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Health Care for Rabbits

General Information

Rabbits are growing in popularity as pets, and for hobby breeding.  They are clean, relatively easy to handle, can be litterbox trained and can grow to enjoy the attention given them as pets.  They seldom bite but can inflict deep scratches, if not property held.

Rabbits live an average of 5-10 years. Males reach breeding age at 6-10 months of age, females between 5-9 months of age.  Gestation is between 29 and 35 days, and litters average 4-10 bunnies.  Weaning age is 6-8 weeks.

Diets

Feeding pet rabbits is made easy due to the fact that nutritionally complete and balance commercial pelleted diets are available.  One of these pelleted diets and fresh water are all that a pet rabbit requires.

The pellets should be available at all times unless overeating and obesity have become worrisome problems.  Clean, fresh water should be available at all times.

The pellets should be as fresh as possible when purchased and should be purchased in relatively small quantities.  It is advisable that the pellets be stored in the refrigerator to prevent premature spoilage. Pellets that will probably not be used within two months of purchase should be frozen immediately after purchase.  Refusal to eat rancid pellets is a relatively common cause of anorexia among rabbits.

Fresh water should be offered daily either in a bottle or in a heavy ceramic dish that cannot be easily overturned.  Many hobbyist find the handing drop-style water bottles to be the most satisfactory.  The water container, regardless of the type used, should be thoroughly cleaned and disinfected at least every 3 to 5 days.

It is recommended that good quality hay (either grass, alfalfa, or clover) or grass clippings be offered daily.  Some researchers feel that this practice reduces intestinal problems and the tendency to pull out and chew on hair.

Other food items (lettuce, spinach, alfalfa sprouts, carrot tops, beet greens, carrot, apple) can be offered two to three times weekly.  The reason for the relative infrequency of offering these food items is that they are water-rich and lack the nutrient density of the pelleted diets.  Furthermore, many rabbits develop a preference for these items over pellets if they are offered more infrequently.  Some rabbits, however, can handle table food items offered daily if given in small amounts (no more than 20 percent by volume of the total diet).

Vitamin-mineral supplementation is not necessary if a pet rabbit is fed as outlined above.  Some rabbit owners provide saltlicks for their pets, but experts do not regard this addition as a necessity.

Many veterinarians advocate the daily addition of pineapple or pina colada yogurt to the diet. Most rabbits willingly accept the yogurt, especially if they are introduced to it at a young age.  The yogurt not only promotes and maintains the normal bacterial flora within the digestive tract, but the pineapple contains an enzyme (papain) that is thought to help dissolve ingested hair (see section on Hairballs).

Rabbits pass two type of feces: the firm, dry daytime feces and the soft, moist nighttime fecal pellet.  The night feces are covered with mucus.  They are taken directly from the anus and swallowed intact by the rabbit.  The soft pellet contains twice the protein and half the fiber of the hard fecal pellets.  The process improves the utilization of nitrogen, provides an abundance of certain B vitamins and conserves water.

Rabbit urine may range in color from cloudy yellow to red-brown.

Handling

Rabbits should be handled gently but firmly.  They are prone to kick their hind legs and can cause deep scratches.  Never pick a rabbit up by the ears. A rabbit can be picked up by sliding one hand under its breastbone and grasping both front legs between the fingers of this hand.  The other hand is then gently worked under the rear quarters to fully support them as the rabbit is lifted up.  To carry a rabbit, it should be placed on the forearm with its head concealed in the bend of the elbow.

Rabbits feel insecure and will slip and slide on slick surfaces.  Placing a both towel under a rabbit will keep it calm.  A rabbit back is very easily injured, if it struggles violently.

Housing Considerations

Rabbits can be housed indoors or outdoors. Indoor rabbits should be confined to a suitable enclosure when their activity cannot be adequately supervised.  A roomy wire cage with at least one-half of the floor surface area covered with plexiglass or washable towels is recommended.  Relief from constant and continual contact with the wire floor afforded by the plexiglass or towels helps to prevent hutch sores to the feet.  A water bottle or ceramic crock, food dish and a litterbox should be provided for the rabbit inside this enclosure.

