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BINKYBUNNY FORUMS > DIET & CARE > Please HELP: GI stasis treatment and aftermath
Last Post by LittlePuffyTail at 9/09/2012 3:19 AM (49 Replies)
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User is Offline Sarita
(Dallas)
Forum Leader
17968 posts Send Private Message
8/08/2012 6:30 AM
Please keep us updated and healing vibes from me as well.

User is Offline TuxDraper
16 posts Send Private Message
8/08/2012 6:49 AM
I'm heading to the exotic specialist for a final
Checkup and with a LONG LIST of questions. Enough is enough.

Thank you all so much for the love and support! WE BOTH need it

Xo

User is Offline bullrider76543
Joplin MO
1291 posts Send Private Message
8/08/2012 6:52 AM
we will be waiting for an update!!
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User is Offline TH004
261 posts Send Private Message
8/08/2012 7:43 AM
(((healing vibes and hugs)))

User is Offline TuxDraper
16 posts Send Private Message
8/08/2012 10:43 AM
Well we are back from the vet, and 200 something dollars later we have a script for 30-days of Metoclopromide (1.1 ml, 3 times a day). The vet confirmed that Tuxy had a small bout of cecal dysbiosis, but the good news is that his temp was perfect (102, and he was obviously a little stressed so this is great!), and that he will no longer need any antibiotics (which caused this condition). She felt that he still is dealing with some GI Stasis, so the Metoclopromide should help with this.

They also took his blood, and the initial test came back all normal and actually much better than the blood work that was taken 10 days ago. We will get the CBC results tomorrow so fingers crossed for that.

While we were there, Tuxy got some SQ fluids, but the vet did not feel that he would need these on a daily basis as long as I was able to keep up with critical care routine that I have been doing, and also offering him plenty of fresh green veggies and unlimited hay.

So for now folks, we sit tight and keep on doing what we have been doing. Please keep sending me and Tuxy positive vibes for a full and awesome recovery! I can't tell you how much I miss seeing him binkie around the house - he would literally do this 10-15 times a day!! Happy little dude!

xoxo

User is Offline Sarita
(Dallas)
Forum Leader
17968 posts Send Private Message
8/08/2012 10:53 AM
Yes, rabbits can definitely be expensive little creatures! Hopefully all will now be well and he will not have another stasis episode.

I've had a few rabbits who were in stasis for various reasons that lasted for 1 1/2 to 2 weeks and both times almost gave up hope but my vets always pulled them through - they would go in daily to the vet for treatment while I was at work. It was agonizing...so I know how you feel.

User is Offline bullrider76543
Joplin MO
1291 posts Send Private Message
8/08/2012 11:03 AM
I am happy to hear that, heal quickly!!
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User is Offline TuxDraper
16 posts Send Private Message
8/08/2012 11:03 AM
Oh my gosh!!!! Did that cost a small fortune? I'm seriously curious because I may need to make arrangements to do that if this happens again. Right now, I'm on vacation (really nice VACA! ), but anything for Mr. TUXY!!

User is Offline Sarita
(Dallas)
Forum Leader
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8/08/2012 11:18 AM
It did cost a small fortune and if I was at home I would have done the fluids and feedings myself but since I work, I really couldn't.

Actually most of my rabbits have cost me a small fortune...I get stuck with the ones with dental problems, etc...I have three 10 year old rabbits right now and one that is about 4 years old. One of my 10 year old rabbits has been having dental problems for the past year and my 4 year old one came with dental problems and that is pricey too.

User is Offline TH004
261 posts Send Private Message
8/08/2012 11:45 AM
Keep us updated! Get well Tuxy!!

User is Offline TBpony414
Washington, DC
166 posts Send Private Message
8/08/2012 4:10 PM
So glad to hear Tuxy is continuing on the road to recovery! Keep us updated. ((continued healing vibes))

Sarita, you might find my personal experience regarding the usefulness of simethicone interesting. I have a bunny with megacolon (cowpile) syndrome and he gets cisapride twice a day. I always give him simethicone with it too. However, few times I have either run out of simethicone or just been lazy and didn't give it - and Willy always had gurgles and/or an upset tummy those days. Otherwise he is totally fine. I wouldn't have believed it could have made a difference if it wouldn't have happened to my own rabbit. Bunnies are finicky little fellows!

User is Offline Nova
219 posts Send Private Message
8/08/2012 8:16 PM
I only read the first post here so sorry if this is echoed advice. I have a bun who deals with chronic slow gut motility and full blown Stasis at least once a month or 2.

Make sure your pellets are by Oxbow. They have the highest fiber content.

The antibiotics were likely prescribed to kill off any build up of bad bacteria in the gut which can happen when stagnant contents just lay in there (hence the stink that comes out when the gut gets moving again). The Baytril is fine but you should never give a bunny any type of cillin or cephalosporin antibiotic because it can throw off their gut flora. I have heard it can be safe when injected so it bypasses the gut flora, but double check with a rabbit wise vet. I would take him off the Penicillin ASAP.

