Dewlap wound and strange behaviour

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Hello.

I ve had my pet bunny for 5,5 years now. During this time he's had GI stasis several times (before we concluded that he has some form of recurring gastritis, so now whenever I see the first signs of it I treat him with Epadoren and he's fine). Due to this, we have taken several x-rays of him, with one doctor telling us that his teeth had started to develop some small problems, and another that there was no real problem.

Moreover, in the past few months he started doing something like sneezing or chocking, shaking his head violently for a few seconds, and then calming down and having no problem at all. I took him to the vet, who gave him antibiotics. They didn't really help him, and since several days had passed and he did not show any other problem or do this very often, he told us not to worry and said that it might be due to some allergy.

Some time ago I noticed that he had created a wound on his (quite large) dewlap. Furthermore, he had started to become very aggressive towards all the members of my family.

I took him to the vet again, who could not explain the cause of this. However, we started giving him antibiotics (baytril) and pain relievers (metacam). He showed some signs of improvement, mainly in regard to his aggressiveness.

In the following days, though, (after we had stopped giving him any medication) he started acting strange again, somewhat like fighting with himself. He rolls sideways or to the front, and makes strange sounds. I also saw that he created a new wound, right below his old one.

I have visited the vet several times, with no solution being offered. Unfortunately, I live in a city in Greece where there are only two vets who have experience with bunnies, I ve visited them both, and have nowhere else to turn to.

From what I ve read on my own, however, the most probable explanation seems to point to either boredom or dental issues, although to be honest, he does not seem either bored or drooling at all.

Could you please offer any explanation or course of action? Thank you very much in advance!

P.S: I will try to post videos of both behaviors, as well as a picture of the wound.
 
From your description, it does sound and look like a definite medical problem. I agree that dental problems are highly likely. Though with the head shaking, it may also have something to do with your rabbits ears. Did the vet check the ears at all? If it is a dental problem, your rabbit may need surgery, teeth filed, antibiotics, etc. It just depends on what the problem is.

If your rabbit does have some sort of infection, you will probably need stronger antibiotics, like chloramphenicol, azithromycin, or injectable (never orally)penicillin. Though Baytril is a good basic antibiotic, it usually isn't strong or effective enough for difficult infections.

Since the metacam seemed to help with the aggression, I would suspect that it is due to pain from whatever is wrong. It may be a good idea to keep your rabbit on it for now, so he won't be in pain, until you and your vet are able to figure out the problem.

You really do need a proper rabbit vet to figure out what is going on. Since you don't have rabbit specialists to consult there, what I would suggest is to try and get your vet to consult with a rabbit specialist in the UK. They have several specialists there, but probably the best one with dental issues is Frances Harcourt Brown. I don't know what it will cost for a consult, but she is one of the best rabbit specialists around.
http://www.crablanevets.co.uk/

You really need a vet that can look at the xrays and figure out if there is an infection, overgrown tooth roots, molar spurs, that might be the cause of your rabbits discomfort. Hopefully your vet will be able to get in touch with a specialist that can help figure out what is going on and the best way to treat it.

http://www.bio.miami.edu/hare/dental.html
http://www.medirabbit.com/EN/Dental_diseases/Dental_diseases_main.htm
 
Hello.

I ve had my pet bunny for 5,5 years now. During this time he's had GI stasis several times (before we concluded that he has some form of recurring gastritis, so now whenever I see the first signs of it I treat him with Epadoren and he's fine). Due to this, we have taken several x-rays of him, with one doctor telling us that his teeth had started to develop some small problems, and another that there was no real problem.

Moreover, in the past few months he started doing something like sneezing or chocking, shaking his head violently for a few seconds, and then calming down and having no problem at all. I took him to the vet, who gave him antibiotics. They didn't really help him, and since several days had passed and he did not show any other problem or do this very often, he told us not to worry and said that it might be due to some allergy.

Some time ago I noticed that he had created a wound on his (quite large) dewlap. Furthermore, he had started to become very aggressive towards all the members of my family.

I took him to the vet again, who could not explain the cause of this. However, we started giving him antibiotics (baytril) and pain relievers (metacam). He showed some signs of improvement, mainly in regard to his aggressiveness.

In the following days, though, (after we had stopped giving him any medication) he started acting strange again, somewhat like fighting with himself. He rolls sideways or to the front, and makes strange sounds. I also saw that he created a new wound, right below his old one.

I have visited the vet several times, with no solution being offered. Unfortunately, I live in a city in Greece where there are only two vets who have experience with bunnies, I ve visited them both, and have nowhere else to turn to.

From what I ve read on my own, however, the most probable explanation seems to point to either boredom or dental issues, although to be honest, he does not seem either bored or drooling at all.

Could you please offer any explanation or course of action? Thank you very much in advance!

P.S: I will try to post videos of both behaviors, as well as a picture of the wound.
--thank you for the video.,-a nasal culture should be considered before antibiotics--isolating the offending bacteria,"pasturella.?"-a facial radiograph could be considered for examining the teeth,,--if she is eating her share of grasses-(70% of diet)--watch carefully to see if she starts preferring only pellets--this is clue to bad teeth --always give probiotics with any antibiotics-I use the powdered type for horses and bunz,-purchased at the farm supply store,,--oh-yes-watch the poops smaller size requires investigating--make sure she gets her cecotropes this keeps the gitract bacteria happy,--I am not a big believer in allergies and herbivores--until one of mine acts very similar to your video and nasal culture came back inconclusive,--so I watch..sincerely james waller :heartbeat::flowerskiss::bunny18:happybunny:
 
JBun and James, thank you both for your help!

I am fairly certain that when the problem with the "sneezing" started, the vet had checked his ears, but to be sure I ll ask him to take a closer look.

I will probably do a nasal culture and a teeth xray, and ask about the stronger antibiotics.

Here is a (short and probably not too helpful) video of him "attacking" himself. Unfortunately, it isn't very easy to catch him do that and record him as he does it infrequently and for very short periods.

https://www.dropbox.com/s/yv48dr0md7g83db/bunny.avi
 
I can't tell much from the video, as it didn't seem to load properly. But self mutilating behavior like that, is likely due to pain or irritation that he feels, but he can't reach it so is trying to chew where he can in an effort to get to what is bothering him. It could be pain from a dental infection, or molar spurs causing ulceration in his mouth. If it is an abscess/infection, antibiotics are usually needed for several weeks to months, along with possible surgery. If your vet isn't able to read the xrays correctly, to determine the problem, my suggestion of sending the xrays to a specialist, might be your next best option. It's possible the sneezing is linked to either a dental infection or abscess.

http://www.medirabbit.com/EN/Respiratory/Bacterial/URI.htm
http://www.medirabbit.com/EN/Skin_diseases/Bacterial/Abscess/skin_abscess.htm (GRAPHIC PHOTOS)

Also make sure to get pain medication right away, as this should help him quite a bit. And since your vet isn't an experienced rabbit vet, you want to make sure that any antibiotics given, are safe for rabbits, as certain antibiotics will be fatal, and some can be dangerous if given orally.
http://www.medirabbit.com/Safe_medication/Safe_drugs_main.htm
 
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I went to the vet again today. The bunny had created a second wound on his dewlap (a smaller one though), although generally he seems to be in a somewhat regular mood, drinking and eating as usual (pellets, grass, as well as carrots and apples).

However, during the week he was aggressive one time, and also "attacked" himself once (more like "behaved eratically", as can be seen in the following video

https://www.dropbox.com/s/z9j8azfk4dx1wb3/short-small.avi

)

The vet examined his teeth and said that, although there seem to be some dental spikes (spurs? I am not entirely sure about the correct translation ), they don't seem to be the cause of the problem. He also said that if he had been drooling and that caused the problem, his "clinical image" would be very different.

However, he thought that the fact that the first wound hadn't closed in such a long time period was a bad sign, and also suggested that the cause of his behavior might be a neurological issue. Since (as he said) baytril is usually effective with pasturella, he prescribed an anti-parasite medication for twenty days.

He also gave me metacam for 4 days to relieve any pain that the bunny might have. If the wounds don't close soon enough though, he said that we might need to place a collar around his neck, only for a limited time per day and for a few days only, so as to allow him to clean himself, etc.

As a last resort, if all else fails, he suggested surgery, to remove what he assumes is abscesses from the dewlap.
 
Baytril is usually the first antibiotic vets try on rabbits because its one of the first ones and only ones licensed for use in rabbits. But many believe since it has been used for a long time it many bacteria have grown resistant to it. For respiratory infections and abscesses my specialist vet uses Convenia, Zithromax or Penicillin (with penicillin it can only be injected not given orally). I think your vet is right in treating for parasites because they could cause a weakened immune system. It would be good if you could persuade your vet to consult a rabbit vet specialist because someone who treats rabbits all the time is going to know about the latest and greatest new treatments-- and plus two heads are better than one.
 

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