Please help - pulling hair out over sudden onset mysterious illness!

MileAMinute

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Hi all - wonder if the combined knowledge of this forum could help shed some light on my loan mare who has suddenly gotten ill. She's 19yo, Irish cob, NEVER been sick in her life, vet has only ever been out for vaccs etc

We got a call Friday night off the YO saying Meg had gone down in the field several times in the space of an hour, right by the gate and in quite thick mud (as in somewhere a horse would not normally choose to roll/lie down)

We arrived at yard where she was in stable, lying down, very subdued with ears back.

Vet arrived. Basic obs - 60bpm, resps of 20, very quiet gut sounds, slightly tacky gums. Rectal examination showed nothing.

Gave her buscopan and painkiller and told us to walk her round for about 30 mins to help gut motility.

We ended up walking her for slightly longer as when we brought her back she tried to roll so took her out again.

After walking her, we popped her back in and she laid down, but seemed quite settled and content. We left around 1.30am.

Came back at 6am this morning. She'd eaten no hay and barely drank. A lot more alert and looking out door at horses being turned out, but still a bit lacklustre for her.
Vet came back out. Heart rate down to 48, but resps had increased to 28.
Did another rectal, that was clean.
Fed a tube into her stomach to check for fluid, all was fine there. She then gave Meg a bucket of water through the tube to hydrate her as she'd not been drinking.
She then did a scan of her abdomen, all fine.
She drained some of the fluid around her abdomen, it was bloody (which she admitted could be contamination from the needle) and not very viscous, quite watery.
Vet took bloods as well as the fluid to be analysed. She suspected peritonitis but the only thing missing was a temperature. She gave Meg a bute and a shot of penicillin.

Rang us later in the afternoon. Bloods came back clear. No elevated white cell count or any infection markers. Not dehydrated, U&E's all fine.
Told us to lunge her in trot for around 15 mins, in case her bowel/gut was slightly out of place and needed 'jiggling back in'.
She seemed a lot happier after her lunge, and finally started to eat a bit of hay, albeit tentatively.
Was told to give her another shot of penicillin I/M, which I did tonight, and a sachet of bute in some bran mash, which she polished off! :D

Left her in her stable, settled and slowly eating again. Vet is coming out tomorrow morning as she's now comfortable and stable to reassess and check her vitals etc again.

Does anyone have any idea what could be causing this? Vet is stumped. There has been no environmental changes to her lifestyle. She lives out 24/7 and hasn't been ridden since Monday. She's in regular work, averaging about 2/3 hacks/schooling sessions a week.

Malteasers and wine for reading, I know it's an essay, trying to cover everything! Will answer any more questions! Thanks :) xxx
 
Thankyou MrsMozart! It's so frustrating! I'm glad she seems to be improving but I want to know what's causing it so I can try and prevent it happening again!

Wish I could spend all night with her x
 
i have no idea sorry, one of mine went down with peritonitous (spell?) and spent alot of time sleeping and not eating, but unlike yours mine didn't improve after fenodine so iasked for a second opinion after the first vet told me to leave her alone to sleep!! she was straight on the trailer to horspital where she stayed for over 2 weeks.
yours although similar doesn't sound agressive enough.

Last year one of my horses collasped in the stable, every time he went to get up his back legs collapsed. the vet wanted to give him 'time' before he was PTS and 18 hours later he got to his feet and has been up ever since - bloods showed nothing and the vets were stumped, sometimes we just never get to know what it was so we just thank our lucky stars when they show signs of improvement.
I really hope she continues to improve, best of luck and if you do find out what it is please let us know x
 
Is she insured, and/or is surgery an option? If so, I would have thought that it was worth asking for her to be referred to the nearest vet hospital for thorough investigation....... but that's just me as a horseowner. I do know that when we suspected one of my mares had peritonitis, she was in the trailer and at the hospital within an hour and a half of the first vet callout.

You don't mention what her poos are like? I'd keep a really close eye on them - quantity, size, consistency? If she's not producing poos, then I'd not be wanting to encourage her to eat at all.

With my mare who had a displacement colic, for two days before she showed any signs of colic I had noticed that she looked bigger than normal. I just thought I needed to work her more to stop her putting on more weight. It wasn't til the first vet said she was "very fat" (and I knew that only 2 days before I had weightaped her and photo'd her and had been thinking her weight was coming down nicely) that I started to realise that she had "blown up" with the colic. I'd always thought a distended abdomen would look a bit like a mare close to foaling (the bulge low and towards the back of the abdomen), but this was like the whole abdomen was inflated like a balloon. Since realised that is typical of colics as food ferments within the gut and doesn't move out like it would normally.

