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FORUM HOUSE RABBIT Q & A Tilted head/ear down/GI stasis!

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    • Cheryl
      Participant
      9 posts Send Private Message

        Hi all,

        Gulliver had a bout of loose cecotrophes last night and wasn’t himself this morning so I brought him to the vet. He has early stasis and a mild head tilt which the vet feels is related to a wax plug she saw in his ear and likely an infection. He is on simethicone, metacam, reglan, and epiotic. A rescue told me that he likely has e. cuniculi and if I don’t treat him asap he will “drop dead”. I am panicking! Any input? It almost seems like the ear is bothering him as the side that is tilted is the side with the plug and it got worse after his visit. He was extremely reactive to when she looked in his ear and they have always been way. He is not a fan of me putting the cleaner in his ear, either. I talked to the vet about what the rescue said and she told me she could test him for EC and pasturella, but positive results don’t mean it is the issue and negatives can be false. She is not comfortable treating him because she does not feel his symptoms align with EC and she said she has seen profound anemia happen in rabbits with the medication, which he once had a history of (mild anemia). So…sos! I’m panicking. I don’t want to do wrong by him. I lost my last bunny on Christmas Eve last year from what was thought to be GI stasis and ended up being profound septicemia – she passed within the first day of her GI symptoms showing up. I can’t lose another bun.


      • jerseygirl
        Moderator
        22356 posts Send Private Message

          Im sorry about the loss of your girl. A sad time of year with her anniversary approaching.

          Also sending out some healing* (((vibes))) for Gulliver.

           I think trust your vet on this. Head tilt is more often related to ear infections and given the vet can see it is plugged up, it makes it even more likely. Outer ear infections can move to middle or inner ear, causing some vestibular symptoms. Did the vet remove that plug as best possible? 

          *If* symptoms were caused by EC, the metacam he is on would help with any inflammation which is what brings on the symptoms.

          EC is very often a presumptive diagnosis because it is difficult to get true results testing for it. So, often in cases of head tilt when ear infection isn’t obvious. rabbits are put on med to cover both possible ear infection and EC infection. Im not sure why the rescue gave such a dire warning.

          You could give your rabbit a course of panacur after he’s finished on current meds if you wanted. I know in the UK, a lot of rabbit owners do routine treatment with panacur. I believe the product indicates to give a dose for 9 days, every 6 months. The negative side effects of panacur (fenbedazole) are linked with longer courses. The widely used 28 day course is thought to be enough to treat active infection but not so much that it will cause bone marrow suppression. Even so, some vets will do blood tests during this period to monitor for that. Individual rabbits may respond differently to the medication.

          You could talk to your vet about adding in oral baytril to Gullivers treatment, if you wanted. That would help with any possible ear infection but it also can help suppress spore formation (EC, being a microsporia).


        • Cheryl
          Participant
          9 posts Send Private Message

            Thank you for your recommendation. It hurts to see him so down. He is willingly taking his medications and handfeeding without needing to be burrito’d and I have a Snugglesafe under his mat for more warmth. He was producing fecal pellets all day so we decided to hold off on his Lactulose, but he went to producing only a few tiny ones so I just gave him his dose now with a late handfeeding. He just looks so sad. Is that what I expect with stasis?
            Regarding the Panacur, I think the concern is his history of anemia. We have an appointment scheduled for Monday to go in for bloodwork if he is not doing better, but she is not comfortable treating without definite diagnosis which I know can be challenging. I do feel that i would see more than this slight tilt if it was EC?


          • Cheryl
            Participant
            9 posts Send Private Message

              I forgot to answer about the plug. He was so reactive that she couldn’t safely get it. She told me to put 2 drops of Epiotic in the ear once a day and massage the base of the ear. She said he should be able to get it out himself but if the problem persists, we would sedate to remove it. I think her primary concern was the GI stasis – I was more concerned about the tilt because I go worst case quickly! I also think she did not prescribe antibiotics out of concern for them worsening his current issues. He is a sensitive guy.


            • Cheryl
              Participant
              9 posts Send Private Message

                So, we saw another vet today who cleaned his ear and said that the plug is gone, but the ear canal is very red and inflamed. He is now on ear drops. However, his eye on the same side is very weepy with clear fluid and a little bit of white eye goop at the tear duct. Both of the vets that I saw in the last 2 days said it is likely due to the inflammation in the ear canal. Likewise with his mild sniffling. Does that sound right? This vet also said that he does not present as an EC or pasturella bunny. When the ears got cleaned and he got home, the tilt pretty much completely resolved. He is now holding the eye shut when he can help it…he will open it, but prefers not to. He still seems a little off and is odd when grabbing food, but again, the doctors said the ear inflammation is just throwing his coordination off. He isn’t keen on his water bottle right now so I gave him a bowl and I guess he sniffed a little in because i caught him in a sneezing fit over the water bowl. He is super thirsty, but I think that is the lactulose making him feel like he needs to drink more.
                Sigh.


              • LittlePuffyTail
                Moderator
                18092 posts Send Private Message

                  I’ve locked this thread as Gulliver has sadly passed away.

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              FORUM HOUSE RABBIT Q & A Tilted head/ear down/GI stasis!