Date   

Re: Need some help with my mare

tara sullivan
 

Hi Dr. Kellon.  Wish I could state more than that Divina is just holding her own. She seems to be eating more hay, but still gets fussy with the bucket meals.  I bought her 3rd cutting alfalfa-she finds this absolutely scrumptious....so I make her bucket  and "top" it with like a pound of the alf hay.  She sticks her nose in that bucket and doesn't take it out until everything is gone.  It is nice to see her enthusiastically enjoying something.

But she still has the undulating fevers that spike to 103.3  and I have counted her heart rate at like 54 at times.   Her perfusion looks better than it has in a quite a while.

Overall-she does seem stronger.  But...I am growing tired. 
The internist is scheduled for tomorrow.  And we are waiting for cbc/chem today.  The results of the labs will be important in determining our next move....like if the internist will finally come out. 

Very anxious today.

Tara and Divina


Re: files uploaded for Thomas Cloutier

Lavinia Fiscaletti
 

Hi Marsha,

Thanks for putting up all the xrays and the most recent trim photos - it's really helpful. I moved the xrays into the album with the pictures so it is simpler to find everything and compare them.

In the xrays from 4/2015, the bony column is in fairly good alignment but the hoof capsule is not correctly aligned with the position of the bony column. This is mechanical rotation and is a trim issue. The toes were much too long in the horizontal plane and the soles were a bit thin. Doesn't appear that there is distal descent.

The most recent trims seem to be addressing these issues as the toes appear to have been taken back so the breakover is more in line with the angle of the new growth coming in just below the coronary band. The heels have also been backed up into a much better position. There is still some twisting of the hoof capsule that will need to be addressed, with the LF being more problematic than the right. Heels need to continue to be moved back until they are even with the widest part of the frog.

Your trimmer has done some good work this last time around. If you and your trimmer would like some more specific suggestions, I can do some mark-ups for you. For that, it would be helpful if you could get a couple of lateral (side) and dorsal (front) views of the feet with the feathers either trimmed away or somehow held out of the way so the coronary bands are clearly visible. An old pair of pantyhose works for this, or some vet wrap or duct tape will also do the trick. Here is the link to how take good foot pix:

http://www.all-natural-horse-care.com/good-hoof-photos.html

Including the back feet would also be helpful as when there problems in front there are likely issues in the rears as well.

Great work on finding the ODTB cubes and getting the diet issues addressed. Chances are that if you have the hay tested thru Poulin they will run an NIR test rather than the more accurate wet chemistry test. You would be better off sending your hay sample directly to Equi-Ananlytical and getting the Trainer #603 test. You can get free sample kits from them and the postage is free:

http://equi-analytical.com/supplies/

Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Support Team

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>


Re: files uploaded for Thomas Cloutier

Marsha Cloutier
 

Nothing specific concerns me but my hoof trimmer would like some feedback on her trims,  I have uploaded his x-rays from 2012, 2013 and 2015.  We started out with 15 degrees of rotation and now have 18 degrees.  Thomas is finally comfortable for the first time since 2012 when the first round of laminitis hit.
I have also uploaded his most recent pre and post trim photo from this past Sunday.  Not the best photos but it was raining so we had to do them in the stall.
I am guessing that finding a store nearby (hour away) that carries ODTB cubes has made the difference in his health and foot comfort.  I will get my hay tested, just been procrastinating.  Poulin Grain will test my hay for free but you don't get the mineral content..
Finding this group has been the best thing to happen and I am thankful for all of the info found here.  Don't give up, the info is here and so are those who have walked this difficult path
Marsha in VT
Thomas the wonder pony
joined May 2014
https://groups.yahoo.com/neo/groups/ECHistory8/files/Thomas%20Cloutier/
https://groups.yahoo.com/neo/groups/ECHistory8/photos/albums/120913586


Re: Uckele Optimize Pellets ESC + starch levels?

Nancy C
 

Hi Barbara

Jaini has great ideas and an approach she has worked on to help people in her area over the years.  A lot of us who have been doing this for while have found that it is not complicated.  It's just different.  Once one gets going, it becomes as routine as what you were doing "before".