So I'd really watch out for any sign of her "blowing up" like that.

When you say the rectal found nothing, it must have found SOMETHING. What I mean is, were there normal consistency poos within the bowel, or small/hard/pebbly ones (indicating they'd been in there for some time); how did the bowel feel (if it feels "doughy", it can at least show that there is some soft, relatively normal poo starting to form, rather than there being the hard pebbly stuff again).

I don't think you mention what colour her gums are. I'd really keep a close eye on that, and if they start to go dark red or purple, then you have an absolute emergency on your hands.

Hope she's much brighter this morning.

Sarah
 
That sounds like typical low grade colic to me. The old gypsy cure is to put the horse on a lunge and lunge it hard for half an hour. The modern equivalent is to put them in a lorry and drive them round fast for half an hour.

It doesn't sound like you have much to worry about. I hope the horse is perky for the vet tomorrow and tells her she's fine now but thanks for all the drugs :D
 
Is she insured, and/or is surgery an option? If so, I would have thought that it was worth asking for her to be referred to the nearest vet hospital for thorough investigation....... but that's just me as a horseowner. I do know that when we suspected one of my mares had peritonitis, she was in the trailer and at the hospital within an hour and a half of the first vet callout.

No, she's not insured, by owners choice. Vet also didn't recommend surgery/

You don't mention what her poos are like? I'd keep a really close eye on them - quantity, size, consistency? If she's not producing poos, then I'd not be wanting to encourage her to eat at all.

Her poos are very loose. She'd stopped all bowel movements from Friday night, but managed a couple over Saturday and some more today. She's naturally quite loose, but this is very runny.

With my mare who had a displacement colic, for two days before she showed any signs of colic I had noticed that she looked bigger than normal. I just thought I needed to work her more to stop her putting on more weight. It wasn't til the first vet said she was "very fat" (and I knew that only 2 days before I had weightaped her and photo'd her and had been thinking her weight was coming down nicely) that I started to realise that she had "blown up" with the colic. I'd always thought a distended abdomen would look a bit like a mare close to foaling (the bulge low and towards the back of the abdomen), but this was like the whole abdomen was inflated like a balloon. Since realised that is typical of colics as food ferments within the gut and doesn't move out like it would normally.

So I'd really watch out for any sign of her "blowing up" like that.

She's thankfully shown no signs of this.

When you say the rectal found nothing, it must have found SOMETHING. What I mean is, were there normal consistency poos within the bowel, or small/hard/pebbly ones (indicating they'd been in there for some time); how did the bowel feel (if it feels "doughy", it can at least show that there is some soft, relatively normal poo starting to form, rather than there being the hard pebbly stuff again).

Sorry, I meant nothing definitive. There were little droppings found Friday night. Saturday's rectal showed more droppings, again loose. Bowel felt slightly rigid according to vet.

I don't think you mention what colour her gums are. I'd really keep a close eye on that, and if they start to go dark red or purple, then you have an absolute emergency on your hands.

Gums normal pale pink colour. They were slightly tacky on Friday but back to normal Saturday

Hope she's much brighter this morning.

Thanks, hope I've covered everything, had very little sleep over weekend! Things like the insurance/surgery issue is the owners choice, in case anyone reads this and jumps on me...!

Sarah


General update - she's a lot perkier today! :) Not eaten much hay but had drunk half a bucket which had added electrolytes in.
Vet came again this morning, and took vitals. Pulse down to 38, resps normal at 8, normal temperature.
Gut sounds improving on left side, still quiet on right side.
She rescanned her abdomen, which showed nothing abnormal.
Then scanned both her lungs in case there was any free fluid. Again, normal.
We lunged her again this morning to stretch her legs which she had no objections too, and was lovely and forward.
Vet seemed happy with her, and suggested a couple of hours turnout. Gave her another IV Gentamicin and IM penicillin.
Gave us some Noradine and bute, which Meg is to have twice a day.
Vet is going to ring in the morning to check on progress.

Meg seems a lot happier today, more interested in what's going on and seems hungrier. Has eaten 2 bran mash feeds today. Vet suggested if she's still not keen on hay to increase feed to 3x a day to help. When she was out in field she did eat a bit of grass.

Still don't know what's been going on. All diagnostic tests have come up empty handed. We may need to chalk it up as 'one of those things'.
I'm very happy she's getting better but frustrated that we don't know what it is or what the cause is!

Will keep updating as and when. Unfortunately back at work tomorrow after having to take weekend off sick to look after her (much to the pleasure of my boss :o ) but only in til 2pm so will be racing back to yard!

