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BINKYBUNNY FORUMS > DIET & CARE > Bun in GI Stasis not responding to meds
Last Post by LittlePuffyTail at 1/02/2013 1:40 AM (126 Replies)
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User is Offline LittlePuffyTail
New Brunswick, Canada
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5/31/2012 1:27 AM
I fixed it for you. You can click the Edit button on the top right side of the post you want to change.

Your bunny is so adorable. Im really hoping he starts eating soon. Make sure to keep him very well hydrated.

I think its definitely a good idea to find the root of the problem, it may save you money in the long run.
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User is Offline Nova
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5/31/2012 11:29 AM
Well, this morning I woke up and his bottom was just covered in mush poops and yellow mucus, some large turds too. So, things ARE moving again, but his flora balance seems to be off?

Perhaps it was the .01cc mineral oil or maybe too many green leafy veggies (cilantro, escarole and endive seems to the only things he is relatively interested in).

His appetite is very low but he does munch periodically on hay, no more than one or two strands an hour, sometimes a pellet or two. He does need seem interestedin drinking water. (he drinks from a bowl).

This morning - After giving him a butt bath and cleaning the mess up, I skipped his morning dose of Cisapride, gave him his Baytril, andnow I'm trying to balance whether or not to give him some more bene-bac and hope it normalizes or stress him out and force some Critical Care. This poor bun is extremely stressed out. I really want to weigh my options and tread very lightly here. I'm going to continue him on the Cisapride but for this morning I skipped it due to the total mush explosion this morning.

Please, bunny peeps, help me out here.

User is Offline LittlePuffyTail
New Brunswick, Canada
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5/31/2012 12:29 PM
I strongly suggest you talk to your vet about getting some more fluids in him. Hes probably very dehydrated from the mushy poos and not drinking.
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User is Offline Kokaneeandkahlua
Edmonton, Alberta; Canada
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5/31/2012 5:42 PM
You really need to talk to a vet. We just cannot do anything except encourage members to seek veterinary care when we know (through our own experiences) that it's needed. There is no home cure we can recommend, and stasis is a very serious situation, so if you aren't happy with your vet, I would recommend phoning around until you find a vet you are happy with and getting him in. {{Vibes}}
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User is Offline Beka27
Cleveland, Ohio (USA)
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6/01/2012 1:37 AM

I agree with LPT and K&K. Try and get him into the vet THIS morning. It's Friday, the weekend is coming up, and he needs to be seen before Monday for fluids.  Have you given sub Q fluids in the past?  Keeping him hydrated is going to be one of the best defenses at this point.

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User is Offline RabbitPam
South Florida
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6/01/2012 6:13 AM
At risk of sounding like an echo, I, too, think a call to the vet asap is necessary.
What I would suggest is making a detailed list, possibly a time line, of exactly what has been done and when, so you and the vet can put your heads together and make one plan of action with agreed upon steps. That way you know what's having what effect, and you don't forget to tell the vet about a detail that might be having an impact.
Vets are very good about partnering with owners and staying available by phone. Be sure to get a number you can reach over the weekend in case things get worse, but at least you will have a plan together for the next few days.
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User is Offline Nova
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6/01/2012 1:46 PM
Hey,

Yes I know. The thing is, he is drinking and eating again. Not as much as he usually always did, but enough. I think he is good on hydration at this point. IF HE STOPS EATING AND DRINKING AGAIN I can get him to an emergency vet clinic that can HYDRATE him but they won't examine him cause they dont know anything about rabbits.

I Called the vet's office and no vet in a 50 mile radius who sees rabbits is in until Monday. Some of the rabbit savvy vets' schedules were switched around. So I'm screwed in that regard, but I think the Stasis is improving at this point, since he is eating and drinking. The problem now is the mushy stool and yellow mucus.

What that tells me is that there could be a bacterial infection. I called his vet's office knowing that the rabbit vets were not there all weekend asking to bring in a stool sample, and they said no, only their rabbit vets will examine a stool sample from a rabbit.

So what to do now? He is on Baytril. I would assume he'd need an antifungal like Flagyl though. just guessing.

I gave him Benebac lastnight and I want to give it to him daily but the instructions say one tube full every 3 days..... why not everyday for a situation like this?

User is Offline Kokaneeandkahlua
Edmonton, Alberta; Canada
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6/02/2012 9:59 AM
I would hazard a guess that the baytril is causing the messy stools, as well there could be a change in GI flora balance that caused the stasis in the first place still going on.
Were you able to make an appointment for Monday with the vet who sees rabbits? They would be the best to really figure out what is going on. {{Continued Vibes}}
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User is Offline LittlePuffyTail
New Brunswick, Canada
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6/03/2012 2:05 AM
How is he doing today?
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User is Offline Nova
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6/03/2012 9:46 PM
Binkying in this morning with good news - Boon is slowly making a recovery. It seems the enema the bulk of the crap out of there which was hard, large, dry and compacted....and then the .01cc minral oil flushed the remaining impactions out. It was pretty explosive the first day, had to give him a butt bath, but then he started eating and drinking slowly on his own again.

