Equine Colic: Causes, Symptoms, Treatment and Prevention

Equine Colic: Causes, Symptoms, Treatment and Prevention A common cause of colic in horse is simple obstruction of large colon Owning a horse can be a rewarding and enjoyable experience.

Horses make wonderful companions and can be kept:

for pleasure riding
to enter competitions
as a pet. Many important responsibilities are associated with owning a horse. Horse ownership:

is a long-term commitment
requires significant time and effort
is expensive. It is your legal responsibility to make sure your horse is provided with the basic requirements to keep it healthy and happy. Horse ow

ners running horses on their own property and owners of properties where horses are agisted must also have a Property Identification Code (PIC). These requirements include:

adequate and appropriate feed
water
shelter
space and exercise
company
health care
treatment of illness or injury. Feeding your horse
Horses must have access to an adequate amount of good quality feed in the form of roughage (pasture, hay or chaff) to keep them in good body condition. A guide to the amount to feed is generally 1–2 kg per 100kg of bodyweight each day or:

Pony (measuring up to 13.5 hands, 200–350kg)
feed 3–7kg each day
Galloway (measuring 13.5–15 hands, 350–500kg)
feed 7–10kg each day
Horse (measuring 15–16.5 hands, 500–650kg)
feed 10–13kg each day
Heavy Horse (measuring 16.5+ hands, 650+kg)
feed 13+ kg each day
You may need to supplementary feed if:

a horse is being worked regularly
there is not enough pasture
the horse is losing body condition. Provide a salt lick or mineral block in paddock. Check with your veterinarian about suitable supplementary feeds – grass clippings and many food scraps are not suitable feed as they can cause a horse to become ill. Water for your horse
Clean water must always be available for your horse. A dam or self-filling trough is best and should be checked frequently. Bath tubs can be used but must be checked daily and re-filled if needed. Buckets are not suitable as a permanent water supply (they can be tipped over). If your water supply is not self-filling it must be checked daily. As a guide, a horse may drink 25-45 litres per day in hot weather. Shelter for your horse
Horses need shelter from sun, wind and rain. Suitable horse shelters include:

trees
a walk-in shed
a stable. A waterproof rug can protect the horse from cold weather but check it daily to ensure it is not rubbing, slipping or leaking. Exercise and space for your horse
Horses must have enough space to walk and run around, unless they are exercised daily. Stabled horses must have enough space to walk forward, turn around, lie down and roll. Sick horses may need to be confined under the directions of a veterinarian. Horses must not be tethered long-term. It is only acceptable for short periods of time. Where tethered the following requirements must be met:

access to water at all times
exercise off tether daily
ability to lie down and stand without restriction
tether must be attached by a swivel to a collar or halter
twice daily inspection
access to shelter at all times, for horses this may be shelter from a tree as well as a physical shelter
be able to graze freely
Paddocks for your horse
To prevent injury and escape of horses:

keep fences in good repair
prevent threats such as loose wires
be aware of attractions such as a neighbouring horse
remove rubbish and weeds regularly
Horse general health care and maintenance
Feet care
Horse's hooves need to be trimmed every 6-8 weeks by a farrier. This prevents them chipping or becoming too long and uncomfortable for your horse. Shoes are needed if the horse is to be ridden on hard or rocky ground. Teeth care
Horse's teeth need to be checked by a trained and competent equine dentist at least once a year for a horse kept in a paddock. Unchecked teeth can become sharp, causing pain and mouth injuries. Horses under the age of 5, as well as grain fed horses, need a dental check at least once every 3 to 6 months. Worming your horse
Worm your horse regularly to prevent build up of worms in the stomach and intestines. Many worming pastes require use every 6-8 weeks. Follow the directions on the product as dosage frequency and amounts vary. Reducing the build-up of manure in your horse's paddock is a simple way to reduce worm contamination of pastures. Horse vaccinations
Your veterinarian will advise what your horse should be vaccinated for and how often. They may recommend vaccination for diseases such as tetanus, viral respiratory disease and strangles. Monitor your horse's body condition
Do not let your horse get too fat or too thin:

a horse is too thin if its ribs are showing (you should be able to feel, but not see, a horse's ribs)
a horse is too fat if it has a round rump, big belly and crested neck
A horse's body condition must not be allowed to become less than body condition score 2. See Condition Scoring Horses for further information. Laminitis
Some horses may develop laminitis, a very painful hoof condition. In some cases severe damage may develop that is untreatable and require the horse to be "put down". Common causes of laminitis are obesity or too much green pasture or grain and ponies are particularly susceptible. Always consult a vet if your horse appears lame, uncomfortable or stands in water for long periods. Further information about Laminitis. Colic in horses
Colic refers to a range of digestive tract (gut) problems. Colic can be very painful and can have very serious consequences, including death. If you suspect your horse has colic seek urgent veterinary attention. Symptoms in your horse include:

lying down or rolling frequently
teeth grinding
restlessness
repeatedly kicking
looking at their flanks or sides. Notifiable diseases in horses
Horses can suffer from a variety of diseases, some of which are notifiable in Victoria. Company of other horses
Horses are herd animals and need the company of other horses. This can be in the same paddock or a neighbouring paddock. Keeping a horse on its own may lead to behaviour problems in the paddock or when out riding. Supervision and monitoring of your horse
Check your horse at least daily, ensuring it is not injured or ill and has adequate feed and water. Consult a vet if the horse is injured or ill. Horses that are handled frequently are usually easier to manage for farrier, vet or dentist visits. Stallions
Stallions are difficult to manage and are not suitable as companions. All colts and stallions should be desexed (gelded), by a veterinary practitioner, unless they are to be used for breeding. Geldings and mares are much more controllable companions than stallions. Disposal of your horse
If you can no longer care for the horse, you must arrange for it to be cared for by someone else, sell it or have it euthanised. It is much kinder to have the horse humanely destroyed than let it suffer from neglect. Selling a horse can be done privately such as through a friend or in the paper, or the horse can be taken to a saleyard for public auction. Riding your horse
If you have little or no experience riding a horse you should:

seek professional training or lessons from a riding instructor
join a pony or adult horse club or a riding establishment. This will help you to learn to ride properly and enjoy your time with the horse. It is essential to use properly fitting riding equipment. This will ensure your safety and prevent injury to your horse. Consult your local saddlery or riding instructor for advice on appropriate equipment. Breeding horses
Breeding horses should not be done indiscriminately and should only be done by experienced people (or with advice from experienced people), it is:

expensive
time consuming and
requires special facilities and knowledge. Things to consider before buying a horse
Buying a horse is a big investment of time and money, you need to consider the following before purchasing a horse:

Can you provide all basic health and welfare requirements to keep your horse happy and healthy? How much time do you have to spare? Keeping a horse requires a substantial time commitment. Keeping a horse is expensive, do you have enough money to care for your horse? Do you have a suitable property to keep the horse on? Is your property appropriately fenced and suitable for catching and working the horse? Is it close to home so you can visit your horse daily? Do you have enough pasture or other feed for your horse? Do you have enough money to feed the horse if the pasture becomes inadequate? Can you afford to purchase gear and other items, including:

a saddle
saddle blanket
bridle
grooming gear
feed and water containers
riding clothes (including a suitable hard hat and riding boots)
costs to access to a pony club or riding lessons. When buying a horse
Arrange an examination of the horse you are considering buying with your own vet. While expensive, this may save you from buying a horse that is unhealthy, lame or otherwise unsuitable. Take a trusted horse expert with you to assist in selecting a suitable horse. Arrange a trial period before buying the horse to find out if the horse is suited to you. Emergency plan for your horse
Have a plan for your horse in an emergency. Have your horse microchipped and make sure your property has a Property Identification Code (PIC). This will help to identify your horse (and you and your property) in an emergency. The emergency management arrangements for animals in Victoria are outlined in the Victorian Emergency Animal Welfare Plan. Find out more managing horses and other animals in emergencies.

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Prevention
Once you figure out the cause and have treated the colic, some of the preventative measures are self-explanatory. For example, if an abrupt change in diet caused a problem, make sure to make dietary changes gradually in the future. Some other preventative measures include:
Feed your horse on a regular schedule even on the weekends.
Do not make sudden changes to the horse's diet.
A clean fresh water supply should always be available.
hay racks as well as the feedstuffs clean and free of mold and dust.
Check teeth frequently for dental problems that may cause chewing issues.
Provide adequate exercise.
Feed the appropriate amount of forage (at least 50% of the total diet).
Keep feed off the ground to avoid sand ingestion.
Practice an effective parasite control program that fits your farms needs.