I have a pretty good compilation of PA hays and I'd be happy to help you figure out how to get started.  Like all the women that Dr Kellon has okay'd to balance for members, I do charge for this.

My hope is we can get you further along on this path and that once you see how it works, you will want to take small steps to  move even closer to a tighter diet for Lily.

PM me if you are interested. threecatfarm "at" cyberpine "dot" net

Nancy C in NH
ECIR Group Mod
February 2003



---In EquineCushings@..., <janieclougher@...> wrote :



By this same analogy, you could get an average analysis from your ag extension people; then use whichever commercial balancer comes closest, and toss in whatever extra you need in magnesium, phosphorus, copper, and zinc (most commonly needed) plus or minus selenium and manganese (not forgetting the salt, vitamin E and flax)

Also, check out the Picky Eaters Checklist for your picky mini;(the file is towards the bottom of this folder)

https://groups.yahoo.com/neo/groups/EquineCushings/files/8%20Pulling%20it%20Together/

Here is your mission:  contact your ag extension people and get an average hay analysis over as many years as possible. Get one of the Balancing Babes to balance to that average.  Choose a commercial product that comes close, or get a custom mix from Uckele or HorseTech. Don't forget to add the salt, flax and vitamin E.  Voila!  Close to optimum nutrition for your horses!



 


Re: New case report: Annie

Lorna Cane
 


>> I will go through the links and files. 

Hi Candace,

Did you get the Invite I sent you the other day to our Case History site?





Re: New case report: Annie

Candace Costis
 

Thanks. I feel much better already. information. a direction. I will go through the links and files. I found this link of Ramey posts for laminitis but you may have it already. I was especially amazed at the article on hoof casting.


Blessings!
Candace&Annie
10/15
NE of Austin Tx.



Re: J-herb question

Nancy C
 

Hi Dee

You want to monitor his gums to make sure he's getting what he needs.
They should become pinker.  My boy also became dramatically more alert.  Like he had just come from Starbucks.

After trying the in-the-food route, I began making jherb bon-bons, an idea I think I got from Lorna.  I mix the jherb dose, enough olive oil to make a paste and a bit of Nuzu. Roll up in a ball and put individual "serving" on a bit of wax paper. 12 Servings are stored in an egg container/crate in teh fridge.

Since Granite likes ODTB Cubes, you could use the shreds we always find in the bottom of the bag to make yours.

Beau will usually eat these readily.  Once in a while he doesn't like my cooking and will tell me so. 

If I can't give him the full 20 mins before he gets the rest of his meal, he at least gets the jiaogulan down the hatch first. The difference in his gums was dramatic switching to this routine.

HTH

Nancy C in NH
ECIR Group Mod
February 2003.



---In EquineCushings@..., <qhmare1994@...> wrote :

I've started Granite on J-herb, and I'm having some mixed results.


Thanks,
Dee, Granite and Saphira
Aroostook County, ME - 9/06
Case History: 
https://groups.yahoo.com/neo/groups/echistory8/files/Dee%20in%20ME%20and%20Granite/
Photos:
Granite
Saphira



Re: New case report: Annie

Nancy C
 



In addition to Kathleen and my suggestion of the web site and links, here is the folder on PPID in the FILES:

https://groups.yahoo.com/neo/groups/EquineCushings/files/Cushings%20Disease%20-%20PPID/

A good number of vets from Texas attended the NO Laminitis! Conference last November in Georgetown so would be familiar with what we do here.

A horse can look great and have laminitis from uncontrolled PPID.

Nancy C in NH
ECIR Group Mod
February 2003


---In EquineCushings@..., <candace.costis@...> wrote :

PPID? Damage to nerves in her brain? Yikes! I see this is Pituitary Pars Intermedia Dysfunction but how does this fit into what we are dealing with here. I don't see anything in files about this.


Re: Uckele Optimize Pellets ESC + starch levels?

janieclougher@...
 

Hi, Barbara -You should contact your local agricultural extension officer for your county or state, and try to get some kind of average analysis for the area that your small batches of hay come from.  Using this average will give you a better shot at balancing minerals to your hay.  We all love California Trace, and California Trace Plus:  however, these are designed for trace minerals only, for the California area.  You still have to address the major minerals of calcium, magnesium and phosphorus.

