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Liquid Parafin for Bunny constepation * Yukky poo pics*

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Post by Jay Sat May 09, 2009 5:29 pm

Wave When Bertie was ill a couple of months ago with fecal compaction in his ceocum (Clicky), my vet prescribed 1 ml of liquid praffin, twice a day, and the same of fresh pinepple, which I put in the same syringe....mmm...nice pale

I'd not heard of this before, and at the time I expected, and he said it would be likely, that his poos would be sticky and gooey when the compaction broke up. However, they were'nt really that bad, they were fairly solid, just weird shapes and big and compact. But I am sure that the paraffin was a big player in releiving his constapation.

Yesterday we had a bad day, first one since then. As soon as I saw him on his bed at 6 am, I knew he wasn't right Sad He is an amazing communicator, and has a place on his bed and in the front room where he sits only when he's unwell, so we always know as soon as he wants to tell us.
He wasen't bloated, so I gave him Infacol, and tummy massages, and a bit later I got him interested in some hay by rubbing it over his face and he ate a bit, then a bit of green, then nothing. He didn't seem in pain, I gave him 3ml syringe of Science recovery, with a drop of Metacam in it, arranged for Paul to come home early and I went to work.
when I got home, Berts was laying dumpling style in his litter, Paul had fed syringe fed him, and he wasn't bloated. I spoke to my vet, who thankfully knows him well enough to know that he gets very stressed by vets visits, & tries to avoid if poss. He told me to try him on a mil of praffin with metacam, which I did. (He also advised me to keep giving him paraffin every 2-3 weeks, to stop this happening again.)
About 1/2 an hour later, Bertie dutifully left these on our carpet

Liquid Parafin for Bunny constepation * Yukky poo pics* ChrisvisitMay09-PicnicWatershipD-3

Liquid Parafin for Bunny constepation * Yukky poo pics* ChrisvisitMay09-PicnicWatershipDown

They were incredibly sticky, I lifted them off the floor with loo paper, and that is the paraffin. He had one more batch of larger than normal, sorter than normal poos, then returned to these, less than 12 hours later

Liquid Parafin for Bunny constepation * Yukky poo pics* ChrisvisitMay09-PicnicWatershipD-1

and there's a couple of smaller ones, but on the whole, that's pretty good. You can get liquid paraffin from the chemist, it's only £1.25 for a bottle.
I wondered if anyone else has been advised to use this, and if it's worked, cos I'm starting to think it's pretty good stuff!
ETA, conversly, any bad experiences/info?

Thanksfully Bertie is back to normal today, hopping around like a loony, and has a new Bertilla bunny to hop around with Love


Last edited by Jay on Sat May 09, 2009 6:35 pm; edited 2 times in total (Reason for editing : extra point)
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Post by SarahJane Sat May 09, 2009 5:31 pm

yucky poopies!

glad hes feeling better Smile
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Post by Sixer Sat May 09, 2009 5:44 pm

Yukky poops too!

Am pleased to hear Bertie is now better Very Happy

I am not sure that liquid paraffin is safe to use in all cases. I have read that in dehydrated blockages the paraffin will coat the blockage, prevent it absorbing water and thus make it more difficult to break down and pass. I don't know if this is just theoretical though. I would imagine that the use of paraffin would depend on the position of the blockage.

Think we nood Sooz's opinion on this Very Happy
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Post by Snowy Sun May 10, 2009 8:10 am

Poor Bertie again!, well done for getting him right again Jay, I would be really interested in being educated about the use of liquid paraffin, it seems that it really does have it's place within bunny medicine, hopefully Sooz will come along and cast her expert eye over this and let us know
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Post by Happy Hoppers Sun May 10, 2009 11:17 am

Well, I have to say, I am becoming increasingly convinced that paraffin can work for some rabbits in certain circumstances but I would never, ever recommend someone undertake it's use without a vet overseeing the process because it really can do an awful lot of damage in compounding problems with intestinal blockages if used incorrectly, and particularly in a rabbit who is dehydrated.

As Sixer has stated, if paraffin is used in a rabbit it is absolutely vital that the rabbit is fully hydrated because doseing a rabbit with oil based lubricants means that any dehydrated ingesta in the gut is covered by an oily coat. Chemistry 101.... oil repels water.Therefore the dehydrated mass cannot become rehydrated, cannot change shape or break down and the bunny is stuck with an oily but immovable stomach blockage.

This places the rabbit in a dubious condition, do you risk using gut stimulants and prospectively rupturing the gut or attempt extremely dangerous GI surgery. Hmmm

This extract is quite useful:

E. Petroleum-based laxatives: use with caution.

Laxative-grade mineral oil or commercial products such as Laxatone or Petromalt do not affect intestinal motility. Some veterinarians prescribe them in the hope that they might help to slide dry, impacted matter through the intestine more easily.
Note, however, that if the intestinal contents are severely dehydrated and brick-hard (yes, we have seen this!), a coating of vaseline-like substance over them will merely impede their re-hydration and make it more difficult for the mass to break up and begin passing normally. For this reason, it is probably wise to concentrate on re-hydrating the intestinal contents before using petroleum-based laxatives, if they are to be used at all.

