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› FORUM › HOUSE RABBIT Q & A › Metacam or emergency vet?
Glenn has had a bit if a reduced appetite for the last hour, ive just managed to get hold of some smithecone and just administer a first dose.
He is eating some blades of fresh grass, sweet treats, forage and roots but he is turning his nose up to pellets and joint oxbox joint support treats. He also isn’t ravenous with the grass but hes picking
Behaviour – hes grooming a little here and there, hes had a good ol stretch a couple times and he ran to greet me when I finishes work, he even purred a littls when I pet him. But hes not himself and hes tryinh to hide away and occasionally adopts a hunched position, and is a bit quiter, but then this is interrupted by bouts of moving to nibble a little or groom a little.
Poops are smaller and his pee is very very orange, I almost thought it was blood flecked at first but I think upon further inspection its just super orangy/red.
He also peed a little on the carpet which he has never done in his entire life, even during the previous two bonds so I would class this as abnormal.
I have some metacam, opened about two months ago, gut stimiulant and smithecone on hand or I have an emergency vet thats a stressful drive away and an uncertain level of experience with rabbits.
Any suggestions on my next steps?
He is booked in with an exotics Wednesday morning. There is possibly a woman he could see tomorrow who is not exotics but shes fairly experienced with rabbits and always seems confident when she has seen Glenn in the past.
Since he is eating some things, I’d start by giving a couple of doses of simethicone 30-40 minutes apart and encourage moving around. I never give meloxicam without famotidine because NSAIDs are hard on the tummy. I dont think having been opened 2 months ago would make it too old though.
A gut stimulant should be avoided unless you’re certain there is no blockage, and you cant really know that without a x-rays or a really good rabbit vet unless of course you see a good amount of poop.
I’d empty the litterbox and refill with all fresh litter so it’s easy to keep track of how much he poops (and pees, if he decides to pee in the box).
Tummy discomfort can cause a bun to pee outside the box, with more severe pain rabbits will often not pee at all until they get adequate pain relief, then pee a whole flood.
If he doesn’t improve in like 3-4 hours, I’d take him in, but make sure he’s kept warm in the car, f ex with several fleece blankets in the carrier.
Is he molting?
3TA: If he should take a turn for the worst within these 3-4 hours, onviously contact the ER vet!
Thanks for the quick reply!
Hes just had his second dose of smithecone. He’s notoriously difficult to medicate and even pick up despite our close relationship so its a bit of a run around to catch him so he has had a little run around and moves a bit. He also claws fidgets and swings his head back and forth when I trt and give him smithecone, with patience and persistence I do get it in him though.
Hes eaten more grass and forage (dried dandelion and flowers) and he’s nibbled a couple mint leaves. He had a nibble of a pellet forage, its one if his favourite things to eat, its a feed from ‘nature’s touch’
I will hold off on metacam for now then but generally in the uk even with very good rabbit vets they have only ever given metacam as is… Maybe famotidine is not available here?
Hes grooming okay still, hes very much in between acting normal for a little bit and then feeling a bit off.
Just waiting on some poop now.
Also his poops today have been smaller but very light in colour compared to normal, not sure if that really means anything.
Yes he is molting, hes just coming out of a molt though so not as heavy as it has been.
FYI I’ve always given metacam without famotidine, it’s pretty rare to be prescribed with something else in the USA. Not saying it’s great to do so, but the benefit for short term usage can outweigh a long term effect of being harder on the stomach.
I would give a big pile of wet greens that he’s eating. Dehydration can be a huge factor in in gut slowdowns so bumping up hydration can really help (and is often safer than syringe feeding at home if you aren’t sure what’s going on).
I agree on not giving the gut stimulant, but personally once I’ve been prescribed metacam before for a bun I will use it when I notice they have signs of pain.
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.

Thanks for the replies!
I took him to the ER to be on the safe side as ever since loosing Bella because we treated at home thinking her symptoms were not too bad, I have super paranoid about not ruling out critical issues.