It is totally possible to keep things simple, once one gets some kind of baseline for one's area.  It won't be perfect - but it will be better than blindly using a product without any reference as to whether or not it works for the average hays in your area. It is important to get that baseline for your area. Then you add the trace minerals (copper, zinc, iodine, selenium, manganese); the major minerals (calcium, magnesium, phosphorus, sodium); and the compounds that are lost in hay curing (Vitamin E and Omega 3 fatty acids)

If you choose not to get some kind of baseline for your area, then California Trace Plus, or Arizona Copper Complete; or Uckele EquiBase will be better than nothing, or better than other commercial supplements with too much iron and insufficient trace minerals, so I would certainly recommend one of these products.  Just so you know that without any kind of hay analysis, even a general one for your area, any product is a bit of a shot in the dark.  Young horses, on pasture, can generally get along for a long time before showing nutritional deficiencies.  Metabolically challenged horses, on hay only (or even on pasture and hay), will not thrive without attention to diet; and by the time any horse reaches  middle age, the years of mineral deficiencies will catch up on them.

Here is how I keep life simple in my neck of the woods:  I had previously put together a bunch of local hay analyses, and balanced the minerals to that average; I was lucky enough that Champion Feeds in western Canada will do custom mineral mixes in 200 kg batches; I am also lucky enough that our local feed store (Smithers Feeds, heaven bless them!) will buy in a batch at a time, and so it is available to everyone in the region - it comes in 10 kg bags  (this is the mix based on an average of hays over 7 or so years).  I am also lucky enough to be able to test enough hay for a year (even though it is from a bunch of different fields, I just use an average).  Whatever is needed over and above the regional mix from our feed store, I add in. (usually just the tiniest snifter of copper, zinc and magnesium - sometimes no additions needed beyond the salt, flax and vitamin E) Having that average hay analysis to balance to means that even if I can't get a hay test for one particular batch, or for even a year, I have a pretty good chance that the regional mix from Champion will tide the horses over.

By this same analogy, you could get an average analysis from your ag extension people; then use whichever commercial balancer comes closest, and toss in whatever extra you need in magnesium, phosphorus, copper, and zinc (most commonly needed) plus or minus selenium and manganese (not forgetting the salt, vitamin E and flax)

Also, check out the Picky Eaters Checklist for your picky mini;(the file is towards the bottom of this folder)

https://groups.yahoo.com/neo/groups/EquineCushings/files/8%20Pulling%20it%20Together/

Here is your mission:  contact your ag extension people and get an average hay analysis over as many years as possible. Get one of the Balancing Babes to balance to that average.  Choose a commercial product that comes close, or get a custom mix from Uckele or HorseTech. Don't forget to add the salt, flax and vitamin E.  Voila!  Close to optimum nutrition for your horses!



 


Re: New case report: Annie

 

Candace,

You wrote, "PPID? Damage to nerves in her brain? Yikes! I see this is Pituitary Pars Intermedia Dysfunction but how does this fit into what we are dealing with here. I don't see anything in files about this."

You might find it helpful to go to our information website to read in greater detail about the physiology of Cushing's (aka PPID). PPID is actually the correct term. The medical profession is moving away from calling diseases by the name of whoever discovered or first described them and instead, is naming them something more anatomically or physiologically relevant. 

We also have a sister site, ECHoof. The link to both of these sites are below.

Kathleen (KFG in KCMO)
Missouri - USA - Dec 2005

EquineCushings & IR Hoof Photos & X-Rays

 



 Cushing's Disease

 

 
 


EquiShure?

 

Many thanks to Dr Kellon and Nancy for an in dept discussion of this product.  I very much appreciate your time and expertise.  Back to Jazzi, she has been wormed (double dose of Strongid).  With the crazy weather (massive rain and now very cold) it makes figuring out just what is going on that much harder.  I started NCRplus, but was unable to finishdur to internet service provider issues.   I will restart w/ the next class.  Always something!  Thank you again,
Nancy and Jazzi
March 2013
San Diego County


Re: New case report: Annie

Candace Costis
 

PPID? Damage to nerves in her brain? Yikes! I see this is Pituitary Pars Intermedia Dysfunction but how does this fit into what we are dealing with here. I don't see anything in files about this.

