Category Archives: Medication

Fecal Water Syndrome

My senior Belgian Draft mare has a chronic condition where her stools are relatively solid but after having a stool, she passes fecal liquid separately, Her tail and hind end, and legs are covered. Initially when she came to me she had loose stools and the vet did a fecal and we put her on Biosponge. Her Fecal Sample showed minimal infestation and the Biosponge did not do much. Over time, her stools became more solid but the liquid continued. Now, after being with me for about 6 months we are still having this issue.

So, I did some research and came across an article on something I had never heard of before- Fecal Water Syndrome. According to an article on SmartPak.com, Fecal Water Syndrome is typically caused by the following;

The underlying cause of FWS in horses is not known at this time and there are many theories as to why some horses develop it. A group of researchers in Germany set out to explore some of the proposed theories and discovered that neither dental disease nor a heavy parasite burden seemed to be associated with FWS. However, it was found to be more likely to occur:

  • in horses of low rank or “pecking order” in the social hierarchy of a herd
  • in winter when subordinate horses were confined to a smaller space, leading to anxiety
  • in geldings vs mares, which are usually more dominant than geldings
  • in paint horses

However, the article also noted that due to FWS being a relatively new diagnosis, more studies are needed to look at the role stress, nutrition, and potentially, other factors in the development and management of FWS.

Diagnosis of FWS

Most veterinarians approach the diagnosis of a horse with FWS similar to one with diarrhea or loose stool. That is, they start by taking a thorough history from the owner, then perform a complete physical examination with special emphasis on the digestive system, and finally may recommend specific tests to evaluate the health of the horse in general and the GI tract in particular. It can be helpful to confirm the presence of soiled hind limbs and tail as well as dirty stall walls and bedding. While on the farm, the vet may want to walk through the regular feeding and management programs including turnout and herd status.

Treatment and Management of FWS

Although there is no standard treatment or set of recommendations for the care and feeding of horse suffering from FWS, all potential causes for disruption in the GI system should be addressed, including social stress.

  1. Making adjustments to the horse’s turn-out time and group.
  2. Making adjustments to the diet (with the input of a veterinarian and nutritionist.)
  3. Trying out various medications and supplements one at a time on the passage of fecal water. For example, adding omega 3 fatty acids for a normal inflammatory response in the gut, and to the stabilizing effects of “baker’s yeast” or Saccharomyces cerevisiae.
  4. Make sure to keep the hindquarters clean and dry to prevent any sores for forming.

What’s In Your Tack Trunk?

Equine First Aid Kit
All horse owners should have an equine first aid kit & know how to use all of the supplies. At least twice yearly, examine & replenish outdated supplies. Store your first aid kit in your home or temperature controlled space. Leaving it in a trailer or uninsulated tack room will quickly degrade the supplies. Talk to your veterinarian about customizing your first-aid kit for your horse’s particular needs.

FUNDAMENTALS
Thermometer, Mercury or Digital
Stethoscope (good quality)
Headlight (good quality)
Proper Fitting Halter & Lead Rope
Latex Gloves (12)
Watch or Timepiece with Second Hand
BASIC EQUIPMENT
Bandage Scissors
Suture Scissors
Tweezers or Forceps (smooth jaws)
Non-Sterile Gauze – 4″x4″ Squares (1 package)
Conform® or Kling® Gauze 4″ (2 rolls)
Elastic Adhesive Bandage (Elasticon®) 3″ (2 rolls)
Cohesive Bandage (Vetrap®) 4″ (2 rolls)
Non-Adhesive Wound Dressing (Telfa® pads) 3″x4″ (2) & 3″x8″ (2)
Povidone Iodine (Betadine®) Solution (4 oz)
Antiseptic Scrub, Chlorhexidine or Povidone Iodine (Betadine®) Scrub (4 oz)
Sugardine
Small Plastic Containers for Mixing or Storage (2)
Wound Lavage or Cleaning Bottle, Saline (250 ml)
Tongue Depressors (6)
Alcohol Wipes (10)
Spray Bottle for Water (1)
Paper Towels (1 roll)
Multi-Purpose Tool, Leatherman® or Equivalent
Cotton Lead Rope (3/4″ – 1″ in diameter)
Electrolytes (paste or powder)
Fly Repellent Ointment (1)
Heavy Plastic Bags (2 – gallon & 2 – pint size)

