I heard respiratory sounds from him tonight like a snoring sound.
I have made a list of what I need to ask the vet tomorrow can you guys check and see if I need to add anything...
*Definite respiratory sounds, possible upper respiratory infection? Nasal blockage? Antibiotic?
*Bloods to check for kidney failure and liver function as well as E.C?
*If no bloods then change to a steroidal anti -inflammatory pain relief in case of kidney failure and metacam making it worse.
*Ask about Alfalfa hay and other weight gaining food.
*More perky but still sleeping/resting hunched up.
*Back end weakness- possible muscle wastage?- due to weight loss or something else? Bloods? Left back end behind when jumping into box and legs were 'swimming', he looked quite distressed by it.
*I remember slight discomfort on back legs when nails were cut.
*Check bottom as slightly dirty.
*Random urination noticed.
*Possible calcium build up with one of them as white chalky pee on blanket.
*Re check teeth for Spurs.
If Jims sounds snuffly it may be due to the fact that his immune system is very weak due to his over-all debilitation. After weighing Jims again the Vet should thoroughly examine him, listen to his lungs/heart, check for signs of nasal discharge, take his temperature etc. From the findings of the examination the Vet will make a decision as to whether or not abx are appropriate
A
corticosteroid would not be appropriate as it would further weaken his immune system and also steroids can effect kidney and liver function. In some cases of renal disease, malnutrition, general debility an
anabolic steroid may be beneficial. But that would be for the Vet to decide after carrying out a full examination
Jims back end weakness probably has several possible causes including muscle wastage due to weightloss/malnutrition. Muscle wastage due to an arthritic condition, muscle wastage due to kidney problems. Again, another issue for the Vet to consider
Chalky wee can occur if a Rabbit is less mobile and/or is unable to fully empty their bladder each time they urinate. If excess calcium is an issue then feeding Alfalfa hays would not be a good idea. Alfalfa has a very high calcium content.
A Dental check would be a good idea BUT it would only be a superficial one as it is impossible for a Vet to obtain a 100% view of the oral cavity of a conscious Rabbit. Personally I think Jims is too weak to undergo sedation, but that is a decision for the Vet and for you to make.
If Jims has been on Metacam for a long time then personally I would want his kidney parameters checked. As Jims is already on Panacur and your funds are limited I would not opt for testing for EC. He is already on treatment for that and even if a blood test revealed a very high titre level (meaning 'active' EC was likely) it would not provide any further treatment options. I assume Cookie is on Panacur too ? I would want her to be given the recent situation with the urine conataminated hay. EC is spread by ingestion of spores via urine contaminated hay/bedding etc. An in house blood profile should give information of kidney/liver function and should be a lot cheaper than having bloods sent off for analysis at a Vet Lab. Obviously the latter would provide more detailed information but financial constraints probably mean you need to focus on how Jims' kidney/liver are functioning for now.
If you opt for not having bloods taken then this is what I would want to ask the Vet
1-Check for signs of upper/lower RTI- Antibiotic cover ?
2- Check for bladder sludge/bladder infection
3-Check for signs of arthritis, especially in the spine/hips
4-
Check ears. Rabbits with hind leg weakness are very prone to gunky ears/ear infections. Especially lop eared Rabbits. Ear problems can cause problems with balance.
5- Check teeth as much as is possible in a conscious Rabbit
6- Discuss most appropriate analgesic cover/dose and whether giving an
anabolic steroid injection would be beneficial
7-Discuss dietary changes needed depending on over-all findings at today's appointment
Good luck