Rabbit health


The health of rabbits is well studied in veterinary medicine, owing to the importance of rabbits as laboratory animals and centuries of domestication for fur and meat. To stay healthy, most rabbits maintain a well-balanced diet of hay and vegetables. Much of the research on rabbit health and recommendations applies only to the European rabbit, the only domesticated species of rabbit.
Disease in pet rabbits is rare when they are raised in sanitary conditions and provided with adequate care, but the wider population of wild and feral rabbits is susceptible to various diseases and disorders, which has been taken advantage of in research and population control. Rabbits have fragile bones, especially in their spines, and need support on the bottom when they are picked up.

Spaying and neutering

is possible for both female and male rabbits; however, spaying females can pose significant risks. This is because spaying female rabbits requires a far bigger surgery with a higher mortality rate compared to males, as their lower abdomen needs to be opened up in order to remove ovaries and uterus. negative health outcomes that have been reported include colonic obstruction, urinary incontinence, ureteral stenosis, increased ageing of ligaments, and alterations of the rabbit's cornea. In general, due to the wide range and severity of possible negative health effects and the high risk for complications from anesthesia and the surgery itself, spaying female rabbits should only be considered in case of acute medical reasons, if they show signs of hormonal problems, like overly frequent phases of heat or pseudopregnancies, or unusually aggressive behavior, which cannot be attributed to environmental factors, e.g., a lack of exercise. If the female rabbit gets left untreated of having uterine cancer and the tumor spreads it can lead to their death. It is said that female rabbits are more than likely to develop uterine cancer sometime in their lifetime. Assertions of female rabbits near inevitably developing cancer if left unneutered, as well as neutered females living longer, have no scientific foundation.
However, castration of male pet rabbits is necessary, if they are to be kept species-appropriate, which would not otherwise be possible. Uncastrated male rabbits will engage in severe and often bloody fights with each other upon reaching adulthood, which can even end fatally. To prevent uncontrolled reproduction, it is advised to castrate males instead of females, as the necessary procedure, which requires only a small incision, has proven to be relatively safe and to have far less adverse effects on the rabbit's overall health.

Vaccinations

In most jurisdictions, including the United States, rabbits do not require vaccination. Vaccinations exist for both rabbit hemorrhagic disease and myxomatosis. These vaccinations are usually given annually, two weeks apart. If there is an outbreak of myxomatosis locally, this vaccine can be administered every six months for extra protection. Myxomatosis immunizations are not available in all countries, including Australia, due to fears that immunity will pass on to feral rabbits. However, they are recommended by some veterinarians as prophylactics, where they are legally available.

Declawing

A rabbit cannot be declawed. Lacking pads on the bottoms of its feet, a rabbit requires its claws for traction. Removing its claws would render it unable to stand.

Tonic immobility

Coping with stress is a key aspect of rabbit behavior, and this can be traced to part of the brain known as ventral tegmental area. Dopaminergic neurons in this part of the brain release the hormone dopamine. In rabbits, it is released as part of a coping mechanism while in a heightened state of fear or stress, and has a calming effect. Dopamine has also been found in the rabbit's medial prefrontal cortex, the nucleus accumbens, and the amygdala.
Tonic immobility is sometimes called "trancing" or "playing dead". Physiological and behavioral responses to human-induced TI have been found to indicate a fear-motivated stress state in rabbits. Accordingly, even though people think the rabbits enjoy it, the promotion of TI to try to increase a bond between rabbits and their owners is misplaced. However, some researchers conclude that inducing TI in rabbits is appropriate for certain medical procedures, as it holds less risk than anesthesia.

Sore hocks

The formation of open sores on the rabbit's hocks, commonly called sore hocks, is a problem that commonly afflicts mostly heavy-weight rabbits kept in cages with wire flooring or soiled solid flooring. The problem is most prevalent in rex-furred rabbits and heavy-weight rabbits, as well as those with thin foot bristles.
The condition results when, over the course of time, the protective bristle-like fur on the rabbit's hocks thins down. Standing urine or other unsanitary cage conditions can exacerbate the problem by irritating the sensitive skin. The exposed skin in turn can result in tender areas or, in severe cases, open sores, which may then become infected and abscessed if not properly cared for.

Ear infections

Rabbits are prone to external and middle ear infections that are often curable only with surgery, though treatment is effective on the short term. Lop-eared rabbits have been bred by humans for their cute appearance, but have medical issues that make them analogous to short faced dogs like pugs. Specifically, lop ears close the ear canal, creating a site for infection, often leading in middle life to ear disease in the form of a middle ear infection.
Both lop-eared and half-lop-eared rabbits are at greater risk of ear infection, as are older rabbits in general, compared to erect-eared rabbits. Rabbit owners who report ear infections also describe decreased responsiveness and quality of life in affected rabbits.

