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Thread: Lump under jaw U/D: New lump 2 weeks after surgery

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    Alpha Buck Azucena's Avatar
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    Default Lump under jaw U/D: New lump 2 weeks after surgery

    Came home after being at uni, and Humphrey has a lump under his jaw.
    He's eating well etc. (although has been pooing in his run a bit), and active. He is 6 1/2.
    He's at the vets tomorrow, but I want to feel prepared for what it might be. Any thoughts? Thanks.

    ______________

    U/D: He had surgery to remove 2 abscesses under his jaw nearly 2 weeks ago; yesterday I felt a pea-sized lump just along from his surgery scabs.
    He will be booked into see the vet again.. but what are your thoughts.
    Last edited by Azucena; 12-06-2017 at 10:13 AM.

  2. #2
    Mama Doe
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    X-rays would be my first thought. That would show any jaw or dental issues (or show that there are none), and possibly any soft tissue involvement.

    It could be an abscess. These usually needs surgical removal, long term penicillin injections and pain relief, plus wound cleaning and and packing with manuka honey if it is an open wound.

    It's good that he is eating well and that you have spotted it early.

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    Wise Old Thumper Jack's-Jane's Avatar
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    Quote Originally Posted by Azucena View Post
    Came home after being at uni, and Humphrey has a lump under his jaw.
    He's eating well etc. (although has been pooing in his run a bit), and active. He is 6 1/2.
    He's at the vets tomorrow, but I want to feel prepared for what it might be. Any thoughts? Thanks.
    Lumps along the jawline are often abscesses. The abscess is frequently directly related to an infected tooth root and/or other Dental problems. These links may be useful to read:

    *WARNING SOME GRAPHIC IMAGES*

    http://www.medirabbit.com/EN/Dental_...abs_dental.htm

    http://www.ivis.org/proceedings/navc...E/615.pdf?LA=1

    http://www.medirabbit.com/EN/Dental_..._dentistry.pdf

    Good luck at the Vets x

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    Alpha Buck Azucena's Avatar
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    Thank you both for the useful information.

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    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by Shimmer View Post
    X-rays would be my first thought. That would show any jaw or dental issues (or show that there are none), and possibly any soft tissue involvement.

    It could be an abscess. These usually needs surgical removal, long term penicillin injections and pain relief, plus wound cleaning and and packing with manuka honey if it is an open wound.

    It's good that he is eating well and that you have spotted it early.

    I agree with Shimmer.

    There are several ways to deal with an abscess, if that's what it turns out to be. I have found that surgically excising the wound and packing and dealing with Manuka Honey works well in conjunction with penicillin injections.

    Sometimes the vet will lance and drain the abscess and follow the above protocol.

    Some reading - *may contain graphic images*

    http://www.all-creatures.com/blog-Ab...n+Rabbits.html

    http://www.medirabbit.com/EN/Dental_...abs_dental.htm

    http://www.rabbitwelfare.co.uk/resou.../abscesses.htm

    http://rabbit.org/abcesses-in-rabbits/

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    Alpha Buck Azucena's Avatar
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    U/D: He had surgery to remove 2 abscesses under his jaw nearly 2 weeks ago; yesterday I felt a pea-sized lump just along from his surgery scabs.
    He will be booked into see the vet again.. but what are your thoughts.

  7. #7
    Mama Doe
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    What treatment has he had since the surgery?

    An injectable Penicillin is usually given for abscesses for several weeks or months. This can be done at home - a vet nurse would show you how to do it. Frequency varies from daily to a couple of times a week, depending on what your vet recommends.

    An anti-inflammatory may also be recommended (eg metacam).

    If the lump is at the same site as a previous one, it could just be inflammation (although after 2 weeks I would expect it to be reducing), or it could be infection, new abscess, or recurrence of the abscess if the entire capsule was not removed. Often the wound is left open in order for it to heal from the inside. Daily cleaning (wipe out with a cotton bud or flush with eg saline or hibiscrub using a 1ml syringe) and packing with a high UMF factor manuka honey (medical grade) is fairly standard treatment in my experience. The scabs may be removed by soaking them to soften them, or the site may need surgically reopening and draining.

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    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by Azucena View Post
    U/D: He had surgery to remove 2 abscesses under his jaw nearly 2 weeks ago; yesterday I felt a pea-sized lump just along from his surgery scabs.
    He will be booked into see the vet again.. but what are your thoughts.


    Sorry to hear this Azucena

    What antibiotic treatment is he on currently? I usually give Penicillin injections daily when dealing with an abscess, and continue that protocol for a couple of weeks before switching to every other day injections.

    Are the abscesses in completely separate locations, or side by said along the jawline?

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    Wise Old Thumper Jack's-Jane's Avatar
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    Quote Originally Posted by Azucena View Post
    U/D: He had surgery to remove 2 abscesses under his jaw nearly 2 weeks ago; yesterday I felt a pea-sized lump just along from his surgery scabs.
    He will be booked into see the vet again.. but what are your thoughts.
    When he had the surgery did the Vet take any Xrays to ascertain if there is any infection in the actual jaw bone and/or if tooth root elongation is involved ? Did the Vet take swabs from the abscess wall (not just pus) to establish what bacteria are involved and the most suitable antibiotic to prescribe ? I assume that Humphrey has been on an antibiotic after his surgery ?

    Perhaps have a look at the links I posted previously :

    *WARNING SOME GRAPHIC IMAGES*

    http://www.medirabbit.com/EN/Dental_...abs_dental.htm

    http://www.ivis.org/proceedings/navc...E/615.pdf?LA=1

    http://www.medirabbit.com/EN/Dental_..._dentistry.pdf

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    Alpha Buck Azucena's Avatar
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    Quote Originally Posted by Jack's-Jane View Post
    When he had the surgery did the Vet take any Xrays to ascertain if there is any infection in the actual jaw bone and/or if tooth root elongation is involved ? Did the Vet take swabs from the abscess wall (not just pus) to establish what bacteria are involved and the most suitable antibiotic to prescribe ? I assume that Humphrey has been on an antibiotic after his surgery ?

    Perhaps have a look at the links I posted previously :

    *WARNING SOME GRAPHIC IMAGES*

    http://www.medirabbit.com/EN/Dental_...abs_dental.htm

    http://www.ivis.org/proceedings/navc...E/615.pdf?LA=1

    http://www.medirabbit.com/EN/Dental_..._dentistry.pdf
    He did have X-rays and the cause appears to be tooth root elongation. He's been on Baytril. Unfortunately I was at uni so couldn't attend his follow up appointment with him last week so wasn't able to ask questions.

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