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FORUM HOUSE RABBIT Q & A Heart Compromise

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    • Panditzer
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      3 posts Send Private Message

        Apologies if this is a long post.

        My absolutely beloved bunny Pand who is 7 years old hasn’t been well for the last week. It came suddenly and out of nowhere and I suspected it to be a bout of gut stasis as I have had other bunnies who have suffered from it including her sister who unfortunately had to be euthanised due to it after being only discharged the day prior not even 2 years ago. Pand on the other hand has never come down with it until now. Signs of not eating, drinking, toileting and generally looking uncomfortable made me instantly panic which all happened in the evening when her vet was closed (and of course all my medication stash had expired) so I rushed her off in the morning where I found out Zantac, which has always been given to my bunnies in the past has been mass recalled and is no longer available in Australia, and despite there being other gut moving drugs the vet suggested sub skin fluids as she was dehydrated, metacam/meloxicam (which was in the largest dose i’ve ever seen given) and Critical Care (which is always fun) only. She stayed the night and was discharged the next evening but I could still tell something wasn’t right so again, she was rushed back in the morning. She stayed several nights and continued what they had been doing with no improvement, she was switched to Tramadol, blood work was done which came back completely clear, sedated her for suspected dental problem (which only ended up being and minor spur of a tooth) and full body xrays. Her xrays unfortunately showed the devastating reality that shes suffering from a enlarged heart which they suspect is why she is not eating or drinking on her own. Shes since had an appointment where I had to travel over the travel restriction limit in place here to a heart specialist yesterday for further testing with another blow, her heart enlargement is being caused by the leaking of one of her heart valves. They couldn’t tell me if she had fluid in her lungs but her breathing is normal at this point in time and her blood is well oxygenated. They’ve given medication which is commonly used in dogs with heart trouble that she is to have twice a day which may assist in slowing the progression but they didn’t seem to really know, nor could they give a prognosis of time.

        She still will not eat or drink on her own unless I pretty much stick it in her face and swish it around her nose (I have seen her pick a very few pieces of hay herself), her poo is still small and irregularly shaped. She is having critical care 3 times a day but as i’ve had trouble in the past with force feeding other bunnies, shes proving to be no different, if not worse, shes extremely well behaved but as soon as I burrito her up in a towel for a feed all hell breaks loose, she gets extremely worked up and that cant be helping her heart.

        She has a appointment with her vet later today but id like to know does anyone have any suggestions on things I can do to assist her? Or has anyone had experiences of bunnies with heart trouble? I’m absolutely devastated and just about at my limit with stressing and depression rearing its ugly face back into my life.


      • Hazel
        Participant
        2587 posts Send Private Message

          I’m so very sorry about what you and your poor girl are going through. I don’t have any experience with heart problems in rabbits so I can’t offer any particular advice in that regard. I know you said the enlarged heart is the reason she won’t eat, did the vet explain that further? Is it causing her pain and that’s why she doesn’t want to eat?

          From what you have written, it seems like they don’t expect the medication to improve her condition, just to slow the decline. If that’s the case, I would carefully consider her quality of life at this point. If she will only get worse from here on out, and she’s feeling poorly already, I don’t think it’s worth putting her through the stress of getting force fed and medicated every day. I know this isn’t exactly the kind of input you were asking for and I’m sorry I can’t be more helpful. I do hope your vet comes up with something to improve things for Pand, please let us know what they say.


        • DanaNM
          Moderator
          9064 posts Send Private Message

            I don’t have much to add in addition to what Hazel has said, just wanted to say I’m sorry for what you and your bun are going through. 🙁

            I’ve been able to get buns to willingly eat CC by mixing some mashed banana into it. I know it’s not ideal because of the sugar but it gets the food into them without so much stress.

            Hopefully the heart medicine will start working and it will become more clear what you should do.

            (((vibes for Pand)))

            . . . 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.  


          • Bam
            Moderator
            17029 posts Send Private Message

              I’m very sorry you and your bun are going through this.

              I dont have any experience with heart problems in buns. I had a dog with a similar problem. An enlarged heart is weak, and you often treat with diuretics (to reduce body swelling from fluid build up) and ACE inhibitors. We’d be very grateful to know what drugs you were prescribed.

              Ranitidine is currently withdrawn in most parts of the world. Australia might get it back in July. It’s still available in Thailand, but not in the EU or the USA or Australia. Metoclopramide (Reglan) is a good motility drug, Pepcid (famotidine) can be used to prevent gastric ulcers, but it has no effect on motility. Meloxicam has a wide therapeutic window in rabbits and can be prescribed in doses ranging from 0.3 mg/ kg body weight to 1,5 mg/kg body weight, every 12 or 24 hours.

              I’m sorry I have nothing useful to tell you. This is perhaps primarily a quality of life issue. Hopefully the drugs will make her comfortable enough to start eating. Is she on any painkiller now? Pain often makes a rabbit go off its food.

               


            • Panditzer
              Participant
              3 posts Send Private Message

                She has passed only a couple of hours ago from what I suspect to have been a heart attack. Im devasted.


              • Bam
                Moderator
                17029 posts Send Private Message

                  I’m so sorry, Panditzer. You did all you could do. I’m sorry the meds didn’t buy her more time. Thank you for being a wonderful bunny parent to her 💔

                  If you like to  you can make a Rainbow Bridge post for her in our RB-section. Sometimes it helps a little bit with the grieving-process.

                  EtA: I just saw your RB post. What a beauty she was!

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              FORUM HOUSE RABBIT Q & A Heart Compromise