Rabbits/Pen G

Advertisement


Question
Hi Dana,

I apologize for the long-winded message but I wanted to be as detailed as I could, hopefully I dont confuse you. I have a 5 year old male dutch rabbit, weighing about 10 pounds.  I went to my vet on May 24th to be treated for a rash under his chin. She prescribed a Pen G injection once a week for three weeks, Fluconazole as an anti-fungal and Flamazine as a topical anti-fungal because she wasnt sure if it was bacterial or fungal, she said it was due to eating too many wet veggies and the water accumulating there (from drinking from his bowl).  After two days he had a really bad reaction to the Fluconazole, loud gas (hes already a gassy bunny but this was really loud), barely eating and just really uncomfortable (teeth grinding and grinding the furniture a lot more than usual).  I took him back to the vet and they told me that its a reaction to the Fluconazole which is really rare they said and that hes in the beginning of a GI stasis so they prescribed sub-q fluids, Trimebutine, metacam and benabac as well as force feeding with critical care as he wasnt eating enough on his own, I also gave him pediatric Ovol.

The Trimebutine wasnt working as well as they liked (he was passing minimal stools and very small) so they prescribed Metoclopramide instead along with the same treatments (sub-qs, metacam...). He started eating more on his own but not passing enough stools, he was also passing soft and goopy ones.  They advised that he be hospitalized to get more fluids into him through an IV. He was hospitalized for three days and was given the following: IV fluids, Famotidine, Metacam, Buprenorphine, Metoclopramide, Ovol, benebac and force feeding with critical care. During the hospitalization he was seen by a different vet, who noticed a very small amount of puss really deep in his left ear. So she thought that maybe all this was related to his ear infection.

In any case even while hospitalized, he still wasnt making enough stools and was very stressed the whole time so they sent him home thinking hed get better because hed be in his environment with minimal stress. I did some research on the net and asked if he could try Cisapride so they sent me home with that to take for a week while stopping the Metoclopramide, given sub-q fluids, continue the pen-g for another week (for his ear), benebac, metacam and Ovol.

With the Cisapride, he was pooping good amounts although they were strangely oval shaped but what concerned me was that he was getting large amounts of goopy thick stools about 2-3 cm wide along with the oval dry poops and I also found his cecotropes uneaten. Also he was hardly drinking any water.  The vet told me that his intestinal flora is out of whack and to increase the benebac to three times a day.  He no longer gets Cisapride or metacam,  or force feeding because he is eating on his own but his appetite is not 100%. Also since I find he doesnt drink enough,  i give him about 20ccs of water/unsweetened pedialyte a day along with the wet veggies but that soft stool is really concerning me, hes also really grinding his teeth on practically anything he finds which is out of character.

I went back to the vet a week later for a re-evaluation of his ear infection and there was no more pus but she wanted to continue the Pen G for another 3 weeks (totally 6 weeks).

I called the vet today to talk about the soft stool hes still getting and she wants him on Metronidazole. But Im really starting to think that the soft stool is a reaction to the Pen G, I realize it is very rare that rabbits have reactions to Pen G as it supposedly does not affect the digestive system, my vet was extremely adamant about that but they also said that reacting to Fluconazole is also rare so maybe hes one of those strange cases.

Ive found this link on Bunspace from Steve saying his bunny stopped eating after given Pen G and was like that throughout the treatment: http://www.bunspace.com/forum/thread?tid=9053.

Hed be due to get his next Pen G shot on Wednesday but Im really thinking of not giving it to him and see if the soft stool clears up before giving the Metronidazole.  Can I get your thoughts on this? Do you think this is a good idea?  Im also wondering if the reason why hes not eating his cecotropes is because the penicillin is making them smell off.

Thank you so much Dana!

Valerie

Answer
Dear Valerie,

In all of this, has anyone stopped to think it might be wise to check his molars?

A rash on the chin is a HUGE red flag for molar spurs that are making him drool.  The caustic saliva burns the skin where it soaks, and you set up a vicious cycle of stress from the pain of the spurs and the rash itself.  This can trigger the pain and stress reactions you are describing, and things can spiral downhill from there.

You will need a vet who is *very* experienced with rabbit dentistry to look deep into the mouth and check for molar spurs.  Please see:

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

Many vets will tell you they know how to do this, but some rabbits are so sensitive that even a very small buccal spur can set them on a path like this.  ALL the signs you are describing:  chin rash, tooth grinding, failure to eat cecotropes, unwillingness to drink, are almost ALWAYS traceable to dental problems.  So if your current vets are not experienced enough to know to even *check* for dental problems, then please use the list here:

http://www.rabbit.org/vet

to find someone who is.

I cannot tell you how common this problem is, and it always amazes me when I read a story like yours and see that none of the vets has even thought to look at the teeth, especially the molars!

I really think your bunny's problems are dental in origin, and the antibiotics are just a Red Herring here.  Cecal dysbiosis is usually caused by GI slowdown, but that doesn't arise spontaneously.  It happens because the bunny is stressed and/or in pain.  Given all the clues you've provided here, I am 99.9% sure there is a painful dental problem that needs to be addressed...yesterday.

I hope this helps.  

Dana

Rabbits

All Answers


Answers by Expert:


Ask Experts

Volunteer


Dana Krempels, Ph.D.

Expertise

I've lived with companion rabbits for more than 35 years, and consider them members of my family. I can answer any questions about the biology and health of rabbits, from the commonplace to the unusual. But please note:

RULE #1:
THE INTERNET IS NOT THE PLACE TO SEEK HELP IN AN EMERGENCY.

...it is an EMERGENCY.

Find a rabbit vet at www.rabbit.org/vet for immediate help, and don't risk your bunny's life by spending time asking questions online! If you can't get in touch with your vet, read these Emergency Sick Bunny Instructions.

If you have found a wild baby rabbit, please read these EMERGENCY INSTRUCTIONS FOR WILD BABY RABBITS and then use this link to FIND A LOCAL WILDLIFE REHABILITATOR who can give you the right advice.


RULE #2:
Help me help you! Please make your subject line informative if you have an urgent question. then LET ME KNOW IN THE SUBJECT LINE so I can give your question highest priority over non-urgent questions. If you don't do this, then I can't guarantee timely assistance!

For all the best, most accurate rabbit health, care and behavior information, visit The House Rabbit Society.

Experience

I have been rescuing and rehabilitating domestic and wild rabbits for about 30 years. I have written articles for many rabbit rescue publications, as well as for the veterinary journal, Exotic DVM. I own EtherBun, the internet's largest listserve dedicated to health, care, and behavior of domestic rabbits.

Organizations
Houserabbit Adoption, Rescue, and Education, Inc. (H.A.R.E., Inc.) president National House Rabbit Society (Board member)

Publications
Exotic DVM
Warren Peace (Journal of the House Rabbit Society of Miami)
Various newsletters of the House Rabbit Society, nationwide

Education/Credentials
Ph.D - Biology
B.S. - Biology
B.A. - English

Awards and Honors
Lightspan Academic Excellence Award for web site on rabbit health and biology
(http://www.bio.miami.edu/hare)

©2016 About.com. All rights reserved.