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FORUM HOUSE RABBIT Q & A How will I know when it’s time?

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    • cheekybuns
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        Yesterday, the specialist at the vet hospital was confident of treatment for the early dental disease Roli has (I posted previously about diet). She was positive we could get him back onto hay after treatment.

        Today, the results of the CT scan have shown that it’s much worse than anyone suspected and there’s nothing they can do – the vet says it’s the worst case scenario. A large lesion/abssess on both sides of his jaw bone, both expanding and pushing the bone out, his jaw bone also at risk of breaking if dental treatment is carried out. And it wasn’t possible to see this from the x-ray taken previously. He’s only just coming up to 1.5 yrs old and we had so many hopes for him.

        They’ve essentially given us two options:
        1. A biopsy/culture to clean the bone where possible (if possible) and to identify the most effective antibiotic to fight the infection (he’d need to go under general anesthetic) plus manage his pain
        2. Manage his pain / palliative care
        + If he is unable to wear his molars down, he’ll need to have them burred at some point (risk of his bone breaking with any dental work)
        Whatever we do it doesn’t sound like he has very long and at some point we’ll have to make the choice to put him to sleep. How do we do that?

        We are beside ourselves with upset here and trying to figure out what to do next. It’s so sudden and he is still lively (at times) and cuddly but must be in so much pain.

        Roli is also very closely bonded with his sister and we’re worried about her in this process. She’s been taking care of him with lots of grooming and cuddles. We’re getting her checked again on Sat in case there are any signs that she might develop similar problems.

        Any advice, ideas or experiences you have that could improve his situation (or make the most of the time we have) would be so welcome.
        x


      • MountainBuns
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          Aw, Im so sorry, which treatment are you considering?


        • cheekybuns
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            Right now I have no idea.


          • MountainBuns
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              Hmm, which one is better, Im not very experienced in this category because my bunny has never had dental problems, Compare things like, Comfort, Ease, Recovery, Frequency of check ups, Medication and overall well-being for the bunny.


            • Phil
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                Oh this is such a heartbreaking dessision, he’s a very young bunny to have this problem, I would try any treatment possible to try and save him, if its an infection if treated his jaw bone might mend its self, infection can weekend the bone, he might not be strong enough to undergo anasetic until infection has gone, at least you know you tried, poor bunny teeth problems are the worst, as my first bunny Fluffy was always not eating very worrying, in the end you have to think whats best for him, wish Roli good luck.


              • cheekybuns
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                  Thanks very much for your thoughts so far.
                  It’s good to hear some encouragement for trying treatment.
                  I’m worried it would waste the precious time he has left.

                  The specialist vet at the veterinary hospital/university was not hopeful, she said that she and her colleagues are “at a loss” and the jaw bone is very unhealthy and at risk of fracture. Think I’m too shocked/upset to figure it out right now, hoping to talk it through with our local vet tomorrow. How are we meant to get on with our every day stuff with this happening? Feels like the end of the world.


                • Phil
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                    The specialist isn’t very encoraging, bit pessimistic, don’t give up hope, see what your vet has to say first, good luck, x


                  • Gordo and Janice
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                      It does feel like the end of the world. Been in a similar situation but our little girl made it to almost 8 years. And I didn’t think short of 8 years was fair, let alone 1.5 years for Roli. Really so not fair. I totally understand you being lost and not being able to think straight. Ours was from our little girl just stopping eating her hay, then pellets, then certain greens one by one on and on until she was gone, no explanation. But yours is different. There are several knowledgeable members that, hopefully when they log on, will be able to help sort this out with you. Treatment sounds risky but the other option sounds just as terrible. Indeed our trying to help our little girl, in the end, seemed to actually speed up her demise. We are almost sure of it. But we did what we thought would help fix her or at least prolong her life, obviously. So we went through some of that guilt of we made the wrong decision and shortened her life and probably shortened the quality of her life as well. But if we hadn’t tried we would have felt even worse because we would have forfeited the chance of maybe having had another year, 2, or 4, or however long of her being alive and well with us. But again we didn’t have the risks that Roli faces. Poor guy(Is it Rawly or Rolly for the pronunciation?).

                      I would lean towards treatment. I am hopeful more clear headed experienced members will chime in. But I think you want to do something because it might work or might help versus just throwing in the towel, so to speak. He may eventually have the molar issues either way.

                      I’m so sorry you are in this predicament. It is truly gut wrenching. We asked the question too as to when we would know it’s time. And this is what we were told:

                      1) if they continue to have an appetite
                      2) if they continue to show interest in their surroundings
                      3) and if they continue to give and/or receive affection

                      then there is still quality of life. These are good indicators of the degree of that quality of life. And as we were told, you would know better than anyone because you know them better than anyone. So you will have to be the best judge of when it’s time. It isn’t always clear and obvious. Some times it probably is.

                      For now though let’s see if someone can help with a clearer course of action before we spend too much time thinking about the other.


                    • Bunny House
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                        Hi there! I know, when I found out Caramel had a horrible tooth root abscess on her bottom jaw I couldn’t stop crying. I saw multiple vets who said there was nothing to do and she would just die ( I’ve leaned to never rely on one doctor , or even multiple and to always get multiple opinions). I hope it isn’t confusing what I write below.

                        She is doing great now(with some nerve issues from multiple surgeries but it is managed with meds and I will explain what she has had done). She grew this abscess at 7 months old.
                        She initially got her abscess cleaned and then given pen-g for a week-this was a horrible choice of the vet and it came back worse than ever.The vet couldn’t have done a worse job.-no X-rays or anything done to see how bad it was. This treatment was not aggressive enough-with these kinds of abscesses, you have to be aggressive.

