Date   

Re: TRH protocol

Maria Duran
 

Thank you Cass,

What´s the meaning of doing and optional 30 min test and what is to be expected?

Is still the 100 pg/ml valid as an upper range for normal results at the 10 min interval?


--
María Durán Navarro 
Dec 2017
Madrid (Spain)

Plutón´s Case History
Plutón´s Photo Album
_._,_._,_


Re: To blanket or not blanket an EMS horse

Eleanor Kellon, VMD
 

Sally,

You would have to evaluate the individual.  ACTH is only one marker of the loss of dopaminergic neurons which occurs in the hypothalamus. Those neurons regulate the intermediate lobe of the pituitary but the hypothalamus is also the seat of temperature control and loss of dopamine there also causes mammary enlargement in some  mares and the coat  changes typical of PPID. Of all the hormones elevated in PPID, ACTH is actually present at much lower levels than the others. All of this is to say we need a better test.....


--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Sherry and/or Martha. Continued confusion about testing in Canada (TSH/Domperidone)

Suzanne and Pilgrim
 

After more than an hour looking for the said reply from Sherry or Martha, I found it .  Quite by accident.  Thank you, Martha.  I will be sure to add the name Motilium to my email to my vet.  Hopefully, I can finally get a move on with this !!!! Thanks again,


--


Sherry and/or Martha. Continued confusion about testing in Canada (TSH/Domperidone)

Suzanne and Pilgrim
 

A vet (but not my normal vet) saw Pilgrim in late November.  I enquired about a Domperidone Test for Pilgrim.  She said TSH was hard to come by - if not impossible to obtain.  She said she would research it.  She did get back to me and said that I was not feasible and steroid injection was the only option for getting result/information I wanted.  I think she may have put the 2 drugs in the same category.  

I relayed her information in a topic post nearly verbatim as I am not educated enough to discuss the topic clearly myself.    I cannot find the message thread that somebody (Sherry or Martha, I believe responded to...)  who was equally confused by the information I reported.  I really need to find out what to do with Pilgrim and his pergolide dosage.  

I will send an email to Pilgrim's normal attending vet today enquiring about getting a Domperidone test done for Pilgrim.  I hope he will be more knowledgeable on the matter and get get things rolling in the right direction.
--


Re: To blanket or not blanket an EMS horse

Sherry Morse
 

Hi Sally,

As Dr. Kellon said "..old age in general can make them less efficient at keeping warm." that is regardless of ACTH levels. 




Re: To blanket or not blanket an EMS horse

 

Sally, I would think that if pergolide is controlling the ACTH and other noticeable symptoms, it would also be affect the metabolic efficiency.  In fact, one of the symptoms of uncontrolled PPID is unexplained weight loss.  I looked at your case histories and thought Maisie might benefit from more pergolide.  I see that the ACTH control range goes higher for donkeys per the Donkey Sanctuary but we generally subscribe to keeping your steeds in the middle of that range and Maisie’s seems to be outside the range.  If someone else has more donkey appropriate information, please share so I can incorporate it into my knowledge stores.
--
Martha in Vermont
ECIR Group Primary Response
July 2012 
 
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)

Martha and Logo


 
 


Re: To blanket or not blanket an EMS horse

larkstabatha
 

Hello...May I please ask if this loss of efficiency is true for horses with well controlled ACTH levels?  Thank you.
--
Sally in Big Park, Arizona/April 2013

https://ecir.groups.io/g/CaseHistory/files/Sally%20with%20Tabby%20and%20Maisie 

  

 

 


Re: Nose Bleed Senior Horse

 

Interesting article!  Thank you!
--
Martha in Vermont
ECIR Group Primary Response
July 2012 
 
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)

Martha and Logo


 
 


Re: Pabatsa becoming arthritic advice on supplements

Eleanor Kellon, VMD
 

Yes, you can give them together but this stiffness may be more soft tissue related than joint disease or at least both. Cold increases joint sensitivity to pain and also causes considerable soft tissue stiffness.

To see if Devil's Claw may help, give him one or two moderate (2 grams) doses of phenylbutazone. If that doesn't change him, Phyto-Quench probably won't at this point either.

If you know specific problem joints, try keeping them warm. Exercise is also extremely helpful - long stretching warm ups then gentle challenges like ground poles and cavaletti.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Does extra Magnesium supplement make horses drink more?

Eleanor Kellon, VMD
 

Yes, that's a good thing but it's not the magnesium.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Nose Bleed Senior Horse

Eleanor Kellon, VMD
 

Jamie,

The radiographs will give your vet more information. I think you meant ethmoid hematoma. Info here https://horsesandpeople.com.au/ethmoide-haematomas/ . The cause is unknown.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Nose Bleed Senior Horse

Jamie Miller
 

I am not certain at this time, but I would suspect the vet would be knowledgeable in ensuring that all his bloodwork be drawn prior to putting something into his system, such as sedation (which was zilozine/torb combo, I think).  However, you make a good point for me to double check.  Thank you.
--
Jamie Miller
Louisville, Kentucky, USA
July 2019
Horse: Hiram Walker
Walker Case History: https://ecir.groups.io/g/CaseHistory/files/Jamie%20and%20Walker
Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=93084
Link to Profile for Hiram Walker


Re: Pabatsa becoming arthritic advice on supplements

 

