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Ear infection - surgery?

katbun

Warren Scout
Hi again, so we've just been at the vet and had a slightly alarming chat.

Basically the past few months pipers been sneezing more and more, and has been slowly losing weight. She's lost muscle mass in her back legs, so I believe that's the cause of the weight loss.

This may just be due to arthritis on slippery floors? She was on quite a low dose until a few weeks ago, now we've moved and she loves the carpet.

She's also just had a dental and the xray showed both ear 'cavities' (behind the eardrum, I forget what he called it now) are full of pus.

I went back to the vet to get something for the sneezing cause last time they said wait and see, and also to ask about the weight loss because she's eating lots.

The vet wants a ct scan (expensive!) And do pribably do a surgery wear he cuts the side of her face open? He showed me a diagram and then tried to show me a video but I shut that down. He didn't tell me how much the surgery was but said a lot. It seems very extreme and scary given she's 9 and fairly well on the outside.

He thinks pain is putting her off food causing the weight loss but I don't see that, other than maybe less hay. And he said it should hurt her when he pushes on the ear and she doesn't flinch.

He seems to and to get a good look at her skull because she's a crossbreed with dental and ear disease and it's a strange shape.

For the moment, we've settled on co-trimoxazole for the sneezing, upping her metacam, and feeding her up (she's delighted with extra pellets and greens). And I've been reading about building up muscle so she's got more boxes to hop on and off of, with food rewards on top, and we're going to play more chasing us games.

I might get some readigrass or alfalfa for the protein but i don't want to go too crazy and throw her off.

Also I've been giving her panacur for the last 2 weeks in case of EC, mostly for my own peace of mind due to Joey.

But this morning I've got up the courage to look into the ear thing and it seems quite bad, like if left alone it could pop out of her head!!

So has anybody had the scary ear surgery? Maybe it's cause it's on her face and her head's so small, I suppose a spay is a big scary invasive surgery and we all do that. But with her age I'm worried that the surgery would be so bad she wouldn't make it and her last days would be in suffering after all that. But then if i wait for a sign that its bad enough, she'd suffer more and make it worse?

Anyway any thoughts/experience would be helpful
 
There will be some old posts on here on similar subject matter, particularly from Jack's Jane / Inspector Morse. She had a few rabbits with major ear issues and her posts may be useful to your situation.

Use the 'search' button top right on the green top strip.
 
I have no experience with ear surgery, yet know you will make the right decision. Is palliative care possibl?
 
I had this with ny bridge bun Lilac. Due to her age I didn't go ahead with surgery, it is a massive operation for a rabbit, and Lilac was elderly with other health issues, so we opted for palliative care. I definitely second looking up any threads on this forum and generally online to get more info.
 
I've been looking through old posts and I think we should try long antibiotics first, the vet didn't really present that as an option for the ears and I'm not sure why. I have a lot of things to ask him when we go back after these abx. I'm glad it's not just me who thinks the surgery sounds extreme! It's hard to imagine sending her in for that when she doesn't seem to show any symptoms from the ear infection!

Anyway, as an update: I think the URI is improving on these antibiotics (although she's decided she now hates the artificial banana flavour which I don't blame her for). Yesterday I was very down about it all, and thought she was looking sorry for herself, but I think that was just me, and her being suspicious of all my meddling. This morning she woke me up with the sound of zoomies thundering through the house!

She seems to be getting a bit of sore hocks from the new carpet so I've put some sudocrem on - now thinking about whether to cover the whole living room in fleece or make fleece "leg warmers" for her...

Also got some Readigrass which she seems to be liking more than her hay (I can't tell if this is a pain issue, or a "gone off this specific hay issue").

She seems to have not lost any weight in the last few days, so hopefully with more food and exercise we can turn that around a bit before it gets too bad.
 
I've been looking through old posts and I think we should try long antibiotics first, the vet didn't really present that as an option for the ears and I'm not sure why. I have a lot of things to ask him when we go back after these abx. I'm glad it's not just me who thinks the surgery sounds extreme! It's hard to imagine sending her in for that when she doesn't seem to show any symptoms from the ear infection!

Anyway, as an update: I think the URI is improving on these antibiotics (although she's decided she now hates the artificial banana flavour which I don't blame her for). Yesterday I was very down about it all, and thought she was looking sorry for herself, but I think that was just me, and her being suspicious of all my meddling. This morning she woke me up with the sound of zoomies thundering through the house!

She seems to be getting a bit of sore hocks from the new carpet so I've put some sudocrem on - now thinking about whether to cover the whole living room in fleece or make fleece "leg warmers" for her...

Also got some Readigrass which she seems to be liking more than her hay (I can't tell if this is a pain issue, or a "gone off this specific hay issue").

She seems to have not lost any weight in the last few days, so hopefully with more food and exercise we can turn that around a bit before it gets too bad.
Not sure where you're based but I bought some excellent hock socks from etsy. Not all rabbits will tolerate them but the ones I bought were relatively cheap (less than £20) and Lilac was absolutely fine wearing them.
 
