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Rabbit GI Stasis (Gut Slowing): Vet-Approved Guide for 2025 🐇🩺
By Dr Duncan Houston BVSc
🌪️ What Is GI Stasis?
Gastrointestinal (GI) stasis—also called ileus—is a potentially life-threatening condition where food stops moving through the rabbit’s digestive tract. It can progress quickly and may be fatal within 24–48 hours if untreated :contentReference[oaicite:3]{index=3}.
Stasis is often a symptom of underlying issues like pain, stress, diet problems, or dehydration—not a disease itself :contentReference[oaicite:4]{index=4}.
⚠️ Why Rabbits Are at Risk
- Dietary imbalances: Low-fiber, high-carb diets disrupt gut flora and motility :contentReference[oaicite:5]{index=5}.
- Dehydration: Pulls fluid into intestines, worsening stasis :contentReference[oaicite:6]{index=6}.
- Pain & stress: Dental disease, arthritis, trauma, surgery, or environmental changes can all trigger stasis :contentReference[oaicite:7]{index=7}.
- Obstruction: Hair, carpet fibers, or other foreign materials can block passage :contentReference[oaicite:8]{index=8}.
👀 Signs to Watch For
- Loss of appetite or refusal to eat even favorite foods for over 3–4 hours :contentReference[oaicite:9]{index=9}
- Minimal or no fecal output ($<$ 200–300 pellets/day) :contentReference[oaicite:10]{index=10}
- Abdominal pain—teeth grinding, hunching, bloated, tense abdomen :contentReference[oaicite:11]{index=11}
- Lethargy, reluctance to move; cold ears or limbs, low body temperature :contentReference[oaicite:12]{index=12}
- Hunched posture, droppy across lap, disinterest in interaction :contentReference[oaicite:13]{index=13}
- Bloating, abnormal gut sounds—either loud gurgles (gas buildup) or silence :contentReference[oaicite:14]{index=14}
🩺 Why Prompt Vet Care Is Critical
Rabbits are fragile when not eating—fasting for 8 hours or more, dehydration, pain, and toxic gut changes can rapidly lead to shock, liver lipidosis, and gut wall death :contentReference[oaicite:15]{index=15}.
🔬 Veterinary Diagnosis
- History & physical: Checking gut sounds, pain, temperature, hydration :contentReference[oaicite:16]{index=16}
- Blood tests: CBC, chem, electrolytes; glucose often higher in obstructions :contentReference[oaicite:17]{index=17}
- Imaging: X-rays (often multiple shows gas patterns, blockages); possible ultrasound :contentReference[oaicite:18]{index=18}
- Oral/dental exam: Molar overgrowth or abscesses commonly trigger stasis :contentReference[oaicite:19]{index=19}
💉 Veterinary Treatment Strategies
Treatment is geared towards stabilising the rabbit and getting motility going:
1. Fluids & Support
- IV or SC fluids to rehydrate and correct electrolytes :contentReference[oaicite:20]{index=20}
- Warmth therapy—warming blankets or pads until normothermic :contentReference[oaicite:21]{index=21}
2. Pain Relief
- NSAIDs like meloxicam and opioids such as buprenorphine reduce pain that worsens gut slowdown :contentReference[oaicite:22]{index=22}
3. Gut Motility Medications
- Cisapride, metoclopramide stimulate intestines after hydration is achieved :contentReference[oaicite:23]{index=23}
- Simethicone can relieve painful gas, especially with bloating :contentReference[oaicite:24]{index=24}
4. Nutritional Support
- Syringe-feed with hay-based critical care formulas (e.g., Oxbow Critical Care) if rabbit won’t eat :contentReference[oaicite:25]{index=25}
- Encourage grass hay and safe leafy greens as appetite returns :contentReference[oaicite:26]{index=26}
5. Antibiotics
- Restricted use—only when bacterial translocation or serious infection is suspected :contentReference[oaicite:27]{index=27}
6. Surgery
- Exploratory surgery for confirmed obstructions or failure of medical management :contentReference[oaicite:28]{index=28}
- Surgery carries a guarded to poor prognosis post-op.
🏥 Outlook & Recovery
- Up to ~70% of uncomplicated cases survive with prompt treatment :contentReference[oaicite:29]{index=29}
- Median recovery spans ~3–5 days, though severe or obstructive cases may take weeks :contentReference[oaicite:30]{index=30}
- Post-stasis, diarrhea and temporary change in gut habits are common :contentReference[oaicite:31]{index=31}
🏡 Home Care & Support
- Offer fresh hay, leafy greens, and fresh water bowls continually :contentReference[oaicite:32]{index=32}
- Keep surroundings warm and low-stress; quiet with gentle massages per vet instructions :contentReference[oaicite:33]{index=33}
- Encourage gentle activity—allow supervised hopping to promote gut motility :contentReference[oaicite:34]{index=34}
- Monitor temperature, droppings, appetite daily and report changes to vet promptly.
🛑 Warning Signs & When to Call the Vet
- No eating/pooping for >4–6 hours post-treatment
- Persistent bloating, pain, distress, or no improvement
- Cold extremities despite warm environment
- Poor response to meds at home or worsening symptoms
🧠 Prevention in 2025 & Beyond
- Feed abundant high-quality grass hay (>75% of diet); limit pellets and carbs :contentReference[oaicite:35]{index=35}
- Encourage daily exercise and mental enrichment to support gut activity :contentReference[oaicite:36]{index=36}
- Handle stressors calmly; gradual changes in environment or diet minimize disturbance :contentReference[oaicite:37]{index=37}
- Regular dental and vet check-ups to catch early pain or dietary issues :contentReference[oaicite:38]{index=38}
- Hydrate well—bowl + bottle, and offer moisture-rich greens
- During shedding, brush fur daily to prevent excessive ingestion of hair.
📋 Quick Reference Table
Issue | Signs | Recommended Action |
---|---|---|
Early stasis | No appetite, reduced pellets | Vet visit, fluids, hay, gentle exercise |
Pain-triggered | Hunched, grinding teeth | Pain relief + treat triggering problem |
Obstruction suspected | Bloated, firm gut, high glucose | X-rays, possible surgery |
No improvement | No eating after 24 h | Reassess, adjust treatment, consider imaging |
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