Thank you for taking the time to lead me through all my questions. I am trying 1/2 mg of the pergolide which has much better results. She may only need 1/4 but I saw that it is not uncommon for a horse to have a negative reaction for a couple of weeks.

She usually looks very good. Crest very flexible - but her feet!  While the tissue of the frog and heel bulbs are beginning to look very healthy there is so much infection in there! I am in there cleaning daily with baking soda to remove the fungal/bacterial mess ( sometimes use salt or copper wash) and am starting to use hydrogen peroxide. She has a lot of what looks like bruising around the point of the frog and semi circular cracks at the toe which I remember is very bad. There are cracks and pits here and there which only appeared when I removed some sole. I have stopped that though because I read that the sole should be kept as thick as possible so you don't expose the coffin bone.(?). As for walking. She stands square on all fours and I can lift her feet to work on them - sometimes longer than others. She steps slowly and carefully around her small paddock. I tape diapers on her front feet which she likes. 

Is there information somewhere about hoof care? I thought I saw something on this site but I can't find it now.
I just saw in my notes that hoof pain should resolve in 3 to 5 days or there is probably structural damage? Are x rays worth the discomfort and possible damage of trailering her (I'll read about that in files).

Thanks. also about auto signature. My cog drop down does not have a "settings" choice or any choice which goes anywhere useful.

Candace & Annie
1/2016
Between Austin and Bryan Texas


Re: Uckele Optimize Pellets ESC + starch levels?

Maggie
 

Hi Barbara,

You misquote me.  Here's exactly what I said:  "Have you considered using California Trace? http://www.californiatrace.com/index.html  It was developed by an ECIR member, and does come fairly close to matching many of our hays here.  It's by far better than any other feed in a bag."  and  I also said "Most of the bagged "hay balancers" are not acceptable for our horses.  California Trace is an exception.  There are a few others. If you look at the regional hay analyses on EquiAnalytical, one of the balancers could probably give you a "best guess" formula based on the hay grown in your area.  I would try to contact one of them and see if they can help you with that."  I did NOT say that "California Trace is the only commercial product that would work for this."  Remember also, that I have been encouraging you to balance Lily's diet for optimum results.   To quote Dr Kellon, "Halfway measures get halfway results".

Please don't forget to sign your posts.

Maggie, Chancey and Spiral in VA



J-herb question

 

I've started Granite on J-herb, and I'm having some mixed results.  At first he licked the dry powder out of my hand.  Then he wouldn't.  So I wet it, and then had to put that directly in his mouth with a little spatula because he didn't want I that way either.  This morning I just put it dry in his feed pan and he licked it up.  Tonight, he wouldn't touch it. 


I read that it's supposed to be given 20 minutes before a meal, and I am trying.  Tonight, after he wouldn't touch it alone in his pan while I did all the other chores, I just threw the ODTBC in there and he licked the pan clean.

So, my question is this... is it going to have any good effect if I'm not able to get it into him 20 minutes before his meal?  I'll keep trying, but he's so suspicious of everything since I tried getting the Thyrovet into him the first time.

Thanks,
Dee, Granite and Saphira
Aroostook County, ME - 9/06
Case History: 
https://groups.yahoo.com/neo/groups/echistory8/files/Dee%20in%20ME%20and%20Granite/
Photos:
Granite
Saphira



Re: Uckele Optimize Pellets ESC + starch levels?

Barbara Vincent
 

Thanks, Jaine and Nancy,

   As I told Maggie, I have fairly small batches of hay from different locales, and don't have the resources to test each.  Maggie suggested balancing for the average PA hay on Equi-Analytical, and mentioned that California Trace was a the only commercial product that worked for this.  I am trying samples that this company sent to see if my picky eater Cushing /IR mini will ingest this; also my less picky performance gelding. 
Would love to keep it simple as possible.  Much as I enjoy all the info from this source.


Re: EquiShure?

Nancy C
 

Thank you so much Dr Kellon for taking the time on this. 

You have written extensively in your courses and your ezine on ulcers, hind gut issues, acidosis and "leaky gut syndrome".  This today has helped  fill in missing pieces for me.

