First time with stasis, doing well now but need advice please!

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lynne2809

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South Carolina, USA
Hi all!
I have a 1.5 year old neutered male Lionhead named Mickey. I rescued him when he was around 2-3 months old from a terrible situation of neglect.
I absolutely adore him and he travels with me to and from college (my college is about 2.5 hours from my home).
Mickey has never had any health issues until about 2 weeks ago. Mickey and I moved back to college about a month ago and he seemed to be settling in nicely and he adjusted to our new apartment quickly after being at home with me all summer. I did not change anything in his diet. The main change was that while I am home for the summer, Mickey was free roam 24/7 and I never locked him in his cage. However, while I am at school, I put Mickey in his cage while I am gone for class and while I am asleep at night. About 1-2 weeks after we returned to college, I noticed that Mickey was not acting himself. He was hiding and would not take treats from me, but he had been eating and pooping normally during the day, so I assumed he was just in a strange mood. I put him in his cage for the evening assuming that he would eat and poop a ton overnight (like he always does). I woke up the next morning and he had not eaten or pooped at all and he was hunched in the corner of his cage. I started treatment with Critical Care, baby Simethicone drops, and monitored him all day. After about 12 hours, he still would not eat or poop and he was not acting himself, so I decided to take him to University of Georgia's teaching hospital (it was a weekend so all of the closest veterinary clinics were closed). Mickey ended up staying at UGA for 3 nights and he had X-Rays and bloodwork done and he received fluids, Critical Care, pain meds, and monitoring. He ended up snapping out of it and began pooping and eating normally again. I brought him back to my college apartment but decided that the stress of being in a new place may have been what threw him into stasis. I decided that it would be best for me to bring him home for the rest of the semester for my parents to take care of him (we have another bunny at home and my parents absolutely love Mickey). Mickey adjusted very quickly to being back home. He definitely prefers to be here as he has full access to the entire room all day long. I have been home with him all week to monitor him but I am returning to school today. My parents will take great care of him and keep a close eye on him and I also have a Ring camera to watch him on while I am gone. I will also come home every weekend or every other weekend to visit him and I will come home if anything happens. I also think that his diet may have contributed to his stasis - up until his episode, I was feeding him unlimited Oxbow Adult Timothy Hay Pellets. I am thinking that he may have been getting too much protein in his diet which could have also contributed to the stasis. I decreased his pellets to 1/4 cup per day with unlimited hay, but his poops are still a very very dark brown color and they are a little bit more moist/wet than I would like. I was expecting them to be lighter brown/golden once I decreased his pellets. I am not feeding him any fresh fruits or vegetables right now while he is recovering (he used to get 1-2 tbsp. of fresh banana or carrot every day). My question is: should I be concerned that his poops are so dark/moist when he is being fed a proper diet and he seems fine otherwise? Is it okay for me to be only feeding him 1/4 cup of pellets per day (he definitely prefers pellets over hay)? Will he stave himself and cause further issues if I am limiting his pellets? I took him to his regular vet yesterday for a check up and she said that he was in "perfect health" and that he looked great, I am just really paranoid after his stasis episode. I am just really worried that he will go into stasis or that there is an underlying cause contributing.
 

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Did either vet do a thorough dental exam to rule out a possible dental issue as the underlying cause of the stasis? Are you seeing any indications of a dental issue like odd chewing behavior, dropping food from the mouth, drooling, reduced appetite(other than the stasis episode), selective eating, or excessive drinking?

What's your rabbits approximate weight? Is he eating a pile of hay the size of his body per day? And what is the cut quality of the hay(mostly soft, mix of leaf and stem, mostly hard stems)? Besides the fecal balls being moist and darker than usual, are there any other irregularities like irregular shape or size? Are they the same size as they used to be, or are they smaller than seems normal?

If the stasis had a dietary cause, it wouldn't have been due to too much protein in the diet, but because of insufficient indigestible fiber and too many carbs/sugars, and or too much fur ingested during grooming. Indigestible fiber promotes good gut motility. Sugars and carbs slow down gut motility. And it's always possible that it could have just been random from something eaten causing digestive upset or gas, from veggies that are off, something in the hay or pellets, or a foreign object being consumed(carpet fibers, cardboard, etc).

Something I want to add, is relating to your mention of syringe feeding critical care prior to seeing your vet. It's usually not advisable to start syringe feeds to a rabbit experiencing stasis, until a vet has ruled out a complete intestinal blockage and bloat. The reason is, that if a rabbit has either of these conditions, syringe feeding will increase volume and pressure on a digestive system that is blocked up and not moving. This can be especially critical in the case of bloat, where adding more food/liquids to the stomach will increase the pressure from the bloat, on the heart, lungs, and stomach, which could cause rupture or cardiac/respiratory arrest.