SECONDARY EQUIPMENT
Cotton, Rolled Sheets, Leg Cottons (2)
Standing Wrap & Quilt or Shipping Boots
Easy Boot or Equivalent in Appropriate Size
Baby Diapers (2) (size 4 to 6 depending on hoof size)
Triple Antibiotic Ointment (1 tube)
Extra Halter & Lead Rope
Lariat
Syringe 35 cc (1)
Syringe 12cc (3)
Syringe 3 cc (3)
Syringe 3cc with 20gauge needle (3)
Syringe – 60 cc cath tip (2)
Needles – 18gauge – x 1.5″ (4)
Needles – 20 gauge – x1.5″ (4)
Eye Wash, Saline (1 bottle)
Opthalmic Ointment or Drops (1 bottle or tube)
Magnesium Sulfate, Epsom Salts (1 package)
Duct Tape (1 roll)
Clippers with #40 Blade (good quality)
Shoe Puller
Crease Nail Puller
Hoof Pick
Hoof Knife
Hoof File, Rasp
Clinch Cutters
Farrier’s Driving Hammer
Collapsible Water Bucket
Ice Wraps
Twitch
Bute Banamine Bordered

Talk to your veterinarian about dispensing a few medicines that you may use in an emergency. In most, if not all states, a veterinarian cannot legally dispense prescription items without a valid Veterinary Client Patient Relationship (VCPR). 

• Flunixin Meglumine (Banamine®) (injectable or paste)
• Phenylbutazone, Bute Paste (1)
• Trimethoprim-Sulfa Tablets SMZ-TMP in small container (75#)

Fungal Infections in Horses

www.merckvetmanual.com/horse-owners/disorders-affecting-multiple-body-systems-of-horses/fungal-infections-mycoses-in-horses

What a Difference 3 Weeks Can Make

Tilly came to me from a slaughter auction in Texas after 17-ish years as an Amish workhorse.  She was thin (she still is), sick (upper respiratory infection) had cracked hooves, had never had her teeth floated (they made a horrible grinding and clicking sound when she ate), and apparently had never been clipped or bathed or worn a blanket.  I do not think she had ever even had a treat (she still won’t take an apple or carrot).  

SYMPTOMS:

  • Rumbling gut
  • Cow pie stools
  • Grinding/clicking teeth
  • Cracked hooves
  • Dull coat
  • Underweight
  • Running nose

PROFESSIONALS:

  • Farrier for evaluation and trimming
  • Dentist for power float of teeth
  • Vet for physical, blood work, and fecal

TESTING/RESULTS:

  • CBC: all in normal range aside from her creatinine and protein suggesting dehydration. These values normalized after about 1 week)
  • Fecal: Minimal

FEED:

  • Triple Crown Senior Feed (Low sugars, low starch, high fat)
  • Tons of water with Horse Quencher added
  • Salt block

MEDICATIONS:

  • Exceed injections (2 total a week apart) then SMZ for 2 weeks
  • Banamine
  • Brewer’s Yeast (Stomach)
  • BioSponge (Gut health and to tackle her loose stools)
  • Electrolytes (To help with dehydration)
  • Strongid wormer 

 

 

Top to bottom:

Tilly on her way from Texas

Tilly when she first arrived in Virginia

Her feet upon arrival

Getting her teeth and feet done

Tilly after being clipped and bathed!

