hophops

Also, it's becoming quite difficult to give him medication 4 times a day... It has to be every 6 hours and currently, it has been working because I work from home and have been skipping on university but I don't know how to do it in the future. I would do anything for my baby and I don't mind structuring my day around him but I'm worried that something happens and I miss a dose. Do you guys have any chronically ill rabbits that you have to give medicine to often? Do you have any tips? Thank you guys so much!!

Hello everyone! I hope it's okay for me to write in English, unfortunately I don't speak Dutch, I'm from Germany. The reason I'm writing in your forum is because in Germany, we barely have any treatment for rabbits with Megacolon Syndrome and the vets have very little knowledge about it. The medication of choice, Cisaral Drops, is only available through the Netherlands. It has been banned in Germany in human medicine so it's not available for veterinary use either. It is allowed to import it from the Netherlands so I have been ordering it from a Dutch veterinary pharmacy per my vets recommendation. I was hoping that you guys may have some more information on Megacolon and possible treatments you are familiar with? I will explain our current treatment in the following, maybe the veterinarians in the Netherlands have different approaches? Any help is much appreciated!! To explain our situation: I have two dwarf rabbits and one of them has been diagnosed with Megacolon Syndrome a few months ago. He is almost three years old and his droppings (Kottel/feces? sorry if it's the wrong word...) have always been huge. I never thought much of it, any stool examination was always without any negative findings and he was healthy overall. Blood results have always been good as well, no E cuniculi (negative). But in the last year, his stomach problems started to become more apparent. He kept going into stasis and it kept getting worse. Finally, we got the diagnosis Megacolon from a rabbit-savvy vet. Ever since then we have been trying to find a good treatment but it has been difficult. Currently, we are using Cisaral Drops 4 times a day 1 ml, which is the highest dose. We are also giving Lactulose alongside of it, 2-4x daily 1,5 ml. This is the treatment that has been most efficient but as you can imagine, it's a lot of medication for a 2 kg rabbit... Does any of you guys have any alternative tips so we can reduce the dose? Sometimes he has good days but mostly, if he doesn't get the full medication, he is in a lot of pain and can't struggles to pass stool properly. We also give him Rodicare akut, Metamizol (2x daily), Simethicone (Gas drops) and daily probiotics. Also lots of fluids as it seems to help him. He has unlimited access to hay and romaine salad and herbs (parsley, dill, coriander, mint). Those are the only greens he can currently eat and the more he eats of them, the more it helps him we have found out. He doesn't get any pellets at the moment because it supports his constipation but he used to get a bit of Cuni Complete before. I have been going through forum posts but as you can imagine, it's quite difficult understanding something with Google translate haha. One thing I have seen is that some people use Selective cavia voer. But honestly, that's all the information I was able to gather so I would really appreciate any further information! 🙂