2(SIDE BAR: Dr Kellon's 2 for 1 on courses and ezine expires Jan 15th.)

You said:
More serious – and things you don't want to waste time treating as ulcer disease with antacids or acid suppression – malignancy, inflammatory bowel disease and certain bacterial overgrowths will cause positives.

Perfect, and but one example, of why this group has always stressed the need for correct diagnosis.

You concluded:

All of this said, there is something rather interesting in the EquiShur research. Dosing with EquiShur actually was not completely protective against the pH changes. The most dramatic effect found was a reduction in lactate. Either lactate producing bacteria were inhibited or lactate utilizing bacteria were increased. Also found was an increase in VFA (fiber fermentation products) in treated horses. This is similar to what is seen in horses given supplemental Saccharomyces cerevisiae yeast and represents improved fiber fermentation. Therefore, it's possible the supplement is having a beneficial effect on hay fermentation.


Wanted to point out that Yea-Sacc (Saccharomyces cerevisiae yeast) is 0.58 per serving, versus EquiShure at $1.7 and RiteTrac considerably over that.  My math based on purchasing from the manufacturer comes up with over $4.00 a day?  Happy to have someone check me on that.  I'm sure you can get it elsewhere for less but, really? 

I'm leaving the rest of your post in entirety on purpose.


Nancy C in NH
ECIR Moderator 2003
Learn the facts about IR, PPID, equine nutrition, exercise and the foot.
www.ECIRhorse.org
Check out the FACTS on Facebook
https://www.facebook.com/ECIRGroup
Support the ECIR Group Inc., the nonprofit arm of the ECIR Group
http://ecirhorse.org/index.php/ecir-group-inc




---In EquineCushings@..., <drkellon@...> wrote :

This is long.

I'd like to emphasize a few points in this thread.


First is that the Succeed test does NOT, repeat NOT, test for either gastric ulcers or colonic ulcers. It tests for the presence of either red blood cells or albumin (from plasma) in fecal matter. There are many, many possible sources for these blood products, starting with mouth abrasions or ulcers, nosebleed, swallowed lung bleeding, bit trauma, trauma during dental work, sinus infection or tumor – anything else you can think of that might end up with small amounts of blood being swallowed.


Sources from inside the intestinal tract include any parasite (including stomach bots, tapeworms, strongyles, etc) that attaches to the intestinal lining or matures inside the lining. This means that any horse has a good chance of testing positive at any time totally unrelated to ulcer disease. Collections of sand (fine dirt particles) or small enteroliths are also abrasive. Impaction or even overly dry manure can cause a positive.


Another major issue is the entire concept of colonic or hind gut “ulcers”. The research that supposedly proved there is a large unrecognized problem with colonic ulcer disease was a postmortem survey of intestinal tracts in a slaughter house. Any break in the intestinal lining, no matter how small, regardless of whether an isolated spot or part of an inflammatory process, regardless of presence of parasites, drug history etc. was called an “ulcer”. These lesions have nothing whatsoever in common with stomach ulcers.


Extreme acidity in the cecum, pH below 6, can damage the intestinal lining to the point it may leak plasma or red cells. This can be caused by a sudden and large overload of starch or fructan. At the same time as the lining leaks outward, intestinal components can leak the other way into the body/blood stream. This includes bacterial products/toxins and D-lactate, the bacterial form of lactate not normally found in the blood. The intestinal damage causes colic and the release of products into the blood causes fever, laminitis, an obviously sick and toxic horse.


We know from studies looking at the ability of fructan to cause laminitis and the presence of D-lactate in the blood that this is an all or nothing process. Until the acidity reaches a critical threshold there is no D-lactate in the blood, no laminitis because there is no damage to the integrity of the lining – no “ulcers”.  It' s not a matter of a little acidity causing something less severe.


Other things that may cause actual breaks in the intestinal lining, like parasites, phenylbutazone use, inflammatory bowel disease, bacterial colitis, sand, impactions, etc. are NOT associated with hind gut acidity. Not that you need anything beyond common sense to know this but recent research has shown that parasitism will cause a positive on the Succeed hind gut test and deworming the horse will greatly reduce the degree of the positive. Treating a parasitized horse or one that has right dorsal colon lesions caused by phenylbutazone with antacids because the test supposedly says the horse has hind gut ulcers is a big mistake.


