Horse Health

Euthanasia

Euthanasia

Euthanasia

Euthanasia is a way of providing a quick and painless death for your horse to avoid unnecessary suffering.  It is never an easy decision to make but this post will provide you with some basic information regarding the whole process.

Reasons for Euthanaisa

  1. A horse is elderly and can no longer maintain a good quality of life
  2. A horse is suffering due to a incurable condition
  3. A horse has become a danger to people, itself or other animals

Location

Familiar surroundings will cause the least stress for your horse but vehicle access is vital so they can be taken away after the procedure.

Do you need to be there?

If you are able to stay calm, your presence will often help to relax your horse. However if you do not wish to be there you may have someone there to help in place of you. We advise you are not present while your horse is being loaded to be taken away following euthanasia.

Insurance

If the situation permits, you should discuss the claim with your insurance company.  They will usually require a veterinary certificate regarding your horse and the reason for euthanasia. They may also request a post-mortem examination.

The Euthanasia Procedure by Lethal Injection

Your horse will be given a large overdose of anaesthetic via intravenous injection. This will cause them to lose consciousness and collapse.  Different veterinarians have slightly different methods of administering the anaesthetic, some prefer to place an intravenous catheter to facilitate drug administration whereas some give the anaesthetic through a needle.  Some may sedate your horse prior to euthanasia where some may not.  The heart can take a few minutes to stop and a few deep breaths may be noticed, however your horse will be completely anaesthetised and unaware during this time.

Disposal

The disposal options available are affected by the health of your horse at euthanasia and the method chosen

Cremation

This is the most frequently used option. It is available in all situations and you may request to have the ashes returned to you if you wish at further cost.

Hunt Kennels

The hunt kennels will collect your horse but it must be fit for consumption by the hounds. This option is not available after lethal injection or if your horse suffered from certain diseases.

Burial

Burial on your own land is an option but you will need to check the current regulations with the Environment Agency and DEFRA prior to burial.

 

Euthanasia Read More »

Equine metabolic syndrome

Equine Metabolic Syndrome

What is Equine Metabolic Syndrome

Equine metabolic syndrome can be defined as a collection of risk factors that are associated with an increased susceptibility to laminitis. Characteristically these are obesity, patchy accumulation of fat, laminitis and insulin resistance.

Diagnosis of Insulin resistance is difficult because insulin levels are affected by a huge number of factors including diet, exercise, pain, stress, illness or Cushings. The gold standard method is not practical for regular use but there are a number of other methods available.  The most commonly used for practical reasons is a single blood sample taken after an overnight fast to test for high resting insulin (Resting hyperinsulinaemia).

However, a normal or low resting insulin does not necessarily rule out insulin resistance.  If a horse is displaying a number of other signs of EMS a glucose challenge test can be performed. A measured amount of glucose is fed following a 12 hour fast and a blood sample is taken 2 hours later.  Horses with IR are likely to have an excessively high insulin level and/or a delayed return to normal blood glucose levels.

If EMS is identified in your horse it is very manageable with dietry changes with or without the addition of medicines such as levothyroxine sodium or metformin to increase insulin sensitivity.

The goals of treatment and management are:

  • Induce weight loss in obese horses
  • Improve insulin sensitivity through weight loss, diet and exercise
  • Avoid dietary triggers for laminitis

Equine Metabolic Syndrome Read More »

Diagnosing Lameness

Diagnosing Lameness

All cases of lames are different but this post gives a general breakdown of some of the steps that may go into a lameness workup.

  1. Review of Medical History

Your vet will ask you questions about your horse and gather any information they may feel is relevant to the current situation.

  1. Visual Examination at Rest

By visually examining your horse at rest your vet can note its conformation, balance, weight-bearing and look for any signs of injury.

  1. Examination in Motion

Your vet may wish to see your horse in motion.  It may be required to be seen moving in a straight line, in circles, in hand or on the lunge. Occasionally your vet may also request to see your horse under saddle to get a more compete view of the presenting lameness.

  1. Hands on Exam

Your vet will palpate your horse, checking joints, bones, muscles, tendons and ligaments for any signs of injury or abnormality.

  1. Application of Hoof Testers

This piece of equipment allows your vet to apply pressure to areas of the foot to look for abnormal sensitivity or pain.

  1. Flexion Tests

Your vet will hold a leg in a flexed position for a period of time before evaluating your horse in motion once more. Your horses’ response to flexion tests can help identify the cause of the lameness.

