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Thread: Bladder flushing..

  1. #131
    Warren Scout Zigzag's Avatar
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    Have just caught up with this, I’m so sorry clementine is not well. It’s so stressful when buns get ill as it has an impact on everything.

    Thoughts are with you Clementine

  2. #132
    Moderator Graciee's Avatar
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    Quote Originally Posted by Zigzag View Post
    Have just caught up with this, Iím so sorry clementine is not well. Itís so stressful when buns get ill as it has an impact on everything.

    Thoughts are with you Clementine
    Thanks Zigzag x

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  3. #133
    Moderator Graciee's Avatar
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    Just gave Clementine her pain meds and 1/4 of that diuretic human tablet thingy - staying close by I hope it'll be okay D:

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  4. #134
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    Sending lots of vibes for her xx

    Binky free at the bridge Boots, you will never be forgotten xxxx

  5. #135
    Wise Old Thumper Jack's-Jane's Avatar
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    Quote Originally Posted by Graciee View Post
    Just gave Clementine her pain meds and 1/4 of that diuretic human tablet thingy - staying close by I hope it'll be okay D:

    Sent from my LYA-L09 using Tapatalk
    I am sure she'll be fine, she will just wee and probably drink more xx


    Links to information about various health problems that can affect Rabbits :
    http://forums.rabbitrehome.org.uk/sh...ealth-Problems
    NB- If you think your Rabbit is unwell it is essential to seek immediate veterinary attention.

  6. #136
    Moderator Graciee's Avatar
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    Quote Originally Posted by Jack's-Jane View Post
    I am sure she'll be fine, she will just wee and probably drink more xx
    So far so good! Tbh with you I've not seen her drink or her water bowl level go down at all since she came home :/ I don't think she drinks enough, not sure how I can fix that though

    She's had a few more treats today just so I can make sure she's herself, she gets all excited for noms so this way I can make sure she's okay

    Do you think it's okay to give her the tablet diuretic, and natural ones? Or is that over kill? Because she's now happily taking two of the oxbow urinary support tablet treat thingys per day, and she loves dandelion roots (another treat, but again a natural diuretic ) and I'm growing ribwort which I just found out is one too, I was actually growing it for Atticus it doesn't upset him too badly but she could have some too.. I just don't wanna over do it!

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  7. #137
    Warren Scout JackieS's Avatar
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    Hi graciee

    Iíve been meaning to post on this thread for such a long time (I did once and then it was lost by my phone and I never got chance to start again)! One of current bunnies (Dusty) suffers with sludge and we have been on a very long journey the last 18 months or so! I am by no means a rabbit expert but I hope what Iím going to write might be helpful! (Itís likely to be a long post! Sorry!)

    Dusty is a rescue bun and was previously owned by someone else and came to live with us in March 2018 as she had lost her partner and we were looking a new partner for our other bunny Axl after his sister died. Sheíd had one episode of sludge problems a few months before but had been fine after a bladder flush. Within the first week of us owning her she had a major UTI which gave her urine scald and gut stasis - this was put down to the stress of bonding and moving to a new home. She perked up with antibiotics and usual stasis treatment but a month later had another which required a 2-3 month course of antibiotics to resolve. An ultrasound of her bladder showed significant bladder sludge but our vet was reluctant to flush her bladder as did not want to give her an anaesthetic or sedation due to the stasis so we were giving sub cut fluids for the 2-3 months also (as well as metacam). Once the uti resolved we slowly reduced her fluids and pain relief but 2 months after stopping we noticed that she was starting to leave damp patches on her tiles and when I picked her up the fur at her back end tinged with wet urine. Our vet thought maybe she may have some arthritis causing difficulty living her tail so so We restarted the fluids and pain relief but after a few months didnít notice any massive improvement .

    At this point our vets opinion was that we should just live with it, her fur was only tinged and she was generally happy in between her utis and stasis episodes caused by other things (she had two dentals last year also so was pretty much in stasis every 2 months for some reason or another!). I wasnít happy with this as I felt we were just firefighting rather than providing a good maintenance strategy. in February this year we got a second opinion from a specialist (CJ Hall). They agreed with me that we were fire fighting and did a full review. Full body xrays showed no evidence of arthritis and her bladder did not show any sludge. They diagnosed her as having a cystitis/bladder wall irritation likely due to previous sludge and utis which was causing her to urinate very small amounts. We left them on additional pain relief (tramadol) and cystaid and potassium citrate and to be honest itís been a massive game changer for us. She is now off the tramadol and continues with the sub cut fluids daily to help her keep flushed as well as the potassium citrate and cystaid

    (I have just arrived at work so cant carry on with my message but Iíll finish up later and answer any questions of you have any!)