Resources for Chronic Loose Stools in Horses

 

BEST Guide to all Things Colitis, Diarrhea, and Intestinal Health

Age-Defying Equines

Diarrhea and Fecal Water Syndrome in Horses

What Comes Out, What Goes In

Horse First-Aid Kit

What to Include in a First-Aid Kit for a Horse

The Horse: Barn First-Aid

Medicine Chest Clean Out

Anti-Inflammatory Medications to have on Hand

Practical Biosecurity Tips to Protect Your Horses – The Horse

Learn equine biosecurity basics for the farm, horse show, and breeding shed to protect your horses from infectious diseases.
— Read on thehorse.com/features/practical-biosecurity-tips-to-protect-your-horse/

10 Common Horse Emergencies & the Skills You Need to Help – Horse Side Vet Guide

#1 Abdominal Pain, Colic Signs Perform Whole Horse Exam™ (WHE) Assess Color of Mucous Membranes Assess Demeanor or Attitude Assess Gut or Intestinal Sounds Assess Manure Assess Capillary Refill Time (CRT) by examining Gums Give Intramuscular (IM) Injection Give Oral Medication Sand Sediment Test…
— Read on horsesidevetguide.com/Common+Horse+Emergencies+and+the+Skills+You+Need+to+Help

Core Vaccination: Protecting Horses From 5 Deadly Diseases – The Horse

Learn about the diseases veterinarians recommend protecting your horse against and how vaccination could save your horse’s life.
— Read on thehorse.com/features/core-vaccination-protecting-horses-from-5-deadly-diseases/

When it rains…

ker.com/equinews/white-line-disease-requires-early-diagnosis-and-aggressive-treatment/

Home is Whereever You Are 

Recently, I had to move to a new farm. And, if you are anything like me you loathe not only moving but moving your horse. The what-ifs running though my head- what if he won’t load? What if he hits his head? What if he freaks out? (Or to be completely transparent, what if I do?). What if he falls? Etc.  Personally, when I am faced with a anxiety provoking situation, I need to have a sense of control however small it is. So, I did what I do best and planned and organized. Everything.  

Chance had a bad prior experience with being trailered. Plus, with his age (31) and past health issues my anxiety was at an all time high. It was recommended that I plan to meet him at the new farm instead of being there for loading. Made sense. I scheduled the vet to be there in case medications were needed. And they scheduled a therapeutic trailering service with a large trailer that had an forward unloading ramp. The horse communicator was also scheduled as she knew of Chance’s past experience and did energy work. 

The day arrived. I went to the farm early and wrapped Chance’s legs, brought he and Lucky inside, packed up all my stuff, and met with the horse communicator. She did some grounding exercises with Chance and myself.  I left when everyone arrived and went to the new farm and unloaded our stuff. About 1 hour later the phone rang and of course, I thought the worse. Chance refused to load even after 2 rounds of medications. Lucky was on the trailer. They requested I come and try. I drove the 30 minutes back to the farm- praying to everyone and anything- that Chance would load. I read some tips on Google (yes, I’m ashamed to admit, while driving). One article suggested doing groundwork to get the horse to pay attention. For example, stop him, make him stand, back up, etc. Once he was listening that is when you try to load. The article went on to say that anger and frustration would not work. Because a horse is in sync with our emotions. And that physically, a horse has stamina that we as humans do not share. However, mentally the horse will give up quicker. Patience. Kindness. Persistence. 

I arrived. I followed the advice of the article. I walked him and gave commands. I was cool, collected, firm, and kind. We tried once. He walked part way up the ramp, stopped, and backed up. Again, I did the commands. Tried once more. Same thing. The third time the lady who was there to Trailer him lightly smacked his butt with a crop and suddenly, he was on the trailer! I couldn’t believe it. We quickly shut the doors and off we went. 

The trip was about 45 minutes. And, thankfully, uneventful. The trailering company was amazing and patient. I’m beyond grateful for everyone’s help! 

Below is information for trailering issues, how-tos, and professionals that can make the transition 10000% easier and, almost, stress free.

Resources:

1. True North Equine in Marshall, Virginia

2. Trailering service: Always There Horsecare: 703-915-6255 or http://www.alwaystherehorsecare.com

3. Article: Think like a horse

4. Article: The hard to load horse

5. ArticleLets Get Loaded


Immune Booster Leads to Infection?

For the past 6 weeks, my horse has been receiving Ozonetherapy to aid in his chronic back leg related issues- dermatitis (“scratches”), previous DDFT tendon laceration, a history of Lymphingitis, and the residual scar tissue from his DDFT injury.  Due to his age (27), he lacks proper circulation in his hind end which does not help him fight his pastern dermatitis.  


