Latest update on horse “In Pain”

stilltrying

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Quick update on this chap for anyone interested.

Very brief recap, rising 6yo 17h 7/8ths TB who became very grumpy last autumn, didn’t want to be touched or rugged, particularly girth area, tack out of the question, became really quite aggressive. Moves like he is in pain, scuttles, tail up, stiff as a board and looks hunched. Poor body condition, dull coat. He was scoped and found to have grade 2 ulcers and was treated with GG (and hind gut supplement on owners request). Re-scoped and clear. Behaviour worsened. Vet back out and re-examined, said very sore in wither (which was causing tension in girth area), which could have caused the ulcers. Vet and recommended x-ray. KS ruled out, but lashed out whilst sedated during X-ray so vet deemed as dangerous and sent for bonescan. Bonescan showed ‘hot spot’ on wither but nothing significant and vet unsure how to treat.

His owner did some more research and found a Newmarket vet who specialises in problem horses like these, so took a trip to Essex yesterday for a clinic. New vet says he has severe hind gut problems and is in a lot of pain, and was one of the worst cases she had seen. Further tests are going to be done to find out exactly what is going on, but feels he has hind gut acidosis and ulceration. He is starting his treatment course asap. Vet said he wasn’t a naturally aggressive horse, but is just really suffering. Poor chap, it was getting to the point where pts was being discussed.

So, thank you to all those who made suggestions, including hind gut problems, just a shame it has taken us so long to get a diagnosis. But then again, I suppose it must be difficult for a vets practice to diagnose a horse that, for the most part, looks relatively healthy and isn’t lame and is “only” displaying behavioural problems (that are more obvious to those that handle him.)

Hopefully my next update will be of a happy and healthy pony : )
 

amandap

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I hope so too. Fingers crossed.

I'd be very interested to know what treatment the vet prescribes and his response.
I think it's a problem not considered often enough.
 

JillA

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I think it's a problem not considered often enough.

Me too. Many vets don't seem to consider the large intestine - if they can't see ulcers on an endoscope there are no ulcers in their opinion, regardless of the fact that the part a scope can reach is probably less than 1/4 of the whole digestive tract. Poor lad, I hope he responds well to treatment, and a big well done to his owner for doing the investigation. How many horse have been labelled dangerous and PTS just because they were in acute pain I wonder.
 

BethH

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Am so pleased you were so persistent and have finally got the right diagnosis - lucky horse. Just wanted to wish you and ned all the very best and fingers crossed for a speedy and full recovery
 

stilltrying

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Thanks guys, I will post again once his treatment course has been confirmed and will also (hopefully) report some progress : )
 

Pearlsasinger

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Well done to all concerned for persisting. I agree that most horses' behavioural problems are caused by pain. Fingers crossed that the medication solves the problem.
 

shergar

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Have you watched the youtube video ULCER DIAGNOSIS BY MARK DE PAOLA he shows a horse that has pain where the withers join the back,very interesting video. I hope he soon recovers,and as above well done for persisting.
 

stilltrying

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Shergar, thank you, and yes I've seen the video but only after i'd stumbled across the girth pressure point myself when examining him. He displays the same reaction as the last horse, his side goes into spasm, he lashes out / makes a little cry.

capall ne h'Eireann, I'm not sure what the examination process was by the vet at the clinic as I'm yet to have full chapter and verse from my friend, but it wasn't invasive so I'm guessing physical exam + history. This isn't a 100% confirmed diagnosis yet, he has to have poo samples sent off for analysis, but vet has advised equisure (?) in the meantime which should hopefully ease his symptoms.
 
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