Gastrointestinal stasis

Gastrointestinal stasis is a serious and potentially fatal condition that occurs in some rabbits in which gut motility is severely reduced and possibly completely stopped. When untreated or improperly treated, GI stasis can be fatal in as little as 24 hours.
GI stasis is the condition of food not moving through the gut as quickly as normal. The gut contents may dehydrate and compact into a hard, immobile mass, blocking the digestive tract of the rabbit. Food in an immobile gut may also ferment, causing significant gas buildup and resultant gas pain for the rabbit. GI stasis may be caused by feeding a rabbit too many carbohydrates.
The first noticeable symptom of GI stasis may be that the rabbit suddenly stops eating. Treatment frequently includes intravenous or subcutaneous fluid therapy, pain control, possible careful massage to promote gas expulsion and comfort, drugs to promote gut motility, and careful monitoring of all inputs and outputs. The rabbit's diet may also be changed as part of treatment, to include force-feeding to ensure adequate nutrition. Surgery to remove the blockage is not generally recommended and comes with a poor prognosis.
Some rabbits are more prone to GI stasis than others. The causes of GI stasis are not completely understood, but common contributing factors are thought to include stress, reduced food intake, low fiber in the diet, dehydration, reduction in exercise or blockage caused by excess fur or carpet ingestion. Stress factors can include changes in housing, transportation, or medical procedures under anesthesia. As many of these factors may occur together, establishing a root cause may be difficult.
GI stasis is sometimes misdiagnosed as "hair balls" by veterinarians or rabbit keepers not familiar with the condition. While fur is commonly found in the stomach following a fatal case of GI stasis, it is also found in healthy rabbits. Molting and chewing fur can be a predisposing factor in the occurrence of GI stasis; however, the primary cause is the change in motility of the gut.

Dental problems

has several causes, namely genetics, inappropriate diet, injury to the jaw, infection, or cancer.
  • Malocclusion: Rabbit teeth are open-rooted and continue to grow throughout their lives, which is why they need constant abrasion. Since tooth enamel is the hardest substance in the body and much harder than anything a rabbit could chew, wearing down the teeth can only happen through chewing movements, i.e., by the teeth wearing down each other. If the teeth are not properly aligned, a condition called malocclusion, the necessary abrasion cannot happen naturally and needs to be done manually by an experienced veterinarian. Malocclusion can be either inborn or have a secondary cause. Inborn malocclusion usually presents as brachygnathism or prognathism and will generally show within the first few months of a rabbit's life. Any dental problems that start appearing in adult rabbits, however, cannot be inborn. The most common secondary causes of malocclusion are trauma, bacterial infection, and low-fiber diet.
  • Molar spurs: These are caused by improper abrasion of the molars and can dig into the rabbit's tongue and/or cheek causing severe pain. They can develop into a secondary malocclusion and need to be filed down by an experienced veterinarian. If left untreated, molar spurs can be fatal. The underlying cause of molar spurs in rabbits without malocclusion is usually a wrong diet. Since, as mentioned above, teeth cannot wear down on food, rabbits need high-fiber and other chewing intensive food, particularly hay, grass, potherbs, and herbs, to keep their teeth in shape. Some industrially produced ready-made rabbit foods, especially pellets and muesli, are very low-fiber and therefore are known to be one of the main causes of molar spurs and secondary malocclusion if fed over an extended period of time.
  • Osteoporosis: Rabbits, especially neutered females and those that are kept indoors without adequate natural sunlight, can suffer from osteoporosis, in which holes appear in the skull by X-Ray imaging. This reflects the general thinning of the bone, and teeth will start to become looser in the sockets, making it uncomfortable and painful for the animal to chew hay. The inability to properly chew hay can result in molar spurs, as described above, and weight loss, leading into a downward spiral if not treated promptly. This can be reversible and treatable. A veterinary formulated liquid calcium supplement with vitamin D3 and magnesium can be given mixed with the rabbit's drinking water, once or twice per week, according to the veterinarian's instructions. The molar spurs should also be trimmed down by an experienced exotic veterinarian specialised in rabbit care, once every 1–2 months, depending on the case.
Signs of dental difficulty include difficulty eating, weight loss and small stools and visibly overgrown teeth. However, there are many other causes of ptyalism, including pain due to other causes.
Rabbits will gnaw on almost anything, including electrical cords, potentially poisonous plants, and material like carpet and fabric that may cause life-threatening intestinal blockages, so areas to which they have access need to be pet-proofed.