According to the American Academy of Ozonetherapy, Ozonetherapy is described as;

“Ozonotherapy is the use of medical grade ozone, a highly reactive form of pure oxygen, to create a curative response in the body. The body has the potential to renew and regenerate itself. When it becomes sick it is because this potential has been blocked. The reactive properties of ozone stimulate the body to remove many of these impediments thus allowing the body to do what it does best – heal itself.”

“Ozonotherapy has been and continues to be used in European clinics and hospitals for over fifty years. It was even used here in the United States in a limited capacity in the early part of the 20th century. There are professional medical ozonotherapy societies in over ten countries worldwide. Recently, the International Scientific Committee on Ozonotherapy (ISCO3) was formed to help establish standardized scientific principles for ozonotherapy. The president of the AAO, Frank Shallenberger, MD is a founding member of the ISCO3.”

“Ozonotherapy was introduced into the United States in the early 80’s, and has been increasingly used in recent decades. It has been found useful in various diseases;

  • It activates the immune system in infectious diseases.
  • It improves the cellular utilization of oxygen that reduces ischemia in cardiovascular diseases, and in many of the infirmities of aging.
  • It causes the release of growth factors that stimulate damaged joints and degenerative discs to regenerate.
  • It can dramatically reduce or even eliminate many cases of chronic pain through its action on pain receptors.
  • Published papers have demonstrated its healing effects on interstitial cystitis, chronic hepatitis, herpes infections, dental infections, diabetes, and macular degeneration.”

 

After doing research and speaking to one of my good friends, we determined that Chance’s flare up of Lymphingitis, after almost 3 years of not a single issue, could possibly be caused by his immune system’s response to Ozonetherapy.  Let me explain.

Chance suffers from persistent Pastern dermatitis (“scratches”) since I purchased him in 2000.  I have tried everything- antibiotics, every cream and ointment and spray for scratches, diaper rash ointment, iodine and vaseline mix, Swat, laser treatments, scrubs and shampoos, shaving the area, wrapping the area, light therapy…you name it, I have tried it.  So, when we began Ozonetherapy to help break down the left over scar tissue from his old DDFT injury, I noticed that his scratches were drying up and falling off.  We continued administering the Ozonetherapy once a week for about 6 weeks.  The improvement was dramatic!  

However, one day Chance woke up with severe swelling in his left hind leg and obviously, he had difficulty walking.  He received Prevacox and was stall bound for 24 hours.  The vet was called and she arranged to come out the following day.  The next morning, Chance’s left leg was still huge and he was having trouble putting weight on it.  I did the typical leg treatments- icing, wrapping.  The swelling remained.  I tried to get him out of his stall to cold hose his leg and give him a bath but he would not budge.  He was sweaty and breathing heavily and intermittently shivering.  So, I gave him an alcohol and water sponge bath and continued to ice his back legs.   I sat with him for 4 hours waiting for the vet to arrive.  He had a fever and wasn’t interested in eating and his gut sounds were not as audible.  He was drinking, going to the bathroom, and engaging with me.  I debated giving him Banamine but did not want it to mask anything when the vet did arrive.  

The vet arrived, gave him a shot of Banamine and an antihistamine and confirmed that Chance had a fever of 102 degrees and had Lymphingitis.  There was no visible abrasion, puncture, or lump… I asked the vet to do x-rays to ensure that he did not have a break in his leg.  The x-rays confirmed that there was no break.  The vet suggested a regiment of antibiotics, steroids (I really am against using steroids due to the short-term and long-term side effects but in this case, I would try anything to make sure he was comfortable) , prevacox, and a antacid to protect Chance from stomach related issues from the medications.  It was also advised to continue to cold hose or ice and keep his legs wrapped and Chance stall bound.  

The following day, Chance’s legs were still swollen but his fever had broken.  The vet called to say that the CBC had come back and that his WBC was about 14,00o. She suggested that we stop the steroids and do the antibiotic 2x a day and add in Banamine. I asked her if she could order Baytril (a strong antibiotic that Chance has responded well to in the past) just in case.  And that is what we did.  

