The Fuzzy Furry
🦄 🦄
Thanks for the update TPO, sounds like he is in very good hands there x
Thanks for the replies.
Chip is tucked up at hospital and being starved. His stomach is enlarged so an attempt to see if it empties and reduces to a normal size or if that inability is the issue.
He's had a scan and bloods. Mind gone blank but there's a thickening in the gut on the "connector" of the stomach to the hind gut. It's on the tip of my tongue but I can't type it out.
Bloods showed albumin dropped to 20.5 but almost everything else, including white count, is normal/healthy. One enzyme is out of whack but its linked to gastro issues so makes sense.
Depending on what his stomach does tomorrow am the plan is to rescan then scope, do belly tap and there was talk of retrieving tissue from the thickening to test.
I think because there's so much visually and in the history it's a case of trying to narrow it down. None of it ties into the facial swellings and how they're behaving or the swollen salivary glands but one thing at a time.
The two vets in charge of him were absolutely amazing. They listened to everything and believed me! They let me stay and talked through every step and explained everything on th4 screen, their plan going forward etc. They managed to get results of the bloods back after 5 and came back to tell me them as I was leaving. They're going to call tomorrow am and again after the procedures. They had a bunch of students too and they were amazing. I've been there a few times and witnessed some concerning interactions between students and horses. One final year student asked me when my horse had last vomited during one visit. But this group were great, so good with Chip and so polite and helpful.
Sorry to hear about your horse @abbijay. How upsetting and stressful. I'm glad he's OK now and what a miracle worker you are getting him through all that. Th4 vets were very on it and they don't seem to be leaning that way but I made them aware of the dosing I was told to give that weren't on his records.
Thanks @doodle. I might need you for the return leg, my usual guy is booked up tomorrow. Although from the sounds of it I think Chip might be having a weekend stay.
I think this is a record for how short a time my salary has remained in my account on payday!
Low alb means he’s losing protein. If his kidney function is ok, it’s not through the kidneys. So he’s losing it somewhere. If he’s got diarrhoea, most likely he’s losing it via his guts. Very common symptom of IBD. Steroids are the fix for this. So he’d have to come of NSAID’s he if hasn’t already.
Neoplasia could also be option, but speak to your vet to see if you can trial treatment for IBD first.
Good luck. Whatever happens, it sounds like you’re doing your best by him.
So sorry to hear this but try not to focus on the worst case scenario. Twice I have had inpatient stays for the love of my life and resigned myself to him possibly never being in his stable again and both times he fought through it and came home.Thank you for the replies, best wishes, PMs and messages off here.
When Chip was scanned yesterday the wall of his ileum (the name I forgot) was >1cm. A healthy wall is <4mm.
They starved him overnight and rescanned at midnight. His stomach was reducing at this point.
He was scanned again this morning and the stomach had emptied. So there is delayed gastric emptying.
As the stomach was empty they could scope him. They managed to scope the first part of the small intestine. The surface was irregular and abnormal with ulceration. They managed to take 4 or 5 samples from different areas to biopsy.
They are starting him on a course of oral Steroids for the inflammation.
They are reintroducing feed and monitoring/scanning.
The biopsy results won't be available until Tuesday and that will tell them more.
It's rare but it could be cancer in the gut. She used a word starting "nutreo /nutro" but I didn't catch it.
Or looking to be IBD. Which also has a very poor prognosis.
I'm allowed to visit him over the weekend. I have a very horrible feeling that I won't be bringing him home. I just can't believe that this is happening.
Completely heartbroken for you over here because whether this ends happily or sadly I know how utterly vile this in between bit is and I’m sorry.
Keeping my fingers so crossed for you both on this side of the pond. X
Thank you for the replies, best wishes, PMs and messages off here.
When Chip was scanned yesterday the wall of his ileum (the name I forgot) was >1cm. A healthy wall is <4mm.
They starved him overnight and rescanned at midnight. His stomach was reducing at this point.
