Ulcers/Neoplasia/Inflammatory Bowel Disease - Help!

lucy108

Member
Joined
5 September 2012
Messages
18
Visit site
So I have a 22 year old NZTB who over the past few months has had a pretty rough ride.

In April he was bouncing round Arena Eventing, getting placed and loving life. I was fully expecting a packed eventing season with him.

Our horses stay in for the majority of the time during the Winter and have always done, they go our probably max once a week for a leg stretch but get walkered, ridden, hand grazed/walked regularly and we do work really hard to get them out of their boxes at least three times a day. Both of my boys were content and as Spring landed we introduced gradual turn out back into their Summer fields (which aren't huge, lush fields but big enough and well maintained).

We were really careful to ease them back in gradually, almost hours at a time until we got them our over night and in during the day. As expected, we had loose droppings from both of them and they were both on Protexin Gut Balancer which is fantastic and really did help them, but it didn't seem to clear up for my little TB. I had noticed, even before they went back out, that he was a little quieter than usual and not quite as sharp as he used to be. I just put it down to him being a little fed up of being in and thought he'd perk up when he was turned out again. But he actually deteriorated quite quickly, went off his food and started to loose weight, along with a bout of diarrhea that wouldn't seem to leave.

I do not feel in any way this was linked to turning him out. As I said, he wasn't too chippa before he went out, but I could be wrong..

We had the vet out who took bloods and said his protein levels were slightly lower than expected. We then took him to Donnington Equine Hospital where they did a glucose absorption test, rectal exam, gastroscope and scan of his stomach as well as few other bits and pieces.

The results came back as G4 ulcers in the lesser curvature, G2 in his stomach and ulceration in the hind gut, inflammation of the small, large intestine and bowel, presence of blood and protein in his droppings as well as a glucose absorption rate of 47% - should be 70%+. The vets think he has either Inflammatory Bowel Disease or a Neoplastic growth in his hind gut but can't determine this without taking surgical biopsies which would involve GA and a huge vet bill so that is a no go route for us.

He was sent home on Gastroguard for 4 weeks, Sulcrafate, BioSponge and Succeed Digestive Conditioning Supplement. We have implemented everything under the sun - increased his turnout, reduced anything we felt was causing him stress, been religious with the timings of medication etc. We also tried herbal remedies and even natural yoghurt. He seemed a litter perkier but the constant diarrhea just continued and got worse. After two weeks, in agreement with two vets, I started him on a 10 day course of Equisolon which they sort of said was our last type of medication to try before more investigative work - I know it is far than ideal to be treating a horse with severe ulcers on steroids, however, he was dropping weight at a rate of knots because of the diarrhea and we were left with little choice.

We are on day 6 of the steroid treatment and the diarrhea is no better and he doesn't seem any perkier than when he was on his original medication plan. I understand it will take a while for his gut to return to normal and get that good bacteria back, however, I was hoping for some improvement.

Has anyone had anything like this before? I'm at my wits end and running out of money. I just want him to be happy and comfortable again - I don't feel like he is 100% there at the moment.

Any stories are welcomed - regardless out outcome.


*When I talk about Diarrhea - I am talking about extreme - basically passing water. Covering him and his stable every day....up the walls, in his water....everywhere. He is white and I come down to a half brown/half white horse everyday.
 
Last edited:
Sadly the two I know with diarrhoea that bad were both PTS. One had tumours - but they were spotted on the scope - and the other historic red worm damage.

Have you tried protexin quick fix - a whole tube - it gets on top of diarrhoea really well. They say 10ml, but having shoved a whole tube down my mare last year when she suffered stomach inflammation I can recommend going all out. She reacted badly to a minor procedure under sedation in 30 degree heat and also ended up on steroids. It took a long time for her to bounce back fully, but quick fix is my go-to now.
 
So I have a 22 year old NZTB who over the past few months has had a pretty rough ride.

In April he was bouncing round Arena Eventing, getting placed and loving life. I was fully expecting a packed eventing season with him.

Our horses stay in for the majority of the time during the Winter and have always done, they go our probably max once a week for a leg stretch but get walkered, ridden, hand grazed/walked regularly and we do work really hard to get them out of their boxes at least three times a day. Both of my boys were content and as Spring landed we introduced gradual turn out back into their Summer fields (which aren't huge, lush fields but big enough and well maintained).

We were really careful to ease them back in gradually, almost hours at a time until we got them our over night and in during the day. As expected, we had loose droppings from both of them and they were both on Protexin Gut Balancer which is fantastic and really did help them, but it didn't seem to clear up for my little TB. I had noticed, even before they went back out, that he was a little quieter than usual and not quite as sharp as he used to be. I just put it down to him being a little fed up of being in and thought he'd perk up when he was turned out again. But he actually deteriorated quite quickly, went off his food and started to loose weight, along with a bout of diarrhea that wouldn't seem to leave.

I do not feel in any way this was linked to turning him out. As I said, he wasn't too chippa before he went out, but I could be wrong..

We had the vet out who took bloods and said his protein levels were slightly lower than expected. We then took him to Donnington Equine Hospital where they did a glucose absorption test, rectal exam, gastroscope and scan of his stomach as well as few other bits and pieces.