The vet was OK but I could tell he wasn’t too familiar with rabbits. Never the less he seems to think there is no GI block and ghe bladder felt empty. He thought Glenn appeared hydrated amd gave an injection of meloxicom to manage any pain.
Were back at home now and glenn is still refusing pellets but he is nibbling.
He also pooped this in his carry case on the way to the vet… Finally! If only he pooped earlier! His poop is in the photo attached.
I guess since he has pooped it should be safe to give him critical care? Like I say the vet said he didn’t fesl bloated or gassy but I am not 100% confident in the vets experience with rabbits but I could see him feeling his belly.
That’s great he pooped!
Since he pooped, he’s nibbling a bit on his own, and the vet didn’t detect a blockage I would syringe feed if he isn’t eating normally. You can just keep offering the greens and herbs he is nibbling on. A little critical care shouldn’t hurt though. I often start with a really small amount to see if it perks them up at all (like just a couple mL).
It sounds like it could be some dental pain if he’s not wanting the hard foods. Have you tried offering some pellet mash? You can also try making a thick mash of CC with canned pumpkin or mashed banana to see if he’ll eat it on his own.
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
Yaay for poop! The poopies look good, a little bit dry and and of varying size and shape, which indicates a slight gut slowdown. It could very well be that the trip to the vet and the exam with the vet feeling his tummy set things in motion. And in any case, it always feels a huge lot better if you can have your bun seen, although in the case of Bella, if I remember things correctly, there wasnt anything a vet could have done 😥
I too would feed CC, if you syringe-feed, you can make it extra sloppy for extra hydration. And, as Dana also says, if you make it thick and mix it with sth yummy, he might be willing to eat it from a plate.
I might very well be too paranoid when it comes to Metacam and famotidine. Stomach protection is a lot more important for longer courses of metacam. I just cant say that I give metacam without famotidine, because that’d be dishonest. 🤪
Fingers very crossed for Glenn’s swift recovery!
Thanks for the help and info!
He is still unwell but better. He’s moving around more and nibbling on toys. He had another poo last night but he had loud gut sounds last night afterwards, I gave him more smithecone a bit of belly massage and he ate a fair amount of grass and some carrot tops, he has since pooped a couple times, small poops but things are moving now and hes moving around a lot more, he even ate a few pellets just now but left some too, hes nibbling hay and grass okay too, not amazingly but he’ll nibble a little, groom, nap for 20 mins, nibble a bit more and repeat. I can’t hear gut sounds now so maybe last night it was just some gas moving along while things started up again?
I haven’t given any CC because his eating is OK…. Usually I would to be on the safe side but I really struggle medicating and handling Glenn… I know thats not ideal and with all the other 3 ladies I’ve not had an issue medicating and handling them but Glenn just has an absolute disdain for anyone trying to put stuff in his mouth 🙁 he started whimpering last night when I was giving him his smithecone :/
Anyhow, I’m not sure if its dental. Dental would seem the most obvious but he had his annual check up 2 weeks ago and she said his teeth were perfect. He also is on a reduced pellet diet (8 selective pellets a day and a pinch of Natures Touch feed mix in the evening) he eats soooo much hay… If its teeth I just honestly do not know what more I can do to prevent it, he had a burr just over a year ago last time.
The other thing I have noticed is his pee doesn’t seem right.. Im not sure if its actually a little sludgy or if it normal calcium deposit… Pictures to follow.
Im kinda torn between taking him to the regular vets today for another once over, to see the woman that is okay with rabbits or just to keep nursing him here and as long as he continue to poop, eat and move a reasonable amount just to wait for our exotics appointment tomorrow morning (its currently 11 am here so that appointment is just under a day away) I do need to get 2 busses to the vets because I dont have a car right now and the exotics vet is 2 busses and an 8 minute train… So they are stressful journey for the bunnies without a lift from a friend.
If I do decide to continue to treat at home do any of you know how much metacam I should give him? One I have was opened just over a month ago but the bottle is difficult to read and the one that is easy to read is 1.5mg for dogs but was opened in Feb this year.
