Cow and Bunny to the vet’s

Cow has been having this pawing problem again. He would paw on the right side of his mouth during and after meals. It started mildly, but got worse until he has problems eating now. Also, Cow has been spending a lot of time on that same spot on the big bed. Often, he doesn’t even jump down for meals. I have to serve him on the bed. That’s an indication that he isn’t feeling well.

Cow has had this gum/teeth problem before in the past. He also had two dental procedures done, once in 2019 and again in 2020 (in total four teeth had been extracted). Then, there were trips to the vet to address this pawing on the right side problem where Cow was given antibiotics to help with the infection in his gums. It’s also due to his FIV-positive condition too which causes the inflamed gums. In turn, the inflammation gives rise to food being stuck and this becomes tartar in time. There is no way we can brush Cow’s teeth. I have been applying Orozyme too. Initially it provided some relief, but lately, it did not work anymore. Time to see the vet.

Bunny’s is his constipation problem again. He’s been on our own pooping protocol which has worked quite well until yesterday when he did not defecate. I thought he would do it today, but no, he also did not. So, that’s two days in a row. A vet’s visit would be needed before the stools harden inside again.

The vet checked and for Cow, it’s the same problem again – this time it is the inflamed and infected gums on the lower right (there is already pus), tartar and food stuck on an upper molar and a pre-molar on the right side. Poor Cow. The vet gave a Convenia antibiotic injection (long acting, will last for two weeks) and a Vetacortyl (steroidal) anti-inflammatory injection. The injections would be more effective than oral medication. Moreover, it might be painful to open Cow’s mouth for pilling since there is all that pain in his mouth (caudal palatoglossal arch both side severely inflammed due to autoimmune +FIV). Cow will be on transdermal Tramadol (for the pain) and transdermal Mirtazapine (for appetite) for about one week (both to be applied on the inner ear).

Cow has also lost 0.8kg since his last check-up in December 2020. A Chem10 blood work was done, and there is some progression on his kidney readings compared with the readings in May 2020, but it is not alarming. I am not surprised since kidney problems seem to run in Cow’s family (Pole had it, and Cleo and Bunny are currently on thrice-weekly subcut to manage theirs too). Cow has been the only one who hasn’t needed subcut so far. His readings has been “good” but there is some progression. Again, Cow is already 16 years old, so this is not unexpected. I have also noticed that Cow’s urine is rather dilute.

As it turned out, Cow’s urea is a bit on the high side (from 8.8 to 13.8 – without fasting), and his creatinine has no significant increase (from 167 to 170), and it’s still within the normal range (71 – 212). I am relieved. The vet said we could start on twice-weekly 150ml subcut for Cow if he would allow it. But if it stresses him too much, the subcut isn’t necessary at this point. We will try.

Cow also will probably need another dental procedure but this depends on his gum condition after two weeks. He will need another check-up. I’m worried for Cow going through another procedure under sedation at his age. There are also risks with the anaesthesia.

We will just have to wait for two weeks to see.

As for Bunny, the vet checked and he has 30cm of hard stool stuck! Imagine that, and that’s just two days of not pooping. Bunny was given an enema, and luckily, it worked again. Take a look:

That much, in just two days? I suspect Bunny hasn’t been defecating completely every day.

I had earlier thought that since Bunny is mostly on Cubgrub and it’s a low-residue raw diet, maybe he won’t defecate daily. But judging from the photo above, that isn’t the case. Bunny does have lots of “residue” to eliminate from his bowels!

The truth is, Bunny is actually very lazy to defecate. As you know, I have to bring him to his special spot each day after breakfast, sing the Scratch-scratch-scratch song, then only he gets into the squatting position and do it. He is also too impatient to try harder and to wait. The moment something comes out, he runs off! “That’s it, I’m done for the day!”, you can almost hear him say. And if nothing comes out in just a few seconds, he runs off again. So, seeing this photo here, I suspect he doesn’t completely empty his bowels every day. Hence, 30cm of hard stool. Luckily we decided to take him to the vet today. Otherwise, we would never have known there’s so much stuck in there.

The vet recommended that we start Bunny on Cisapride this time to improve the motility of his intestines. I guess it’s time to start on this now. I’ve been delaying this since last July, opting for our own home remedy instead of relying on a drug. Our home remedy did work for months but I guess he needs more help now. Bunny is also 16 years old and is FIV-positive. As for the Cisapride, Bunny will start on a low dose of 0.06ml per day, to increase to twice a day if need be. I am to adjust the dosage as required. Lactulose to continue twice a day. On hindsight now, maybe it isn’t a case of laziness to defecate for Bunny, but of a weak motility of the intestines. Hopefully, Cisapride will help. I have read before that there are side effects of this drug, but the vet has put Bunny on a very low dose and I’m to adjust this dosage as per required too.

From Google:

Cisapride has been used widely to treat gastric-emptying disorders, intestinal transit and other motility disorders in both dogs and cats. It accelerates emptying the stomach and propulsion of food through the intestines by increasing peristalsis. Cisapride is used in cats to manage chronic constipation and megacolon.

Today, I couldn’t go with Cow and Bunny to the vet’s. My husband sent them, but I typed a detailed description of their condition and history and printed it out so that my husband could let the vet read it. Then, the vet texted me to explain the diagnosis and recommended treatment.

I guess I gave Cow Mau a most apt name – Cow Mau. He is super hardy (“tahan lasak”), just like a cow. Imagine how painful the inflammation and the infection of his gums must be, and yet, he carries on each day, trying his best to eat. I’ve just given him the painkiller. Hopefully, the antibiotic and steroid jabs will do a good job to help him heal as much as possible.

Bunny, you have to try harder at pooping, please. Whoever have heard of anyone who is “too lazy” to poop?

One day at a time.

One good news, though – Bunny’s eye ulcer has completely healed…at last!

Busy grooming after their return from the vet’s.

Comments are closed.