As for EquiShur, although the dosage was considerably larger this study clearly shows that oral sodium bicarbonate without a fat coating will influence pH in the cecum:


http://www.ncbi.nlm.nih.gov/pubmed/23738517


There is nothing in the research done with EquiShur that shows the fat coating is necessary or helpful in any way. It's questionable how long the fat coating even lasts considering that the stomach of the horse has considerable levels of the enzyme lipase.


I personally wouldn't use it because of the presence of trans/hydrogenated fat which is a totally unnatural form of fat. Among other things there is convincing evidence that trans fats cause insulin resistance, e.g.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854275/


However, I can't say that the amount or type of fat in a dose of EquiShur will definitely have a negative effect on an IR horse. Can't say it wouldn't either.


All of this said, there is something rather interesting in the EquiShur research. Dosing with EquiShur actually was not completely protective against the pH changes. The most dramatic effect found was a reduction in lactate. Either lactate producing bacteria were inhibited or lactate utilizing bacteria were increased. Also found was an increase in VFA (fiber fermentation products) in treated horses. This is similar to what is seen in horses given supplemental Saccharomyces cerevisiae yeast and represents improved fiber fermentation. Therefore, it's possible the supplement is having a beneficial effect on hay fermentation.


Eleanor in PA
www.drkellon.com   2 for 1

EC Co-owner
Feb 2001


 


Yahoo

cindy
 







​Looking for some suggestion on safe feeds to put weight on my horse. She ha
​s​
cushings, has never been tested for IR. She is 25 now but sound and active. She has never, so far had any episodes of laminitis
​ but has always tended to have a cresty neck and other tell tale IR fat deposits. ​
​​​She was always ha
​r​
d to keep weight off of until she started on Pergolide. Now it's harder to keep weight on her. She can't eat beet pulp. Every time I put her on beet pulp, she starts having episodes of gas colic. It's the only time she has ever had any problems with colicing ever. And it's happened enough times now each time I've tried to feed her beet pulp that I am sure that is the cause. She is out on a lease right now. She has access to plenty of hay (not tested) And the woman leasing her has added quite a bit of rice bran to get weight on her. Not sure how safe that is with a possibly IR horse. ​


Her case history is not up to date. The last two falls she has dropped a lot of weight and then put it back on by spring. So, I'm guessing this may be due to the seasonal ACTH rise so I am planning to test her next year at the seasonal rise time and adjust her medication as necessary to see if that helps. She was last tested at the end of November and was a little over at 40 I think (I don't have the paperwork) She is currently on 1.5 mg compounded pergolide​




Re: Hay sampling

Eleanor Kellon, VMD
 


--In EquineCushings@..., <chandab@...> wrote :

Is 10.4% protein adequate?
===========

This is a pet peeve of mine so allow me to jump in.

The percentage of protein alone tells you nothing about whether or not it is adequate. You also need to know how much is being fed.

Below are purely hypothetical numbers but they make the math easy to follow.

A 10% protein hay means 1 kg (1000) grams provides 100 grams of protein.  Two kg provide 200 grams of protein, etc.  If the horse's protein requirement is 1000 grams and you feed at least 10 kg of the hay, it's adequate.  If you feed less than 10 kg, it's not adequate.

Eleanor in PA
www.drkellon.com     2 for 1

EC Co-owner
Feb 2001


Re: EquiShure?

Eleanor Kellon, VMD
 

This is long.

I'd like to emphasize a few points in this thread.


First is that the Succeed test does NOT, repeat NOT, test for either gastric ulcers or colonic ulcers. It tests for the presence of either red blood cells or albumin (from plasma) in fecal matter. There are many, many possible sources for these blood products, starting with mouth abrasions or ulcers, nosebleed, swallowed lung bleeding, bit trauma, trauma during dental work, sinus infection or tumor – anything else you can think of that might end up with small amounts of blood being swallowed.