Note also that whereas malt-flavored remedies in a tube are often preferred by the bunny, some vets believe that their higher viscosity may actually contribute to holding a mass of impacted food together, especially if the intestinal contents are dehydrated. Unscented, laxative grade mineral oil is less viscous, and may be more effective. Always administer such substances with care so that the bunny does not aspirate (inhale) any. Petroleum-based laxatives should not be given daily or long term, as they can impede the absorption of important, fat-soluble vitamins.

http://www.bio.miami.edu/hare/ileus.html


This is also an interesting quote that Kay once told me:
Well my vet gave LP for my bun last week as he is in GI statis.

Although I am no vet I really dislike giving anything that you can't find naturally. Sooz gave me some great advice and without needing the 4mils daily of LP, I syringed warm water instead and Arthur has made a good recovery. On the LP he was hunched and looked in pain but just a couple of doses of water he really perked up. His eyes went from hazy to bright and alert.

The first poop after the LP was oily but no real substance, with the water a nice lumpy mound came out Sorry if your eating while reading this

This was after a cat specialist (I kid you not) tried to treat her Arthur with Paraffin without trying other methods first. Arthur was fine after intensive fluid therapy and fiberplex to replace the two natural substances utilised by the gut to process ingesta.

Interestingly I have also had a conversaion with a chap who rehabilitates Cottontails in the US and who is very highly regarded on another forum and he is of the opinion that LP has no place in modern day medicine at all, I am not sure if that is a general opinion across sea's or not though.

So, in closing study Laughing I think it is an option to consider only after all other methods have been exhausted and when overseen by a competent rabbit veterinarian. The only rabbit I have veer had in a position where I might have considered LP or another lubricant is Caspian but he was far too dehydrated for it to ever have been a safe option. Sad

If it's working for Bertie though, who am I to tell you otherwise. Smile
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Post by Guest Sun May 10, 2009 11:27 am

ACUTE GASTROINTESTINAL DISEASE IN RABBITS
Frances Harcourt-Brown BVSc MRCVS
Harrogate, UK

The rabbit's digestive system, especially the hindgut, is adapted for a diet of fibrous food. The ascending colon
can be divided into four anatomically distinct sections; (i) a section with three bands of taeniae separating rows of
haustra or sacculations, (ii) a section with a single taenia and fewer, smaller haustra, (iii) the 'fusus coli', which is a
muscular area about 4cms long (iv) the remainder of the ascending colon that is histologically indistinguishable
from the transverse and descending colon. The fusus coli forms a natural division between two morphologically
and functionally distinct sections of the colon. For this reason, the terms ‘proximal’ and ‘distal’ colon are often
used. The proximal colon mixes and separates ingesta. Large particles accumulate in the lumen and are moved
distally, whereas smaller particles accumulate at the circumference, in the haustra, and are moved proximally to
the caecum.
The motility and function of the hindgut gut changes according to the type of faeces that are formed within it. The
formation of hard faeces or 'hard faeces phase' coincides with feeding activity. The expulsion of caecotrophs is
known as the 'soft faeces phase'. These phases of excretion follow a marked circadian rhythm.
Optimum gut motility is required to drive food through the digestive tract to supply the caecal microflora with
nutrients and fluid. The fusus coli acts as a pacemaker for colonic motility. It is under autonomic control. The fusus
coli is well vascularised, and highly innervated. Although it has no nutritive value, indigestible fibre is of prime
importance to digestive function in rabbits because it stimulates gut motility.
The caecum contains large numbers of a variety of microorganisms. Volatile fatty acids produced by the caecal
microflora provide an energy source for the rabbit. Volatile fatty acid production is dependent on the composition
of the caecal microflora and the type and availability of substrate. Like any continuous culture system, there are a
number of homeostatic mechanisms in place. For example, bicarbonate secreted from the appendix acts as a
buffer. Fluctuations in volatile fatty acid production and pH affect the population of caecal microorganisms.
Alterations in the caecal microflora can result in the proliferation of pathogenic bacteria, notably Clostridium spp.
and cause enterotoxaemia. Antibiotics, especially oral antibiotics can alter the balance of the microbial population
and allow pathogenic species to proliferate.
Gastrointestinal hypomotility ( ('Gut stasis', 'ileus', 'trichobezoars' 'hairballs')
Stimulation of the sympathetic nervous system inhibits gut motility. Stress stimulates the sympathetic nervous
system. Pain is stressful, so almost any disease or stressful situation can slow gut motility in rabbits and trigger a
sequence of events. Slow gastric emptying results in dehydration and impaction of the stomach contents. Hair,
ingested during grooming, is incorporated in the impacted stomach contents that may be called 'trichobezoars' or
'hairballs'. Gastric ulcers are common. Slow gut motility results in the accumulation of gas in the stomach and
caecum, which distends the viscera and causes abdominal pain. Slow gut motility alters the secretion and
absorption of water and electrolytes along the digestive tract and leads to dehydration and electrolyte imbalances.
Reduced food intake reduces the supply of fluid and nutrients to the caecal microflora. A drop in blood glucose
stimulates the mobilisation of free fatty acids and fatty infiltration of the liver. Oxidation of free fatty acids causes
ketoacidosis. Rabbits are particularly susceptible to acidosis because some renal compensatory mechanisms
and metabolic pathways that are present in other species are absent or restricted. Once ketoacidosis occurs,
rabbits become increasingly depressed and anorexic. Fatal hepatic lipidosis develops rapidly and death typically
occurs within a week of the onset of anorexia. Obese rabbits and pregnant or lactating does are at greater risk of
developing hepatic lipidosis and die more rapidly.

