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Thread: Axl - Stasis and ?chest infection

  1. #1
    Warren Scout JackieS's Avatar
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    Default Axl - Stasis and ?chest infection

    Axl was due his RVHD2 vaccine on Sat last week so we could finally get him a wifeybun (we lost his sister just prior to Xmas) but he stopped eating the same day so instead the vets reviewed him for stasis and started him on gut stimulants and pain relief.

    We managed him at home sat-mon during which time he had an active-ish gut (gut sounds and was still pooing) but was only nibbling small bits here and there. He was re-reviewed on mon and tues by which time he'd lost 7% body weight (2.22 --> 2.07kg) and was subsequently hospitalised. Bowel sounds were then absent on Tuesday. They were happy he did not have a blockage (blood glucose 10) and although he has a few known molar Spurs they did not think these sufficient enough to cause his stasis. Despite 48hrs of intensive treatment from them he was no better and he looked thoroughly miserable on Thursday we were advised our options were a) onward referral for specialist opinion or b) consider PTS. We opted for A) and after an emergency annual leave afternoon on Thursday he is now being cared for by an exotic specialist.

    His provisional bloods from the specialist were promising - negative for kidney issues and normal repeat blood glucose. He has had more in depth bloods today along with X-rays under sedation. bloods have shown he is fighting an infection (raised white cell count) but his liver function is normal at this point. His skull and body radiographs have come back negative for tooth related issues (specialist confident it is not spur related), but he has some patchy changes on his chest X-ray so it is likely he has a chest infection. He started antibiotics today (not sure which, forgot to ask, it's on my list to ask tomorrow).

    He's been syringe fed fully for the last 3 days - but he has not really eaten anything of his own accord. Prior to this at home he was nibbling small amounts. Poo output has been no more than 5/6 poos a day, and some days he's produced nothing at all. It has been a week since he last ate 'properly'. We have agreed to review the situation again with the vet come Monday.

    Does anyone have any experience of rabbits turning around after such a prolonged period of stasis? We don't really seem any further on than we were 4 days ago

  2. #2
    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by JackieS View Post
    Axl was due his RVHD2 vaccine on Sat last week so we could finally get him a wifeybun (we lost his sister just prior to Xmas) but he stopped eating the same day so instead the vets reviewed him for stasis and started him on gut stimulants and pain relief.

    We managed him at home sat-mon during which time he had an active-ish gut (gut sounds and was still pooing) but was only nibbling small bits here and there. He was re-reviewed on mon and tues by which time he'd lost 7% body weight (2.22 --> 2.07kg) and was subsequently hospitalised. Bowel sounds were then absent on Tuesday. They were happy he did not have a blockage (blood glucose 10) and although he has a few known molar Spurs they did not think these sufficient enough to cause his stasis. Despite 48hrs of intensive treatment from them he was no better and he looked thoroughly miserable on Thursday we were advised our options were a) onward referral for specialist opinion or b) consider PTS. We opted for A) and after an emergency annual leave afternoon on Thursday he is now being cared for by an exotic specialist.

    His provisional bloods from the specialist were promising - negative for kidney issues and normal repeat blood glucose. He has had more in depth bloods today along with X-rays under sedation. bloods have shown he is fighting an infection (raised white cell count) but his liver function is normal at this point. His skull and body radiographs have come back negative for tooth related issues (specialist confident it is not spur related), but he has some patchy changes on his chest X-ray so it is likely he has a chest infection. He started antibiotics today (not sure which, forgot to ask, it's on my list to ask tomorrow).

    He's been syringe fed fully for the last 3 days - but he has not really eaten anything of his own accord. Prior to this at home he was nibbling small amounts. Poo output has been no more than 5/6 poos a day, and some days he's produced nothing at all. It has been a week since he last ate 'properly'. We have agreed to review the situation again with the vet come Monday.

    Does anyone have any experience of rabbits turning around after such a prolonged period of stasis? We don't really seem any further on than we were 4 days ago

    Absolutely I do

    I had a rabbit in stasis for 11 days, nursed at home, fed around the clock and he eventually recovered and lived very many years.

    Your vet has done a lot of tests, and it looks very hopeful to me that he will recover, so please keep the faith and try and stay positive.

    Has the vet given him fluids at all? That's really important to hydrate any gut contents and help them pass. The fact that he has a chest infection too won't help him feeling better at this stage, but he should be getting top quality treatment and everything he needs.

    I guess once the infection is further under control, he should begin to feel better and get his appetite back, particularly if he's being given all the appropriate gut meds. Antibiotics take 24/48 hours to kick in.