He was scanned again this morning and the stomach had emptied. So there is delayed gastric emptying.
As the stomach was empty they could scope him. They managed to scope the first part of the small intestine. The surface was irregular and abnormal with ulceration. They managed to take 4 or 5 samples from different areas to biopsy.
They are starting him on a course of oral Steroids for the inflammation.
They are reintroducing feed and monitoring/scanning.
The biopsy results won't be available until Tuesday and that will tell them more.
It's rare but it could be cancer in the gut. She used a word starting "nutreo /nutro" but I didn't catch it.
Or looking to be IBD. Which also has a very poor prognosis.
I'm allowed to visit him over the weekend. I have a very horrible feeling that I won't be bringing him home. I just can't believe that this is happening.
No IBD is not necessarily a poor prognoses- my pony was diagnosed with it after continually colicking and lost so much weight her stomach was herring gutted, and body score 4-5. We thought it could be ulcers, so took her to my vets who did a scope which could be either IBD or ulcers, - I was told Andy Durham was going to be at the clinic the following week ( not cheap) but it was too good to miss it. He said IBD. I have kept her to the diet and run anything else by vets who check with him, her diet is as per sheet except for Bailes pre biotic, so u nurse the bacteria there not add new ones like pro biotics. She seems best on shires trickle feed net and much bigger net than she used to so always has food. She still has odemas in front of boobies, and I used to have reg blood test. Now as long as happy i don't do that, and she has a portly tummy now that she never had before.Thank you for the replies, best wishes, PMs and messages off here.
Or looking to be IBD. Which also has a very poor prognosis.
No IBD is not necessarily a poor prognoses- my pony was diagnosed with it after continually colicking and lost so much weight her stomach was herring gutted, and body score 4-5. We thought it could be ulcers, so took her to my vets who did a scope which could be either IBD or ulcers, - I was told Andy Durham was going to be at the clinic the following week ( not cheap) but it was too good to miss it. He said IBD. I have kept her to the diet and run anything else by vets who check with him, her diet is as per sheet except for Bailes pre biotic, so u nurse the bacteria there not add new ones like pro biotics. She seems best on shires trickle feed net and much bigger net than she used to so always has food. She still has odemas in front of boobies, and I used to have reg blood test. Now as long as happy i don't do that, and she has a portly tummy now that she never had before.
IBD is manageable with right diet
This might give you hope this is her sheet and she is still with me happy go lucky sassy pony.
ok I will have to copy and paste the discharge sheet.
......................................................................................................................................................................................................................................................................................................
VETS LOGO REMOVED)
XXXXXXXXX…….XXXXXX… Equine
Tel: 0
11th August 2017
“PONIES NAME " my surname – Discharge Instructions
(pony) came into *********** vets for ultrasound examination of her abdomen with internal medicine specialist Andy Durham MRCVS, from Liphook Equine Hospital.
Today ultrasound examination found thickened small intestine but normal large intestine. This is most likely caused by Inflammatory Bowel Disease (IBD).
The initial plan for xxxx is to simplify her diet. All changes to her diet should be introduced gradually over a 2 week period. xxxx diet should consist of grass (turnout as discussed in her starvation paddock), 'purple' haylage (timothy grass), equivite and a small amount of readigrass (this can be damped down prior to feeding). Also xxxx can have linseed oil, up to a total of 40-50ml per day, this should be introduced slowly and gradually over the next 2 weeks. All other supplements and feeds should be stopped.
xxxx weight (increases or decreases) should be monitored and she should continue to be monitored for signs of colic. xxxx can continue with her normal exercise regime.
xxxxx should be booked in for a repeat blood test in 4 to 6 weeks to review her progress. At this point we will decide if she requires further treatment e.g. steroids.
If you have any concerns with xxxx please do not hesitate to contact the practice on ……………………….
She did not need to have steroids. She can have timothy grass nuts and timothy grass from simple systems, all timothy stuff