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Thread: Beano, hind leg disabled UD: 27/06

  1. #1
    Forum Buddy Liz47's Avatar
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    Default Beano, hind leg disabled UD: 27/06

    Hello all,

    Beano is 8 years old and has been having difficulty with her hind legs for a while now. Originally just from physical examination/observation she was diagnosed with arthritis so has been on metacam for several months now. Over the past month she has been getting notably worse and this week has deteriorated rather quite rapidly. She had an X ray done today and no signs of arthritis were observed, alongside nothing affecting the spine. The only thing that was noted was a huge loss of muscle mass which you can see and she is loosing weight. Based on this and examinations the vet thinks it is a neurological issue, she doesn't seem to be aware of her hind legs anymore and when her foot is knuckled over there is no reflex to bring it back nor does she react to anything involving her feet. So at the moment her right leg is almost completely being dragged and is often stretched out infront of her and she is very wobbly when trying to move (she only seems able to creep/walk) and sits with them at awkward angles. This also means she is toileting on herself so requires daily baths and is shaved regularly (despite this she also required stitches after her skin tore a few months ago ) and she can't sit up to reach her ceacotrophs (sp?).

    She is not normally a rabbit that will tolerate or enjoy being handled/human contact unless she comes up to you but obviously all this means she is having regular contact which she doesn't have the ability to struggle and get away from and it's so upsetting seeing her like this as it's nothing like what she used to be. She can't keep up with Jake meaning she gets knocked and they very rarely sit together/groom as he is too active. However, despite this she is still keen to eat everything offered and some days her movement is ok and seems to enjoy being out in the garden but then often will sit in the same spot looking miserable and some days won't move for hours (she has hay, water, vet bed all in easy reach throughout the room). She is on metacam, has a cream for her legs and is nearly finishing a 28 day panacur course in case of EC. Vet said further testing can be done (such as CT) but a neurological issue is very unlikely to improve, but a possibility of slowing/managing the symptoms. I'm not sure if I'm doing enough or if there's anymore I could ask the vet to do? I don't think Beano is the sort of rabbit to have good quality of life being disabled as she is now but when the vets mention euthanasia I just don't feel like I have done enough for her at the moment. She is my first rabbit who I got as a child and also my first pet who means a lot to me, I can't bear seeing her suffer but surely there is more that can be done.
    Last edited by Liz47; 27-06-2017 at 02:51 PM.

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    Forum Buddy mini lop1's Avatar
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    This reminds me of Rosie my nethie although she had brain tumour, but when she was 9 she lost all muscle in her back legs to, whenever she fell over she cried for me to pick her up, she had steroids every week for some months until she told me one night she was tired and had enough, I knew I had to help her and say goodbye 😢 hopefully beano will do ok for a long while yet if t her are more good days then bad we used to say with Rosie it was positive, sending vibes xxx

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    Forum Buddy Liz47's Avatar
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    Thank you for your reply. I'm sorry you had to go through that with Rosie, it sounds as though she coped well with your help. I'm struggling to see Beano having any good days at the moment, we've not discussed steroids I will ask the vets xxx

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    Warren Veteran Glingle's Avatar
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    I'm sorry you're having to deal with this. Hugs. My 7 year old lionhead cross, Flop developed arthritis in his back legs, although the right was worse. We gave him metcam twice a day which he tolerated and hubby built him a ramp to help get in and out of the shed. After a few months Hubby came in after giving them breakfast and told me that Flop couldn't move his back legs. I went to see him and he was happy to see me, but I he'd been unable to drink from the water bowl and took a large drink when I placed a shallow dish next to him. I bought him inside and sat him on the sofa on a mat. He was bright and alert and into everything, but couldn't really drag himself about. I phoned the vets and got an emergency appointment. I was so distressed in the waiting room that the receptionist put me in an empty consulting room to wait.
    I knew in my heart that I couldn't meet his needs, being out at work all day, but as he was so bright and alert in himself I felt so guilty about that. The vet and I discussed it and agreed that helping him go was the best option. He went off to prepare things and I sat on the consulting room floor with Flop, willing him to hop. It was the kindest thing I could do for him, but it broke my heart.
    Take advice from the vet, but only you know Beano and what her quality of life will be.
    Sending hugs xxxx
    Last edited by Glingle; 10-06-2017 at 12:19 PM. Reason: Wrong gender! Sorry x