Being as Chance had such a strong reaction to whatever it was, I did some thinking, discussing, and researching…first and foremost, why did Chance have such an extreme flare up of Lymphingitis when he was the healthiest he has ever been?  And especially since he had not had a flare up in 3+ years…plus, his scratches were getting better not worse.  The Ozonetherapy boosted his immune system and should provide him with a stronger defense against bacteria, virus’, etc.  So why exactly was he having a flare up?  And that is when it hit me!

In the past when Chance began his regiment of Transfer Factor (an all natural immune booster), he broke out in hives.  The vet had come out and she felt it was due to the Transfer Factor causing his immune system to become “too strong” and so it began fighting without there being anything to fight, thus the hives.  My theory- Chance started the Ozonetherapy and his body began to fight off the scratches by boosting his immune system.  As the treatments continued, his immune system began to attack the scratches tenfold.  This resulted in his Lymphatic system to respond, his WBC to increase, and his body temperature to spike.  Makes sense…but what can I do to ensure this is not going to happen again?  

My friend suggested attacking the antibiotic resistant bacteria by out smarting them…okay, that seems simple enough…we researched the optimal enviroments for the 3 types of bacteria present where Chance’s scratches are (shown in the results of a past skin scape test).  The bacteria – E. Coli, pseudomonas aeruginosa and providencia Rettgeri. The literature stated that PA was commonly found in individuals with diabetes…diabetes…SUGAR!  How much sugar was in Chance’s feed?  I looked and Nutrina Safe Choice Senior feed is low in sugar…so that is not it.  What else can we find out?  The optimal temperature for all three bacteria is around 37 degrees celsius (or 98.6 degrees fahrenheit), with a pH of 7.0, and a wet environment. Okay, so, a pH of 7.0 is a neutral.  Which means if the external enviroment (the hind legs)pH is thrown off, either to an acidic or alkaline pH, the bacteria will not have the optimal enviroment to continue growing and multiplying.  How can I change the pH?  

Vinegar!  An antimicrobial and a 5% acetic acid! And…vinegar is shown to help kill mycobacteria such as drug-resistant tuberculosis and an effective way to clean produce; it is considered the fastest, safest, and more effective than the use of antibacterial soap.  Legend even says that in France during the Black Plague, four thieves were able to rob the homes of those sick with the plague and not become infected.  They were said to have purchased a potion made of garlic soaked in vinegar which protected them.  Variants of the recipe, now called “Four Thieves Vinegar” has continued to be passed down and used for hundreds of years (Hunter, R., 1894).

I went to the store, purchased distilled vinegar and a spray bottle and headed to the farm.  I cleaned his scratches and sprayed the infected areas with vinegar.  I am excited to see whether our hypothesis is correct or not…I will keep you posted!

 


References & Information


Effect of pH on Drug Resistent Bacteriaijs-43-1-174

NIH: Drug Resistant Bacteria

Vinegar

Lymphatic Conditions

Horses Side Vet Guide

What does my horse’s CBC mean?

th

Nutrena SC Senior feed ingredience
The American Academy of Ozonetherapy

Hunter, Robert (1894). The Encyclopaedic Dictionary. Toronto: T.J. Ford. ISBN 0-665-85186-3.

 

I Loathe Ticks! 

Your horse comes in from being outside and is barely able to move.  His legs are swollen, he has a fever, is sensitive to the touch, and has a loss of appetite.  He has chills- intermittently shaking.  He wont touch his hay, his eyes are dull, and he looks depressed and tired.  You call the vet and they run hundreds of dollars worth of tests- CBC, x-ray his legs to ensure there is no fracture; they diagnose him with Lymphingitis.  You begin a course of antibiotics.  You cold hose.  You give him Banamine.  Your wrap his legs while he is on stall rest. A week later, the swelling has subsided, his fever has dissipated, and his appetite is back.

