Changes

Also known as: '''''Gastrointestinal hypomotility'''''

Also known as: '''''Gastrointestinal Hypomotility'''''

==Introduction==

==Introduction==

The owner may report: '''abnormal faecal production''', with either no or a reduced amount of pellets, liquid faeces or mucoid pellets

The owner may report: '''abnormal faecal production''', with either no or a reduced amount of pellets, liquid faeces or mucoid pellets

'''Pain''' may be manifest as: hunched posture, tooth grinding, shallow rapid respirations, tender abdomen on palpation

'''Pain''' may be manifest as: hunched posture, tooth grinding, shallow rapid respirations, tender abdomen on palpation.

'''Intestinal sounds''' may be abnormal: negative or increased borborygmi, increased caecal resonance

'''Intestinal sounds''' may be abnormal: negative or increased borborygmi, increased caecal resonance.

The rabbit may be '''hypothermic'''.

The rabbit may be '''hypothermic'''.

<u>Radiography</u>: looking for signs of dental disease,  osteoarthritis, neoplasia, foreign bodies

<u>Radiography</u>: looking for signs of dental disease,  osteoarthritis, neoplasia, foreign bodies

<u>Ultrasound</u>: allows more complete assessment of the liver, kidneys and bladder.

<u>Ultrasound</u>: allows more complete assessment of the liver, kidneys and bladder

<u>Faecal analysis</u>: may be difficult if there is a lack of faecal output, but once it returns may provide information on parasites, digestion etc..

<u>Faecal analysis</u>: may be difficult if there is a lack of faecal output, but once it returns may provide information on parasites, digestion etc..

<u>Analgesia</u>: NSAIDs like meloxicam or opioids like buprenorphine depending on the signs

<u>Analgesia</u>: NSAIDs like meloxicam or opioids like buprenorphine depending on the signs

<u>Fluid therapy</u>: the aim is to '''rehydrate the gut contents and/or to rehydrate the rabbit'''. Oral fluids such as Biolapis can be given along with intra-venous fluid therapy. Intra-peritoneal and intra-osseous routes can also be used if venous access is impossible. Sub-cutaneous fluids are not particularly helpful.

<u>[[:Category:Fluid Therapy|Fluid therapy]]</u>: the aim is to '''rehydrate the gut contents and/or to rehydrate the rabbit'''. Oral fluids can be given along with intra-venous fluid therapy. Intra-peritoneal and intra-osseous routes can also be used if venous access is impossible. Sub-cutaneous fluids are not particularly helpful.

<u>Supportive nutrition</u>: the aim is to provide '''long indigestible fibre''' to stimulate the fusus coli, however in the first instance, any food is better than none and the rabbit can be tempted with its favourites. It can be '''syringe-fed''' products such as Critical Care Formula

<u>Supportive nutrition</u>: the aim is to provide '''long indigestible fibre''' to stimulate the fusus coli, however in the first instance, any food is better than none and the rabbit can be tempted with its favourites. It can be '''syringe-fed''' products made for critical care feeding of rabbirs.

<u>Pro-kinetics</u>: '''Ranitidine''' is the most useful, but metoclopramine and cisapride have also been used.

<u>Pro-kinetics</u>: '''Ranitidine''' is the most useful, but metoclopramine and cisapride have also been used.

==References==

==References==

Girling, S. J. (2006) Diagnostic Imaging in '''BSAVA Manual of Rabbit Medicine and Surgery''', eds Meredith A and Flecknell P,  2nd Edition 2006, published by BSAVA Quedgley Glocs

Girling, S. J. (2006) Diagnostic Imaging in '''BSAVA Manual of Rabbit Medicine and Surgery''', eds Meredith A and Flecknell P,  2nd Edition 2006, published by ''BSAVA Quedgley Glocs''

Oglesbee, B. (2006) '''The 5-minute veterinary consult: ferret and rabbit''' ''Wiley-Blackwell

Oglesbee, B. (2006) '''The 5-minute veterinary consult: ferret and rabbit''' ''Wiley-Blackwell''

Sayers, I. (2011) '''Ileus in Rabbits''' ''RVC Small Mammal elective student notes''

Sayers, I. (2011) '''Ileus in Rabbits''' ''RVC Small Mammal elective student notes''

 

[[Category:To Do - Review]]

 

[[Category:Expert Review - Exotics]]

[[Category:Rabbit Digestion]]

[[Category:Rabbit Digestion]]