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When a rabbit urinates a thick, creamy liquid, that means the rabbit has urine sludge and requires veterinary care.

Urine sludge, also known as bladder sludge, hypercalcinuria, and hypercalciuria, is a condition resulting from too much calcium in the urine. Urine sludge can be caused by a mix of lifestyle, diet, and genetic factors, and disease.

Urine sludge is often treated by a vet by flushing out the rabbit's bladder (under anaesthesia), and then sucking out or manually pushing out the sludge through the urethra. This procedure may need to be repeated a few times, and antibiotics may be prescribed, as well as nutritional supplements (like vitamin C or cranberry tablets).

A healthy diet, lots of water intake, a clean and comfortable environment, and plenty of exercise are also important factors in preventing and treating urine sludge.

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