Under no circumstances should rabbits be allowed total freedom within the home.  Rabbits love to chew and can be very destructive to biting into telephone and electrical cords.

Like cats, rabbits can be easily trained to use a litter box in the home.  If the rabbit has already exhibited a location preference for its bathrooming activities, then the litterbox should be placed in this location.  It helps to place some of the rabbits fecal pellets in the litterbox to encourage its prompt usage.

Rabbits housed outdoors should be confined to roomy wire cages with plexiglass covering approximately one-half of the floors surface area.  The wire mesh should be just large enough to allow fecal pellets to drop through.  A water bottle or ceramic crock and an equally weighted food dish should be provided.  It is imperative that visual security and adequate shade to provided as well.  Rabbits are typically anxious, wary animals and are easily frightened.

This is especially true of newly acquired pet rabbits and rabbits kept for reasons other than as pets.  A concealed area into which these rabbits can retreat when they feel threatened is necessary in order to prevent injury that would result from excessive and futile efforts to escape from the cage.  Hiding place provides a sure alternative to useless and often injurious escape efforts.

Shade must be provided in order to prevent heat stress and heat stroke.  Adequate shelter must also be provided against the elements (wind, rain, snow, ice, etc.).

Sterilization

Pet rabbits not intended for breeding should be sterilized at any time after 5 months of age. Male rabbits (especially of the dwarf varieties) have a tendency to become assertive and aggressive upon reaching sexual maturity.  Neutering (castration) is the best way to reduce the severity of the problems (biting, urine-spraying) that result from the attainment of sexual maturity.

Female rabbits should be spayed (ovariohysterectomized) to prevent unwanted pregnancy and uterine cancer.  The latter condition is the most common type of tumor afflicting female rabbits and is often associated with serious blood loss.  Spaying female rabbits may also help to prevent or reduce territorial aggression among females.

Diseases

Pasteurellosis

The bacterium, Pasteurella multocida, is the major infectious agent of rabbits.  It is most often transmitted between chronically infected does and their litters or between breeding pairs.  The bacteria most often reside in the nose, lungs and eye membranes, but can spread to other areas of the body.

Pasteurellosis of rabbits may be manifested in many different ways.  Respiratory disease, including infection of the nasal passages and sinuses as well as pneumonia, is extremely common.  Infections of the ocular (eye) membranes, middle ear(s), jawbone and uterus are most often the result of the Pasteurella organism.

Abscesses (single or multiple) are also extremely common and result when the Pasteurella organism localizes in a specific location.  The rabbit's body responds to this invasion with an influx of tremendous numbers of white blood cells to fight the infection.  Pus results from the accumulation of dead and dying while blood cells and tissue cells in the area of the infection.

Pasteurella infections traditionally have been considered essentially incurable if allowed to reach a chronic state.  Aggressive antibiotic therapy with the appropriate drugs, however, especially if undertaken early in the course of the disease, is often rewarding. Many antibiotics have great difficulty making their way into the relatively inaccessible sites of most infections and penetrating the solid-type pus that rabbits create in the face of bacterial infections.

Pasteurella is a chronic and persistent problem in most rabbitries and very difficult to eradicate.  This disease complex creates its most serious problems under conditions of malnutrition, overcrowding, poor sanitation, temperature extremes, inadequate air circulation and other stressful situations.

Ideally, prospective rabbit owners should insist that their pet rabbit originate from a Pasteurella-free rabbitry, but this is not always possible.  It is advisable, however, that all newly acquired pet rabbits, regardless of origin, be thoroughly examined by a competent veterinarian as soon as possible after acquisition.

Ear Mites

Ear mite infestations cause typical changes to the ears, accumulation of a light brown crusty material that fills or nearly fills the external ear canal.  The underlying tissues are usually very raw and irritated.  In especially severe cases, lesions from the infestation may spread to adjacent areas of the head.  The infestation may be treated with a topical preparation.

