Why Do Bunnies Shake Their Heads?

The behavior of a rabbit shaking its head can confuse owners, as the action has a wide range of meanings. This movement can be a normal part of communication or physical adjustment, indicating excitement or minor irritation. However, head shaking can also indicate underlying medical issues requiring prompt veterinary attention. Understanding the context and frequency of the shake is the first step in determining whether the behavior is harmless or a sign of a serious health concern.

Benign and Behavioral Reasons

A rabbit’s head shake is often a sign of happiness or a simple physical adjustment. The most common non-medical reason is the “binky,” a sudden, joyful leap and twist that includes a quick head flick as the rabbit expresses excitement. This shake is usually brief, occurring during playtime or when the rabbit anticipates a favorite treat or interaction.

Rabbits may also use a quick head shake to signal annoyance or disagreement. If a rabbit is being groomed, handled, or interrupted during a nap, a single, sharp head movement signals “no” or “stop.” This is a mild form of reprimand. Furthermore, a rabbit may simply shake its head to adjust its ears, clear a stray piece of hay, or dislodge dust or water after grooming. This type of shake is usually isolated and resolves immediately, serving a functional purpose for the rabbit’s sensitive, mobile ears.

Medical Causes for Head Shaking

When head shaking becomes frequent, persistent, or violent, it often points to a medical problem involving the ear canal. A frequent cause is an infestation of ear mites (Psoroptes cuniculi), which cause intense irritation and inflammation. The mites’ waste triggers an inflammatory reaction, leading to a characteristic reddish-brown discharge and thick, crusty buildup, often called ear canker. The rabbit shakes its head and scratches its ears to relieve the itching caused by the mites feeding on the skin.

Ear infections, or otitis, are another cause, categorized as external, middle, or inner ear issues. Infections of the external or middle ear cause pain and pressure, resulting in head shaking and ear scratching. If the infection progresses to the inner ear (otitis interna), it affects the vestibular system, which controls balance. This leads to symptoms like a persistent head tilt, medically known as torticollis or wry neck. Bacteria such as Pasteurella multocida commonly invade the ear canal and cause this inflammation.

Dental disease can also indirectly cause head shaking due to referred pain. Rabbit teeth grow continuously, and if they do not wear down properly, sharp points called spurs can develop on the molars. Pain from these spurs cutting into the cheek or tongue can cause a rabbit to shake its head, especially while eating. In severe cases, dental root infections can spread to the middle or inner ear, creating abscesses that contribute to ear pain and neurological signs like head tilt. Neurological conditions, such as infection with the parasite Encephalitozoon cuniculi or a stroke, can also cause persistent head tilting and loss of coordination.

When to Consult a Veterinarian

Any persistent, frequent, or violent head shaking requires professional evaluation. Rabbits instinctively hide signs of illness, so visible symptoms often indicate a problem that has been developing for some time. If the head shaking is accompanied by excessive scratching, ear discharge, a noticeable head tilt, or loss of balance, a veterinary visit is necessary.

Lethargy, reduced appetite, difficulty eating, or a change in litter box habits alongside head shaking also warrant immediate attention. A veterinarian specializing in exotic animals will perform a thorough physical examination, including an otoscopic exam to check the ear canal for mites or signs of infection. Further diagnostics may include X-rays or a CT scan to check for middle or inner ear infections and dental root issues, ensuring the underlying cause is accurately identified and treated.