Cecal dysbiosis, that nasty, goupy, yellow mucus that starts to come out after a bout of bloat/stasis - is the build up of bad bacteria and the key to getting bunny through it is hydration and Bene-Bac, works better than throwing them on antibiotics which is quite stressful to them. Go to any local pet store, buy the 4 little tubes (make sure they are not expired). Give 1 tube twice, 3 days apart. I've also noticed that when my bun is *starting* to get constipated or lose his appetite, Bene-Bac sometimes prevents a full-blown attack. Bene-bac is probiotics, "good" bacteria for the gut.


The key to getting a bun through stasis is keeping him hydrated and not in pain - and when you have to force-feed, do it with small amounts at a time because too much can just make them more in pain. simethicone (in infant drops, 0.3ml) can help break up gas buildup and the metacam is also a good idea.

The motility meds should only be used for a week, maybe 2 weeks at most, but in my experience, any longer than that and your bun can become dependent on it and the bun can have rebound stasis when you stop giving it to him after such longterm use and he gets dependent on it. To help combat this I use motility meds as a last resort, with extreme caution, and I switch between Cisapride and Metoclopromide interchangably when I do have to use them.


when I HAVE to resort to motility meds, I try to figure out if he is stopped up in the upper GI tract or the lower GI tract. If upper, Reglan (metoclopromide) helps, but I am careful to only use it for a few days to a week or 2, and if he is constipated in the colon with poops, I would reach for the Cisapride and again, no more than a week or 2.


But I usually try other ways first - removal of pellets for the first day, enticing with more varieties of hays (oat is very tasty to buns and great in stasis) and WET leafy greens, sub-Q fluids (or syringe feeding him pedialyte) (I have had to learn to administer subQ fluids myself due to the frequency of my bun going through this), simethicone, metacam, Critical Care, and gentle but aggressive belly rubs. Make sure bun is also allowed to get a lot of exercise - it can promote motility in his gut and make him work up an appetite.


When this slowdown happens (and sometimes before resorting to risky motility meds) I have given 1-2mL of medical grade Mineral Oil laxative by mouth, only once per bout of stasis. you don't want to give him diarrhea. You can get it at any pharmacy. If your bun is bigger than 3lbs, 2mL would probably be more appropriate. It takes a day to work, but it usually does.


Finally, when I am desperate, I administer about 3mL of medical grade Mineral Oil laxative as an enema into my bun's colon with a small syringe - administered through his anus. You can also use an infant's ear dropper bulb and mix 3mL of the mineral oil with about 5mL room temperature (lukewarm) water and shake up into the infant bulb syringe (or ear bulb syringe). to administer, all you do is get bun on his back, find the anus (it's the hole that winks back at you), insert, and gently and slowly administer..... then keep bun on his back for a few minutes, grab him by the hind quarters and lift them up a bit so as to get all of the enema to travel as far up the lower GI tract as possible, keep it there for a few more minutes, rub his belly and then set him down in his litterbox. If successfull....He should produce poops by then. The lukewarm water itself will help stimulate the GI tract and hydrate the dried up compaction inside and the mineral oil, as a laxative will ease the fecal matter out.


That said, the following I am going to write to you for FUTURe reference..............It sounds like your bun is very young and for him to be experiencing stasis issues already is kind of a bad sign - my bun is not even a year old yet and has been in stasis at least 5 times. The key to keeping it under control is lots of hay (oat hay is GREAT for stasis buns because rabbits love the taste and it is nutritionally similar to timothy, so mix that with the timothy!), keep them on Oxbow pellets and only give those in tiny amounts through-out the day so they don't load up on the pellets and make themselves constipated. With these kinds of buns, daily greens is also a must....and usually herbs like cilantro and basil combined with endive, carrot TOPS (not the orange carrot part) and escarole are the least risky (some greens can have side effects if given regularly...these greens I've found to be very safe to use on a longterm basis). My bun also has to have at least a few hours of exercise, so you might need to figure out a place where he can run, binky, jump and hop around for a few hours a day.

Because my bun nearly became dependent on the motility meds (which is BAD because it will stop working after a while and you are then unable to take them off due to dependency) I give him 1 small tube of Bene-Bac every other day. (the small tubes that come in the packages of 4). So, diet, benebac and exercise so far has been my routine, and when he shows signs of slowdown, I start with 2 tubes of the Benebac, a belly rub, simethicone and fluids/remove pellets/add more hay and veggies, let him run around and get moving..... if no better despite that, I administer the 1-2mL oral Mineral Oil laxative and metacam with small amounts of Critical Care through out the day, keeping him warm and hydrated (again, I do subQ fluids) if he still then gets worse just keep him hydrated and keep rubbing his belly and when all else fails...... the motility meds. WHen THOSE fail (in my bun's case it was because he was on them too long- I feel that 2 weeks is the max for those drugs) that's when it's enema time. It'd also be a good idea to ask the vet to have motility meds available for recurring bouts of bloat, I have done this. So if it's a weekend and all else is failing, they are there in my cupboard for him. But again, after he started to get dependent on them I use them with extreme caution these days.

I hope your bun gets better soon----and remember, once he gets the yuck out it's BeneBac time! Feel free to PM me if you need any help, and contact any local rabbit rescues for their advice as they often deal with their buns going into stasis on the weekends when vets are often unavailable.