You get a text saying that your horse “ran away” when he had been let out earlier that day.  But when you get to the barn, you notice when he turns he looks like his hind end is falling out from under him..remember when you were little and someone would kick into the back of your knees and your legs would buckle?  That is what it looks like.  So you watch him.  You are holding your breath, hoping he is just weak from stall rest.  You decide, based on the vet’s recommendation, to let him stay outside for the evening.  You take extra measures- leaving his stall open, with the light on, wrapping his legs, etc- and go home.  Every time your mind goes to “what if..”, you reassure yourself that your horse is going to be okay and that you’re following the vet’s advice and after all, your horse had been running around earlier that day.

The next morning your horse comes inside and it takes him an hour to walk from the paddock to his stall.  All four legs are swollen.  He has a fever (101.5).  He is covered in sweat.  He won’t touch his food.  He has scrapes all over his body and looks like he fell.  You call the vet- again- and they come out to look at him.  They note his back sensitivity, his fever, the swelling at his joints (especially the front).  They note that his Lymphingitis seems to have come back.  The vet draws blood to check for Lyme.  They start him on SMZs and Prevacox.  You once again wrap his legs, ice his joints, give him a sponge bath with alcohol and cool water to bring down his fever.  You brush him, change his water, put extra fans directed at his stall.  You put down extra shavings.  And you watch him.

A few days go by and you get a call saying that your horse has tested positive for Lyme…and while your heart sinks, you are also relieved that there is an explanation for your horse’s recent symptoms. You plan to begin antibiotics and pretty much not breathe for the next 30+ days while your horse is pumped with antibiotics.  You pray that he doesn’t colic.  You pray that you have caught Lymes in time.  You pray that the damage is reversible.  You research everything you can on the disease.  And you sit and wait….

Below are resources on Lyme Disease in horses- treatments, symptoms, the course of the disease, and the prognosis.

epm-diagram

Lyme Disease in Horses | TheHorse.com

Lyme Disease, testing and treatment considerations | Best Horse Practices

Microsoft Word – Lyme Multiplex testing for horses at Cornell_2-12-14 –

Lyme_Disease_Multiplex_Testing_for_Horses.pdf

Fall Fever

Today Chance had swelling of his back right fetlock.  He had a fever around 104 and didn’t eat his feed.  His eyes were dull and he was lethargic.  He wasn’t limping but was walking slower than normal (he usually runs to the paddock or back to the barn).  I decided, due to the Lymphingitis flare up on his back right leg, I would give him a shot of 5 mls (or 5 cc) of Banamine and wrap his leg.  Once the medication set in, I would bring him in to give him a bath (it was 80 degrees today).  So, that is what I did.  By the time he was back at the barn he was covered in sweat.  I cold hosed him and drenched the wrap in cool water and let him roam around the barn.

Thankfully, the vet was able to meet me at her veterinary practice so that I could pick up Baytril and more Banamine.  Since Chance just had Lyme Disease (and had finished his medication less than a week ago), we are not 100% if this is a Lyme reaction or something else.  The plan is to administer 25 cc of Baytril either orally, in his feed, or via IV for 6 days and Banamine 10 mls (or a 1000 lbs) twice a day for 3 days. The vet suggested that I do 5 cc of Banamine if his fever remains between 101-103 degrees and 10 cc if his fever is 103 degrees or above.   During this time I will begin Prevacox- one 1/4 of a tablet once a day.  After 3 days, I will discontinue the Banamine and continue the Prevacox.  If his fevers are not down in two days, I will continue the Baytril but start the doxycycline as it maybe a Lyme disease symptom.

While researching Lyme Disease, I found that many people do two+ months of doxycycline instead of 30 days to ensure the disease has been erraticated completely.  However, since Chance had shown such improvement after 30 days, I decided to not do another month.  Maybe I should have…

However, Chance had similar symptoms when we found a small laceration in the DDFT tendon of his back left hind- swelling, Lymphingitis, fever, lethargy, no appetite, etc.  If he does have an issue with his tendon I will most likely do another round of Stem Cell treatments which proved to be helpful last time.  Thankfully I stored his stem cells in a Stem Cell Bank (via Vet-Stem) and can easily have them shipped.