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Gas colic – all colics are associated with some gas build up. Gas can accumulate in the stomach as well as the intestines. As gas builds up, the gut distends, causing abdominal pain. Excessive gas can be produced by bacteria in the gut after ingestion of large amounts of grain or moldy feeds. A nasogastric (stomach) tube inserted by a veterinarian is used to relieve the pressure of the gas and fluid accumulation in the stomach.
Spasmodic colic - defined as painful contractions of the smooth muscle in the intestines. Spasmodic colic has been compared to indigestion in people and is usually easily treated by a veterinarian. Over excitement can trigger spasmodic colic.
Enteritis – inflammation of the intestine possibly due to bacteria, grain overload or tainted feed. Horses with enteritis may also have diarrhea. Enteritis is often hard to diagnose and may present itself similar to displacement or impaction colics.

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Top 12 Causes of Colic and How to Prevent Them
Equine colic cannot be prevented 100% of the time, but there are measures you can take to greatly reduce your horse’s chance of developing this painful condition. Most of these measures revolve around managing and feeding horses as naturally as possible
Here we list some of the top causes of colic, along with what you can do to prevent them.
1) STALL CONFINEMENT
Horses stalled more than 50% of the time are at increased risk of colic when compared to horses that have pasture turnout more than 50% of the time.
Increased stabling (more than 12 hours per day) has been shown to have noticeable physiological effects on horses. This includes decreased colonic motility, and decreased movement of digesta through the gut.
Stall confinement is also associated with wind-sucking or cribbing, which may contribute to an increased risk of colic.
The solution to this problem is simple: turnout. By allowing horses as much turnout time as possible, you will automatically reduce their chances of developing colic since both movement and grazing will help keep the digestive system functioning smoothly.
2) HIGH GRAIN/LOW FORAGE DIETS
Horses’ digestive systems are better equipped to process forage than concentrates. Research shows that feeding large amounts of grain or other concentrated feeds can increase a horse’s risk of developing colic.
When a horse is fed a high-grain diet, the digestive tract cannot process and absorb all the sugar in the feed before it reaches the hindgut. This can result in hindgut dysfunction and acidosis.
Twice daily feeding of concentrates is also associated with the secretion of large amounts of fluid into the small intestine which, in turn, leads to the absorption of fluid from the large colon. This can cause dehydration of colonic contents and impaction colic.
Feeding horses appropriately can reduce their risk of colic. If concentrates must be fed, feed smaller, more frequent meals throughout the day.
Also, ensure that the majority of your horse’s diet is grass/forage or hay. A horse should consume at least 1-2% of their body weight in forage daily.
You can submit your horse’s diet for complementary evaluation by our equine nutritionists to determine whether your horse is meeting their nutritional and feeding requirements.
3) INADEQUATE DEWORMING PRACTICES
In one study that surveyed 774 equine veterinarians, researchers found that horses receiving dewormers on a regular basis had a decreased risk of colic.
However, the research also showed that administering dewormers to foals can cause colic associated with intestinal obstruction from the rapid death of ascarids (parasitic roundworms).
The general consensus is that a regular deworming program will help to prevent colic in most cases. Check with your veterinarian to see which dewormers are recommended for your area and how often you should administer them.
When deworming your horse, it is a good idea to supplement your horse’s diet with probiotics to restore balance to the digestive tract.
4) SAND INGESTION
Horses grazing or eating off of sandy ground may ingest too much sand which can cause sand accumulation in the colon and colic.
To prevent sand colic, avoid feeding horses on sandy soil. Instead, feed them in raised feeders or hay racks.
Some research suggests adding psyllium, probiotics and prebiotics to the equine diet can help increase f***l sand output to decrease the risk of sand colic.
If you live in an area with sandy soil, consider a digestive health supplement containing prebiotics to decrease sand accumulation in the hindgut.
5) ABRUPT FEEDING CHANGES
Microbes in the horse’s gut acclimate to digesting certain types of feed and hay. When changes are made too quickly, a disruption occurs in those microbes which can lead to colic.
All feeding changes should be done gradually, over a period of 7-10 days. This goes for concentrates as well as changes in hay or pasture.
If you know that your horse is especially sensitive to any type of feed change, you can even prolong the transition to several weeks.
6) DEHYDRATION
Horses that don’t drink enough water are at higher risk of developing impaction colic. Since horses tend to drink less in winter, encourage drinking by providing a warmed water source.
This can be done with heated or insulated buckets or tank heaters. Keep in mind that horses cannot lick ice or eat snow and stay hydrated.
You can also soak hay cubes or pellets in winter to increase water intake.
It is always recommended to provide free-choice loose salt to encourage drinking throughout the year. A salt lick or salt block will not provide enough sodium to significantly increase water intake. Plain loose salt should always be available to your horse.
7) MOLDY FEED OR HAY
Mold in feed or hay can disrupt microbes in the horse’s gut and lead to colic. Some types of mold also produce toxins that can cause severe digestive upset. Therefore, never feed grain or any type of concentrate that has been exposed to moisture. If a feed smells off, it’s better to throw it out rather than risk colic.
The same goes for hay: if hay appears or smells moldy, do not feed it. Horses eating from round bales will typically leave any moldy parts alone. However, if their diet is more restrictive, they may eat hay they wouldn’t otherwise consume.
8) STRESS
Stress has also been known to cause equine colic. For horses, common stressors include:
Long transport
Stabling changes
Intense training
Increased stall confinement
Changes to the social environment
Herd dynamic
Though not every type of stressor can be avoided, keeping stress to a minimum is an important part of colic prevention, especially for horses with a history of colic.
9) LONG-TERM USE OF NSAIDS
Long term use of non-steroidal anti-inflammatories (NSAIDs) is a common cause of recurring and often low-grade colic. Because NSAIDs inhibit chemicals known as prostaglandins, their use can lead to decreased mucous production and a lower gastric pH.
In turn, prolonged use of NSAIDs can cause gastric or hindgut ulcers and recurring colic can be a symptom.
NSAIDs are meant to be used for short term pain management, not as a long-term solution. Phenylbutazone (bute) has the lowest margin of safety as far as side effects are concerned and should not be given to horses with gastro-intestinal disease.
If your horse is dealing with a chronic issue such as arthritis, talk to your veterinarian about pain management alternatives to NSAIDs. For horses with arthritis or joint pain, we typically recommend MSM powder and w-3 oil with omega-3 fatty acids as natural supplements to support healthy tendons, ligaments and cartilage.
10) DENTAL PROBLEMS
Dental problems can lead to poor chewing and maldigestion, which in turn, can cause both esophageal impaction (choke) and/or intestinal impactions. Horses should receive regular dental care, especially as they age.
For older horses with worn teeth, feeding softer feeds, such as senior feeds, can be helpful. If they have trouble eating hay, consider soaking it or feeding soaked hay cubes or chopped hay.
11) PREVIOUS HISTORY OF COLIC
Horses with a previous history of colic or colic surgery are more likely to colic again.
If this applies to your horse, it’s important to manage and feed them as naturally as possible.
Consider supplementing with a digestive supplement like Optimum Digestive Health or Optimum Probiotics to help keep the gut’s microbial population in balance and reduce the chance of recurring colic.