  1. Nerve and Joint Blocks

Local anaesthetic can be injected into joints or around nerves to numb certain areas.  Blocking is a very useful diagnostic technique for identifying the location of a lameness.

  1. Imaging

Imaging is a further step towards identifying the cause of lameness. There are two main imaging techniques that can be brought to your horse, x-ray for bony structures and ultrasound for soft tissues. Other methods such as MRI, CT and scintigraphy are available but often require sending your horse to a hospital facility.

We offer state of the art digital x-rays which can be viewed instantly on a computer beside your horse and diagnostic ultrasound.

Diagnosing Lameness Read More »

Chronic grass sickness

Colic

Colic

Most horses will suffer from colic at some point in their lives. There are a huge number of possible causes for colic and they vary greatly in severity however they can all share similar symptoms.  It is very important that you are able to recognise the signs of colic so your horse can receive the appropriate medical care as soon as possible.

What is colic?

Colic itself is not a disease but is a term used to describe abdominal (belly) pain in horses.

Signs of mild colic

  • Pawing or scraping the ground.
  • Turning the head to look at the abdomen (‘flank watching’).
  • Kicking or biting at the abdomen.
  • Stretching out as if needing to urinate.
  • Restlessness – getting up and down frequently

Signs of severe colic

  • Rolling
  • Lying on its back.
  • Recumbencey (unable to stand)
  • Increased respiration rate
  • Increased heart rate
  • Red/purple colour of mucous membranes (gums and eyes)

What causes colic?

There are many causes of colic and it is often impossible to pinpoint the exact cause. However, there are a few risk factors:

  • Change in diet
  • Change in management
  • Change in exercise
  • Heavy worm burden

What should I do if I think my horse has colic?

  • Remove any feed from your horse and contact us for advice.
  • If you are able to, take your horses temperature, heart rate and respiration rate.
  • If your horse is rolling, keep your distance and stay away from harm. When possible remove any objects that may injure your horse while rolling.
  • If the colic is mild and your horse is calm it is acceptable for them to lay down quietly in their stable.
  • In some cases hand walking your horse may ease mild colic signs and reduce their urge to roll.
  • Your horse may become more violent and distressed, desperately wanting to go down and roll. In this case it may be safer for you and them to let them roll in a well bedded stable than it would be for them to go down while walking in the yard.
  • Do not give your horse any medication unless instructed to by your vet. Some drugs, particularly finadyne, can mask colic signs and prevent an accurate diagnosis.

Colic Read More »

Green tree

EQUINE ATYPICAL MYOPATHY

EQUINE ATYPICAL MYOPATHY

Equine atypical myopathy (EAM) is a serious potentially life threatening condition caused by eating Sycamore seeds or possibly leaves. Incidences tend to occur in autumn and in the spring following large autumnal outbreaks. Horses that develop EAM are usually kept on sparse pastures with an accumulation of dead leaves or wood present. There is often no supplementary feeding with hay or hard feed. Outbreaks frequently occur following a period of wet, windy or cold weather coinciding with when large numbers of seeds are falling. The amount of toxin within the seed is variable although the levels are thought to increase during the autumn months. It isn’t known how many seeds need to be eaten for a horse to become sick. It is likely that some horses are more susceptible than others, young horses and foals seem to be particularly susceptible. The disease results in muscle damage, affecting the muscles which enable a horse to stand, breathing muscles and the heart muscle. Due to the muscle damage, urine of affected horses becomes a dark red colour due to excretion of pigment from the affected muscles.

What are the signs?

Early signs of the disease include lethargy, dullness or mild weakness. These signs usually progress quickly to stiffness, muscle tremors, extreme weakness and increased periods of lying down. In severe cases the horse may be found lying down and unable to stand. Owners may be concerned their horse has colic. Some horses may be found standing rooted to the spot, with a low head carriage, vocalising (whinnying) and head nodding. If you suspect your horse has atypical myopathy phone the practice as a matter of urgency.

Diagnosis

The physical examination and grazing history will often give a strong index of suspicion for the disease. A urine sample can be obtained and visually confirms ‘dark red urine’, laboratory testing can confirm the presence of muscle protein in the urine. Diagnosis can be confirmed by checking the blood to test and measure the muscle enzymes. Kidney parameters may also be elevated. If one horse is suspected to be showing signs of EAM the remaining field companions should be removed from the pasture, examined and the blood tested for early signs of the disease.