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    Quote Originally Posted by Liz47 View Post
    Thank you for your reply. I'm sorry you had to go through that with Rosie, it sounds as though she coped well with your help. I'm struggling to see Beano having any good days at the moment, we've not discussed steroids I will ask the vets xxx
    I agree with Lisa in that there are some circumstances in which the use of a corticosteroid is justified. Their use always has to be done with careful weighing up of risks versus benefits as corticosteroids do have potential side effects, especially lowering the immune system, Liver damage and gastric ulceration. So your Vet will no doubt go through all this with you when you speak with him/her. I have had several Rabbits who were prescribed a corticosteroid as a 'last resort' in order to buy the Rabbit a little more good quality time. In most cases the treatment was beneficial even if it was not curative (all Rabbits had terminal conditions).

    As Beano is not a 'hands on' type of Rabbit I doubt that either acupuncture or physiotherapy would be of any benefit as both would probably be too stressful for her.

    Personally I cant see the point of a CT scan as I am not sure that it would result in any more treatment options. I am sorry that Beano is struggling and I hope that the Vet might agree to trying a Corticosteroid. Beano could not have Metacam at the same time though.

    Finally you may find it helpful to have a read of these :

    http://www.rabbit.org/journal/2-8/quality-of-life.html

    http://www.disabledrabbits.com/quality-of-life.html

    For up-to-date information about RHD2
    https://www.facebook.com/groups/1744958082388756/

    To view reported cases of RHD2 and Vets reported to stock the RHD2 Vaccine

    http://rhd2map.buntools.org.uk/

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    Wise Old Thumper MightyMax's Avatar
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    Quote Originally Posted by Liz47 View Post
    Hello all,

    Beano is 8 years old and has been having difficulty with her hind legs for a while now. Originally just from physical examination/observation she was diagnosed with arthritis so has been on metacam for several months now. Over the past month she has been getting notably worse and this week has deteriorated rather quite rapidly. She had an X ray done today and no signs of arthritis were observed, alongside nothing affecting the spine. The only thing that was noted was a huge loss of muscle mass which you can see and she is loosing weight. Based on this and examinations the vet thinks it is a neurological issue, she doesn't seem to be aware of her hind legs anymore and when her foot is knuckled over there is no reflex to bring it back nor does she react to anything involving her feet. So at the moment her right leg is almost completely being dragged and is often stretched out infront of her and she is very wobbly when trying to move (she only seems able to creep/walk) and sits with them at awkward angles. This also means she is toileting on herself so requires daily baths and is shaved regularly (despite this she also required stitches after her skin tore a few months ago ) and she can't sit up to reach her ceacotrophs (sp?).

    She is not normally a rabbit that will tolerate or enjoy being handled/human contact unless she comes up to you but obviously all this means she is having regular contact which she doesn't have the ability to struggle and get away from and it's so upsetting seeing her like this as it's nothing like what she used to be. She can't keep up with Jake meaning she gets knocked and they very rarely sit together/groom as he is too active. However, despite this she is still keen to eat everything offered and some days her movement is ok and seems to enjoy being out in the garden but then often will sit in the same spot looking miserable and some days won't move for hours (she has hay, water, vet bed all in easy reach throughout the room). She is on metacam, has a cream for her legs and is nearly finishing a 28 day panacur course in case of EC. Vet said further testing can be done (such as CT) but a neurological issue is very unlikely to improve, but a possibility of slowing/managing the symptoms. I'm not sure if I'm doing enough or if there's anymore I could ask the vet to do? I don't think Beano is the sort of rabbit to have good quality of life being disabled as she is now but when the vets mention euthanasia I just don't feel like I have done enough for her at the moment. She is my first rabbit who I got as a child and also my first pet who means a lot to me, I can't bear seeing her suffer but surely there is more that can be done.