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Types of Colic
Colic is related to many different maladies and include the following:
Stomach distention – the small capacity of the horse’s stomach makes it susceptible to distension when large amounts of grain are ingested in a single meal. There is the potential for the stomach to rupture which is fatal.
Displacement colic – the small intestine is suspended by in the abdominal cavity by the mesentery and is free floating in the gut. This mobility can predispose the small intestine to become twisted. A twisted intestine requires immediate surgery to reposition the intestine and remove any portion of the intestine that is damaged due to restricted blood flow. In addition, both the small and large intestine can become displaced in the abdominal cavity causing both pain and restricted blood flow. Displacement colic can be caused by gas build up in the gut that makes the intestines buoyant and subject to movement within the gut. Displacement colic needs immediate surgical treatment.

Colic: Causes and SymptomsColic is defined as any abdominal pain although horse owners typically refer to colic as probl...
18/10/2022

Colic: Causes and Symptoms
Colic is defined as any abdominal pain although horse owners typically refer to colic as problems with the gastro-intestinal tract. The causes of colic are numerous, but generally they are related to the anatomy and the microflora of the horse's gastrointestinal tract. Some more common causes of colic include:
High grain based diets/Low forage diets
Moldy/Tainted feed
Abrupt change in feed
Parasite infestation
Lack of water consumption leading to impaction colics
Sand ingestion
Long term use of NSAIDS
Stress
Dental problems

Antibiotics may lead to colic because they alter the microbial population in the gut, which in turn affects starch diges...
18/10/2022

Antibiotics may lead to colic because they alter the microbial population in the gut, which in turn affects starch digestion. Dental problems may cause colic if the horse is unable to chew its food sufficiently. Older horses fed coarse hay are at greater risk of impaction colic.
Signs of colic include:
Pawing
Rolling
Bloating
Sweating
Distress
Uneasiness
Loss of interest in food and water
Peculiar postures (sitting, stretching)
Absence of gut sounds

Treatment of Colic in HorsesIn order to appropriately treat a horse for colic, the underlying medical cause for the coli...
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Treatment of Colic in Horses
In order to appropriately treat a horse for colic, the underlying medical cause for the colic symptoms must be identified. Medical treatment may be performed at the farm, or it may be recommended to take the horse to a hospital for further evaluation, 24-hour care, and possible surgery.
Medical treatment for colic may include non-steroidal anti-inflammatory medication such as banamine (flunixine meglumine) to alleviate pain and inflammation. The administration of fluids, electrolytes, and/or mineral oil via the nasogastric tube placed in the horse's stomach may also help. If the horse does not improve with medications or treatments given on the farm, then hospital or surgical care may be required for treatment.