Treatment

Horses treated for EAM require intensive 24/7 nursing care including intravenous fluid therapy to restore circulation and protect the kidneys from the damaging effects of the muscle protein.  EAM cases are often very painful and therefore require painkillers and supplementary vitamins and minerals may also be beneficial. Cases may get worse before they get better so if transport of the horse is possible early referral to a hospital is usually advisable. Those horses that do recover usually make a full recovery and return to work with no-long term effects of the disease.

Prevention

The Sycamore seeds and to come extent the leaves are the only known source of the toxin although other sources may be elsewhere. Fence off any Sycamore trees or areas where seeds have fallen. Cases of EAM that arise in the spring are thought to be associated with ingestion of the seedlings therefore where possible remove seeds from the pasture. Supplementary feeding with hay or haylage will discourage horses from eating the seeds. Turning horses out for shorter periods of time where possible.

Due to the variability of the toxin levels in the seeds and to a lesser extent the leaves, cases of EAM have been seen in horses that may have grazed the same pasture previously with no signs of the disease. The introduction of a new herd mate may result in the new herd mate becoming affected despite other horses having shown no signs of the disease. Therefore it is always worth following the prevention steps above to avoid cases of EAM.

Phoebe Parker BVetmed MRCVS

EQUINE ATYPICAL MYOPATHY Read More »

Equine Respiratory Endoscopy & Gastroscopy

Castration

WHY?

Colts are generally castrated for ease of management. The main concern in any scenario is the risk of unwanted coverings, resulting in the pregnancy of young mares, or competition horses not intend for breeding at that time. Most intact colts are difficult to keep in company with other mares, geldings or stallions, especially as they get older and the male hormones increase. They can become difficult to handle, and in some cases become dangerous to handlers and other horses around them. Occasionally some of these dangerous traits do not all disappear after castration, as they become learned, so we often encourage castration before these behaviours are learned, to reduce the risk of them remaining.

People often worry about the loss of breeding potential, should their horse turn out to be a high achiever. In most cases I believe the horse would have never achieved such high achievements if remaining intact, and being constantly distracted by the sights and smells of other horses around them.

HOW?

At Shotter and Byers we aim to perform as many castrations standing, under heavy sedation and local anaesthetic as possible. This method reduces the cost, the time taken and the risk of a general anaesthetic to the horse. The other method, under a general anaesthetic is useful in very small ponies where simply getting in under the abdomen while the pony is standing is impossible, or where a very fractious horse means standing sedation remains too dangerous for the surgeon. There are many factors to consider when making this choice, and they are best discussed with one of our vets when they arrive at the castration.

WHAT AGE?

A colt can be castrated at any age, as long as both testicles are descended sufficiently. There is a body of opinion that castration should be left as late as possible, in order to allow the horse to ‘mature’. However there is no evidence that foals left entire develop any differently from those castrated early. Indeed, on the continent it is common place for colt foals unsuitable to be kept for breeding purposes to be castrated when still suckling from the mare. There is evidence to suggest that those foals castrated at such a young age recover from the operation faster and with fewer complications than their older counterparts.

WHEN?

Colts can be castrated at any time of year; however they should ideally be castrated either in the spring or autumn, in order to avoid the flies and heat of the summer and the deep mud of winter, both of which can increase the risk of post-operative complications. We like to organise castrations for the morning time if possible, so the horse can wake up and be monitored through the afternoon, and any required checks or follow-ups can be done by the vet during normal hours.

PREPARATION

If possible, and if safe to do so, it is best to visualise, if not indeed feel two testicles in the scrotum, before booking castration, so as to confirm the surgery is possible. All our vets will do this before being the procedure anyway, but it is best to check in advance. On the day of the procedure we prefer a well-lit, dry and clean straw bedded quiet stable if possible. This is because shavings, sawdust or chopped straw all makes its way into a wound easier, and is best avoided if possible. Castration can be performed outside in a yard or a field if necessary. The only other things the vet will want are a bucket of warm clean water, and a competent handler for the horse.

AFTERCARE

Most horses will be turned out in a small paddock soon after surgery, depending on the size and age of the horse. The vet will confirm the plan at the time of castration. Complete box rest is not encouraged, as exercise will promote drainage and minimise swelling at the surgical site. The colt may be prescribed a short course of antibiotics and painkillers following surgery. It is best if your colt has received its primary course of tetanus vaccinations at least four weeks before the procedure, but if not, let the attending vet know, and tetanus anti-toxin will be given at the time of surgery. The surgical site will need to be inspected on a daily basis for rapid detection of any possible complications. If there are no post-operative complications the incisions should be completely healed within ten days.