User is Offline Nova
219 posts Send Private Message
8/08/2012 8:21 PM
Posted By TuxDraper on 08/08/2012 01:43 PM
Well we are back from the vet, and 200 something dollars later we have a script for 30-days of Metoclopromide (1.1 ml, 3 times a day). The vet confirmed that Tuxy had a small bout of cecal dysbiosis, but the good news is that his temp was perfect (102, and he was obviously a little stressed so this is great!), and that he will no longer need any antibiotics (which caused this condition). She felt that he still is dealing with some GI Stasis, so the Metoclopromide should help with this.

They also took his blood, and the initial test came back all normal and actually much better than the blood work that was taken 10 days ago. We will get the CBC results tomorrow so fingers crossed for that.

While we were there, Tuxy got some SQ fluids, but the vet did not feel that he would need these on a daily basis as long as I was able to keep up with critical care routine that I have been doing, and also offering him plenty of fresh green veggies and unlimited hay.

So for now folks, we sit tight and keep on doing what we have been doing. Please keep sending me and Tuxy positive vibes for a full and awesome recovery! I can't tell you how much I miss seeing him binkie around the house - he would literally do this 10-15 times a day!! Happy little dude!

xoxo

Okay just read this.


Please consider what I mentioned above^^^^ in my previous post here on this page about long term use of motility meds. If your bun must be on them long term, ask your vet if you can use Cisapride and Metoclopromide interchangeably every other week for a month instead of just one med straight through the month so that your bun doesn't become dependent on it and resistant to its effects. Glad to hear the vet was wise enough to know that the antibiotics could have caused the Stasis to be worse but Baytril should not worsen stasis as it does not affect gut flora so it was likely the Penicillin that upset his his balance. Please do try the Benebac once you know he is well hydrated and passing stool; it will greatly help the cecal dysbiosis.




User is Offline LittlePuffyTail
New Brunswick, Canada
Forum Leader
11696 posts Send Private Message
8/09/2012 2:17 AM
((((Tuxy)))))) Feel better buddy!

Bunnies should be called the pets of kings! I can certainly relate with bunnies costing a small fortune. I have 3 and they always seem to have some sort of expensive health problem.
Proud to be a Bunny Hugger and a voice for the voiceless
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User is Offline TuxDraper
16 posts Send Private Message
8/09/2012 2:31 AM
His new nickname is 'baby g' ! Hahahaaa! My husband calls him this as well as introduces him as our 'prized bunny'.

User is Offline TH004
261 posts Send Private Message
8/09/2012 2:47 AM
That's awesome! My hubby said we would never spend much on any animal, especially a rabbit. Then, my beloved buns got sick. He was the one telling the vet to spare no expense. It adds up fast!

User is Offline TuxDraper
16 posts Send Private Message
8/09/2012 8:24 AM
Totally reliant on metoclopromide? That would not be good at all. He was on it for 7 days and then off it. The following day is when he got sick again. I wonder if his body was feeling withdrawl? That is so scary and I do not like that, BUT I also want to keep Tuxy alive!

Today is a little more playful. I set up a fort for him to investigate and he is very entertained and for the most part interested. He climbed to the very top and made a cozy place to lay out long. I love when he does this. He gets so comfy and cozy.

I hve only given him one does of metaclopeonide and he ate about 6 large danilion leaves and a bushy carrot top. I was so thrilled to see him really excited to eat again. He is absolutely not back to normal yet, my cute 12 binkies a day boy, but at least he isn't just laying around limp like yesterday.

Thank you all for the advice and support. Keep it coming, as I have a feeling this is going to be a long road...

Xoxo
Tuxy's mommy

User is Offline TuxDraper
16 posts Send Private Message
8/09/2012 8:41 AM

Just as I was typing the above message, Tuxy had took a big poop of mixed pellets and very soft stool and ate it.  UGH.


User is Offline Sarita
(Dallas)
Forum Leader
17968 posts Send Private Message
8/09/2012 8:53 AM
Definitely follow the advice of your vet. I would call her and ask if you need to continue the reglan for the month. I'm not sure if they actually feel withdrawal - really the vet is the best person to ask for instructions and advice on medication that is prescribed for your rabbit. One person's experience is just that - their experience. What worked for my rabbit may not work for yours - the idea is to give you some talking points with your vet. I have found that every vet has a different protocol for slowdown of the gut in rabbits - it's basically the same but some vets do things in a different way. I have found that my vets are very open to discussing treatment for my rabbits and are open to my suggestions or if they aren't, they always will tell me why they don't feel it's a good idea.

The thing with stasis is that it is a condition and not an illness. It seems to me just based on your posts that Tux may have had an infection because you mention the high temperature and that could have caused the stasis.

User is Offline TuxDraper
16 posts Send Private Message
8/09/2012 9:05 AM
I spoke to her and she said to def continue at least until he is back to 100%. The eating of the sludge poo, I think is actually just him trying to get back into the routine of eating his cecateopes. I'm not
Overly concerned about that. It's all critical care, hay and veggies anyway!
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