Is the surgery Total ear canal ablation? That’s when the inner ear lining is removed. I had a bunny who went though that operation years ago due to a chronic ear infection. Might be a different op.
It’s a big and potentially difficult procedure. My only advise is if you go ahead please carefully research and ensure that whoever does the op is experienced with the procedure, ie has done it a few times and has had success in the past with it (whichever the surgery is.) Good luck whatever you decide
 
Not sure where you're based but I bought some excellent hock socks from etsy. Not all rabbits will tolerate them but the ones I bought were relatively cheap (less than £20) and Lilac was absolutely fine wearing them.
Oooh i thought maybe i was being crazy, I'll have a look online for some designs, that's great to know another rabbit tolerated socks
 
Is the surgery Total ear canal ablation? That’s when the inner ear lining is removed. I had a bunny who went though that operation years ago due to a chronic ear infection. Might be a different op.
It’s a big and potentially difficult procedure. My only advise is if you go ahead please carefully research and ensure that whoever does the op is experienced with the procedure, ie has done it a few times and has had success in the past with it (whichever the surgery is.) Good luck whatever you decide
That's good to know someone's gone through it. Did it work? How was the recovery?

I have been doing research and I'm not entirely sure, he showed me a model of a bisection of the rabbit ear and said "the surgery actually looks a lot like this". I have many questions for him next time but i do think we should try some antibiotics first. The vet clinic is RWAF recommended and has 2 very rabbit savvy vets (of which he is one), they always know more than me which is reassuring compared to other vets.

I'm definitely going to get a lot more info about the surgery and his thoughts and her general health before i make any decisions.

Piper seems down again this evening but it is metacam time, and my partner was practicing giving her all the meds which i don't think is very comfortable for her mouth, but I'm going away for work for 2 nights next week so she has to be able to do it.
 
Oooh i thought maybe i was being crazy, I'll have a look online for some designs, that's great to know another rabbit tolerated socks

These are the ones I bought. I bought one pair first to see if she tolerated them and then another pair as they would need regular washing.

Re the metacam/meds, have you tried "hiding" it? I'd put a tiny bit on different foods and hand feed them, or mix into a combination of baby food and critical care. Sometimes it just helps to take some of the stress out of it, but it depends how smart Piper is!
 

These are the ones I bought. I bought one pair first to see if she tolerated them and then another pair as they would need regular washing.

Re the metacam/meds, have you tried "hiding" it? I'd put a tiny bit on different foods and hand feed them, or mix into a combination of baby food and critical care. Sometimes it just helps to take some of the stress out of it, but it depends how smart Piper is!
Good to know thank you!

She loves metacam (and panacur strangely) but so far has been too smart to trick into eating other meds willingly. And she does not like critical care. If i had banana or a lot of juice, possibly, but i think she's getting too much sugar atm as is, she's eating her fecal pellets.
 
Few pics of piper this morning, her sneezing has definitely cleared up and in the last few days she's been hopping onto the sofa! Mostly to dig up the quilt not hangout, but I'm glad she's having fun either way.

Only think now really is her hay consumption, I'm going to pets at home later to pick up some other types that look nice and soft, unless anyone has any ideas? Her current hay is hayshed timothy, and she's been sort of off it since the last box arrived, so not sure if its pain or this batch (probably both)
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Can you swap some of the hay to fresh grass? It's a bit easier to chew and readily available now.
I'm quite worried about RVHD2 as there's lots of rabbits in the area and she hasn't had the Yurvac vaccination yet. So I've stopped all outside food foraging for her.

I was thinking of finding some of that stuff grown for cats cause i figure that's grown in a polytunnel or something
 
Good to know thank you!

She loves metacam (and panacur strangely) but so far has been too smart to trick into eating other meds willingly. And she does not like critical care. If i had banana or a lot of juice, possibly, but i think she's getting too much sugar atm as is, she's eating her fecal pellets.
It's so tricky isn't it, you try and implement strategies to reduce stress and then introduce another problem! If only they knew what we were trying to do...

Edit - I also had similar problems with Lilac being off her hay as we managed her ear infection, so I used to grow a few small pots of grass inside as we don't have a garden. I always assumed it was pain related but weirdly she would eat things like dandelion root even when she was off her hay a bit.
 
It's so tricky isn't it, you try and implement strategies to reduce stress and then introduce another problem! If only they knew what we were trying to do...

Edit - I also had similar problems with Lilac being off her hay as we managed her ear infection, so I used to grow a few small pots of grass inside as we don't have a garden. I always assumed it was pain related but weirdly she would eat things like dandelion root even when she was off her hay a bit.
Piper also LOVES dandelion root, maybe it's just so delicious it's worth it. I'm going to buy some of those grass grow kits today.
 
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