Right Dorsal Colitis & Long term Pain Management

abbijay

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I'm looking for others experiences of long term pain management in horses with gut issues.
Horse got diagnosed with a tear to his DDFT a couple of months ago as well as mild arthritic changes to 2 joints. We did the 8 weeks box rest and at the end of it started the journey to reintroduce turnout with a view to retiring him off to a field for at least a year, probably for good.
I kept him on bute (2 a day for roughly 3 months in a 775kg horse) at the vets recommendation.
His slight sheath swelling from the box rest got significantly worse and then we had ventral edema (swelling along the base of the tummy) and ended up being admitted to ICU at horsepital for a week to get him right.
He has been home a few days and we have put him out alone on a flat pasture for 6 hours a day. He is not running around (or even trotting off) but he has now become lame at walk. The vet has prescribed metacam (short term - we've paid £60 for a 5 day course) and is looking into previcox. Given how poorly he was a week ago I am really worried that this is not the best strategy.
Has anyone been through similar and got any words of wisdom? In my head we are facing a ridiculously uphill battle and I'm not sure it is fair or in the best interests of my best friend to go through with all this but equally I can't bare to do anything but give him a chance to get better.
(sorry for being a bit waffly, I guess this is much a matter of the heart as it is medical).
 
He has got a lot going on and for such a heavy horse it has to be more complex trying to allow the DDFT time to heal yet keep his guts happy, 8 weeks or so is not really enough to get the tendon healed so I am not surprised he is lame at this stage especially now he has started moving more, going through the recent stressful situation and having to change the meds.

No idea what else you can do other than to be guided by the vets and prepare yourself to make the hardest decision, which may be the kindest thing you can do, I think it is so much tougher for these big horses to recover and get a decent quality of life once things start going wrong.

I would probably put a time limit/ pain limit on and play it a bit day by day for now being guided by how he seems to an extent.
 
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