Sources from inside the intestinal tract include any parasite (including stomach bots, tapeworms, strongyles, etc) that attaches to the intestinal lining or matures inside the lining. This means that any horse has a good chance of testing positive at any time totally unrelated to ulcer disease. Collections of sand (fine dirt particles) or small enteroliths are also abrasive. Impaction or even overly dry manure can cause a positive. More serious – and things you don't want to waste time treating as ulcer disease with antacids or acid suppression – malignancy, inflammatory bowel disease and certain bacterial overgrowths will cause positives.


Another major issue is the entire concept of colonic or hind gut “ulcers”. The research that supposedly proved there is a large unrecognized problem with colonic ulcer disease was a postmortem survey of intestinal tracts in a slaughter house. Any break in the intestinal lining, no matter how small, regardless of whether an isolated spot or part of an inflammatory process, regardless of presence of parasites, drug history etc. was called an “ulcer”. These lesions have nothing whatsoever in common with stomach ulcers.


Extreme acidity in the cecum, pH below 6, can damage the intestinal lining to the point it may leak plasma or red cells. This can be caused by a sudden and large overload of starch or fructan. At the same time as the lining leaks outward, intestinal components can leak the other way into the body/blood stream. This includes bacterial products/toxins and D-lactate, the bacterial form of lactate not normally found in the blood. The intestinal damage causes colic and the release of products into the blood causes fever, laminitis, an obviously sick and toxic horse.


We know from studies looking at the ability of fructan to cause laminitis and the presence of D-lactate in the blood that this is an all or nothing process. Until the acidity reaches a critical threshold there is no D-lactate in the blood, no laminitis because there is no damage to the integrity of the lining – no “ulcers”.  It' s not a matter of a little acidity causing something less severe.


Other things that may cause actual breaks in the intestinal lining, like parasites, phenylbutazone use, inflammatory bowel disease, bacterial colitis, sand, impactions, etc. are NOT associated with hind gut acidity. Not that you need anything beyond common sense to know this but recent research has shown that parasitism will cause a positive on the Succeed hind gut test and deworming the horse will greatly reduce the degree of the positive. Treating a parasitized horse or one that has right dorsal colon lesions caused by phenylbutazone with antacids because the test supposedly says the horse has hind gut ulcers is a big mistake.


As for EquiShur, although the dosage was considerably larger this study clearly shows that oral sodium bicarbonate without a fat coating will influence pH in the cecum:


http://www.ncbi.nlm.nih.gov/pubmed/23738517


There is nothing in the research done with EquiShur that shows the fat coating is necessary or helpful in any way. It's questionable how long the fat coating even lasts considering that the stomach of the horse has considerable levels of the enzyme lipase.


I personally wouldn't use it because of the presence of trans/hydrogenated fat which is a totally unnatural form of fat. Among other things there is convincing evidence that trans fats cause insulin resistance, e.g.


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3854275/


However, I can't say that the amount or type of fat in a dose of EquiShur will definitely have a negative effect on an IR horse. Can't say it wouldn't either.


All of this said, there is something rather interesting in the EquiShur research. Dosing with EquiShur actually was not completely protective against the pH changes. The most dramatic effect found was a reduction in lactate. Either lactate producing bacteria were inhibited or lactate utilizing bacteria were increased. Also found was an increase in VFA (fiber fermentation products) in treated horses. This is similar to what is seen in horses given supplemental Saccharomyces cerevisiae yeast and represents improved fiber fermentation. Therefore, it's possible the supplement is having a beneficial effect on hay fermentation.


Eleanor in PA
www.drkellon.com   2 for 1

EC Co-owner
Feb 2001



Re: Hay analysis: does it look like decent hay?

 

Thank you for your detailed response. Everyone  around me says things are fine, so I truly appreciate comments telling me something is wrong, and there are ways to address the problem(s).


***No problem. It's what we do here. I was exactly in the same position until volunteers here took me under their wing and educated me. Most horse owners/managers don't realize that there are frank mineral deficiencies in forage, or don't look past protein and the Ca:P ratio. Those that do, for example, the feed industry, used bagged feeds as multi-vitamins. That works reasonably well if a) your horse can tolerate the feed b) you feed according to the label (most don't) and c) the feed is a good match for the deficiencies and excesses in the forage (most don't). At best, feeds, when fed at the recommended amounts, will correct frank deficiencies, but do not balance the forage ration, even if the label reads "balancer." In my 10 years of experience balancing, I can count on 1 hand where feed actually balanced the forage ration.