When he went to the ER last night the doc gave him an injection of 0.25ml cat meloxicom 2mg… Although some of it ended up on his fur and not under his skin.
And yes Bam that is true about Bella, I guess its typical of us to always think of the what ifs, she was quite a rare case the vet said.
Gosh this is stressful. Sorry for the 21 questions. Pics to follow.
Some questionable wees in an unusual-ish place… Although hes bonding at the moment (paused for now). And one pic is his total poop output in the last 12 hours since the vet (excluding the poop he did in his carry case at the vet) 


It does look a bit sludgy.
Common dosage of metacam is 0.3 up to 1.5 mg (for severe pain) per kilo body weight and day. It can be divided into two doses and given 12 hours apart. I dont know Glenn’s weight, but if he is 2 kilos and you want to give him 0.5 mg/kilo, it’s 0.67 ml per 24 hours or 0.33 twice per 24 hours. I usually start with that dose, if needed it can be increased safely. Here is the metacam calculator:
https://www.vgr1.com/metacam/calc1/detailcalc.php
Hydration is important to help the body flush out sludge. He could perhaps have a UTI? I think sub q fluids would be good, since he’s so stressed out by being syringe fed. If you could get him some fresh dandelion greens and serve them to him wet, maybe he’d eat that? Dandelion is a natural diuretic.
The amount if poop is not that bad, since he hasnt eaten as much as he normally does.
Thanks for the info there!
I am now not sure if he is in pain again i. e his metacam has worn off or hes just sleepy cause its that time of day. I am thinking if giving him a second dose of metacam to be on the safe side and make sure he continues to eat ect till tomorrow morning – it turns out the good rabbit woman at the non specialist vet isn’t working today anyway.
Maybe you can help me with the dosage? I am pretty terrible at maths!
So on the dosage calculator it says dosage in mg/kg, it automatically comes up as 1 but I don’t really understand what that is and if I need to change the number. I can see the other options are weight and the concentration of the drug.
If I am supposed to keep it as 1 it seems like the metacam he had last night was a low strength dose – he had 0.25ml of a 2mg/ml concentration of the cat metacam.
Annoyingly I have only what I think is dog metacam to hand right now, so since its a lower strength, if I were to just give 0.25ml again now its been 12hrs it should be fine… I think?
Glenn weighs 1.9 kg.
Also in terms of sub q they wont prescribe me some to give to him myself they want me to bring him in, so it might be worth just trying to force at least some watery CC and battle it out with him rather than take him all the way in.
This is the freshest metacam I have that was prescribed to Nellie for dental surgery recover. These are the details on the box. Nellie weights 2.1kg


You can use the calculator “backwards”, but anyway, if Glenn is 1.9 kg and the strenght of meloxicom is 2.0 mg/ml, he got a little less than 0.3 mg/kilo at the vet if they gave him 0.25 ml. This is a very conservative dose, even on the lower side of a conservative dose. A bun can have up to 1.5 mg/kilo body weight per 24 hours.
The math isnt hard, but if you’re anything like me, I recommend bringing out pen and paper and calculate at least twice 😃
This is the calculator for when I inserted 0.3 mg/kg and 1.9 kg body weight.

Glenn was given more like 0.25 mg meloxicom per kilo body weight, which is lower than the lowest dose recommended by Medirabbit.
Now it must be sth like 24 hours since you were at the vet?, in which case it’d be safe to give him an additional 0.67 ml (0.7, you cant really measure 0.67) of dog-strenght (1.5 mg/ml) metacam. That should tie him over til tomorrow but it’s still not a high dose.
Be sure to tell the vet tomorrow how much and when youve given him the metacam, because it’s important both for diagnosing him and for giving more pain meds, if they want to do that.
I’ve used Metacam older than that. It might lose some of its potency over time, but that doesnt make it useless.