I started him on a whole new round of Benebac to help get his stools back to form, today was his last Baytril day, and I tapered him off the Cisapride (cutting 0.2mL off over a period of 2 days after 1 week's use) and so tomorrow he will have no Cisapride and no Baytril. Hoefulyy things continue to normalize. Will keep you all updated!

As an aside, his brother who is in the shelter, Angus, had a bout of Stasis this week too. An at home mineral oil enema and a tiny .01cc mineral oil also did the trick or him as well. Seems they may have been molting. (I was at one time fostering Angus but I have a chronic health condition that worsened at an inconvenient time and it was just too much to handle when it went downhill....but he is very spoiled at the shelter too and I get to see him when I visit!) 


We have an appointment set up with a rabbit super specialist to do a full diagnostic workupof boon to find any underlying causes of his proneness to stasis, and also going to see if he might be okay for a neuter this summer. This rabbit specialist is very equipped and prefers to deal with rabbits. He is a strictly exotic pet vet. It's going to cost a lot of money though, Boon is worth every penny of debt I am getting myself into. 


Thank you all for your vibes, please continue them as tomorrow he will be totally off Cisapride!

Binky out!


User is Offline LittlePuffyTail
New Brunswick, Canada
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6/05/2012 12:47 AM
I'm very glad to hear that Boon is feeling better. And thats great that you have an apt with a rabbit specialist. Hope all goes well with your visit.
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User is Offline Nova
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10/28/2012 10:23 PM
I know that this thread is from May-ish, but I'm writing here to say that Boon is going through the exact same thing that happened in May.

Three days ago, he began to pass very few large, mucus covered poos, and his appetite went south.

I decreased his pellets, gave him Bene-Bac daily (I normally give it to him a few times a week, because he has such a history of stasis issues), doubled up on the hay, have been giving him about 3ml of simethicone every 4-8 hours.

Nothing.

So the next day, which was two days ago, I started him on Reglan. DESPITE the fact he always did better on Cisapride, I did the Reglan this time because he just was weaned off Cisapride after being on it for 2 weeks straight during his neuter which went very well.
He continued to periodically pass very few large, mucous covered poos, and peeing, but at least he was passing stuff and eating/drinking (thought much less than usual).

Today, I woke up to find that he had not eaten a bit of his hay, pellets or green leafy veggies. I FREAKED. Switched him from Reglan to the Cisapride in hopes that it would work better---it did not. Called the vet even though today is a Sunday, a tech answered, and I suggested a "safe" laxative for a bunny. Vet called in Lactulose, (not to be confused with Laxotone) - Lactulose is like a sugar that draws moisture into the contents of the gut.
And of course, made an appointment---soonest he can be seen is at 9pm at night. *Sigh*

I picked up the lactulose and started him on IV Lactated Ringers solution (the vet gave me some to have on hand since he has a history of this). He was so dehydrated, his body absorbed the solution very rapidly.
I also gave him some Metacam at this point, along with the fluids, Cisapride and Simethicone for today.

Also went to the grocery store for more varietys of veggies.

He won't touch any of them. Won't eat a damn thing!

force-fed him about 15cc of very diluted Critical Care divided into two doses, morning and night - he hates the stuff so I try not to over-do it.

He's been drinking on his own periodically, but so far, he has not pooped in over 24 hours, and hasn't peed in about 12 hours, despite force feedings of critical care, water, and Benebac. He did voluntarily take many drinks of water, just won't eat more than tiny piece of hay once a day.

Tonight, I switched him back to Reglan. Tomorrow, I'll probably give him both - not at the same time though.

What saved him last time was an enema administered by the veterinarian. It enabled him to pass 12 large, very hardened and dried up blockage poos, and from there, it all just came piling out (if you read back on this entry, you will see how it all just started coming out in ridiculous amounts, turned to diarrhea basically, but it also saved his life).

However, his belly feels very soft and doughey, unlike last time when it was very bloated and hard.

Hopefully the vet can give him another enema tomorrow and hopefully it works like it did last time.

I'm afraid to go to sleep tonight for fear of waking up to him over the rainbow tomorrow. :*(

prayers please.

