Lawsonia Intracellularis EPE feeding advise please

Juniberry

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Lawsonia Intracellularis EPE feeding advise please

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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
 
3 years ago, we had a filly diagnosed with this. She was given drug treatment for this but toxins leaking from her gut caused laminitis which became more life-threatening than the Lawsonia Intracelluraris. She was put on a strict laminitic diet and it took 10 months for her to come right. The vets were insistent that we didn't try to get weight on too quickly. I'd certainly advise giving her plenty fibre but nothing too rich, in the meantime, as you certainly don't want to do anything to increase chances of laminitis.
 
Thank you for both replies. My filly is TB cross warmblood and is very TB in her look so I hope laminities is low risk. I have found out lawsonia can come back in a replase. This would be not be good as my filly has no reserves left. I have now got Top Spec digestive aid and global herbs prebiotic will start adding this to her feed. She is on Top Spec feeb balencer, foal creep, alfa beet and alfa A in two tiny feeds as she does not have much appitite. My filly is on grass during the day and ad lib haylage at night rugged and being kept warm. Now in for the long slog olver the wingter. I am going to take some photos of her as both Top Spec and Global Herb people have been great and they would like to know if their products help. I will also check up on succed as a coupld of people have mentioned it.
Did both your horses make a full recovery and what ages are they now finally did they acheive the predicted hight or did the Lawsonia stunt them?
Thanks
 
Juniberry, it is the toxins that can cause laminitis so breed is irrelevant. My filly is a pure bred Arab. She was a yearling when she contracted it and is now 4. I would say that it did stunt her growth a little as she will be smaller than both of her parents. She has made a full recovery but I watch her like a hawk. Good luck with yours. You are right that it will be a long slog. My filly was on a probiotic too, Top Spec Anti Lam, soaked hay, high fibre cubes and Top Spec Lite.
 
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