Pain medicine

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Diane R

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Min-Min actually did fine without the pain medication.

The vet did finally call us and said we could bring him in tomorrow morning. My dad doesn’t want the CT scan done because our bunny has improved a lot and he might die while being sedated for the scan. I feel like it needs to be done to see all the damage and how it could heal, but am also afraid about the same thing…
It's only a slight sedation for the scan, not something to worry about.
 

Moonshadow

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He made it through the cat scan well and we have the results.

Min-Min has a symphyseal fracture (incisor separation) to his lower jaw which is why his lower teeth looked misaligned. He also had two fracture lines in his left jaw bone (no broken back teeth). The doctor is not worried about the fracture lines because his jaw bones should hold those together while they heal.

For the incisor separation there were two options. The vet first told us the one she was “required to mention” since their vet hospital is an “innovator and advancer in medical technology (and in magazines and stuff).” The second is one my dad asked about and the one we went with.

First- He’d need surgery and would have a wire keeping his incisors perfectly aligned but they’d be sticking out and kept in for at least 3 weeks. He’d have an attachment between his shoulder blades to keep the alignment, a tube up his nose, and the thing between his should blades would also allow for a daily injection of pain medication. (I heard it second hand from my dad so am not sure if I’m reporting it exactly right but did hear “wires in jaw, tube in nose, shoulder, and daily injection in the phone conversation”).

The doctor also said even as an exotic vet she has never actually performed this surgery. If we did it with our bunny, he’d be the “pioneer,” first rabbit to ever go through that surgery since it’s a “new innovation.”

Second- My dad asked if we could take him home, keep him on pain medication, and take the ‘wait and see’ approach. He asked the vet what bad case scenario would happen if the teeth healed misaligned and she said they might have to do surgery and remove the bottom teeth. She went on to say many rabbits can live without bottom teeth since they adapt.

We decided on the second (no need for our bunny to pioneer medical technology).

We have taken him home, we’re given pain medication, anti-inflammatory, and more critical care. A veterinary compounding pharmacy will call us tomorrow since they are making an antibiotic for us to help prevent an infection. We are buying a pet scale to monitor his weight and will be bringing him in for weekly checkups so the vets can check his teeth and general health.

He was happy to be home when we got back tonight
 

Freedom

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I think I would have went with option 2 as well.
From your updates it's seems that he has been healing well already without medical intervention. What a freak accident.
I'm so happy that he's a strong survivor.
Keep us updated.
 

Moonshadow

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Just realized I forgot to give an update.

He had a doctors appointment the following Friday (28th). Before the appointment we found out the gabapentin was too high a dose (made him completely inactive/no appetite which lasted 9 hours) so we opted not to give it to him. Gave him the other pain med (which didn’t sedate him/or make him lose his appetite), antibiotic, and meloxicam and his critical care.

At the doctors appointment we met with the other exotics vet (ours was out of town). Our bunny had actually gained a bit of weight from when he was last weighed there. She checked his mouth and said they’re was a bit a of pus from infection but she wasn’t worried. She also said it was okay to halve the gabapentin if it has too much of an effect. (We never resumed giving it to him since he was fine on the other and didn’t seem to need the second one).

About one week ago, Min Min decided he was done with being forcefed the pain medicine.Then two days later he decided the same about the critical care and antibiotics. Meloxicam is the only one he likes. (We’re still trying to create ways to get him to have the antibiotic, spreading it on random items.) Thankfully at the same time, he was eating pellets that were closer to normal size and he was attempting to eat hay more so we felt it was okay to stop giving critical care. He was also finally drinking from his water bowl and water bottle again.

Now, seems almost back to normal! He eats regular pellets (doesn’t need to be crushed) and eats his hay (eating the especially long strands too). We have witnessed him doing several full jaw yawns after stretches the last couple days and it’s awesome to see again!

He has another follow up appointment on the 15th so I’ll give another update after that.
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Moonshadow

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We took him to the vet appointment and our doctor looked him over. She says that he's healing as well as she could have hoped.

He may have a slight malocclusion of his front teeth in the future from the way it is healing. His upper incisors are a little overworn (where he was overcompensating) while his lower incisors are getting just a bit overgrown (since a lower mandible was where the breaks happened). He will be on antibiotics for another two weeks and meloxicam every other day now till his next follow-up appointment in a month. At that appointment he might need his front incisors ground down a bit but the extra month will give his jaw more time to heal. The vet never mentioned removing his incisors so I don't think he will need to have that done.

He is still as active as ever, ripping up a paper bag as I type this! 😁
 
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