Hairballs

Like cats, rabbits (especially Angora rabbits) frequently develop hairballs within their stomachs.  But unlike cats, rabbits cannot vomit and, as a result, the hair that is swallowed from frequent grooming passes into the stomach and remains there.  Over time, the hair develops into a solid mass that grows even larger.

As the hairball increases in size, it begins to occupy more and more of the stomach's interior, leaving less room for food.  Initial symptoms of a hairball problem include reluctance to eat pellets with more interest in eating greens and treat items exhibited. Later, symptoms include general inappetence, decrease in size of fecal pellets or total absence of same, weakness, weight loss and, eventually, death from starvation.

Surgery is necessary in order to open up the stomach and remove the hairball.  Recurrences are common.  Prevention involves vigorous daily brushing of the rabbit and concurrent administration of intestinal lubricants designed for cats.  Many rabbit fanciers and veterinarians feel that the administration of fresh (not canned) pineapple juice, pineapple chunks or papaya which contain a digestive enzyme may help in the prevention of stomach hairballs in rabbits.  The suggested dosage or pineapple juice is one-half teaspoon per two pounds body weight administered daily.  A suitable alternative to this is pina colada yogurt at the same dosage and frequency.

Hutch Sores--Sore Hocks

Hutch sores are chronically ulcerated and infected wounds on the weight-bearing surfaces of the rear (sometimes the front) paws that result from one or more of the following predisposing factors: reduced thickness of fur on the bottoms of feet, continued thumping of the rear feet when frightened, increased weight-bearing from excessive body weight, lack of movement from living in a small enclosure and abrasions from irregular cage flooring.

Hutch sores can occur in rabbits housed on both solid and wire floors but are a more frequent consequence with the later circumstance.  As mentioned in the "Housing Considerations" section above, pet rabbits that are housed indoors or outdoors should be confined in roomy wire cages with plexiglass covering approximately half of the floor's surface area.

Hutch sores are treatable, requiring judicious use of antibiotics (both topically and by injection) and periodic bandaging of the affected.

Overgrown Incisor Teeth

Malocclusion (improperly aligned teeth resulting in abnormal dental growth and wear) in the rabbit usually results in overgrown incisor (front) teeth.  Many rabbits suffering from malocclusion probably possess a genetic deficiency that results in an abnormally short upper jaw. This structural defect prevents the continuously growing upper and lower incisors from meeting each other as the rabbit chews.  Consequently, the incisors grow unimpeded, causing considerable trauma to the tongue and lining of the mouth.  A rabbit's "bite" must be absolutely perfect in order for normal dental wear to occur.

Infections of the jawbone in the area of the incisors can also result in malalignment of these teeth.  Many cases of overgrown incisors result from previous injury to the area of the jaw(s) responsible for growth of the incisor teeth with subsequent uneven growth of them.

Initial symptoms of this disorder include the desire to eat but failure to properly chew and swallow food, slobbering and wet dewlap.  Soon, inappetence and weight loss become noticeable.  Death from starvation can occur if the problem goes unnoticed and untreated.

Treatment involves periodic clipping of the incisors and attention to the wounds within the mouth inflicted by them.  The clipping procedure should be carried out by an experienced veterinarian or veterinary technician and must be done for life.  Rabbits possessing this affliction should never, under any circumstances, be bred.

Overgrown Claws

Overgrown claws are a liability to the rabbit because they become easily torn when caught in fabric or wire, and to the handler because a panicked rabbit can inflict painful scratches with them.  Clipping claws requires experience and restraint of the rabbit and should be done on an as needed basis.  Declawing of rabbits is not recommended.

Heat Stress (Stroke)

Rabbits are especially susceptible to heat stroke, particularly those that are overweight or heavily furred.  Environmental temperatures above 85 degrees Fehrenheit, high humidity (above 70 percent), inadequate shade and ventilation, crowding and physiological stress are additional predisposing factors.