User is Offline LittlePuffyTail
New Brunswick, Canada
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10/29/2012 1:32 AM
I'm so sorry to hear Boon is unwell again. I'm really hoping the vet can fix him up asap. So you're going to the vet on Tuesday? Kind of confusing because of the time zone differences. I wish there was something I could do to help. Please keep us updated.

(((((((Feel Better Boon))))))
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User is Offline Nova
219 posts Send Private Message
10/29/2012 7:32 AM

Hi LPT,


I'm going to the vet in about 9 hours, it will be 9pm at night. It's the only they could get him in, and the only time I'll have transportation to get there anyway.

I'm hoping they give him even more fluids an enema, as that is what saved him last time.

I'm going to attempt to give him IV fluids myself this afternoon... last night my friend gave them to him. The vet's office showed me how, but they showed me with a barrel syringe and everytime I try to give him fluids that way, it hurts him and he flinches and gets injured. The IV fluids that go in as a drip are much more comfortable to him and easier for me.... wish me luck


He ate 1 leaf of escarole and 1 strand of cilantro, left 1 large, hardened, dried poo.


I still don't know whether to put him on both the cisapride and the Reglan or not....or just stay with the Reglan.... since Cisapride did nothing for him yesterday.... which is unusual...usually Reglan is useless...and it still kind of is


User is Offline jerseygirl
Australia
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10/29/2012 7:46 AM

Oh no you poor thing! He is a tricky one. Sending many {{{{{{VIBES}}}}}}

It's interesting the tech suggested lactulose. This is something I've heard is used for rabbits with "Cow Poop Syndrome" and in the treatment protocol that Dr Krempels uses for the condition. Did you ever get in touch with her?

A lot of what you have described about him in the past makes him a candidate for this condition IMO.

Forgive me if this has already been asked but has he ever had his teeth thoroughly examined? Recently?  This is a long thread and I haven't re-read it all sorry.

Whoever says "It's only a rabbit" has obviously never loved a rabbit.

User is Offline tanlover14
3419 posts Send Private Message
10/29/2012 2:17 PM
Wow. Sending Boon some much needed healing vibes! I hope your luck gets better with him. Let us know what the vet says and if there was anything they could do to help him! Poor little guy...

In another note, did you see the specialist you were going to see the first time?? You mentioned it a couple of comments above. Just wondering if you were able to come up with a better diagnosis of Boon.
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User is Offline Skipper's Mama
Florida
1252 posts Send Private Message
10/29/2012 3:57 PM
Oh no! (((Healing vibes to Boon))) I hope he gets better!

User is Offline lmais
272 posts Send Private Message
10/29/2012 4:35 PM
Just tuning in here but (((((((((((((((((((((((((((VIBES))))))))))))))))))))))))) and best of luck. Keep us posted

User is Offline NikitaSue20
Gettysburg, Pennsylvania
132 posts Send Private Message
10/29/2012 7:53 PM
I'm very sorry to hear this. It must be so stressful. Please remember to get sleep. Everything seems so much worse when you don't get enough sleep. I hope the vet is able to help boon and from the past they better give him an enema.Sending you healing vibes.

User is Offline Nova
219 posts Send Private Message
10/29/2012 8:07 PM

Yes he was diagnosed with possible Megacolon and chronic slow motility of unknown origin.


This recent bout was most likely the result of a molt.

The Lactulose was my idea. it did not help.

He saw the vet tonight and she gave him an enema but his colon is empty while his stomach is about to burst. He has a blockage.


she said there is nothing more she can do except keep giving him the Reglan and keeping him hydrated and cautiously force feeding him. If he does not improve within the next day or so, I should consider putting him down before his stomach ruptures.


Yes Boon saw the exotic specialist a while back he was of no help


However there is one medication, Viokase, which was recommended by Dana Krempels to use cautiously in the case of breaking up and dissolving a severe and genuine blockage. It is animal derived protyolytic enzymes which beak up and dissolve fats, mucus, proteins, etc. and can be helpful in the case of genuine blockage,

 however,

my vet has never heard of such a thing, says she needs to research it and Boon may not have that kind of time, and

Dana Krempels, Ph.D who recommends, recommends it CAUTIOUSLY because it is so powerful thatit can irritate and burn his throat and esophagus which can be very painful.


When I went to write Dana Krempels, it said she is on vacation again until Noveber 1st. So I sent her an email.


I do not know what to do. I have cried myself sick, I have a migraine, Iw ant to throw up and convulse, and i have been clenching my fists so hard that my knuckles are bleeding. I have spent thousands and thousands of dollars in emergencies and also just to get him cleared for neuter surgery which was a breeze compared to this.


if anyone has any info on the Viokase please let me know before it is too late thank you

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BINKYBUNNY FORUMS > DIET & CARE > Bun in GI Stasis not responding to meds

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