Colic caused by inflammation/infection - any experience?

now_loves_mares

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My mare (who is currently on livery 150 miles away, at a very very experienced friend's yard) colicked this week. Initially a small impaction was found in the pelvic flexure, she was tubed and painkillers and seemed brighter. She was colicking again next morning though so vet came out, impaction was nearly passed but bloods taken, and a belly tap showed increase peritoneal fluid and a slight increase in temp and heart rate (they had been normal the day before). Peritoneal fluid was clear, so next suspect was a displacement. She was admitted to the clinic and had an abdominal scan and gastroscopy. She does have stomach ulcers, though they aren't horrendous. Scan was luckily clear - although I know from previous experience they can be hard to do well. Bloods however showed increased fibrinogen and lower WBC's. So, coupled with the increased fluid, vet is assuming infection/inflammation has caused the colic. She had 3 days of injectible anti-b's up to today and is now on orals. TPR have all been normal other than the one spike

So my question is, what is the likely course of events? Is it the most likely she had some kind of infection leading to inflammation that then meant she got an impaction; and although that cleared she was still fighting the infection hence a further colic? She's not colicked since she was taken into the clinic on Thursday. In the normal run of things, should we presume that the anti-b's will just do there job and all will be fine, ulcers not withstanding. She's obv on gastroguard for those. There were no obvious infections in the ulcers. Where is she likely to have an infection? Presumably it's in her digestive system somewhere; or could an infection somewhere else also cause colic? I'm assuming not in this case considering she had an impaction. All poo has been normal throughout (other than the temporary blockage) so don't think we are dealing with anything like hind gut ulcers.

I guess at the end of the day it doesn't really matter if she gets better, but can't quite follow the chain of events. My own vet thinks this is a far better problem to deal with than some of the other potential causes; so as far as I can tell the odds look good for her. But I'm scared of colic from my previous history so just want to be sure I'm not missing anything, such as a more serious underlying issue that we haven't found.

Any experiences or thoughts much appreciated :)
 
Nowlovesmares, I don't want to frighten you but please read my thread

http://www.horseandhound.co.uk/forums/showthread.php?t=590106

My mare started with impaction colic and ended up with a severe bowel infection which eventually killed her. :(:(:(

Please, please, please for the sake of your mare contact deborah gibbins at Equine Science. Unfortunatley their help came too late for my beautiful girl but please contact them so they can help yours!
 
How old is your mare? Is she eating okay? Has she lost any weight?
Normal poo doesn't mean a horse doesn't have a hindgut problem.
 
My MiLs horse has just been through exactly the same. Her horse had a liver infection. Started with impaction colic and a trip to horsepital. Ten days later he colicked again but spasmodic this time. Bloods showed raised liver enzymes so on anti bs. Booked in for scope. Colicked again. Bloods showed even higher liver enzymes so scope was v urgent. was scanned and liver was enlarged and on the wrong side. Was scoped the following day and showed v low grade (barely a 2) ulcers, liver still swollen so a biopsy was taken. Results showed just an infection so no follow up treatment needed.

Tim brazil who scoped had 20 horses to see in Kent with the same symptoms Nd our vets had 7 on their books with the same symptoms... It's v odd.
 
My mare went through this but peritoneal fluid was fine and her temperature went down after a few days. Her liver enzymes are still too high 3 weeks later so it's looking like the cause is the liver rather than an infection etc
Vet told me she could have been fed something dodgy, eg something dead in the hay, mould in the hay, grazing near chemicals/dead animals that type of thing
 
I don't think bloods showed liver problems. The temp spike was once only, it's been fine since. She is 8, lost a small amount of weight over winter but she's full TB, and nothing worse than any other winter. Eats fine, until immediately before her colic, and eating ok now. No real indication of hind gut problems, they did a scan and didn't see any damage. I can certainly ask if they tested liver and we will of course be keeping a very close eye. She is going to have repeat bloods at the end of the week.

Thanks for the replies everyone, plenty to think about.
 
Micramadam, I read your very sad thread. I'm so sorry for your loss. Your mare sounded lovely.

My own mare died 2 years ago after a similar problem (colitis caused by Danilon reaction). She had problems at every turn; my current case seems rather simpler so I am hoping it's nothing as serious. To be honest I won't put myself through the stress again, never mind the horse. It was exhausting and scarring. She's been colic free for 4 days so I'm hoping her progression is rather more linear! But if there is another episode I will investigate more thoroughly.
 
At a yard I worked at, there was a mare who was very prone to colic. One winter it became a huge problem with mild symptoms showing almost every day.

It turned out to be caused by inflammation in her gut - her hard feed was made up of mainly Alfa-A which she wolfed down, and the unchewed stalks were irritating the gut wall, possibly already affected by ulcers, and giving her colic.

Her feed was changed to something mushier and the colic stopped.
 
Nowlovesmares, I don't want to frighten you but please read my thread

http://www.horseandhound.co.uk/forums/showthread.php?t=590106

My mare started with impaction colic and ended up with a severe bowel infection which eventually killed her. :(:(:(

Please, please, please for the sake of your mare contact deborah gibbins at Equine Science. Unfortunatley their help came too late for my beautiful girl but please contact them so they can help yours!

Thought of you the second I read this MM:(:(
 
Thought of you the second I read this MM:(:(

Thanks Queenbee. If Ruby's story can save just one life, then all our pain and suffering will have been worth it.

Now love mares, Ruby's colic came in cycles. She would be perfect for 3 or 4 days and then whammie, the colic hit again. Please keep an eye on your mare. I hope that she is getting better, as I would hate anyone else to have to go through what we did.
 
Don't worry she is and will be very closely watched. I'm sadly all too familiar with even the subtlest signs. Like you I'm always so nervous when I read a case similar to my previous experience and always try to share my story. Lets hope no-one has to experience it again though.
 
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