 

It makes me sad to think Inky hasn't been getting what he needs. I am open to all suggestions, and if you think I need to do a consult I am willing to do that too.


***He's in good company. The majority of horses don't get what they need. Fortunately, horses have tremendous reserves, but after many years of mineral deficiencies, these reserves can run out.

 

The hay is what the farm owner harvests, she seems to let it mature in all her fields. I don't go out of my way to buy it. In other words, that is the type of hay he will have each year, though she supposedly fertilizes her fields every three years, which may change the values somewhat.


***It would be nice if you could ever so gently educate the farm owner to cut at the proper time, provided the weather cooperates. The nutrient value of the hay would be higher, there would be less waste and the effort that goes into fertilizing would be appreciated. The nutrient value and mineral profile will vary from cut to cut, year to year, season to season. One hay analysis is only good for that cut. 

 

I started him on Alcar this week, so I hope that was a good thing to do. I can tell the farm owner to increase the amount of pellets. I just bought two bags of TC Lite because I thought that might be better starch/sugar wise. Neither has been opened yet so I can return them if you think I should go back to feeding the TC 30.


***I would take the TC Lite back and get the TC 30% and feed at least a lb a day. S/S in TC 30% is 9.8%.

 

Should I add California Trace supplements, or go to Smart Pak to develop a good mix for Inky? Something else?


***I think you'll find it more economical and beneficial to balance to the forage ration. Finding a commercial blend that fits your specific circumstances will be challenging. Using a commercial blend like CA Trace is better than what you're doing now, but in cases of long-term mineral deficiencies, I prefer to take a more targeted and aggressive approach - more bang for the buck.

 

The farm owner uses Equimins for all the horses on her property. She may dump some of it in everyone's feed, but I don't know how much or if it's daily. I have been thinking of asking her to stop giving it to Inky because of the iron. Is that a good idea?


***There are so many varieties of Equimin that it is impossible to determine. Do you know how much iron is in it or which variety she's using?

 

My only concern about increasing the pellets is that he may gain the wrong kind of weight. He had ballooned from 1217 to 1290, I got him down to 1230 and now he is inching up again. Because he has muscle issues (maybe mineral related??) he doesn't get much exercise. (I realize he also isn't as muscled as he should be, but everyone told me that previously he was too fat).


***You can cut back on hay. The majority of calories in the TC 30% will come from protein. It's 30% protein, 3% fat, 9.8% carbohydrate. 

 

BTW, I am so unlearned in horses, I don't know what you mean that you can tell by his photo that he has deficiencies. What are the tell-tale signs? The vet was out last week to check on his lame foot, and drew blood for the chem panel, and there was no indication from the vet based on observation or the blood analysis that he is missing anything. The chiropractic vet had said his coat was dry and he needed oil, so I have been giving him Cocosoya, about two ounces daily. Other than that, no one at the barn/vet's office is advising me on how to feed Inky to make him as healthy as he can be.


***His coat color is an indication of copper and zinc deficiency. Cocosoya is a good option, but you also need to compensate for the omega-3 and -6 fatty acids that are lost grass is cut and dried to hay. We recommend 4 to 6 ounces of ground flaxseed (grind your own or buy ground, stabilized flax). FWIW, when my vet saw the difference in my horse after following the group's recommendations, he asked me (ME?!) to consult with his clients. I assured him that I did not consider myself qualified. He said that they receive so little nutrition training that they rely on the feed company representatives to handle it. Dr. Kellon (besides being one of the best physiologists I know - and I can say this because I'm a neurophysiologist and scientist) is highly respected and published in equine nutrition and nutraceuticals. She trained everyone listed in the files who help with mineral balancing (myself included) and offers classes as well (highly recommended). 


I'm happy to help with balancing or you can check out the files, #7 Getting Help with mineral balancing. 


All the best to you,


Kathleen (KFG in KCMO)

Director and Research Advisor, ECIR Group Inc

Missouri - USA - Dec 2005