  8. #138
    Warren Scout JackieS's Avatar
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    I can finish now!

    Since we started the cystaid and potassium citrate she has only one episode of what we think was uti. A urine sample tested positive for ecoli but it needed a specific antibiotic that proved hard to get hold of. And by the time we did, her symptoms had resolved and a further urine sample was negative for ecoli. When she has uti’s or sludge problems she will sit in the same spot, urinate on herself, or urinate in small amounts in multiple places, and will sit and squeak while she strains to push it out. Sometimes you can see sludge too coming out too - like toothpaste


    As I said above we are now off the tramadol (I didn’t think it helped much anyway to be honest except in the very initial instance when she is unwell) but we keep a bottle at home incase she is unwell as it’s helpful to have additional pain relief if the metacam isn’t touching it. She continues with the cystaid and potassium citrate every day and we vary her fluids depending on how she’s doing - routinely she has 60mls per day but can go up to 100mls depending on how she is. We give the fluids once a day as she’s not massively keen on all the handling so this gets it out of the way in once go, but sometimes when unwell I give over two sessions for more of a spread.

    In addition to medication we avoid all high calcium veg and she eats mostly cucumber and celery which we personal in water before giving. We have switched to bottled water (Tesco ashbeck) and if we can get grass we do and presoak also. We also cut pellets right down (she used to have half an egg cup now she only gets a teaspoon which is only about 4 sticks!). She also has long term ranitidine to protect her gut

    It’s always a difficult balance as dusty is also prone to dental spurs - so spurs stop her from eating, drinking and moving so that can increase the affect of sludge because she’s not urinating it out or moving around to break it up. And sludge can cause reduce eating and cause pain so she doesn’t eat and then I worry about spurs!

    We seem to be in a good place at the moment and when she had a dental recently we managed to keep her clean and she suffered no bladder affects as a consequence. We feed her on a fairly strict schedule and as a consequence we are able to notice any changes in behaviour/eating within a matter of hours and that has helped us to be very responsive to medication adjustment etc.

    Sorry! I know that’s very long - I hope it’s helpful and I’m sorry for wasting your time if it doesn’t help!!

  9. #139
    Moderator Graciee's Avatar
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    Quote Originally Posted by JackieS View Post
    I can finish now!

    Since we started the cystaid and potassium citrate she has only one episode of what we think was uti. A urine sample tested positive for ecoli but it needed a specific antibiotic that proved hard to get hold of. And by the time we did, her symptoms had resolved and a further urine sample was negative for ecoli. When she has utiís or sludge problems she will sit in the same spot, urinate on herself, or urinate in small amounts in multiple places, and will sit and squeak while she strains to push it out. Sometimes you can see sludge too coming out too - like toothpaste


    As I said above we are now off the tramadol (I didnít think it helped much anyway to be honest except in the very initial instance when she is unwell) but we keep a bottle at home incase she is unwell as itís helpful to have additional pain relief if the metacam isnít touching it. She continues with the cystaid and potassium citrate every day and we vary her fluids depending on how sheís doing - routinely she has 60mls per day but can go up to 100mls depending on how she is. We give the fluids once a day as sheís not massively keen on all the handling so this gets it out of the way in once go, but sometimes when unwell I give over two sessions for more of a spread.

    In addition to medication we avoid all high calcium veg and she eats mostly cucumber and celery which we personal in water before giving. We have switched to bottled water (Tesco ashbeck) and if we can get grass we do and presoak also. We also cut pellets right down (she used to have half an egg cup now she only gets a teaspoon which is only about 4 sticks!). She also has long term ranitidine to protect her gut

    Itís always a difficult balance as dusty is also prone to dental spurs - so spurs stop her from eating, drinking and moving so that can increase the affect of sludge because sheís not urinating it out or moving around to break it up. And sludge can cause reduce eating and cause pain so she doesnít eat and then I worry about spurs!

    We seem to be in a good place at the moment and when she had a dental recently we managed to keep her clean and she suffered no bladder affects as a consequence. We feed her on a fairly strict schedule and as a consequence we are able to notice any changes in behaviour/eating within a matter of hours and that has helped us to be very responsive to medication adjustment etc.

    Sorry! I know thatís very long - I hope itís helpful and Iím sorry for wasting your time if it doesnít help!!
    This is all very informative and helpful, I have a lot of questions if that's okay, but I need to sit down and list them all out etc which I'll do later if that's okay thank you though I really, really appreciate you posting, it's so good to hear how other people have dealt with it and what things they've tried etc x

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  10. #140
    Warren Scout JackieS's Avatar
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    No problem! Iíll keep an eye out for the questions!

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