Excessive secretion of saliva and coughing 

 

 

Esther van Praag, Ph.D.

 

 

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Excessive saliva secretion is primarily observed after food intake by the rabbit. Saliva may appear translucent, clear or greenish if vegetables were consumed, or may take on the color of pellets. On occasion, the appearance of the saliva can be described as foamy. This problem is frequently related to the presence of a foreign body, such as a piece of hay stuck in the gum or between two cheek teeth, or a plant thread, e.g. after eating a celery branch, fennel, or parsley. The rabbit displays clear signs of distress when attempting to dislodge the foreign object. Irritation can result in excessive salivation.

Excessive salivation is often linked to a dental problem and to pain : 

·     Presence of molar spurs on cheek teeth, even when tiny;

·     A split or fractured cheek tooth;

·     An overgrown cheek tooth, that may deviate from the regular alignment of the cheek teeth, causing a deformation of the palate;

·     Misalignment of cheek teeth;

·     Malocclusion of cheek teeth, with irregular surfaces of the crowns, giving a « step mouth » aspect. In older rabbits, this problem can relate to acquired dental disease (ADD).

A palpable swelling along the jaw bone may be present in some cases. Its presence indicates an infection at the root level of teeth, commonly referred to as an abscess. Gum ulceration or secondary tongue lesions are occasionally observed.

Rabbits cannot vomit. The excessive salivation is not related to the content of the stomach. Paralysis of the larynx can result in excessive salivation. The food that has been ingested, along with saliva, accumulates in the esophagus. This is then regurgitated through the oral cavity and nose. This condition, known as gagging syndrome, has been observed in horses, another herbivorous animal whose medicine shares similarities with that of rabbits. There have been a few suspected cases in rabbits. Should the regurgitated saliva be inhaled, it has the potential to cause pneumonia. 

In some cases, an abnormal elongation or drop of the palate has been suspected, linked to the presence of the parasite Encephalitozoon cuniculi. To date, this has not been confirmed in a clinical setting.

It is important to note that excessive salivation is only rarely linked to primary respiratory problems or pneumonia. However, if saliva or chewed food enter the airways, pneumonia can develop. 

It is important to be vigilant for the development of secondary bacterial or fungal infections, which can occur beneath the chin or on the dewlap. 

Diagnosis

Following the administration of anesthesia to the rabbit, the oral cavity should be carefully inspected. Radiographs and CT scans are essential tools in the diagnostic process for identifying and locating dental abscesses, as well as bone infections (osteomyelitis, widening of the roots, abnormal bending of the molar, or other issues located beneath the gum line).

Treatment

The treatment plan will be based on the underlying cause and the nature of the dental problems.

In the case of an infection, it is essential to administer antibiotics to the rabbit.

It is imperative to administer analgesics to the rabbits, as these animals are unable to cope with pain effectively. If a rabbit is refusing to eat, assisted feeding should be initiated by administering pureed food. Examples of suitable food include pellets that have been ground with a coffee grinder and mixed with water, or a nutritive solution that has been specially formulated for rabbits.

Fresh vegetables and hay can be cut into small pieces. It is possible to soften hay by wetting it. After a few hours, the hay should be removed because mold and bacteria develop rapidly on wet hay kept at room temperature.

  

 

 

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