Signs of heat stroke include panting, slobbering, redness of the ears, weakness and refusal to move about, delirium, convulsions and eventually death. Heat stroke is a treatable condition if recognized relatively early.  Heat-stressed rabbits should either be sprayed with cool water or be bathed in cool water. Another very effective means for rapidly lowering the body temperature involves applying cold running water to the earflaps.  Once these first aid measures are undertaken, a veterinarian should be contacted immediately.

Prevention of heat stroke involves providing adequate shade from the sun (if rabbit(s) housed outdoors) and adequate ventilation (if rabbit(s) housed indoors).  Furthermore, a continuous light mist or spray of water or a fan operating over a container of ice can be directed at a rabbit within its enclosure in order to lower the air temperature, whether the rabbit is housed indoors or outdoors.

Trauma to the Spine

An interesting fact is that a rabbit`s entire skeleton comprises only 8 percent of its total body weight whereas that of the domestic cat is 13 percent of its body weight.  The rabbit's fragile lumbar spine is surrounded by a powerful muscle mass and is particularly susceptible to fracture. As stated above in the section on "Handling-Restraint," injuries to the back are most often sustained when rabbits are dropped or improperly picked up and restrained.  Rabbits within small enclosures that become excited and thrash about excessively are very prone to back injuries as well.

Symptoms of back injury may include incoordination, urine-soiling and loss of ana sphincter control.  Paralysis of the rear quarters is the most serious of the symptoms noted with this type of injury. Any rabbit exhibiting any of these symptoms should be seen by a veterinarian at once.  A thorough physical examination and x-rays are usually necessary in order to make the diagnosis and predict the eventual medical outcome.  Generally speaking, the outcomes are unfavorable.

To avoid injury, very careful pick-up and judicious restraint of rabbits is necessary.  A panicked and struggling rabbit should never be strong-armed.  Instead, such a rabbit should be immediately released and approached again when it has calmed down.

Uterine Cancer

The most common tumor of the domestic rabbit involves the uterine lining. In breeding rabbits, the early signs of this tumor involve decreased fertility in does, smaller litter sizes, abortions and still births usually noted over many months.  In pet rabbits, the most common clinical sign of a uterine tumor is intermittent bleeding from the vulva. It is often interpreted as blood in the urine.  The volume of hemorrhage can be substantial.

Even though this type of tumor has the potential to spread to the lungs, spaying rabbits diagnosed with or suspected to posses this type of cancer is strongly advised.  In fact, because this is so common a tumor, we recommend that all pet female rabbits be spayed after 5 to 6 months of age to avoid difficulties with the reproductive tract later in life.

Wryneck

A serious problem that often afflicts pet rabbits is "wryneck;" a mild to severe twisting of the head that results in incoordination and, in some cases, total incapacitation. Wryneck is most often the result of a bacterial infection of the inner ear and is not a true neck problem.  It can be treated with antibiotics and judicious use of anti-inflammatory drugs but the outlook with these cases is always guarded.

Temporary Selective Anorexia

One interesting condition of pet rabbits involves the occasional selective boycotting of alfalfa pelletts. Affected rabbits usually continue to eat other items in their diets.  This condition occurs most often in response to stress such as that associated with inadequate husbandry and sudden environmental changes.  The period during which affected rabbits refuse to eat pellets varies and amy extend for weeks.  The diagnosis of this condition is made indirectly.  Physical examination of the rabbit and laboratory values of blood taken from it well be normal.  Furthermore, it is necessary to systematically exclude the known caused for inappetence in rabbits.

Poisonings and Other Hazards

Pet rabbits are often allowed the "run of the house" and being inveterate chewers, they often get into trouble by chewing on electrical cords, poisonous house paints, floor mats and rugs.  Death by electrocution or serious burns and intestinal impaction respectively are the most frequent consequences of these unsupervised activities.  Rabbits should be confined when their owners are away from the house and be closely supervised when their owners are at home so that these accidents are avoided.