The results came back as G4 ulcers in the lesser curvature, G2 in his stomach and ulceration in the hind gut, inflammation of the small, large intestine and bowel, presence of blood and protein in his droppings as well as a glucose absorption rate of 47% - should be 70%+. The vets think he has either Inflammatory Bowel Disease or a Neoplastic growth in his hind gut but can't determine this without taking surgical biopsies which would involve GA and a huge vet bill so that is a no go route for us.

He was sent home on Gastroguard for 4 weeks, Sulcrafate, BioSponge and Succeed Digestive Conditioning Supplement. We have implemented everything under the sun - increased his turnout, reduced anything we felt was causing him stress, been religious with the timings of medication etc. We also tried herbal remedies and even natural yoghurt. He seemed a litter perkier but the constant diarrhea just continued and got worse. After two weeks, in agreement with two vets, I started him on a 10 day course of Equisolon which they sort of said was our last type of medication to try before more investigative work - I know it is far than ideal to be treating a horse with severe ulcers on steroids, however, he was dropping weight at a rate of knots because of the diarrhea and we were left with little choice.

We are on day 6 of the steroid treatment and the diarrhea is no better and he doesn't seem any perkier than when he was on his original medication plan. I understand it will take a while for his gut to return to normal and get that good bacteria back, however, I was hoping for some improvement.

Has anyone had anything like this before? I'm at my wits end and running out of money. I just want him to be happy and comfortable again - I don't feel like he is 100% there at the moment.

Any stories are welcomed - regardless out outcome.


*When I talk about Diarrhea - I am talking about extreme - basically passing water. Covering him and his stable every day....up the walls, in his water....everywhere. He is white and I come down to a half brown/half white horse everyday.

I did a random blood test at the end of last year for my ponies liver and the fact she kept coliking at least once a month and the last one was really bad. The Test showed low albumin, the vets did not know why they were low 26 they were and should be over 30. We carried on and retest a month later, tests showed they had dropped further 25 and odemas near her boobies.. This time they suggested having a scope for ulcers etc, test showed thicking of the small intestine Andy Durham confirmed IBD - told me to change her diet immediately from Fibergy nuts and supplements carrots etc. To 1 scoop ready grass - 1 measure Equivite and 50 ml of lindseed oil. Changed her onto Timothy haylage.

was warned about weight loss and deteriorating

NO treats No carrots nothing but what he said.

The colick was linked to the IBD as so much thickning - that the passage was narrow and eating her meal blocked her so went down to tiny meals tiny haylage.

Next test they had increase to 27 woopie.

unfortunately the following test showed dropped to 22 really low - nothing changed till my livery saw her eating the ivy by the gate. Isolated it off - carried on the same diet.

Recent test showed gone up to 32 :D her last colic was July last year still has the odemas and she is now over weight. Coming back into work as she was off with a cough.


IBD is a killer and you need to get the bloods up - speak to your vet about my ponies diet from http://hallplaceequine.co.uk/doctors/andy-durham-liphook/ the best in his field with.
That diet has saved my pony

In your shoes I would try get http://hallplaceequine.co.uk/doctors/andy-durham-liphook/ to view the pictures your vet took as mine also said they did not know if it was ulcers or IBD - Andy Confirmed IBD. Yes it cost me a shared visit but £ 350 well spent but would have had a solo visit if needs be to save my pony. Not feed all this stuff like protexing till you have a confirmed diagnoses, I was told no protexin with my pony the Equivite gave her minerals and the oil kept her protein and the grass a natural diet.
 
Last edited:
O nearly lost my horse last year to ibd plus ulcers that didn’t respond to treatment and bleeding into his abdomen he went on steroids along with a lot of other drugs but it was the steroids only that picked him up , he is now
On hay ad lib all
The time no haylage : turnout as much as possible , ulcerkidm vunes highfinre mash and top spec joint no carrots ect fibre nuggets as a treat
 
Sounds like his gut flora is out of kilter, which protexin should fix. Also worth considering boswellia, soothes the gut and firms droppings. This is the one I buy, others are available!
https://www.amazon.co.uk/Boswellia-...d=1529790960&sr=8-2&keywords=boswellia+horses

It also Sounds Like Inflammatory Bowel disease, given the results with
he results came back as G4 ulcers in the lesser curvature, G2 in his stomach and ulceration in the hind gut, inflammation of the small, large intestine and bowel, presence of blood and protein in his droppings as well as a glucose absorption rate of 47% - should be 70%+. The vets think he has either Inflammatory Bowel Disease or a Neoplastic growth in his hind gut but can't determine this without taking surgical biopsies which would involve GA and a huge vet bill so that is a no go route for us.

Which I have spent the last year trying to get mine down to a safe level and Protexin was a definite no no for IBD


Mine started with colic nearly a monthly bases
Odemas
Lethargy
inflammation of the small intestine - to the point it was so thickened it caused more and more colic episodes
Gastroscope
Biopsy
ultrasound

Was warned that diarrhoea and weight loss was the next stage if i did not act.


OP https://www.msdvetmanual.com/digest...nd-foals/inflammatory-bowel-disease-in-horses
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775604/


I would speak to your vet OP I am surprised they are treating your horse with ulcer treatment when they have not a actual clinical conclusion. I would get a second opinion from another vet as if it is IBD you need to be careful what you feed him.
 
Forgot to say if her bloods had not improved by the 3 blood test or carried on dropping they were going to put her on steroids but they wanted to see if the complete diet changed helped as it was the last resort, and thankfully it worked.
 
Top