Lawsonia Intracellularis EPE feeding advise please

Juniberry

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Over the last few weeks I have nearly lost my foal she became depressed, high fever and anorexia. My vet came out daily and treated with abx and NSAID with gastroguard. After 5 days of not feeding Mum had dried up so we weaned the foal. The fever went at day 4 weaned the same day. Day 6 my foal looked like she would just lie down and die so I started force feeding antriee replacment milk. Foal started to pick up a bit but day 8 she developed ventral odema. Blood test showed very low protein, high muscle enzyme and signs of gut damage. As foal was now eating and looking brighter I carried on feeding milk and foal creep. Follow up blood test a week later showed increased protein (still half normall levels) and other levels became more normal. Looking around on the net I found a thread about equine proliferative enteropathy and one poster mentioned Lawsonia Intracellularis and suddenly every thing fell in to place. Spoken to my vet he agrees it is a likely diagnosis awaiting some more information from the vet. Lawsonia Intracellularis causes massive damage to the small intestine and this leads to very low absobtion from the small intestine.

My lively bonny foal has gone from a thriving 5 month old to looking like a feble 2-3 month old foal. My understanding is the damaged gut wall needs to regenerate and this takes months. So my question is what do I feed to help my foal out over the winter.

Currently I am using D&H Foal Creep, alfa beet and alfa A all high in protein, the creep is high in lactose. Could I feed oil or as this is digested in the small intestine will this either be a waste or risk damaging the hind gut? Is starch a risk to the healing SI for example could I feed stud mix or is the starch to high? My foal is also on haylage and grass although as it is November the grass will not have a lot in it. Should she still be on gastroguard or other gut protection agent?

Do I just accept my foal will look poor all winter and spring grass is the only way to get her to pick up.
If it is relevant she is warmblood cross TB foaled early June. She and the other horses on the stud have ben wormed regularly and she was done again 2 weeks after the illness started. I am very grateful for all advise please
 
You might get more response and correct advice on this by posting in Breeding.
I am glad your foal is on the mend and can only say that in my experience when dealing with any horse, including a foal that I rescued, they will do better long term if you let the improvement happen slowly.
I would keep it on the diet it is doing well on at the moment without making any changes that may cause a setback, gradually increase if you can and feed as many times a day as realistic, little and often so that the gut is never over loaded.
Be patient and when the grass comes through your foal should be able to catch up and put on more condition over the summer, good luck hope all goes well.
 
Totally beyond my knowledge but I urge you to contact Roger Hatch of Trinity Consultants for advice. My worry is high grain upsetting the ph of the hind gut.
 
I would be quizzing vet and or nutritionist..

Ask vet about Succeed feed suplement..

some notes I made about some helpful stuff for gastro intestinal tract (these are my notes from rummages on the net and some of my books.. I am not a vet, nutritionist or breeder

Oat Oil contains Polar Lipids which help the tight junctions between enterocytes (cells responsible for nutrient absorption)

Beta glucan - stimulates Immune system as it normalises the rate at which feed passes thro digestive tract and therefore prevents undigested starch from reaching the hindgut.

Mannan Oligosaccharides MOS - act a sponge trapping harmful pathogens (found in Brewers Yeast and Yea Sacc)

Amino Acid Glutamin - strengthens intestinal villi

Threonine - supports the production of mucin (component of mucus that lubricates and protect the GI tract lining

Mucilaganeous feeds (linseed, pysillium, and I think Oats)

NB Oil is absorbed in the stomach easily.

Again disclaimer .. the above might be worth discussing with vet / nutritionist etc but are really just pointers.
 
Thank you for the offers of support I will post in breeding now. Vet called back and agrees it is likely to Lawsonia but due to high chance of a false nagative no point in testing. I did ask all the questions re feeding and now wating for another call with advise from the vet. The problem is this a relativly new and emerging disease in this country only one practice can test for the infection and they only bought the equipment in April this year and no one in the UK tests blood for the infection. My vet is a specialist horse vet but even he is a little stumped. Posting on here in case anyone has been through the illness with their foal. I will also try one of the USA forums as the disease is more prevelant there.
Thank again
 
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