The presenting signs of gastrointestinal hypomotility are a reduction or cessation of faecal production and
anorexia. Small faecal pellets or mucus may be passed. In the early stages, the rabbit may seem bright and alert
but, as the condition progresses, it becomes increasingly depressed and immobile. In the later stages, impacted
stomach contents may be palpable. Caecal impaction occurs in some cases of gastrointestinal hypomotility. It can
also be caused by ingestion of substances, such as clay cat litter, that are moved into the caecum but cannot be
degraded by the microflora. Bulk laxatives that absorb water can have a similar effect. An impacted caecum is
also a feature of mucoid enteropathy. The onset is insidious. Affected rabbits adopt a hunched stance. The
impacted caecum can be palpated in the ventral abdomen. It is visible on abdominal radiographs.
Gastrointestinal hypomotility is a secondary problem and it is important to identify the underlying cause.
Examples of stressful situations include fright (e.g. predator attack, fireworks, trauma, transport), poor husbandry
(e.g. rough handling, recent loss of a companion, a dominant companion, excess cold or heat). Examples of pain
include recent surgery (e.g. laparotomy, incisor removal), areas of inflamed skin (e.g. urine scalding, penetrating
foreign bodies), ulcerative pododermatitis, abdominal pain, oral pain or skeletal pain (e.g arthritis, neoplasia, or
osteomyelitis). Treatment is directed at nutrition and fluid by syringe feeding and offering palatable, fibrous food.
Prokinetic therapy and analgesia are also important. Liquid paraffin is indicated for the treatment of caecal
impaction.

Gastric dilatation and intestinal obstruction occurs frequently in pet rabbits. Affected rabbits suddenly become
totally anorexic, unresponsive, depressed and immobile. Gastric dilatation develops rapidly, especially if the
obstruction is in the proximal small intestine. The most common cause of obstruction is a pellet of felted hair
althrough dried pulses, foreign objects, tumours, tapeworm cysts, strangulations and intussusceptions are among
other causes. Radiography is diagnostic. Gastric decompression and analgesia are essential. Removal of a
foreign body is usually successful if surgery is performed promptly. If the condition is not treated, the rabbit will die
unless the foreign body is movi ng and passes into the colon.
Mucoid enteropathy enteritis and enterotoxaemia are common causes of losses in colonies of commercial or
laboratory rabbits but are rare in the pet rabbit. Mucoid enteropathy is characterised by slow hindgut motility and
the presence of copious amounts of mucus in the colon. Inflammatory changes are minimal. The caecum
becomes impacted. Gastric dilatation occurs in the terminal stages. In some cases there are respiratory signs.
Although mucoid eneteropathy is most common in juvenile raabbits, it is occasionally seen in adult rabbits and is
linked with lack of dietary fibre and stressful situations. Dysautonomia and neurotoxins are among suggested
causes. Clinical signs include anorexia, abdominal distension, subnormal body temperatures, depression and a
crouched stance. There is a disruption of normal faeces production. Hard faecal pellets are not produced.
Diarrhoea can be present in the early stages. In the later stages, mucus, either on its own or mixed with faecal
material is excreted or faecal production may cease completely. A feature of the mucoid enteropathy is tooth
grinding, presumably due to abdominal pain. The disease is progressive and usually fatal.
There are many infectious causes of enteritis, such as coccidiosis, bacterial and viral enteric infections. Some of
the bacteria produce powerful enterotoxins. Enteritis is rare in adult pet rabbits, the most usual cause is antibiotic
therapy, which disrupts the intestinal flora and allows pathogenic species to proliferate. Enterotoxaemia is a
serious life-threatening condition. It is manifested by depression, anorexia, absence of hard faeces and liquid
diarrhoea. It requires aggressive treatment including fluid therapy, analgesia, antibiotics. The prognosis is poor.