@Soloequestrian - yes, I think this is a strong possibility this is what Meg had. it can't be a coincidence she improved after a good lunge!

Thanks for all the vibes and stories. It's very worrying when they're ill. Wish they could speak, think of all the saved vet fees and agony we'd save! xxx
 
UPDATE:

Vet came out again today. Heart rate was back up to 40, resps were quite high (blowing in stable). Still no temperature.
Changed her antibiotic to Oxytetracycline which she had IV this morning.
Did another abdo tap which revealed fluid that wasn't bloody any more, which suggests cross contamination the first time, but still watery and not viscous enough.

She took more bloods, cultures and will do a biochemistry panel to check the kidneys, liver etc.

We are just having to treat whatever this is blindly. We've got no real pointers as to what it is!

Meg seems slightly better in herself, doesn't look like she's in pain. Managing about half a net of haylage in a 24 hour period. Eating 2 bran mashes a day. Bought some Just Grass today and she seems to like that so am going to implement it into her feeding regime.

She's losing weight rather quickly though, and it is a worry. :( She is, and always has been, a 'larger' cob, but now her ribs are visible when moving. You can feel them but not see them when she's stood still.

Thanks for reading, helps for me to write it out on here so I can track! x
 
Forgive me if I've not read your post properly but, have you wormed her since October with either Equest or Panacur Equine guard (5 day course)? If not, it could be encysted redworm migrating. My friends horse has just had exactly the same thing. The vets said it's becoming very common again :(
 
Forgive me if I've not read your post properly but, have you wormed her since October with either Equest or Panacur Equine guard (5 day course)? If not, it could be encysted redworm migrating. My friends horse has just had exactly the same thing. The vets said it's becoming very common again :(

No, that's fine to ask! I'm forgetting everything atm (lack of sleep!).

She was wormed in December with Equest as we moved to a new yard :)

Vet did consider a worm burden and wormed her today with Pramox as a precautionary measure.
 
Was going to ask about the same thing as neddy nesbitt - I would have thought a faecal sample would hve been included in the tests. There have been a lagre number of cases of cyathostomes across the south this week and a December worming would still leave her open to poss infestation. Have had a few fairly similar cases to yours - but unfortunately without the finances to run the tests necessary. All responded to treatment for worm burden.
 
Was going to ask about the same thing as neddy nesbitt - I would have thought a faecal sample would hve been included in the tests. There have been a lagre number of cases of cyathostomes across the south this week and a December worming would still leave her open to poss infestation. Have had a few fairly similar cases to yours - but unfortunately without the finances to run the tests necessary. All responded to treatment for worm burden.

Will ask vet today about taking a faecal sample, thankyou :) x
 
Another quick update:

Bloods didn't reveal anything conclusive but a high level of albumin. It was low on the first set of bloods taken Saturday. WBC still slightly elevated.

Vet still unsure. She was considering a possible tumour obstructing the gut.

Vet then suggested a worm burden that has affected the gut, and failing that then possibly similar to IBS.
Gave her a wormer and a cortisol injection. She said if anything was to happen then the cortisol should work pretty quickly and we should see results.

Got a text off fellow livery this morning - Meg had eaten all her haylage! Considering she's not finished one net in just under a week of being poorly, I was ecstatic!
She seems a lot happier in herself, eating hard feed with no hesitation and practically dragged me when lunging this afternoon!

Hopefully this is the start to her road of recovery :)

She's to start a course of oral steroids from tomorrow night, Prednisolone.

Will update tomorrow/Sunday on how she's doing. Sorry if this post makes no sense, have been working and going to the yard non stop, and teamed with insomnia, makes me babble all kinds of nonsense! x
 
Meg seems much brighter again today. Ate a net of haylage which is still not much for her but anything is progress.

We are weigh taping her daily to keep track. She's currently at 504kg (prob wrong but not after the actual figure, just any fluctuation).

Vet left us the Prednisolone to take so she started that tonight and to continue until Monday morning where we'll reassess.

Things are looking up :)
 
Great news, keep us posted :)
Do you think it was the wormer that helped? Which wormer was it you gave?

Thankyou Foxy1. It was Equest Pramox. I think it was more the Cortisol than the wormer, but as they were given at the same time it's hard to tell. The vet said if it was the Cortisol she'd pick up pretty quickly, which she has. Still not 100% but getting there. :)

I have seen and heard about a reaction like this to injections??

She's not due her vaccs and had no recent injections but thanks for the suggestion! x
 
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