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			YOUR HORSE AND COLIC! YOUR HORSE AND COLIC! Feb 12, 2005
 
 OWNERS, BEWARE. THE NUMBER ONE KILLER OF HORSES IS COLIC!
 But colic is not a disease. Rather it is a combination of
 signs that alert us to abdominal pain in the horse.
 
 Colic can range from mild to severe, but it should never be
 ignored. That's because many of the conditions that cause
 colic can become life-threatening in a relatively short
 period of time.
 
 Only by quickly and accurately recognizing colic -- and
 seeking qualified veterinary help -- can the chance for
 recovery be maximized.
 
 RECOGNIZING COLIC
 
 A major problem for you as a horse owner is identifying the
 signs of colic. That's because signs can vary greatly
 between individuals and may also depend on the severity of
 the pain. However, among the more common signs are:
 
 Turning the head toward the flank
 Pawing
 Kicking or biting at the abdomen
 Stretching out as if to urinate without doing so
 Repeatedly lying down and getting up or attempting to do so
 
 Rolling, especially violent rolling
 Sitting in a dog-like position, or lying on the back
 Lack of appetite (anorexia)
 Putting head down to water without drinking
 Lack of bowel movements, as evidenced by the small number
 of manure piles
 Absence of, or reduced, digestive sounds
 Sweating
 Rapid respiration and/or flared nostrils
 Elevated pulse rate (greater than 52 beats per minute)
 Depression
 Lip curling (Flehmen response)
 Cool extremities
 TAKING IMMEDIATE ACTION
 
 Time is perhaps the most critical factor if colic is to be
 successfully treated. While a number of cases resolve
 without medical intervention, a significant percentage do
 require prompt medical care, including emergency surgery.
 If you suspect your horse is suffering from colic, the
 following action plan is suggested:
 
 1. Remove all food and water.
 
 2. Notify your veterinarian immediately.
 
 3. Be prepared to provide the following specific
 information:
 
 Pulse rate
 Respiratory rate (breathing)
 Rectal temperature
 Color of mucous membranes
 Capillary refill time (tested by pressing on gums adjacent
 to teeth, releasing, then counting the seconds it takes for
 color to return)
 Behavioral signs, such as pawing, kicking, rolling,
 depression, etc.
 Digestive noises, or lack of them
 Bowel movements, including color, consistency and frequency
 
 Any recent changes in management, feeding, or exercise
 Medical history, including deworming and any past episodes
 of abdominal pain
 Breeding history and pregnancy status if the patient is a
 mare, and recent breeding history if the patient is a
 stallion
 Insurance status and value of the horse (NOTE: The
 insurance carrier should be notified if surgery or
 euthanasia is being considered).
 
 4. Keep horse as calm and comfortable as possible. Allow
 the animal to lie down if it appears to be resting and is
 not at risk of injury.
 
 5. If the horse is rolling or behaving violently, attempt
 to walk the horse slowly.
 
 6. Do not administer drugs unless specifically directed to
 do so by your equine practitioner. Drugs may camouflage
 problems and interfere with accurate diagnosis.
 
 7. Follow your veterinarian's advice exactly and await his
 or her arrival.
 
 
 DIAGNOSING THE CAUSE
 
 Your equine practitioner will establish the severity of the
 colic and identify its cause. His or her examination and/or
 treatment may include the following procedures:
 
 Observation of such signs as sweating, abdominal distension
 (bloating), rapid breathing, flared nostrils, and abnormal
 behavior
 Obtaining an accurate history
 Passage of a stomach tube to determine presence of excess
 gas, fluids, and ingesta
 Monitoring vital signs, including temperature, pulse,
 respiration (TPR), color of the mucous membranes, and
 capillary refill time
 Rectal palpation for evidence of intestinal blockage,
 distension, or other abnormalities
 Blood test for white cell count and other data
 Abdominal tap in order to evaluate protein level and cell
 type in the peritoneal fluid
 Analgesics or sedatives to relieve pain and distress
 
 Laxatives to help reestablish normal intestinal function
 Continued observation to determine response to treatment
 Transport
 Surgery
 
 CLASSIFYING COLIC
 
 The exact steps your veterinarian will follow will depend
 on his or her findings. For example, some colics can only
 be resolved through surgery. Even though there are myriad
 causes, most colics fall into one of three groups:
 
 I. Intestinal Dysfunction. This is the most common category
 and simply means that the horse's bowels are not working
 properly. It includes such things as gas distention,
 impaction, spasms, and paralysis.
 
 II. Intestinal Accidents. These occur less frequently, and
 include displacements, torsions, and hernias, whereby
 sections of the intestine become trapped or pinched in body
 cavities. Some horses seem anatomically predisposed to such
 problems. Intestinal accidents almost always require
 emergency surgery.
 
 III. Enteritis or Ulcerations. These are colics related to
 inflammations, infections, and lesions within the digestive
 tract. They can be caused by numerous factors, including
 stress, disease, salmonellosis, and parasites.
 
 PREVENTING COLIC
 
 While horses seem predisposed to colic due to the anatomy
 and function of their digestive tracts, management can play
 a key role in prevention. Although not every case is
 avoidable, the following guidelines can maximize the
 horse's health and reduce the risk of colic:
 
 Establish a set daily routine -- including feeding and
 exercise schedules -- and stick to it.
 
 Feed a high quality diet comprised primarily of roughage.
 Avoid feeding excessive grain and energy-dense supplements.
 (At least half the horse's energy requirement should be
 supplied through hay or forage. A better guide is that
 twice as much energy should be supplied from a roughage
 source than from concentrates.)
 
 Divide daily concentrate rations into two or more smaller
 feedings rather than one large one to avoid overloading the
 horse's digestive tract. Hay is best fed free-choice.
 Set up a regular parasite control program with the help of
 your equine practitioner. Utilize fecal samples to
 determine its effectiveness.
 
 Provide exercise and/or turnout on a daily basis.
 Change the intensity/duration of an exercise regimen
 gradually.
 
 Provide fresh, clean water at all times. (The only
 exception is when the horse is excessively hot. Then it
 should be given small sips of lukewarm water until it has
 recovered.)
 
 Avoid medications unless they are prescribed by your equine
 practitioner, especially pain-relief drugs (analgesics),
 which can cause ulcers.
 
 Check hay, bedding, pasture, and environment for
 potentially toxic substances, such as blister beetles,
 noxious weeds, and other ingestible foreign matter.
 
 Avoid putting feed on the ground, especially in sandy
 soils.
 
 Make dietary and other management changes as gradually as
 possible.
 
 Reduce stress. Horses experiencing changes in environment
 or workloads are at high risk of intestinal dysfunction.
 Pay special attention to animals when transporting them or
 changing their surroundings, such as at shows.
 
 Observe foaling mares pre- and postpartum for any signs of
 colic. Also watch carefully any horses who have had a
 previous bout with colic. They may be at greater risk.
 Maintain accurate records of management, feeding practices,
 and health.
 
 SUMMARY
 
 Virtually any horse is susceptible to colic. Age, sex, and
 breed differences in susceptibility seem to be relatively
 minor. The type of colic seen appears to relate to
 geographic or regional differences, probably due to
 environmental factors such as sandy soil or climatic
 stress.
 
 Importantly, what this tells us is that, with conscientious
 care and management, we have the potential to reduce and
 control colic, the number one killer of horses.
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