Rabbit Trichobezoars (Hairballs): Vet Guide for 2025 🐇🪶
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Rabbit Trichobezoars (Hairballs): Vet Guide 2025 🐇🪶
By Dr Duncan Houston BVSc
📚 What Are Trichobezoars?
A trichobezoar, often called a hairball, is a compact mass of ingested hair and food trapped in a rabbit's stomach or intestines. Rabbits can't vomit, so any blockage may cause serious digestive issues—potentially leading to lethal GI stasis :contentReference[oaicite:3]{index=3}.
🧠 Why They Form
- Normal grooming results in hair ingestion—but usually passed harmlessly :contentReference[oaicite:4]{index=4}.
- When gut motility slows (GI stasis), hair can mat with ingesta and form a blockage :contentReference[oaicite:5]{index=5}.
- Low-fiber diets, dehydration, pain, stress, or illness reduce gut movement—predisposing to hairball formation :contentReference[oaicite:6]{index=6}.
- Long-haired breeds or moulting rabbits ingest more hair—risking accumulation :contentReference[oaicite:7]{index=7}.
⚠️ Signs & Symptoms
Clinical signs vary by severity:
- Reduced appetite or refusal to eat.
- Fewer, smaller, or absent droppings; possible diarrhea.
- Abdominal distention.
- Hunched posture, teeth grinding—signs of pain.
- Lethargy or collapse in advanced cases :contentReference[oaicite:8]{index=8}.
🔍 Diagnosis
- History and physical exam: palpation may reveal firm stomach.
- X-ray, ultrasound, or CT to detect obstructive mass :contentReference[oaicite:9]{index=9}.
- Bloodwork to evaluate hydration, organ function, and secondary illness.
💉 Treatment Options
1. Medical Management
- Immediate fluid therapy (IV or subcutaneous) to rehydrate and stimulate motility :contentReference[oaicite:10]{index=10}.
- Pain relief and prokinetics (e.g., metoclopramide, cisapride).
- Syringe feeding with recovery diets like Critical Care to maintain nutrition :contentReference[oaicite:11]{index=11}.
- Gentle abdominal massage to aid passage.
2. Surgical Intervention
If the obstruction doesn't resolve, surgical removal (gastrotomy or enterotomy) is needed—as trichobezoars won’t pass on their own :contentReference[oaicite:12]{index=12}.
3. Supportive Care
- Monitor hydration, comfort, appetite, and fecal output.
- Continue fluids, pain management, and assisted feeding during recovery.
📋 Quick Reference Table
| Aspect | Details |
|---|---|
| Cause | Hair + low gut motility (stasis) |
| Signs | Appetite loss, small/zero droppings, pain, bloating |
| Diagnosis | History, exam, imaging (US/x-ray/CT) |
| Treatment | Fluids, meds, assisted feeding, +/- surgery |
| Prevention | High-fiber diet, grooming, hydration, stress reduction |
🏠 Home Care & Prevention
- Provide unrestricted high-fiber hay (Timothy or grass)—the cornerstone of prevention :contentReference[oaicite:13]{index=13}.
- Regular grooming, especially for long-haired breeds.
- Ensure constant hydration with bowls and water bottles.
- Offer fresh greens to encourage eating and motility.
- Address stressors promptly—environment changes, illness, or dental pain.
- Monitor rabbit daily—check droppings, appetite, behavior.
📊 Important Risk Factors
- Long-haired and moulting rabbits (especially Angoras) are most at risk :contentReference[oaicite:14]{index=14}.
- Low-fiber, high-pellet diets increase trichobezoar risk :contentReference[oaicite:15]{index=15}.
- GI stasis due to illness, stress, or pain can precipitate hairball formation :contentReference[oaicite:16]{index=16}.
🧠 Vet Tips for 2025
- Promote fiber-rich diets and grooming for high-risk rabbits.
- Educate owners to recognize early stasis—smaller droppings or reduced appetite.
- Use CT imaging for precise diagnosis when available :contentReference[oaicite:17]{index=17}.
- Offer clear care plans: fluids + pain relief + assisted feeding as first line.
- Discuss environmental enrichment to minimize stress-induced stasis.
🔚 Final Takeaway
Trichobezoars in rabbits are best viewed as a symptom of slowed gut motility, not just hair ingestion. Quick veterinary action—fluids, meds, nutrition, and possibly surgery—can save lives. In 2025, prevention through fiber-rich diets, grooming, hydration, and stress-free living remains essential for healthy digestion and happy bunnies. 🐇❤️
🌟 Partner Services
- Ask A Vet: Live expert support for early detection, treatment plans, and follow-up care guidance.
- Woopf: Grooming tools, stress-relief chews, and hay subscription packs.
- Purrz: Hydration stations, fiber supplements, and critical-care feeding kits.