Bottom line
A head tilt in a rabbit, where the head twists to one side, can be an inner-ear infection or a parasite (encephalitozoonosis), and both need a vet. A rabbit that's rolling, falling over, or can't stand is an emergency.
When to worry (red flags)
- A head tilt to one side, mild or severe
- Rolling, circling, or falling over
- Eyes flicking side to side (nystagmus)
- Not eating, lethargy, or unable to stand to reach food/water
- Ear discharge, pain, or scratching at one ear
What to do right now
- Keep the rabbit on a flat, padded surface so it can't roll off and hurt itself.
- Bring food and water to mouth level so they can reach.
- Keep them calm and quiet; minimise handling.
- Call a rabbit-savvy vet the same day, head tilt can worsen quickly.
Common causes
- Inner or middle ear infection (bacterial)
- Encephalitozoonosis (a microscopic parasite affecting the brain/balance)
- Ear mites or trauma
- Stroke or neurological disease (older rabbits)
What to avoid
- Don't try to 'straighten' the head; let them hold it.
- Don't delay, some causes are treatable if caught early.
- Don't leave food/water out of reach; they can starve/dehydrate.
What the vet needs to know
- How sudden and how severe the tilt is
- Any eye flicking, rolling, or ear discharge
- Appetite and whether they can reach food/water
Run a free AI triage assessment for personalised next steps, or find an emergency vet near you.
Frequently Asked Questions
Disclaimer: This article is for educational purposes only and is not a substitute for professional veterinary advice. If you're concerned about your pet's health, use our AI triage assessment or consult a licensed veterinarian.