    Oh Liz I am so sorry

    I know how special Beano is to you and how difficult this is. Ifs she's lost muscle mass, could you ask your vet about anabolic steroids? Not the same as corticoteroids as you know, but I have found them very useful in building up muscle in weakened rabbits.

    Has she had a blood test to check for kidney function? I find that wobbly rabbits can have a deterioration there (and liver) and perhaps it would be good to know .. You may have already done this.

    Finally, there's a couple of links here, which I have found helpful


    http://rabbit.org/end-of-life/


    http://www.disabledrabbits.com/quality-of-life.html


    http://forums.rabbitrehome.org.uk/sh...uality-of-Life

    Thinking of you Liz, and lots of hugs xxx

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    Forum Buddy Liz47's Avatar
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    Thank you all, and for the links. I'm sorry you've gone through similar with Flop, Glingle.

    I will do a better reply once I'm home from work. Beano had her back end on its side completely this morning and was dragging badly. My partner has text now to say she is following Jake and seems to be keeping up and bright despite this. I will discuss both types of steroids to see if either would be an option, which I would like to try I think. CT was just offered to try offer an actual diagnosis, although vet did say it would be pricey and involve a GA and offer little to nothing in means of treatment. I just want to know why this has happened to her, but it would offer no benefit to Beano so I wont be having any other tests I don't think aside from bloods which haven't been done yet thank you for that suggestion xx

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    Forum Buddy Zoobec's Avatar
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    I don't have any specific advice, but wanted to say I'm sorry you are going through all this. I'm sending lots of vibes for her and hugs for you xx

    Binky free at the bridge Boots, you will never be forgotten xxxx
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    Forum Buddy Liz47's Avatar
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    Thank you.

    Just a quick update, Beano has had a good few days. She seems to be moving around better and seems brighter in herself. A big concern for me at the moment is she can't eat her caecotrophs, and is getting messy with them. I check her as often as possibly and they just wipe away from her tail if I catch them 'fresh', but when I'm at work or sometimes first thing there is sometimes a larger mass of them and this requires a bum bath to get clean. She is indoors and I have a fly curtain on their window so I'm not too concerned about flystrike although do check her regularly for this. Is there a chance she could become ill through not eating her caecotrophs? I worry she won't be getting the right nutrients, she is skinny and it's a battle to keep weight on her as it is. Thank you for any further advice.

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    Quote Originally Posted by Liz47 View Post
    Thank you.

    Just a quick update, Beano has had a good few days. She seems to be moving around better and seems brighter in herself. A big concern for me at the moment is she can't eat her caecotrophs, and is getting messy with them. I check her as often as possibly and they just wipe away from her tail if I catch them 'fresh', but when I'm at work or sometimes first thing there is sometimes a larger mass of them and this requires a bum bath to get clean. She is indoors and I have a fly curtain on their window so I'm not too concerned about flystrike although do check her regularly for this. Is there a chance she could become ill through not eating her caecotrophs? I worry she won't be getting the right nutrients, she is skinny and it's a battle to keep weight on her as it is. Thank you for any further advice.
    You could put any formed cecotrophs within her reach she might eat them. If she continues to be unable/unwilling to eat them I'd have a word with your Vet as she may need some vitamin supplementation, (Vit B).

    http://wabbitwiki.com/wiki/Cecotropes

    Avipro Plus would be useful, it is a prebiotic, prebiotics can aid the absorption of dietary nutrients. Prebiotics are a certain type of non-caloric carbohydrate. The technical names for them are are inulin and oligofructose. These substances go through the gut unchanged and are then used by the 'good' bacteria in the colon to enable the 'good' bacteria to proliferate.

    http://www.vetuk.co.uk/dog-supplemen...ro-plus-p-1225

    For up-to-date information about RHD2
    https://www.facebook.com/groups/1744958082388756/

    To view reported cases of RHD2 and Vets reported to stock the RHD2 Vaccine

    http://rhd2map.buntools.org.uk/

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