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› FORUM › HOUSE RABBIT Q & A › UTI – Updated and another question
Sorry in advance for the long post. So we saw the vet today. Koji’s ears are clean of wax, so the vet said no more ivermectin, the 2 shots cleaned him up. Yay! Just one last good vacuum of the room to get up any eggs so we hopefully don’t get recontamination.
Getting the urine sample was interesting. I emptied all 3 of his boxes and cleaned them and just left them bare. He did a good sized pee in one, but also a small amount in the other one in his cage, both along with poop piles. Because there was some poop in the sample I collected those and tried to get another. Left the boxes clean and empty again. This time, he did some poops and small amounts of pee in them again. In the past I have only seen him pee a couple times a day, and large amounts – I have never noticed this small (maybe 1/8-1/4 teaspoon) peeing when he poos. I thought it could be due to the clean boxes he’s trying to mark, so I was having some doubts about whether this was UTI since his litter problems have cleared up since we got him his x-pen and contained his exercise.
But the thing still making me wonder: his pee looked different, rather dark and cloudy. When I got it this morning to take to the vets there was a settled layer on the bottom, I know some calcium is normal though. Still…. vet agreed it looked dark. I also saw a quarter sized pee spot on his rug, which is very weird. The small amount of peeing frequently made me wonder, so I decided to do the urinalysis.
Vet did a test strip on the sample and said the white blood cells were “moderately high, +2”, whatever that means. No blood in urine, everything else normal. He said that may be a sign of a UTI, but maybe not, he would send it off for detailed urinalysis. He did note that urine samples can give false negatives though if the rabbit doesn’t fully empty its bladder (the sludge and stuff can settle), and while the frequent small pees could be marking behaviour he was inclined to recommend that I treat for UTI while we wait on results. He also felt Koji, and said his bladder felt small but no thickening or only slight thickening (of what, I do not know), but that he felt no sand to indicate sludge. So I guess it’s up in the air if there is a problem, but as usual I decided better safe than sorry and we did treatment.
My question: vet said he’ll give him a shot and then give me 10 days of 2x a day antibiotics plus bene-bac to keep his belly happy while on it. Well, I assumed the shot today was just the same as what he would give me to treat at home, to get it in his system, so I agreed to this course of action. When I got the invoice he gave a shot of baytril, but the antibiotics I have are sulfatrim. Wouldn’t it be totally ineffective to give just one shot? Aren’t rabbits like people in that the antibiotic has to be sustained to work?
Also, does $20.77 seem high for a shot of like, half a ml of baytril? I have had baytril before for the rats and it was much cheaper. Also the sulfatrim was $40 for 10 days worth, which also seems high to me as I would get a full months supply of baytril and another antibiotic for the rats for only $30. Is sulfatrim a particularly expensive antibiotic in your alls experience? I’ve never had to treat with that before. I’m just still trying to evaluate how I feel about this vet, seems like the consult itself is cheap but all of his treatments and meds are overpriced.
I’m sure he had a reason to do that…just not sure what it is…usually you do want a course of antibiotics but when I would get my rabbit’s teeth trimmed at the vet dentist they did a shot of baytril and just that shot. I suppose since he decided to send you home with the sulfatrim that he figures that would do the trick.
Does it seem high, not really, remember there are no real rhyme or reason that we know as to how vets or doctors cost out their medicine and the price for this varies wildly from place to place. What I guess they do is they figure in a cost of overall overhead for each shot/procedure, etc…not just the cost of the medicine itself – they have to figure the dosage, rebottle it, pay for their assistant, etc…how they figure that out, I have no idea.
Okay, that makes me feel better – I had never had a vet give one antibiotic for one thing and send me home with something else, and I’ve had a lot of animals over the years!
My mother also has to antibiotic for dental work, but they make her take it for a week like normal. But I guess if vets sometimes do this one shot then maybe it’s okay. It just struck me as odd.
Hopefully this is it on my vet bills for a while – the vet said that unless it comes back or the urinalysis shows that we have cause for concern about sludge or stones we shouldn’t need to do anything additional for this. My main concern though is that he is competent… I just got nervous with twice now him being like “well I can’t exactly confirm that he has this problem, but it seems like maybe?”. I want to know what the situation is when I leave the vets, not be just as unsure as when I go in haha. :/
I’m sure I’ve had my vet say that to me and suggest further tests. I know it doesn’t sound exactly confident, but I’d rather they tell me they don’t exactly know then misdiagnose.
Was he recommended to you?
He was on the NJ chapter of HRS, but that isn’t strictly a recommendation. There is only one review for him on bunspace, which is pretty good. There are other vets in the area who seem to see rabbits more often, they have a good bit more reviews on bunspace and also listing on HRS. If I had no other options, that would be one thing, and I think this guy is okay, I just don’t like his front desk people and they seemed surprised by the rabbit so I don’t think they do too much rabbit action there. I just want the best I can afford, you know, I expect a long time with Koji and since there’s some 8 other vets and almost everyone is right around a half an hour away from where I’ll be living it was really a toss up. It’s not so urgent now, but what if he ever had a serious condition, having a good vet can mean the difference between life and death. But I guess you are right, diagnoses is sometimes a process of elimination and not very easy to do definitively.
I totally understand where you are coming from! One of the reasons I really like my vet is the staff and I like my vet too. The other vet that I like as well and is great has a very nice staff but they have some organizational problems which is why I no longer go there. Having a good staff is very important.
I’m not familiar with the meds he sent you home with, but I am wondering if the reason he gave the baytril injection is b/c the other medication is not an injectable? only oral? (total guess).
I am pretty sure I have paid about the same for an injection of antibiotics for a bunny before. I have found if it is something i can do myself, i won’t have them do it, as it’s usualy over $20 for whatever and i could save that money for the next appointment.
I purchased a large bottle of baytril, as i am in need of it all the time (Pasturella bunny) and the regular cost for someone to buy it was like $80, my Vet gave me a significant discount though, so i was super lucky.
Ani has a bladder infection right now and is on baytril. I am curious why you Vet put you little one on sulfatrim and the bene-bac? Is sulfatrim known to be hard on a tummy? If it is, why not just stay on the Baytril?
Actually sulfatrim (bactrim) is supposed to have less side effects on the stomach than baytril. He probably just did the benebac as a precaution. It’s probably part of his protocol for rabbits.
aahh.. ok.
Is it also an injectable?
Just curious for my own learning is all ![]()
I don’t know about use with rabbits, but bactrim/sulfatrim does come in injectible format. Yes, I figured the bene-bac was not really necessary but given how sensitive their tummies are I figure it’s worth the $15 for a tube of that too for this next week – I’d rather not have to go back another time for something like diarrhea!
› FORUM › HOUSE RABBIT Q & A › UTI – Updated and another question