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Post by Jay Mon May 11, 2009 8:17 am

Thanks, If I remember correctly Sooz, Bertie was put on LP because the blockage was so big that it was acting like a plug and randomly blocking the exit from the ceocum, causing random stasis-like symptoms, that could last for hours.

It was also pretty hard, and my vet was of the opinion that the LP would be the only thing left that could absorb into the compaction, soften it, enable it to break into smaller bits, and leave the coecum, and that's exactly what happened, although wether or not that was down to the stimulants, LP, Pineapple, or any combination, I wouldn't know.
NB Over the worst week he had 2 Gut stimulant jabs (metaclop) and these didn't affect him adversly, but they didn't work either.

I also agree that not all treatments are for all rabbits, and this is what makes part of being a bunny owner so difficult for us all I think, it's all down to your bun with a few protocols to refer to, but not that many! (it seems).

It's likely that Bertie will have slowed gut movement for the rest of his life and we could very well be going through the events of February again a few times, but he has recommended that we give him 1/2 a ml of LP every 2-3 weeks, to emit any small compactions, and prevent them from building into bigger ones. He didn't say it was essential, that it was up to us, and so we didn't, in all honesty. On Saturday and to a lesser degree, since, Bertie is displaying these symptoms again, so now I feel as if we should do what he says, and will discuss with me vet Smile

Thanks for posting that above ^, I'm afraid to a dyslexic non medic I found it hard to read and understand, but Paul helped me with it and you seem to be emphasising that Bertie's initial treatment was correct. I didn't doubt that really, and was asking for people's experiences with LP to help me help Bertie in the future with this, if it's the right thing to do Smile


Last edited by Jay on Mon May 11, 2009 3:58 pm; edited 1 time in total
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Post by Dan Mon May 11, 2009 9:32 am

A few months ago Dusty got all blocked up with fur and the vet gave us Parafin oil and after every dose we had to give him water aswell and we found it really helped to clear all of the hair Very Happy

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Post by Snowy Mon May 11, 2009 9:38 am

Dan wrote:A few months ago Dusty got all blocked up with fur and the vet gave us Parafin oil and after every dose we had to give him water aswell and we found it really helped to clear all of the hair Very Happy

Pineapple juice is good for that, but is has to be the pure stuff and not the stuff made from concentrate
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Post by Jay Mon May 11, 2009 11:23 am

Dan wrote:A few months ago Dusty got all blocked up with fur and the vet gave us Parafin oil and after every dose we had to give him water aswell and we found it really helped to clear all of the hair Very Happy
poor Dusty, that's quite scary when that happens. As Snowy said Dan, pure Pinapple jiuce is good, and has an enzyme called Bromelain in it, which is recommended to break down hair balls. If Dusty is prone to these, then you could give him a Bromelain tablet a couple of times a week, more when he's moulting, to produce the same effect. Many bunnny owners use these if their bun is prone to fur masses.
You can get them from Holland & Barrett, but make sure they are the non-chewable ones as the chewable ones have loads of sugar in them.

Bertie gets 1/2 of one 40ml pill after each groom, as his treat for letting me groom him thoroughly Laughing because he's moulting at the mo, he gets the every other day.


Last edited by Jay on Tue May 12, 2009 9:46 am; edited 1 time in total (Reason for editing : muddled words)
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Post by Happy Hoppers Mon May 11, 2009 12:05 pm

I would have thought with the paraffin and water it should be the other way around, water first followed by paraffin? Any idea's why not? scratch

I think the thing is Jay, in Bertie's case it is an impaction in his ceacum that has been identified but many vets are prescribing LP for use in rabbits with gut impactions further up, which is where it can be particularly harmful if used without appropriate fluid therapy.

Do rabbits still absorb fluid from the contents of the ceacum or does this all take place earlier on?
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Post by Jay Mon May 11, 2009 12:18 pm

Sooz wrote:I would have thought with the paraffin and water it should be the other way around, water first followed by paraffin? Any idea's why not? scratch

I think the thing is Jay, in Bertie's case it is an impaction in his ceacum that has been identified but many vets are prescribing LP for use in rabbits with gut impactions further up, which is where it can be particularly harmful if used without appropriate fluid therapy.

Do rabbits still absorb fluid from the contents of the ceacum or does this all take place earlier on?

That makes sense Sooz, thanks.
I would have thought water before LP as well. I'll ask Anne later in the week about absorbption in the ceacum Smile
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Post by Snowy Wed May 13, 2009 10:51 am

Another very interesting thread, I have never used LP but will be discussing with Paula, my vet, on my next visit to see if it's something I should keep in my medicine cupboard, thanks for the information
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