DiagnosisClinical evaluationClinicopathologic testsA diagnosis can be made and appropriate treatment begun only after th...
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Diagnosis
Clinical evaluation
Clinicopathologic tests
A diagnosis can be made and appropriate treatment begun only after thoroughly examining the patient, considering the horse's history of any previous problems or treatments, determining which part of the intestinal tract is involved, and identifying the cause of the particular episode of colic. In most instances, colic develops for one of four reasons:
The wall of the intestine is stretched excessively by either gas, fluid, or ingesta. This stimulates the stretch-sensitive nerve endings located within the intestinal wall, and pain impulses are transmitted to the brain.
Pain develops due to excessive tension on the mesentery, as might occur with an intestinal displacement.
Ischemia develops, most often as a result of incarceration or severe twisting of the intestine.
Inflammation develops and may involve either the entire intestinal wall (enteritis or colitis) or the covering of the intestine (peritonitis). Under such circumstances, proinflammatory mediators in the wall of the intestine decrease the threshold for painful stimuli.
The list of conditions that cause colic is long, and it is reasonable first to determine the most likely type of disease and begin appropriate treatments. After beginning treatment, efforts should be expended to make a more specific diagnosis, if possible.
The general types of disease that cause colic include:
excessive gas in the intestinal lumen (flatulent colic)
simple obstruction of the intestinal lumen (impaction)
obstruction of both the intestinal lumen and the blood supply to the intestine (strangulating obstruction)
interruption of the blood supply to the intestine alone (nonstrangulating infarction)
inflammation of the intestine (enteritis or colitis)
inflammation of the lining of the abdominal cavity (peritonitis)
erosion of the intestinal lining (ulceration)
“unexplained colic”
In general, horses with strangulating obstructions and complete obstructions require emergency abdominal surgery, whereas horses with the other types of disease can be treated medically.
The history of the present colic episode and previous episodes, if any, must be considered to determine whether the horse has had repeated or similar problems or whether this episode is an isolated event. The duration of the present episode, the rate of deterioration of the horse's cardiovascular status, the severity of pain, whether f***s have been passed, and the response to any treatments are important pieces of information to use in the decision-making process. It is also critical to determine the horse’s deworming history (schedule, treatment dates, drugs used), when the teeth were floated last, if any changes in feed or water supply or amount have occurred, whether or not the horse engages in cribbing, and whether the horse was at rest or exercising when the colic episode started.
The physical examination should include assessment of the cardiopulmonary and gastrointestinal systems. The oral mucous membranes should be evaluated for color, moistness, and capillary refill time. The mucous membranes may become cyanotic or pale in horses with acute cardiovascular compromise and eventually hyperemic or muddy as peripheral vasodilation develops later in shock. The capillary refill time (normally ~1.5 seconds) may be shortened early but usually becomes prolonged as vascular stasis (venous pooling) develops. The membranes become dry as the horse becomes dehydrated. The heart rate increases due to pain, hemoconcentration, and hypotension; therefore, higher heart rates have been associated with more severe intestinal problems (strangulating obstruction). However, it is important to note that not all conditions requiring surgery are accompanied by a high heart rate.

Clinical FindingsStretching position, colicStretching position, colicCOURTESY OF DR. THOMAS LANE.     Clinical signs of ...
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Clinical Findings
Stretching position, colic
Stretching position, colic
COURTESY OF DR. THOMAS LANE.

Clinical signs of colic in horse
Numerous clinical signs are associated with colic. The most common signs include pawing repeatedly with a front foot, looking back at the flank region, curling the upper lip and arching the neck, repeatedly raising a rear leg or kicking at the abdomen, lying down, rolling from side to side, sweating, stretching out as if to urinate, straining to defecate, distention of the abdomen, loss of appetite, depression, and decreased number of bowel movements. It is uncommon for a horse with colic to exhibit all of these clinical signs. Although they are reliable indicators of abdominal pain, the particular clinical signs do not indicate which portion of the GI tract is involved or whether surgery will be needed.

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