Date   

Re: Senior Gelding Diagnosed with cushings and having bladder issues

Eleanor Kellon, VMD
 

The Balance Cubes are high calcium too.

The problem is most species regulate calcium absorption. Horses do not, absorbing as much as they can then excreting in the excess in urine which creates the "sludge" in the bladder.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Questions About Bloodwork Scheduled Next Week

Tiffany
 

Thanks everyone! I heard from my vet this morning and they found the TRH thankfully but he didn't say where they sourced it. With regard to the hay -- he is on a dry lot with his herd and they have a round bale enclosed in a "slow feeder." Its not your typical slow feeder (the squares are not small), but the stable is trying and I appreciate that. Removing him from the hay/herd may create some stress which would skew the results. Its supposed to be cool, gusty winds, and maybe even rainy that day too. I thought hay was ok, just not his ration balancer or outlast. Did I miss something? Will this still interfere with the IR aspect of testing?
--
Tiffany
Lincoln County, MO
April 2020
Hollywood Case History: https://ecir.groups.io/g/CaseHistory/files/Tiffany%20and%20Hollywood
Hollywood Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=245376


Re: Cavalor Fiber Force Availability

ferne fedeli
 

Someone from Cavalor actually called me on the phone this morning and said that yes they were experiencing shortages and hoped to be back on schedule within the month.  They now are gearing up to producing it in the US and are still getting some shipments from Europe.  Their first shipments will be going out this week, although not enough product yet to fill all orders.  Hope we can all get what we need soon!
--

Ferne Fedeli  Magic & Jack   2007

No. California
Case History

 

 


Re: Senior Gelding Diagnosed with cushings and having bladder issues

Sherry Morse
 

Hi Jess,

Until you get his hay tested you may want to consider using Timothy Balance Cubes which are distributed by Triple Crown in the US as Naturals Timothy Balance Cubes (https://www.triplecrownfeed.com/products/timothy-balance-cubes/).  These have a guaranteed analysis and can be used in place of hay.  It's difficult to answer your other questions without having the case history information so I look forward to seeing that once you get it completed.




Re: Donkey with Cushings and isn't shedding coat while on Prascend and ACTH is controlled

Eleanor Kellon, VMD
 

Leah,

You get a free balancing with your course enrollment so send me the analyses of the hay and straw. Is she still in a stall with her daughter? Does she get her share of the hay? Have you dewormed her recently? Does she get regular Ca Trace or the Plus?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Senior Gelding Diagnosed with cushings and having bladder issues

Eleanor Kellon, VMD
 

Do you mean he needs to gain weight?  Many PPID/Cushing's horses have insulin resistance which makes grain dangerous. You need to check insulin before feeding grain. All commercial grain mixes and balancers have way too much calcium for him. So does beet pulp. Get the hay and insulin tested, send to me at kellon "at" uckele.com and I'll figure out a diet for you.  In the meantime, get him some TC Naturals Golden Ground Flax and you can feed up to 1 lb/day.  See if you can locate some grass hay pellets.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: yearly xrays

nikkibob1994@...
 

Thank you Dr. Kellon. I will see about getting everything back up...
--
Nikkibob
Wisconsin, Sept 2018
https://ecir.groups.io/g/CaseHistory/files/Nikki%20and%20Darby 
https://ecir.groups.io/g/CaseHistory/album?id=77396


Donkey with Cushings and isn't shedding coat while on Prascend and ACTH is controlled

Leah Bartel
 

Blossom is a standard donkey and was diagnosed with Cushings December of 2019. She had an ACTH level of 51 pg/mL with the normal range being 9-35 pg/mL. She started on a half tablet of Prascend and then we upped her dose to 1 tablet in the middle of March. She still has not shed out her winter coat, whereas her 8 year old daughter has almost totally shed out her coat. Otherwise, her hooves are relatively good, little to no laminitis, and she is sound. Her cresty neck has significantly softened and shrunk but is not totally gone. She has a body condition close to 5. She still has a little fat pad over her rump and her eyes are still goopy/crusty. Her coat quality is pretty stiff and long despite frequent brushing. We just did another ACTH test and her number was 13 pg/mL (within the normal range of 9-35 pg/mL). Why is she still not shedding if the ACTH is controlled?

Should I increase her prascend dose?

The vet wasn't concerned about her coat and brushed it off as her being a donkey (despite her daughter having a short, sleek, and soft coat) and that she is older, somewhere in the 18-22 range. The vet thinks I should decrease her prascend dose to a half a tablet.

I have not balanced their hay yet as I am currently in the NRC plus course right now. Will hopefully be able to balance their hay once I finish the course. 

--
Leah
Ohio
2019

Blossom's Case History: https://ecir.groups.io/g/CaseHistory/files/Leah,%20Scooter%20and%20Blossom 
Scooter's Case History: https://ecir.groups.io/g/CaseHistory/files/Leah%20and%20Scooter
Scooter's Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=240467


Re: Senior Gelding Diagnosed with cushings and having bladder issues

Jess R
 

Hi Cindy and Dr. Kellon,

Thank you so much for your responses. He is in need of grain as we speak, is there a certain brand I should get with low calcium? I see you mentioned Triple Crown which he used to be on Triple crown senior.  I will fill in the history report that has all of the tests we have run. I will look into getting the hay tested because I only know that it is a second cut Timothy/Orchard mix. 

We used to wet his hay due to his heaves and he didn't really like it. He used to dunk his hay a lot but not so much anymore. 

--
Jess in New Jersey 2020


Re: Advise on giving Metformin

Eleanor Kellon, VMD
 

Sorry - I misread your initial post. I see you are grinding them separately.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Questions About Bloodwork Scheduled Next Week

Eleanor Kellon, VMD
 

The EPM medications are fine.  TRH - brand name Thyrel, generic protirelin - is available as an FDA approved injection. The equine test uses the same drug as human. Try the pharmacy at a local hospital rather than a store front. You should be able to get it without compounding.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Advise on giving Metformin

Eleanor Kellon, VMD
 

The flax is OK but I would save the salt cleaning step for after you decant the mixture. Don't know for sure but it could chemically react with the drug.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Getting Laminox to Canada

Eleanor Kellon, VMD
 

I'm afraid there's no way to get it with the borders closed. You could try just Jiaogulan if he deteriorates without it.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Advise on giving Metformin

Michele Einarson
 

I've been grinding the metformin in a coffee grinder, then add 2T or so of whole flax seeds and 1-2T salt and grind again.  The flax captures the dust and the salt cleans the grinder.  Then I mix it with soaked Timothy Balance Cubes.  I started with less Metformin then titrated up to the full dose in a couple days and my gelding eats it fine. 



--
Michele & Mosey IR, Feb 2019
Reno, NV, USA
https://ecir.groups.io/g/CaseHistory/files/Michele%20and%20Mosey
https://ecir.groups.io/g/CaseHistory/album?id=88791


Re: Target's trim

KATHIE DORVAL <bokayarabians@...>
 

I've tried to get mark ups, but I guess my photos are not good.
--
Kathie with Libby and Sweet P
Cobble Hill, BC, Canada
Aug 2018
Case Histories
Target Photos
Sweet P Photos
Addy Photos
Cherokee Photos


Re: Questions About Bloodwork Scheduled Next Week

Kirsten Rasmussen
 

Tiffany,

I don't see why he can't have his usual evening meal.  Make sure the testing is 4 hrs after his morning hay (sounds like it will be), and that he is not agitated and has not been exercised.

I can't help you with your questions about his EPM meds and sourcing TRH, sorry. 

--
Kirsten and Shaku (IR) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History  
Shaku's Photo Album   


Re: Advise on giving Metformin

Eleanor Kellon, VMD
 

https://ecir.groups.io/g/main/message/248690?p=,,,20,0,0,0::Created,,metformin+%2B+eleanor,20,2,0,72950870

I have to retract the statement about no Invokana failures. Working with a horse now that had a dramatic improvement in hoof comfort but first retest of insulin and glucose not good.  Staying the course for another month to see what happens.

It's typically very difficult to get EMS horses all the way back to normal  (12 uIU or less on a low S+S diet) without exercise. The goal is to get them out of the danger zone for active laminitis pain which usually means in the 20s, maybe low 30s.

Metformin also has activity against neuropathic pain, which is an issue in some chronic cases. There are horses that have lost the drop in insulin but still were getting pain relief from metformin.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: yearly xrays

Eleanor Kellon, VMD
 

There *might* be just the tiniest amount of rotation but it could also be an optical illusion from the toes still being too long and stretching the laminae. Sole depth is pretty good and so is palmar angle. Only change I would make is instead of the dubbed toe make it a sharper bevel.  Is there a case history file?  I only found a hay analysis.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: yearly xrays

nikkibob1994@...
 


-- There, that should do it....sorry about that, I guess I put them in an album somewhere else??
Nikkibob
Wisconsin, Sept 2018
https://ecir.groups.io/g/CaseHistory/files/Nikki%20and%20Darby 
https://ecir.groups.io/g/CaseHistory/album?id=77396


Re: Advise on giving Metformin

claire@...
 

Hi Beth, I found popping the pills directly into a syringe and just covering with water, then shaking vigorously every once in a while, dissolved them in about 3 hours. Made a paste that syringed into her mouth and  stuck well.
Best wishes, Claire

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