    Fluid therapy is mentioned here and I think it's really important:

    http://anyflip.com/dvpt/hzvv/basic

    http://www.bio.miami.edu/hare/ileus.html

    Sending loads of vibes for Axl's speedy recovery

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    Mama Doe roxyroller88's Avatar
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    Yes absolutely My boy was admitted to our specialist in November for 3 days with a very bad case of stasis. He didn't eat properly or poop for around 7 days. He also had a chest infection. We carried on treatment at home and he was on metacam, zantac, emeprid AND cisapride. That's a lot of gut meds but it did the trick. Keep going xx

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    Quote Originally Posted by JackieS View Post
    Axl was due his RVHD2 vaccine on Sat last week so we could finally get him a wifeybun (we lost his sister just prior to Xmas) but he stopped eating the same day so instead the vets reviewed him for stasis and started him on gut stimulants and pain relief.

    We managed him at home sat-mon during which time he had an active-ish gut (gut sounds and was still pooing) but was only nibbling small bits here and there. He was re-reviewed on mon and tues by which time he'd lost 7% body weight (2.22 --> 2.07kg) and was subsequently hospitalised. Bowel sounds were then absent on Tuesday. They were happy he did not have a blockage (blood glucose 10) and although he has a few known molar Spurs they did not think these sufficient enough to cause his stasis. Despite 48hrs of intensive treatment from them he was no better and he looked thoroughly miserable on Thursday we were advised our options were a) onward referral for specialist opinion or b) consider PTS. We opted for A) and after an emergency annual leave afternoon on Thursday he is now being cared for by an exotic specialist.

    His provisional bloods from the specialist were promising - negative for kidney issues and normal repeat blood glucose. He has had more in depth bloods today along with X-rays under sedation. bloods have shown he is fighting an infection (raised white cell count) but his liver function is normal at this point. His skull and body radiographs have come back negative for tooth related issues (specialist confident it is not spur related), but he has some patchy changes on his chest X-ray so it is likely he has a chest infection. He started antibiotics today (not sure which, forgot to ask, it's on my list to ask tomorrow).

    He's been syringe fed fully for the last 3 days - but he has not really eaten anything of his own accord. Prior to this at home he was nibbling small amounts. Poo output has been no more than 5/6 poos a day, and some days he's produced nothing at all. It has been a week since he last ate 'properly'. We have agreed to review the situation again with the vet come Monday.

    Does anyone have any experience of rabbits turning around after such a prolonged period of stasis? We don't really seem any further on than we were 4 days ago
    Poor Axl Has the Vet considered PCR testing ? (polymerase chain reaction) of a blood or faeces sample ? As Axl is in the care of a Specialist I am sure this would have been suggested if they deemed it to be necessary, but I thought I would just mention it as it is a question I would want to ask the Vet if I were in your situation.

    As you no doubt know, every case of gut stasis is different in that it is hard to say for certain if a Rabbit can pull through after several days of anorexia. But as Axl's LFTs are currently OK and he is now on abx to treat what may be the primary cause of the stasis (ie an infection) all hope is not lost. The Specialist has no doubt got him on IV fluids and lots of supportive Nursing Care too.

    I do hope that Axl will show some signs of improvement once the abx kick in xx


    Imitated but never replicated :-)

  5. #5
    Warren Scout JackieS's Avatar
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    Thank you for your vibes everyone! It is good to hear positive endings to some long stasis stories!

    Roxy - glad your guy got better!

    Mighty Max - yes sorry I should have said he has been having fluids

    Jane - specialist hasn't specifically mentioned PCR testing, do you mind me asking what that would be looking for?

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    Sending lots of vibes for Axl. I hope he shows some positive signs of improvement soon.

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    Lots of recovery vibes for your little bun, sounds like he's in excellent hands xxxx
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    Quote Originally Posted by JackieS View Post
    Thank you for your vibes everyone! It is good to hear positive endings to some long stasis stories!

    Roxy - glad your guy got better!

    Mighty Max - yes sorry I should have said he has been having fluids

    Jane - specialist hasn't specifically mentioned PCR testing, do you mind me asking what that would be looking for?
    For a virus


    Imitated but never replicated :-)

  9. #9
    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by JackieS View Post
    Thank you for your vibes everyone! It is good to hear positive endings to some long stasis stories!

    Roxy - glad your guy got better!

    Mighty Max - yes sorry I should have said he has been having fluids

    Jane - specialist hasn't specifically mentioned PCR testing, do you mind me asking what that would be looking for?

    Ah good

    Has there been any progress yet?

  10. #10
    Warren Scout JackieS's Avatar
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    Jane - thanks! I will ask the vet when he calls me tomorrow!

    Apparently he has nibbled a tiny amount this morning but they are still having to syringe feed him. Not much gut activity today either

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