Laura, I enjoyed reading through your case history again.   My Logo was also a gentle giant, although a Holsteiner.  I would encourage you to think about increasing his pergolide.  Your last testing was high and, although it would be easy to excuse as a result of the rise, we like to keep the ACTH in the mid teens to low 20’s year round.   Looking back, I wish I’d been more aggressive in treating my horse.  When he quit responding to pergolide I changed him to cabergoline and issues resolved that I’d forgotten weren’t normal.   Regardless of what anyone might tell you, the correct dose is what it takes to control the disease.  And, of course, if he doesn’t respond positively you can decrease it again.
I was also interested in knowing whether you’re still riding him.  I seem to recall you have another horse.  More frequent exercise can be helpful for arthritis so if you need help getting him exercise I recommend looking for a dedicated young horse person.  Our family has benefited from being a part of that sort of arrangement several times.
--
Martha in Vermont
ECIR Group Primary Response
July 2012 
 
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)

Martha and Logo


 
 


Re: Nose Bleed Senior Horse

 

Jamie, was the ACTH blood drawn before the scoping and sedation? If not, your ACTH results may not be reliable. 
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos


Does extra Magnesium supplement make horses drink more?

Starshine Ranch
 

I started giving my horses extra magnesium... approx 7 1/2 - 8 grams of Magnesium Oxide 56% magnesium... a few months ago.  I am so surprised at how much water they are drinking now that it's cold.  It's not excessive, just more than they've ever drank in the winter.  I suspect this is a good thing but I just wanted to check.
--
Linda in CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara


Pabatsa becoming arthritic advice on supplements

Laura and Pabatsa in CA
 

Hi Dr. Kellon/Group,

Pabatsa is 24-years old and just now starting to show signs of aging. I can tell he's a bit sore and especially now with winter and colder temps.

Dr. Kellon, you advised, and he's been on, Jiagolun, and Tendon EQ. I'm reading posts today about PhytoQuench. Is it safe to give him all 3 of these products together? He also gets monthly Adequan.
--
Laura and Pabatsa in California
Feb 2012
Case History https://ecir.groups.io /g/CaseHistory/files/Laura%20a nd%20Pabatsa ( https://ecir.groups.io/g/CaseHistory/files/Laura%20and%20Pabatsa )
Pabatsa's Photos https://ecir.groups.io /g/CaseHistory/album?id=1740 ( https://ecir.groups.io/g/CaseHistory/album?id=1740 )


Re: Nose Bleed Senior Horse

Jamie Miller
 

Again, thank you. 

Vet was out this morning.  There was no active bleeding at the time of her arrival.  She did a scope of nasal area and head radiographs.  The scope revealed a suspicious area that would be consistent with an adenoid hematoma (spelling?) in the sinus cavity.  The guttural pouch was clean and did not indicate a rupture, blood, or anything unusual, so she said that is encouraging.  Radiographs are being reviewed by a surgeon for a second opinion and would help guide next steps for the area suspicious of a hematoma.

So, for now we continue to monitor him since this was his first known episode.  If it happens again and we can scope him during the active bleeding she can more accurately identify if the bleed is coming from the suspicious area in his sinus cavity. The surgeon's review will help us determine how aggressively this is treated and how urgent of situation it is for my guy.  By all other counts, he seems ok.  

She also drew blood for a CBC/Chem Panel, ACTH levels, and got a fecal sample to test for worms since worming medications have historically caused laminitis flare up. 
--
Jamie Miller
Louisville, Kentucky, USA
July 2019
Horse: Hiram Walker
Walker Case History: https://ecir.groups.io/g/CaseHistory/files/Jamie%20and%20Walker
Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=93084
Link to Profile for Hiram Walker


Re: Chronic Lyme Diagnosis

Kinsey
 

Thank you Sherry! I will up his vitamin E dosage and look into the acetyl-l-carnitine! I appreciate it!

Thank you EdieFr! Yes mino seems the most promising so I think I'm going to just treat with it. I've read about the usage of the canine Lyme vaccine for horses and would be willing to try it at some point if I need to. It seems a lot of people in the northeast have been using it for their horses lately. I'd have to talk to my vet about using it - I worry that because it's uncommon down here in the south she may not be willing to try it. I'll cross that bridge when I get to it though! I appreciate your reply!

--
Kinsey & Bucky in GA 2020
https://ecir.groups.io/g/CaseHistory/files/Kinsey%20and%20Bucky/Bucky%20Case%20History.pdf
https://ecir.groups.io/g/CaseHistory/files/Kinsey%20and%20Bucky
https://ecir.groups.io/g/CaseHistory/album?id=257041


Re: Chronic Lyme Diagnosis

Kinsey
 

Hi Martha! Thank you for your response. Not to worry - I will still be treating him as IR as I'd rather not take any chances! Yes the first insulin test when he was diagnosed IR was done fasting. His second test (most recent) was not done fasting.

--
Kinsey & Bucky in GA 2020
https://ecir.groups.io/g/CaseHistory/files/Kinsey%20and%20Bucky/Bucky%20Case%20History.pdf
https://ecir.groups.io/g/CaseHistory/files/Kinsey%20and%20Bucky
https://ecir.groups.io/g/CaseHistory/album?id=257041


Re: Arthritis

Sheryl <Shezxshezx@...>
 

Thankyou, I will ask my vet about it. How long ago was this, and has it been successful. 
--
Sheryl Robinson   Lancashire 2021

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