I can't say what I think you should do, but I can say what I would do in a similar situation.
I haven't looked at your bun so don't know what exactly is going on or what the vet is seeing, but from your description of your bun having a lack of appetite and not pooping, balance problems and pressing against things, a cut near the eye with infection, and pus coming out of the eyes. So just based on this, this is what it tells me. Lack of appetite/not pooping can either be due to the baytril causing nausea(which is a common side effect) or it can be due to pain from the infection worsening. The balance problems could be due to the infection spreading to the nasal cavity and to the middle ear, which would affect your buns balance, making him feel dizzy, affecting his appetite. It would also explain him pressing his head against things due to feeling dizzy. The pus coming out of the eyes could certainly be caused by conjunctivitis like your vet says, but it can also occur when an infection is present behind the eye or in the nasal cavity. I'm not sure where your buns injury was exactly, but it was near the eye correct. So this could mean that the infection is spread to behind the eye and you are seeing the pus now draining through the eye.
http://www.medirabbit.com/EN/Neurology/Otit/otitis.htm
If your bun wasn't having any balance/dizziness issue or lack of appetite, I would say that maybe it was just an eye infection, but it's the start of balance issues that make this concerning and the lack of appetite. Since the baytril is probably not that effective at this point, I think I would try taking my bun off of it for a couple days to see if it was the cause of the lack of appetite. And I would just continue with the metacam and antibiotic eye drops. If bun starts eating again, then it's likely the baytil's causing the upset stomach. If appetite doesn't return, then it's likely due to dizziness from balance issues(from infection in the middle ear) or pain from the infection. Just what I might do though.
So options, find another rabbit vet to go to. If you do this I would go into your current vet and get copies of all testing and treatment info that you would need to show the new vet. They usually don't like when you do this, but they do have to give you the info. Just be insistent.
Or insist with your current vet that you want to try the pen g injections. I believe it can be given concurrently with baytril, so you could continue giving that as well if you wanted, though if it's causing the lack of appetite I think I would stop giving it since it's probably not really helping anymore anyways.
Or if going to a new vet or convincing your current vet isn't an option, I would consider doing the pen g myself. It's not ideal, but not everyone has access to competent rabbit vets.
As for baytril being 'stronger', that's crap. In fact, baytril is proving to be less effective because it's so overly used in rabbits. And what works and doesn't work depends on the bacteria causing the infection and what antibiotic is effective against it. It also depends on the location of the bacteria and how effective the antibiotic is at penetrating to get to the infection. Example, some antibiotics are good at penetrating bone and some aren't. So it's a matter of finding an antibiotic that is effective against the bacteria involved and one that can penetrate to where the infection is present.
After 6 weeks of being on baytil(correct), if it was effective your bun would be improving by now. It's up to you what to do, but if it were me, I would be changing antibiotics, or changing vets. A vet that is resistant to doing anything besides baytril for a rabbit, tells me that that vet doesn't know a whole lot about rabbits despite any claims. Don't trust my word though. Research it. It's what I do when trying to decide what might be the best route to take when I have a bun with a health issue.
I'm sorry, but I just get so sick of there not being decent vets for rabbits out there, and people having to put up with sub par treatment.
I haven't looked at your bun so don't know what exactly is going on or what the vet is seeing, but from your description of your bun having a lack of appetite and not pooping, balance problems and pressing against things, a cut near the eye with infection, and pus coming out of the eyes. So just based on this, this is what it tells me. Lack of appetite/not pooping can either be due to the baytril causing nausea(which is a common side effect) or it can be due to pain from the infection worsening. The balance problems could be due to the infection spreading to the nasal cavity and to the middle ear, which would affect your buns balance, making him feel dizzy, affecting his appetite. It would also explain him pressing his head against things due to feeling dizzy. The pus coming out of the eyes could certainly be caused by conjunctivitis like your vet says, but it can also occur when an infection is present behind the eye or in the nasal cavity. I'm not sure where your buns injury was exactly, but it was near the eye correct. So this could mean that the infection is spread to behind the eye and you are seeing the pus now draining through the eye.
http://www.medirabbit.com/EN/Neurology/Otit/otitis.htm
If your bun wasn't having any balance/dizziness issue or lack of appetite, I would say that maybe it was just an eye infection, but it's the start of balance issues that make this concerning and the lack of appetite. Since the baytril is probably not that effective at this point, I think I would try taking my bun off of it for a couple days to see if it was the cause of the lack of appetite. And I would just continue with the metacam and antibiotic eye drops. If bun starts eating again, then it's likely the baytil's causing the upset stomach. If appetite doesn't return, then it's likely due to dizziness from balance issues(from infection in the middle ear) or pain from the infection. Just what I might do though.
So options, find another rabbit vet to go to. If you do this I would go into your current vet and get copies of all testing and treatment info that you would need to show the new vet. They usually don't like when you do this, but they do have to give you the info. Just be insistent.
Or insist with your current vet that you want to try the pen g injections. I believe it can be given concurrently with baytril, so you could continue giving that as well if you wanted, though if it's causing the lack of appetite I think I would stop giving it since it's probably not really helping anymore anyways.
Or if going to a new vet or convincing your current vet isn't an option, I would consider doing the pen g myself. It's not ideal, but not everyone has access to competent rabbit vets.
As for baytril being 'stronger', that's crap. In fact, baytril is proving to be less effective because it's so overly used in rabbits. And what works and doesn't work depends on the bacteria causing the infection and what antibiotic is effective against it. It also depends on the location of the bacteria and how effective the antibiotic is at penetrating to get to the infection. Example, some antibiotics are good at penetrating bone and some aren't. So it's a matter of finding an antibiotic that is effective against the bacteria involved and one that can penetrate to where the infection is present.
After 6 weeks of being on baytil(correct), if it was effective your bun would be improving by now. It's up to you what to do, but if it were me, I would be changing antibiotics, or changing vets. A vet that is resistant to doing anything besides baytril for a rabbit, tells me that that vet doesn't know a whole lot about rabbits despite any claims. Don't trust my word though. Research it. It's what I do when trying to decide what might be the best route to take when I have a bun with a health issue.
I'm sorry, but I just get so sick of there not being decent vets for rabbits out there, and people having to put up with sub par treatment.
Last edited: