Old Bunny - Quality of Life Question

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Chikky

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Hello all. Long time no see; I haven't been 'active' (besides lurking) for a few years now, but, you know, LIFE, hehe. Been crazy.

So, I need your wise opinions.

Over the past two years, I have lost two of my bunnies. Both aged 14! They both had the same thing happen: they exhibited signs of stroke; losing ability to use a back or front leg, not being able to balance, then eventually not being able to stand at all. The vet told me they had head tilt when I took them in, but both were dead within a week of the diagnosis, even with medicine. (They died a year apart, so these were two different diagnoses). They were mates.

Now, I have their son, who is 13 (!) and he has slowly begun showing the same signs. He is eating and drinking fine (although his water intake is pretty high right now), but he falls every day. Some days he can get himself up, but more and more he cannot, and will lie on his side until someone finds him.

Luckily, my mom works at a school, so she is home almost every day and she has been taking great care of him. She checks on him almost every hour and will pick him up and right him. Sometimes he stays up, sometimes he falls again immediately. He stumbles when he walks.

I am realistic. I know his time is coming, and I will have to make 'that call' to the vet. He will not get better; I've seen this twice already, and I know. It's not head tilt.

So, my first question: How do you... phrase that call? With the dad bunny, last year, it was simple. He got very bad, very fast, and it was obvious. What do you say to the receptionist? I have a bunny who I think 'it's time' for? Ugh.

Secondly: With Toby... it's not so simple. Do I let him keep falling, and get worse? Or do I make the call now? He just... looks so much like himself (besides the fact that he's very thin and tired) that I feel like I'm jumping the gun. I just don't want him to suffer, is all. It's a hard decision to make.
 
I would just call and simply tell the receptionist that you have a bun that's going downhill and you don't want him to suffer so you need to schedule the appointment. I worked at multiple vets and we had those calls on a very regular basis. It's tough but you have to look at his quality of life and make the best decision for him. That doesn't make it easier, and for that I'm sorry :-(
 
It sounds to me like your rabbit might be experiencing possible renal failure, and possibly arthritis. The increased thirst/urination is often a sign of kidney problems, and the loss of balance can be due to arthritis/spondylosis, or it could also be due to kidney failure. Another possibility is the parasite e. cuniculi, as this can also cause similar symptoms.

http://wildpro.twycrosszoo.org/S/00dis/Miscellaneous/ChronicRenalLagomorph.htm
http://wildpro.twycrosszoo.org/S/00dis/Miscellaneous/Osteoarthritis_rabbits.htm
http://www.gwexotics.com/wccms-resources/a/5/0/e/77554b90-a660-11e0-a685-0050568626ea.pdf

Your rabbit will need a blood test to check kidney and liver function, to rule that out. The vet may be able to verify arthritis by palpation, but it's possible xrays will be needed. Though due to your rabbits age, sedation should not be used and the xrays would need to be done consciously. If tests come back clear, then I would be looking into e. cuniculi as the possible cause of those symptoms.

Once the cause is determined, it's possible your rabbit can be put on medications that, though they may not cure the condition, can at least improve his quality of life for his remaining time with you. As long as he is still doing fairly well, is happy and his quality of life is still good, there is no reason pts needs to occur at this time. Even a disabled rabbit can still have a good quality of life if the appropriate needs are seen to. As long as mentally he is doing well and happy in himself, I wouldn't jump to pts just because he falls over. You will need to make allowances for the mobility issues and set up a special area just for him in case he does fall when no one is around. When the physical problems seem to be affecting his quality of life, then yes pts needs to be a consideration for his best interest.

http://www.specialbunny.org/special-needs-housing/
http://mohrs.org/index.php?id=palliative-care
http://www.disabledrabbits.com/

But before that I would get those things checked by a rabbit specialist and see if there might be something that can be done to help improve his condition. Are you seeing a rabbit savvy vet? If not, I would suggest finding one as it will help ensure your bun is getting the appropriate diagnosis and treatment.

http://rabbit.org/vet-listings/
 
Thanks, guys.

Oh, don't worry, JBun, I am NOT rushing into pts at all. I don't want to do it, unless it gets really bad. But, I was just looking to see it from other people's perspective. Maybe other people think THIS is really bad, and I am hanging on more for myself, and being unfair to him. Toby does see a rabbit savvy vet; no worries there! :)
 
Chikky,

I am in the same situation as you with my 12 year old girl. She has been having trouble grooming on her hind legs, and itching her ears is hard because she loses balance.

Always seems to be urinating all the time. The vet wants to do a blood panel to check and see if she would be okay to be sedated for a teeth trimming and x-ray.

Although I am still concerned even if it comes back okay that if she is sedated she won't wake up.

Such a hard thing having older buns sometimes :/ I want her to be comfortable.
 

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