ETA: If the metacam on your picture is 1.5 mg/ml, a dose of 0.78 ml yields 0.6 mg meloxicam per kilo for a 1.9 kilo bun. That is a very reasonable dose. (For Nellie the dose was 0.55 mg/kilo since she weighs 200 grams more than Glenn).
Thanks so much for that info and for explaining it again! Now re-reading your post before I see you did actually mention it there but in the stress of looking after a sick bun it can be hard to think straight at times lol.
So I went for the older dog meloxicam, it says it stays good 6 months after opening which its still within… I had a vet tell me not to use it after a month of opening which is why I was confused but never mind. I gave him 0.32 in the end to play it safe and managed to get 4ml of water in him! I can’t believe it, he was such a good boy… You wouldn’t believe it was the same bunny that had me in tears trying to give him metacam a year ago for his dental because he was being that difficult lol! But I am glad he’s had a dose.
I did accidentally push the metacam dose in a little too fast, i missjudged my strength of pushing the dose in but he has been eating and even ran up and down the stairs since so I can’t see any symptoms of aspiration which is lucky!
Also he done a good flop, legs out to the side, so I was able to give him a really good belly massage for a few minutes, i could feel he was gassy but could also feel the bubbles breaking apart and moving so hopefully the massage helped!
Although the time that has passed him he started showing signs of slow down, the fact that hes still not better makes me lean towards there being an ongoing issue, I’ve never had a bunny not bounce back after a day when its just gas from mysterious causes… But perhaps I’ve just been lucky.
Thanks for all the advice! Hes moving around a bit now its evening after his massage and metacam, chewing on toys, nibbling little bits and passing smaller poops but more consistently, still some mild tummy gurgling if he sits still for too long…. Just the night to get through now before we can hopefully get to the bottom of this!
I’m glad to hear he’s being somewhat active now! A flop is wonderful! And it’s great that you could give him meloxicam and some water. Massage is great too 👍
It pretty much impossible to think when you have a poorly bun. When my bun Vilde fell acutely ill I had to email the vet just a cpl of hours after our visit because I’d completely forgot what they’d said about the various meds and dosages. It was all just gone from my head 😳
Nice to know other bun parents also get too stressed to think when their fluff is ill lol.
*sigh*
Feeling deflated, Glenn is still a bit up and down, polished off his breakfast of salad and pellets this morning but now is a bit meh, reduced appetite again.
I got to the vets today but my train ended up being 20 minutes late so I missed my appointment but because I was there the vet squeezed us in but could only see us for a quick 5 mins Basically just checked if Glenns GI was still functioning and sent us on our way with gut stimiulant and pain meds…
I dunno I still feel like something else is going on, can it really take this long for a GI slow down to go back to normal, he never actually went into full stasis which is what makes me think there must be something else.
He also seems to have a pattern of better poops and activity dusk and dawn which I know is normal but then he will have a period of no output while he sleeps during the day and very little nibbling, then his first poo will be a bit smaller and misshapened than the ones earlier in the morning…. Maybe that is to be expected.
Just catching up on this, sorry he’s still up and down.
I saw back in the thread that he had a dental a year ago? Did he improve after that? If so it could just be that he due for another one? Just wondering how thorough his check up was. Sometimes even a tiny spur will make a bun get really picky about food, and pain in itself can cause gut slowing and gas.
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
A dental issue does seem like the most likely cause. I had a bun who had the tiniest molar spurs, so tiny the vets didnt believe his inappetence was caused by a dental problem. After 3 weeks of syringe feeding (which he definitely didnt appreciate), they decided to do a molar burr. After the burr it took 5 days before he started to eat on his own, and I had to plead with the vet to get him a painkiller because “teeth don’t have sensation” 🙄 (Yeah, right, that’s why nobody ever gets a toothache). Once he started eating he was right back to his normal self.
This was 8 years ago, vet care for rabbits is a lot better these days. But it’s still not uncommon for vets to misdiagnose dental problems in buns.
