Pneumonia and vets not listening to you

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thebunnyhops

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My bunny Lou has had pneumonia since March. He had been wheezing and it was all coming deep from his chest. It would happen mostly at night and also when he was in a deep sleep. Took him to a vet many times and was written off because he wouldn't really wheeze during the day. The vet said "it must be dust or allergies." I knew it wasn't dust, so I kept pushing.

Finally, I get a cat scan in September. The vet called me right before the cat scan and said "You know, thebunnyhops, I don't know how many times I can tell you that it's not the lungs. We aren't going to find anything." It was the lungs. Pneumonia (like I had been saying for 6 months). Also his sinuses and ears. The infection had been so long standing that there was bone erosion in his nose. It was so bad that I was told to euthanize, but the majority of his day was actually still good, so the vet let me try 2 months of baytril/metronidazole even though she made clear that it wouldn't work.

Well, that just about did the trick. 2 months later, he was like a new bunny. Symptoms 90% gone. Happy. A couple of sneezes or wheezes per week, but he was running laps around the house, sleeping well, etc.

Took him to a new vet because I was really displeased with the previous one. I wanted to continue the antibiotics for another month until his symptoms resolved a bit more. The issue was that he looked so good that the new vet didn't believe how sick he was previously nor believe the original cat scan report. She refused to continue the antibiotics and told me that a culture was required to continue them. Now, you do a culture to find the antibiotic that works and this one was clearly working -- it deserved another month and then afterwards we could do the culture. And a culture would have such a low yield for a bunny with almost no symptoms and on antibiotics for 2 months. But the vet was firm. I told her that I didnt feel comfortable stopping the antibiotics because I was afraid of the symptoms zooming back and stopping/starting antibiotics is really tough in terms of getting an infection back under control.

So that's what happened. We stopped them for the culture. The culture yielded absolutely nothing. And the symptoms have zoomed back and now the antibiotics aren't getting it under control anymore. There are no other bunny vets in my area and I truly do not know what to do next. If anyone has any general thoughts or ideas, I'd be happy to hear them. I'm mentally accepted the worst outcome, but I'm also prepared to push as hard as I can for him.
 
What antibiotics is he on ?
There is a chance that it will take a little while to see improvement again after relapsing, or you might be seeing a resistant strain and need to take a more aggressive approach to treat this with multiple antibiotics .

Unfortunately you are going to have to be a bit of a witch to the vets, you need to stay being pushy and not taking no for answers any more, they should know best but they often dont. Ring up, show up, hastle them into just giving you something

What way are you administering antibiotics- for most lung infections you should be using a nebuliser to administer the antibiotics.
You should also get your vet to give you an anti-inflammatory and pain relief medication for your bunny.

There is a very low chance that your bunny will ever recover fully, but he may live a full life as long as the infection can be controlled. I've had a few chronic bunnies, and once an infection like this takes root it is very hard to ever completely remove it
 
So sorry you’ve had such a terrible time with those Vets refusing to help your bunny and believe they had pneumonia.... I guess some Vets are getting just like some doctors are... arrogant attitude and unwilling to try to truly understand the patient and their symptoms.


I’ve had success with using Colloidal Silver in its liquid form with one of my bunnies that had a chronic ear infection and head tilt. It helped keep the infection at bay and gave them a better quality of life since the antibiotics had stopped working after a while. Make sure you get good quality Colloidal Silver and store it well if you decide to use it. I also agree to try and do some type of nebulizer treatment for your bunny.

Keep fighting for your bunny, don’t give up! Thank you for not giving up on them despite the prognosis.
 
What antibiotics is he on ?
There is a chance that it will take a little while to see improvement again after relapsing, or you might be seeing a resistant strain and need to take a more aggressive approach to treat this with multiple antibiotics .

Unfortunately you are going to have to be a bit of a witch to the vets, you need to stay being pushy and not taking no for answers any more, they should know best but they often dont. Ring up, show up, hastle them into just giving you something

What way are you administering antibiotics- for most lung infections you should be using a nebuliser to administer the antibiotics.
You should also get your vet to give you an anti-inflammatory and pain relief medication for your bunny.

There is a very low chance that your bunny will ever recover fully, but he may live a full life as long as the infection can be controlled. I've had a few chronic bunnies, and once an infection like this takes root it is very hard to ever completely remove it

Thanks for your response, I really appreciate it. Metronidazole/baytril x 2 months (was almost asymptomatic, which is why the new vet didn't believe how sick he was). Then no abx for a week or two for the deep nasal swabs. Symptoms zoomed back super fast. Given two more weeks of metro/baytril and it helped a little bit, went back to the vet to get a refill after the two weeks and it took about a week of phone calls to get them to refill it and a lot of raised voices (they didn't want to prescribe anything without a culture). Took another week of that, and then they randomly switched him to weekly pen G (this week) and he's been doing MUCH worse since stopping the metro/baytril. I restarted them today on my own since he did really poorly overnight.

Thanks for the encouragement to keep standing up for him in the vet and even going harder! Everyone at the offices truly despise me at the current moment. Going to the vet tomorrow and the added encouragement definitely helps. Have asked multiple vets now about nebulizers/nose drops and all have refused. Super confused because he has diagnosed pneumonia, sinusitis, and these vets are actually rabbit specialists in a big city. Will bring this up again tomorrow.

He's had this infection too long so I know it's never going to completely clear up, but I'm hoping that long-term antibiotics can buy him some time because most of the day he is actually still super happy zooming around with his bunny friends.
 
Could you go back to the first vet and say symptoms have returned, and ask to try a different antibiotic like azithromycin?

Since the first one worked so well, what I'd really like is to continue both of those for a continued period of time to see if we can achieve the same response. He was randomly switched to pen G this week and is doing much much worse, so I'm going to restart the metro/baytril today and then take them to the vet again tomorrow. It's well known that with a severe pneumonia, that sometimes bunnies need to be on the same antibiotic for even 3 months or longer. Really not sure why none of my vets will keep him on this long (especially if they told me that the infection is so severe that they don't expect him to make it at all- then whats the harm?).
 
So sorry you’ve had such a terrible time with those Vets refusing to help your bunny and believe they had pneumonia.... I guess some Vets are getting just like some doctors are... arrogant attitude and unwilling to try to truly understand the patient and their symptoms.


I’ve had success with using Colloidal Silver in its liquid form with one of my bunnies that had a chronic ear infection and head tilt. It helped keep the infection at bay and gave them a better quality of life since the antibiotics had stopped working after a while. Make sure you get good quality Colloidal Silver and store it well if you decide to use it. I also agree to try and do some type of nebulizer treatment for your bunny.

Keep fighting for your bunny, don’t give up! Thank you for not giving up on them despite the prognosis.

Thank you for your response! I'll definitely check out the colloidal silver and definitely going to make sure he gets a nebulizer this week (have been turned down by so many vets and really not sure why, especially since he has the cat scan showing very severe pneumonia there).
 

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