdLqBoC74AQAvD_BwE

If he has competition for food then feeding him his pellet ration separate from the other Rabbits will insure he gets the full portion.

Hopefully you will find a treatment plan that will keep him more comfortable than he has been lately. Personally I would prefer to keep a Rabbit with such issues indoors over winter unless they truly hated it. But I realise that for some people this might not be an option.

Thanks so much for your advice, Jane.

His output is in keeping with the lesser amount that he is eating, but the droppings are smaller than when he was consistently healthy and they are more of a dark brown. They are also very hard when you squeeze them and will not crumble. So not the droppings of a healthy rabbit.

I've never tried him on Readigrass before, but that's a good call. I'll order some and see if he likes it.

Is Emerald Sustain much different from Oxbow Critical Care? That's what I'm giving him at the moment and he quite likes it - he will actually bite the end of the syringe to say 'more!', so we don't need to force feed it by any means.

I will have to talk to my vet about the teeth again. He has never been a rabbit that has required frequent dentals, his teeth have usually worn down by themselves from eating. Is it common for rabbits to need more frequent dentals in old age?

If he is still with us in a couple of weeks, I would definitely like to come up with a plan to keep him indoors. Maybe we can sacrifice the dining room for the rabbits, put the tables and chairs in the loft and eat on the sofas for a while in the lounge. We'll work something out.
 
I would syringe feed him (or see if he will lap it off a saucer) for a week or so to get his guts working better, and then get his teeth sorted. Even small spurs can cause issues with eating, and he's hungry if he's asking for more liquid food. 3 months is also a decent gap between dentals - the timings can change over time anyway. The spurs will only get worse if left. Then see if he picks up afterwards and take it from there.
 
I would syringe feed him (or see if he will lap it off a saucer) for a week or so to get his guts working better, and then get his teeth sorted. Even small spurs can cause issues with eating, and he's hungry if he's asking for more liquid food. 3 months is also a decent gap between dentals - the timings can change over time anyway. The spurs will only get worse if left. Then see if he picks up afterwards and take it from there.

Thanks Shimmer. This has been my gut feeling too, honestly. I'd rather have the spurs taken off to rule out dental pain.
 
It's not to say there isn't something else going on, but for a rabbit with known / ongoing dental issues, it's the first thing I would address.
 
It's not to say there isn't something else going on, but for a rabbit with known / ongoing dental issues, it's the first thing I would address.

Up until the dental he had earlier this year, he doesn't have a history of them. But that doesn't mean it isn't his teeth again. I can't help but feel that there's more to it than that though. He has really visibly aged this year. I'm trying to ask myself what is truly fair to him in the bigger picture as well. I'm very worried he would not survive going under anaesthetic.
 
I would still feed him up. Whatever he will eat, basically, but recovery food is probably best. Try to get guts back to normal and weight stable. Maybe a heat pad at night. Has he had any X-rays done recently? Might be worth doing a full body one when he's under anaesthetic for his teeth. I know soft tissue doesn't show up very well, but it might show something - or might be absolutely normal. That would include legs and spine (eg arthritis), position of organs, contents of guts, etc.
 
I would still feed him up. Whatever he will eat, basically, but recovery food is probably best. Try to get guts back to normal and weight stable. Maybe a heat pad at night. Has he had any X-rays done recently? Might be worth doing a full body one when he's under anaesthetic for his teeth. I know soft tissue doesn't show up very well, but it might show something - or might be absolutely normal. That would include legs and spine (eg arthritis), position of organs, contents of guts, etc.

Our vet did recommend a CT scan, but it would cost around £1000, and he isn't insured :( It's giving me a bit of hope that he is looking a lot brighter this afternoon - he's eating dandelions, grass, and even a little bit of hay all on this own. He definitely seems comfy indoors at the moment. The girls eat a lot faster than him, so at least he can eat at his own pace and fill up now. But I'm sure that he misses them too. It's a hard balance to strike.
 
I don't have any advice, but I want to send him lots of vibes. It's good to hear that he's been a lot brighter this afternoon and seems comfortable indoors right now.
 
Sending your boy lots of vibes. I think I would get his teeth sorted and maybe get x-rays done at the same time. If he's biting the end of the syringe and asking for more, then it sounds as though it's not a problem with appetite.
 
Thank you so much for the vibes, guys. He is back out with his ladies today, looking a lot better so far. Still no appetite for hay and pellets but happy to eat grass and salad, which makes me think it is a dental thing, as he is avoiding harder foods. Going to call the vets first thing on Monday to get him booked in for a dental :) I so appreciate all you lovely people on this forum - your knowledge and kindness has helped me many a time.
 
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