                        I later moved down to Texas (A&M) for school and to get Caramel all fixed( I know bun moms can go to the end of the earth for our babies) so we did a ct, went on pen-g immediately and have been on it for a year so far. After we did the ct they saw exactly where to go in and did that-cleaned and debrided as much of the infection and bone as they could.(she had also had teeth pulled where the abscess was) she later had another surgery to make sure more of the dead bone was gone-which can cause an abscess if left because when bunnies want to push foreign bodies out they create abscess instead of pimples like dogs. So from them till now she is still on weekly pen-g to make sure the bacteria doesn’t come back because who wants that. We have done multiple ct’s and everything looks fine now, still not cured but she isn’t in too much pain and 90% fixed.

                        You can fix him, any good vet would know what to do, Its a long road but its not impossible.

                        I know your bun has it on both sides which can make it more difficult to treat. Its not easy but you can have your bun go through what mine has gone through-weekly pen-g, ct to see how bad it is, and then a debriding of the bone-add antibiotic beads in there and close it up, be on Enrofloxacin(expensive but you want to make sure you kill the bacteria the first time) and then go from there. You can even remove part of the jaw and then it can basically fix the problem right then and there. I would do a blood test to make sure and see if your baby is a good candidate for surgery.

                        It isn’t cheap, if you have the funds to do this, I would, I know caramel probably won’t live as long as my other buns but even if she lives a couple of more years its all worth it, but you just have to make sure they still have a happy life-if they don’t, then you have to make the hard choice.

                        I hope this helped you


                      • Gordo and Janice
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                          Also don’t feel too rushed. This was just yesterday, or today, I’m confused.  A lot of times in these instances I will feel I have like 3 hours or 10 minutes to make my decision and it has to be the right one or else. I need to sleep and give myself some time. Give yourself some time to get over the shock and think about it logically.  There may be more questions that you realize you want or need to ask.  So what it appears is you have only two options. Try to treat it. Or don’t, just manage his pain until you can’t. I think that is what I understand.

                          And I agree with what Bunny House said.  2nd and even 3rd opinions are always good for many reasons.  We never got a 2nd opinion to try and find out what was wrong with Icey before she died.  I trusted our vet.  She was recommended on the lists.  But to this day I regret not getting another opinion.  For someone else to have a look and to run it through their brain, their thinking process.  Maybe they would have thought of something different.  Come at it from a different angle.  Everything may have ended the same way.  But it would have been nice to have the reassurance.


                        • Gordo and Janice
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                            And I just noticed this thread is in the RAINBOW BRIDGE forum. I think this would be better in the Q and A forum so it can get more traffic and more eyes may look at it. RAINBOW BRIDGE is generally reserved for bunnies or other pets that have passed. So it may have fewer members seeing it. Roli is still living life. So I made the request for it to be moved, let’s see what happens.


                          • BB Administrator
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                              Thanks Gordo and Janice – -this has been moved now (obviously) to the Q&A.

                              Helloworld!!


                            • cheekybuns
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                                Thank you so much for your thoughts everyone. It’s a lot to process.

                                Gordo and Janice you’re right, I feel like I want it all sorted yesterday so we have a definite plan to hold onto but I’m trying to sit with it for a few days and find out as much as I can.

                                Thank you for the hope Bunny House and the info will be so helpful when talking to the vets about options. I’m thinking that because he’s young and fit he could heal up well. But the specialist was so negative and I’m waiting to see the CT scan and see how bad it actually is in there.

                                Still doesn’t feel real.

                                He’s on Metacam now (0.81mg/ml twice daily) and I’m trying to read if he’s lethargic because of pain/giving up or if it’s the meds. Any thoughts on metacam?
                                I’m not seeing a visible difference after he’s had it (in mood or posture or signs of relief). Wondering if he needs more..


                              • cheekybuns
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                                  Thanks Phil, I really appreciate that. x


                                • Phil
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                                    Such a dear bunny its not fair, I hope he can have successful treatment, its amazing what an expert bunny vet can do, the infection is main problem, hope and pray he’s strong enough for any operation x


                                  • Bunny House
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                                      Its always a good idea to get multiple opinions on bunnies illnesses because so many have different ways to treat them. I know I have used Metacam but for more pain-use buprenorphine ( too much can cause lethargy but the right dose will make him act normal) and it is an opioid so it is more controlled than metacam but its worth a shot until you decide what to do.

                                      My girl might need part of her jaw removed if her pain doesn’t stop so you can always go to that as a last resort.


                                    • Bunny House
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                                        And I don’t know if this was mentioned but you should have a culture of each abscess taken so you can determine the best meds for the bunny to try and help some of the abscess


                                      • cheekybuns
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                                          Ok an update!

                                          So we’e had a culture for each absess taken and results shoukd be with us in the next day or so. The rabbit specialists in Edinburgh think the bone is too unhealthy to operate just now, but they do occasionally see a miracle bunny tgat can fight the infection and repair enough for an operation. Good news is his sister got the all clear. Phew.

                                          So now we are juggling meds (we are not experienced at this).
                                          – metacam/meloxicam
                                          – antibiotic (Sulfatrim until we get culture results)
                                          – tramadol
                                          – Ranitidine (he seems to really need this, sensitive digestion)

                                          We are trying to be as consistent as we can with timing but his state in the first week has been quite unpredictable. Is there anything we should be looking out for?
                                          Roli – Male mini lop 1.5yrs (neutered)

                                          P.s. When we got back from the hospital his sister cleverly nibbled off the contact details from their discharge form! Precision editing there.


                                        • Phil
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                                            Hope its positive result, good luck


                                          • MountainBuns
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                                              Its Progress! Hopefully everything heals up well and he can get back to being a happy lil bun!

                                              ((((Healing Vibes))))

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                                          FORUM HOUSE RABBIT Q & A How will I know when it’s time?