A small amount of blood dripping from the wound in the first twenty-four hours after castration is normal, but if it ever exceeds a fast drip, please ring Shotter and Byer Practice, or the castrating vet immediately. A small amount of swelling after the procedure is also normal, the scrotum may return to the size it was pre-surgery for a few days, but this is normal, and will reduce over a few days if exercise levels are maintained. If swollen more than this, or anything is seen hanging from the incision site, please feel free to contact the vet direct, or please send a picture through to the vet for further advice.

Colt can remain fertile for up to two months after being gelded, so should not be turned out with mares for at least two months following castration.

If you are considering castrating a colt, please feel free to ring our practice, or one of our vets direct to discuss logistics, and costings in advance. We can get it organised and booked in to suit you.

 

Castration Read More »

fran accupuncture

Acupuncture

EQUINE ACUPUNCTURE

Shotter & Byers believes in the use of combined modern Western medicine and Acupunture as a traditional Chinese medicine therapy in the purpose of restoring or mantaining your horse wellbeing and health.

Francisco `Fran´ Tirado has trained in Veterinary Acupuncture since 2013 when he completed the ABVA (Association of British Veterinary Acupuncuture) foundation course and he has also completed the IVAS (International Veterinary Acupuncture Society) Certification course. He is currently a member of the ABVA.

What is Acupuncture?

Acupuncture may be defined as the insertion of needles into specific points on the body to produce a healing response. Each acupuncture point has specific actions when stimulated. This technique has been used in veterinary practice in China for three thousands years to treat many conditions. The Chinese also use acupuncture as preventative medicine.

Traditional Chinese Medicine (TCM) supports the body’s ability to heal and rebalance itself.

In western terms, scientific research has proven the merits of acupuncture for pain relief, anti-inflammatory effects, reproductive and hormonal regulation and gastrointestinal disturbances among many other effects.

What conditions can acupuncture be used for?

Most commonly acupuncture is used for enhancing performance in competition horses.

  • It is an excellent drug-free modality for relieving musculoskeletal pain:
  • Neck and Back pain
  • Sacroiliac pain
  • Myofascial pain syndrome
  • Arthritis
  • Laminitis
  • Navicular disease

Acupuncture can also be very effective for:

  •  Gastrointestinal problems (chronic diarrhoea, frequent spasmodic colics, weight     loss, inappetance).
  •  Hormone/metabolic disease
  •  Behavioral issues
  •  Respiratory problems like heaves (COPD/RAO)
  •  Head-shaking

What does the treatment look like?

The first examination and treatment can take from 45 to 90 minutes and sometimes will include an assesment at walk, trot and canter. Initially a full history will be taken, then a complete inspection of the horse including a careful palpation of diagnostic acupuncture points, examination of the tongue and pulse will take place.

After this, a diagnosis is stablished and an according strategic treatment planned.

Then, very small fine needles are placed in specific points.

Sometimes the needle can be heated with a herb called moxa (Moxibustion) or a small volume of vitamin B12 and blood or homeopathic remedies can be injected on the acupuncture points.

Most horses will accept acupunture treatment very well. Some animals will become sleepy or lethargic for a few hours post treatment. That is why we recommend to exercise the horse before the treatment and resume work on the next day.

The length and frequency of acupuncture treatments depends on the condition of the patient and the method of stimulation that is used by the veterinary acupuncturist. Usually an acute condition may require only one or two treatments, while a chronic condition may require a series of treatments over a period of 4-6 weeks.

It is not uncommon for owners to notice an immediate improvement in their animal. However, more often than not, acupuncture needs to be performed several times over the course of a few weeks in order attain the maximal benefit. At that point, your horse may need monthly or quarterly treatments or he may never need an acupuncture treatment again.

Can I combine Acupuncture with a regular visit?

Acupuncture can be combined with a regular visit, but preferably not with one that will require sedation or the use os steroids as this will decrease its efficacy.

What does it cost?

The initial session costs  £84   (incl. VAT).

Follow up sessions costs £54   (incl. VAT).

Acupuncture stimulates the body’s own healing processes.

Fran Tirado BVSc MRCVS

Acupuncture Read More »