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She most likely has a severe tooth infection; the soiling will be excess salivation. A common cause of tooth trouble in rabbits is because of misaligned teeth, which cannot be kept down to size by the rabbit's chewing, so they can grow into the wall or palate of the mouth. However rabbits will grind their teeth when in extreme pain of any sort. The grunting is not wishing to be handled because she is in pain. My suggestion to you is to get your rabbit to the vet as soon as possible and get this sorted out. You have a very unhappy bunny who is in pain and is unable to eat at the moment. Chances are because your bunny now has a tooth problem it will mean regular visits to the vets to have its teeth sorted and keep it happy. In addition, after not eating for four days your rabbit has very likely gone into stasis, or ileus, which is a slowing down of the GI tract. This means your rabbit will stop moving food through its system and it will be very difficult to restart its system. You will probably need to have your vet prescribe gut motility drugs to help your rabbit start eating again in addition to taking care of any tooth problems that are currently afflicting your rabbit. You may end up having to force feed your rabbit, but you should discuss it first with your vet so that you can learn how to do so and when it's necessary. Also, rabbits grind their teeth loudly when they are in pain. Quietly means that the rabbit is happy. Very confusing! Get the rabbit checked out even if the grinding is quiet just to make sure. The rabbit being quieter than usual is a sure sign that something is wrong.

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Q: What is wrong with your rabbit who hasn't eaten in four days keeps a soiled face and makes grunting and grinding noises when you try to touch her?
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