Sorry to worry you...we're still struggling.
He's been on Reglan for a week and we added Cisapride about 2 days ago.
The mass feels like it is gone, now his belly just feels doughey. I thought last night e was surely going to die, he didn't eat, poop and wasn't even swallowing his meds - BUT - he was doped up on Buprenorphine that the vet gave him about 8 hours prior. I kept putting my ear up to his belly, and heard some normal audible bowel sounds. Gave him about 50cc subQ fluids, and have been doing this once at night, trying to get him to drink on his own during the day, which he has done a few times.
This morning, I woke up and there were a few small, wet poos, and he ate his greens overnight. He was also numming on some small amounts of hay, but it didn't last long. He is back to being hunched over right now, but it's also med time and bellyrub time.
He saw an exotic pet vet last night, because the original exotic pet vet that he once dealt with in Barberton called me up and cancelled the Friday (today) appt - toldme he refuses to see any more of my pets, and doesn't care that my bun is in stasis. They said it was due to "too many past cancellations." I only cancelled once, and I warned him about that - back when Boon was scheduled to get neutered. Boon was a bit constipated that day and I cancelled. So then they made this other excuse, saying I had money problems - well, I do, but I always paid my bills up front. They then ran out of excuses and hung up on me.
That vet cared about nothing but money and fame anyway - he had a bobblehead doll made after him, is featured on all kinds of stupid tv commercials newspaper clippings, and even suggests putting dogs on sedatives during storm season. The invasive crap he wanted to do to boon was not only expensive and invasive but probably would have stressed him into a stasis if he hadn't been in one already.
I was panicked but I think it's a good thing we didn't see this vet.
I did frantically find an exotic vet down near Pittsburgh who was able to see him yesterday. He did a thorough oral exam, and said that Boon's bottom front molars are *slightly* overgrown, and if he recovers, we should address that, but it's nothing urgent. He said he didn't feel a blockage, but at this point, boon's GI was just feeling "doughey." At my request he did an x-ray and said that there is no blockage, his belly feels "doughey" at this point and he probably has an overgrowth of bacteria, as some yellow stinky goo was seeping from his bum. He prescribed him Bactrim (the smz liquid) for 14 days, and told me to keep him hydrated and continue the belly rubs and force feedings if he continues to not eat. He said the stuff the other exotic vet, like the general anesthesia for an oral exam, would be so unnecessary, as boon is so cooperative that he was able to do a thorough oral exam without any sedation.
No Questran - Dana said that could block him up more and that is more for cecal dysbiosis (imbalance of gut flora). She mentioned perhaps, if he recovers, getting him on a periodic regimen of Lactulose, as bunnies with this strange neurological genetic disease do well on periodic lactulose treatment, but in general, they don't live long and it is a very tough situation for the owner.
The exotic vet in Pittsburgh said he has seen bunnies with true blockages go on to recover, but whatever blockage he had is gone now. His gut is just static. He doped him up Buprenorphine and I swear I thought Boon was gonna die last night, but perhaps between the Buprenorphine and the stress of going down to Pittsburgh just made him tired and all he wanted to do was sleep. He went a good 12 hours without pooping.
I was sure he'd die overnight, but I woke up to find a few stools in his litterbox; dark, wet and small but there none the less. He ate his greens this morning (all of them!) and has been periodically munching on some small amounts of hay...but it was very short lived. He is back to sleeping now.
My extended fam keeps urging me to put him down but I read Dana's article on Ileus and it says that recovery can happen slowly and in "fits and starts."
Has this been the case generally with other buns in severe stasis???
sure, it's going to be a tough road even if he makes it through this because each consecutive bout is worse than the last.... but I just don't want to give up on him yet since he's not in critical condition (the vet said he doesnt think he is in critical condition).....am I wrong for this? How long is too long, anyway?
I was also emailing with Dana Krempels back and forth and she said, while, in general, bunnies with chronic GI issues have a shorter life span than most other bunnies, the fact that he is only a year old and is eating a bit on his own, has some bowel sounds, and producing SOME stool, and that his x-ray was clear, is a good sign, and to keep up with the supportive care (fluids, critical care, belly rubs, motility meds, antibiotic, gas relief, pain relief).
She did say, however, that this could also just be one of those bouts where his GI tract may not start to work again. But she did say that these little signs, him periodically pooping and munching hay/greens is a good sign.
Whenever I put my ear up to his belly, I do hear normal bowel sounds, which is also a good sign.
She highly recommended a second enema but the exotic vet didn't do one. If things go way south again, I will attempt one myself with the help of a rabbit wise friend who has done rabbit enemas before. I am not putting Boon thru another roadtrip for an enema.
At anyrate, since I know now that what we are dealing with right now is the shutdown of his GI tract and that there is no blockage, we just really have to try to get things moving again.....
How long can it take for things to get better? This has been going on for 8 or 9 days now, it was on Sunday and Monday that boon had the mass but that has since passed and since then it is mostly an issue of his gut not working; not wanting to eat, and not pooping very much.
Also, about me... my health was not really good even before this but I am managing. Thanks for the ecommendation of water. I have been feeling dehydrated and just generally sick to my stomach.
Thoughts, hugs, prayers and vibes still needed....and appreciated... thank you my bunny friends