Comments Regarding Usage of Antibiotics in Rabbits

Antibiotics should never be used in rabbits unless they are specifically prescribed by a veterinarian.  The route of administration (oral versus injectable) of antibiotics is a much more important consideration with rabbits than with dogs and cats. Because rabbits are herbivorous (plant-eating) and depend upon bacteria within their bowel for proper digestion, orally administered antibiotics can be injurious to these microorganisms.

When these helpful and necessary bacteria are destroyed, undesirable bacteria can, and often do, overgrow and, in so doing, produce poisons within the bowel that are capable of killing the host rabbit. Injectable antibiotics are preferred for use in rabbits, when needed, because they are far less injurious to the bacteria within the intestinal tract.

Additional Comments Regarding The Sensitivity of the Rabbit`s Intestinal Tract

The bacterial flora of the rabbit's intestinal tract is considered the most delicately balanced of any of the herbivorous mammals.  The growth and activity of normal (favorable) bacteria tend to keep potentially harmful and lethal bacteria on check. Overgrowth of the latter usually results in the production and release of poisons that are quickly absorbed into the rabbit's circulation resulting in rapid illness and death.

Besides being sensitive to the lethal effects or orally administered antibiotics, the balance of the bacteria (favorable versus unfavorable) can become upset in the face of other insults resulting in the overgrowth of undesirable bacteria.  Rapid changes in the diet are most often implicated in this regard.  Three cases seen in our hospitals will help to illustrate this situation.  The first involved a rabbit whose diet was suddenly and abruptly changed from alfalfa pellets to oats because the pet owner had run out of rabbit pellets. The rabbit died within 24 hours of this diet change.

Another case of sudden death involved a pet rabbit that got into a box of well know oat breakfast cereal, eating a large quantity of it and died the following day.  A third related case concerns a rabbit that was allowed to consume huge quantities of lawn grass for which its intestinal tract was not adequately prepared and the rabbit died that very same day.

No other commonly keep house pet is as sensitive to dietary changes as the rabbit.  Consequently, such changes should be made very gradually and additions to the regular diet should be done judiciously and not constitute more than 20% by volume of the total diet.

Comments Regarding the Appearance of Rabbit Urine

Urine from normal rabbits is usually heavily ladened with a light-colored sediment and may appear abnormal to the uninitiated.  The color of normal rabbit urine will vary from white to a yellowish-white to a light brown.  Heavy water-drinking rabbits tend to produce a clearer urine with less sediment.

Rabbits that have been recently treated with antibiotics and those undergoing significant stress may produce a urine that is orange to re-tinged.  This poorly understood phenomenon is temporary and such urine can be differentiated from that which accompanies urinary tract infections or uterine bleeding by the use of a urinalysis.

Parturition

Parturition is called "kindling." Litters usually consist of 6-7 rabbits.  The young normally nurse only once a day.  Their eyes open at 10 days, they begin to eat solid food at about three weeks of age, and they may be weaned at 6-8 weeks.

Orphaned rabbits can be fed orphaned puppy formula with a syringe, doll bottle, or gastric intubation.  Milk should be offered three times a day, giving up to five ml/day the first week, 15 ml/day the second week and 25 ml/day the third week (Harkness and Wagner 1977).  Newborn rabbits do not require colostrum because all passive immunity is acquired through the placenta (Williams 1976).

Give one part Esbilac to three parts water and one part whipping cream.

Alternate Milk Formulas for Orphaned Bunnies

  • 1 egg yolk

  • 8 oz.  (=240 cc's) canned evaporated milk

  • 8 oz.  (=240 cc's) bottled water

  • 1 teaspoon (=5 cc's) honey

  • 1 teaspoon (=5 cc's) pediatric vitamin/mineral supplement

 

This health care information was compiled by Marilyn Lieb, D.V.M.

 

 

Copyright 2003-2005 Desert View Animal Hospital