Yes I have been leaning to dental now or at least was last night…
He appears to have bounced back now… Huh? I would say hes about 85% better, ate all his breakfast this morning, and is esting things he wouldn’t before and has esten lots of grass… Weird. Maybe he just needed that cisparidie that the vet gave to give him that push he was struggling to achieve on his own.
I am still going to medicate and watch him closely to see if we do need ti get his teeth checked again.
His last check up did seem thorough, she really got into his mouth with an otoscope thingy, it appeared that she was really getting in there and looking but who knows, i have heard it not uncommon even then for spurs not to be seen….
I guess its a waiting game now to see if he has come around or there is something lingering.
I am wondering if he actually ate something that could have been a bit toxic or unhealthy for him. He is generally free roam and sleeps in the bedroom with us with access to his pen but not the whole house. We do a good job of keeping things cleans and unhealthy stuff out of reach… But I guess there is always a possibility for a small peice of something to have dropped on the floor and go unoticed 🙁
Sounds great that he’s doing so much better! 🐰
Cisapride or metoclopramide really can turn a bun around. As you say, this is a waiting game now. Hopefully he’ll just keep improving!
Glad he’s doing better! A lot of buns have mysterious tummy trouble when molting or timed with the seasons. He could have had a mass of fur or other material that he was working through.
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
Suprise suprise! He has a tinie tiny little spur, the vet initially didn’t think it was a concern because there was no lesions but I took him in again today as his hay eating was still not where it should be and I noticed hes more active on pain meds.
We done a very thorough dental exam that revealed the small spur was putting a little pressure on the tounge. Hes off for his surgery on Friday. It will be a new vet under the supervision and guidance of the head vet… Should I be worried or are dentals fairly routine enough that I shouldn’t be too concerned about this?
We’ve sent a urine sample off to test for a UTI just incase as well.
Thanks for all the advice, fingers crossed for a good recovery for Glenn 🙂
Ah hah! Hopefully that will help him a lot!
If it’s the usual vet’s office and they do lots of rabbit dentals, I wouldn’t worry. Since the head vet will be there, I am assuming it will the same technicians and anesthesiologist which is important (you could ask about this if you are unsure). A quick bur of one molar will be a very quick procedure and shouldn’t be complicated.
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
Glenn is checked into hospital for his surgery now. Hate this part! 🙁
Safe surgery-vibes for Glenn 💗💗💗
Sending good vibes for Glenn!
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
Gaah, how did I miss this? Sorry!
Of course it’s stressful when you’re bunny isn’t well. I can barely sleep when one of my fluffbutts is ill, I just want to check on them al the time and to make them comfortable in any way.
Glad that they found a cause for his troubles and that it’s something relatively minor. Wishing him a safe surgery and a speedy recovery! 😘
Thanks for the well wishes everyone! <3
He has been home for a little over 12 hours now and is recovering well! He hasn’t needed CC yet as hes eating everything we give him on his own, hopefully now his hay eating will pick up again! He’s pooping too but leaving a couple cecals here and there.
Rabbit after GA are funny bless them, he wobbled and fell all over the place trying to check his pen was still in order when he got home. I think he realised he was pretty useless on his feet as he ended up finding a nice warm spot in our room to spend the evening and night 🙂
It’s amazing that he eats so well!
Yes, they can be really funny when they wake up. I had that with my old cat: we went to pick him up and he let out a very low and drawn out “maaooooooow”, then his rear legs bent and he landed with his butt on the floor. Completely drunk 😆
Glad that he’s active, eating and pooping. Fingers crossed for mountains of turds! 🤞
How great that he’s been eating by himself! They can really be so out of it after anesthesia. He probably needed a good night’s rest though after this adventure!
Awww Glen <3! I’m so happy he’s doing well. Many rabbits feel so much better after their dental that they eat right away, so I’m glad he’s feeling good!
. . . The answers provided in this discussion are for general guideline purposes only. The information is not intended to diagnose or treat your pet. Seek the advice of your veterinarian or a qualified behaviorist.
› FORUM › HOUSE RABBIT Q & A › Metacam or emergency vet?
