I’m completely at a loss of what to do

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kenzieb

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Hi
So I have a male rabbit, just turned 6 years old this month named Dusty.
Back in early March he had to undergo dental surgery for spurs growing into his cheeks along with GI stasis from the teeth problem. Upon arriving to pick him up from surgery, my vet informed me he also had a “calcification of the mandible and osteomyelitis” that he was unable to correct because he didn’t know how? He was put on meloxicam, TMP/SMZ, and Baytril for 20 days. Then I brought him for a follow up to ensure he healed ok after the surgery recovery. Vet said that other than that calcification he saw in X-rays, he believed he was a completely healthy rabbit and he could be taken off all medicine.
Fast forward to May when he’s been off any medication for about two months now and I noticed he began to grind his teeth and drool a little. I looked at his teeth and noticed there was a long one sticking out so I set up an appointment for what I thought was going to be a tooth trim. By the end of the exam, after my vet inspects my rabbit, tells me I don’t need a tooth trim and that we should discuss putting him down in three months!?
He said that his jaw felt a little inflamed from the issue he saw back in March and that if I would like to, I could have him perform another surgery to fix that problem.. which confuses me a little because while he was under surgery for his teeth this same doctor told me he did not know how to correct this problem so he didn’t at the time.. However, later in the appointment the vet changed his mind and told me that he actually won’t perform the surgery because of his age (he just turned 6). So he put him on meloxicam and baytril for 20 days and told me I should plan on putting him down by the end of the summer!!
Obviously devastated, when those 20 days of medicine were up, I called and asked what to do now medication wise. I had more baytril left over but I didn’t want to continue to give it to him without doctors word because he had told me that the baytril could cause stomach problems. The doctor just gave me another refill of baytril and lowered his dose of meloxicam to 0.5 from 0.7 and said he would put in 3 more refills and then I should bring him in to be put down.
So Dusty has currently been on baytril and meloxicam for 29 days now and I have not seen him improve.
In the days since going in for the “tooth trim”, I watched his jaw get so much worse than it ever was. I attached photos of how he looks now and it’s heart breaking. He acts exactly the same as he always has, he still runs and jumps and eats and poops and acts exactly like a normal heathy rabbit would but I know he has to be in pain even with meloxicam in his system because he is completely covered in drool.
I guess I am just at a loss for what to do right now, my vet won’t do the surgery, the medications don’t seem to be working and my vets only suggestion has been put him down.

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I just want to add: this is how he looked the day of the vet appointment where he told me to put him down. There’s some slight swelling as you can see as it had been like this since the first surgery, but nothing like how it is now. Since that day it’s all just gotten worse from there.
 

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Horrible news I am so sorry for him! I wouldn't let him suffer another three more months and he will suffer and will be on medication he will be in pain and it will be heartbreaking for you I wouldn't wait and would put him down as soon as you are ready. I know it sounds really bad but at least you will know he's not in pain anymore.
Again, very sorry he's already living a nightmare 3 months of surgeries and medication poor little thing!
 
First off, you need to try and find a different more experienced rabbit vet if at all possible, even if you have to travel a distance to do it. That vet doesn't know what they are doing.
https://rabbit.org/vet-listings/

If your rabbit does actually have osteomyelitis your rabbit should have never been taken off the antibiotics as bone infections require long term antibiotic treatment(months). At this point it would be better to switch to a more effective antibiotic like pen g procaine/benzathine injections or oral azithromycin. Though having a culture and sensitivity done to find what bacteria are involved and the right antibiotic to use, would be best.
http://wildpro.twycrosszoo.org/S/00dis/Bacterial/Osteomyelitis_Lagomorphs.htm
https://www.researchgate.net/publication/254739327_Dental_disease_in_pet_rabbits_3_Jaw_abscesses (WARNING: CONTAINS GRAPHIC MEDICAL RELATED PHOTOS)

The lump that you are seeing isn't inflammation and is most likely an abscess that will need to be excised, or drained and cleaned out.
http://www.medirabbit.com/EN/Dental_diseases/Treatment/Facial/abs_dental.htm
http://www.medirabbit.com/EN/Skin_diseases/Bacterial/Abscess/skin_abscess.htm
http://www.medirabbit.com/EN/Skin_diseases/Bacterial/Absc_treat/abscess_treat.htm

You need a vet that can do another dental and burr any tooth overgrowth, excise or drain the abscess, and remove any infected teeth. The tooth trims will likely need to be done every 6-8 weeks if they don't wear properly and are continuing to develop the overgrowth. Then your bun will likely need to be on antibiotics and meloxicam long term to keep the bone infection under control. If cost and surgery are an issue for you at this point, I would in the very least get my rabbit back on antibiotics, either the pen g procaine/benzathine(injection only) or the azithromycin.
http://www.bio.miami.edu/hare/jawabscess.html
http://people.umass.edu/~jwmoore/bicillin/bicillin.htm

Bone infections are very serious and may not clear up completely, but with the right antibiotic you could prolong your rabbits life provided it controls the symptoms adequately that your rabbit still has a good quality of life. As long as your rabbits symptoms are able to be controlled and your rabbit remains eating and seems happy, there is no reason to be jumping the gun and suggesting pts. Your rabbit seems to be doing fine other than the infection needing treatment, so I wouldn't be considering pts at all at this point.
 

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