In the case of a rabbit not eating, at most I will try baby gas drops and gentle massage and encouraging movement, but if that doesn't work and/or there is a deterioration of condition, then the next step is getting to the vet right away.

https://rabbit.org/gastrointestinal-stasis-the-silent-killer-2/
 
Did either vet do a thorough dental exam to rule out a possible dental issue as the underlying cause of the stasis? Are you seeing any indications of a dental issue like odd chewing behavior, dropping food from the mouth, drooling, reduced appetite(other than the stasis episode), selective eating, or excessive drinking?

What's your rabbits approximate weight? Is he eating a pile of hay the size of his body per day? And what is the cut quality of the hay(mostly soft, mix of leaf and stem, mostly hard stems)? Besides the fecal balls being moist and darker than usual, are there any other irregularities like irregular shape or size? Are they the same size as they used to be, or are they smaller than seems normal?

If the stasis had a dietary cause, it wouldn't have been due to too much protein in the diet, but because of insufficient indigestible fiber and too many carbs/sugars, and or too much fur ingested during grooming. Indigestible fiber promotes good gut motility. Sugars and carbs slow down gut motility. And it's always possible that it could have just been random from something eaten causing digestive upset or gas, from veggies that are off, something in the hay or pellets, or a foreign object being consumed(carpet fibers, cardboard, etc).

Something I want to add, is relating to your mention of syringe feeding critical care prior to seeing your vet. It's usually not advisable to start syringe feeds to a rabbit experiencing stasis, until a vet has ruled out a complete intestinal blockage and bloat. The reason is, that if a rabbit has either of these conditions, syringe feeding will increase volume and pressure on a digestive system that is blocked up and not moving. This can be especially critical in the case of bloat, where adding more food/liquids to the stomach will increase the pressure from the bloat, on the heart, lungs, and stomach, which could cause rupture or cardiac/respiratory arrest.

In the case of a rabbit not eating, at most I will try baby gas drops and gentle massage and encouraging movement, but if that doesn't work and/or there is a deterioration of condition, then the next step is getting to the vet right away.

https://rabbit.org/gastrointestinal-stasis-the-silent-killer-2/

Thank you so much- he weighs about 4.5-5 lbs. and it seems like he is eating enough hay. the bag that I have right now is mostly bright green crunchy stems. And yes- the exotic specialist at UGA did a dental exam while he was sedated for X-Rays and she said everything looked normal- I am also not seeing any symptoms of dental issues.
Since the stasis episode, the poops have varied. Sometimes they are smaller and light brown, sometimes normal sized and very dark brown. I noticed that his poops were very mushy this morning- very wet and smelly, but he is acting, eating, and drinking totally normally. Could this be related to stress? He went to the vet yesterday (about 24 hours ago). His poops were totally normal overnight but very mushy this morning, so I am really worried. All of his lab work and radiographs came back perfect at UGA
 
Did either vet do a thorough dental exam to rule out a possible dental issue as the underlying cause of the stasis? Are you seeing any indications of a dental issue like odd chewing behavior, dropping food from the mouth, drooling, reduced appetite(other than the stasis episode), selective eating, or excessive drinking?

What's your rabbits approximate weight? Is he eating a pile of hay the size of his body per day? And what is the cut quality of the hay(mostly soft, mix of leaf and stem, mostly hard stems)? Besides the fecal balls being moist and darker than usual, are there any other irregularities like irregular shape or size? Are they the same size as they used to be, or are they smaller than seems normal?

If the stasis had a dietary cause, it wouldn't have been due to too much protein in the diet, but because of insufficient indigestible fiber and too many carbs/sugars, and or too much fur ingested during grooming. Indigestible fiber promotes good gut motility. Sugars and carbs slow down gut motility. And it's always possible that it could have just been random from something eaten causing digestive upset or gas, from veggies that are off, something in the hay or pellets, or a foreign object being consumed(carpet fibers, cardboard, etc).

Something I want to add, is relating to your mention of syringe feeding critical care prior to seeing your vet. It's usually not advisable to start syringe feeds to a rabbit experiencing stasis, until a vet has ruled out a complete intestinal blockage and bloat. The reason is, that if a rabbit has either of these conditions, syringe feeding will increase volume and pressure on a digestive system that is blocked up and not moving. This can be especially critical in the case of bloat, where adding more food/liquids to the stomach will increase the pressure from the bloat, on the heart, lungs, and stomach, which could cause rupture or cardiac/respiratory arrest.

In the case of a rabbit not eating, at most I will try baby gas drops and gentle massage and encouraging movement, but if that doesn't work and/or there is a deterioration of condition, then the next step is getting to the vet right away.

https://rabbit.org/gastrointestinal-stasis-the-silent-killer-2/
Could this also be due to stress? From moving around and me being so stressed?
 
His fecal poop was wet and smelly and mushy, it wasn't the cecotropes? Are you still giving any medications now? Did the vet give anything or fluids yesterday? Any critical care or anything new given in the last couple of days? Did the poops change before you reduced the pellets and added hay, or only after you did this? How long has he been on reduced pellets and eating hay? How severe was the stasis episode, how long before poop and eating was back to normal?

Stress can certainly contribute to throwing off the microflora balance in a rabbits digestive tract, which can result in stasis occurring, bloat, or enterotoxemia.
 

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