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Mare with UTI/ yeast infection?

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  • Not going to treat a mare's e-coli infection of the uterus
  • Infuse mare when not in heat?

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    11-10-2012, 10:50 AM
How about a new vet who will do something more for the mare. If the vet is just a "give antibiotics" and calls it a day" then its time to look for a vet that cares enough to find out what is going on and fix it.
I would not suggest to start giving the mare treatment found on the internet, like onions and garlic, until you know exactly what is wrong. Onions given to animals can cause anemia.
Is the mare running a temp? Discharge?
If this is reoccuring, then most likely it is not getting completely healed, the antibiotics are not working and it is a a chronic issue.
Get a new vet that will do something and don't try to cure a horse with onions, garlic and whatever else you read about.
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    11-10-2012, 11:42 AM
My horse is on garlic to help with flies, so I know garlic wont hurt, but if it may help, we're going to give it a shot. We called out another vet, who wont be able to make it til monday, but suggested keeping her comfortable, cleaning the area well, and giving her some kind of immunity booster, along with the garlic.

There is discharge, whitish, mucousy, not chunky or anything but obviously not normal. No she is not in season. Would wrapping her tail help keep it cleaner?
    11-10-2012, 11:55 AM
Super Moderator
Get a good breeding Vet to look at her. UTI are very rare and present with really serious symptoms like very high temps, very high white count (as per CBC) and very abnormal blood chemistrys.

Uterine infections that cause a discharge are much more common. They can include complications like 'urine pooling' in the forward vaginal cavity, 'wind-sucking', fecal contamination and a really nasty back end and tail.

If her vulva does not close well, she should have a Caslick's surgery. Since she is an OTTB, she probably has had one before and has scar tissue there already.

She should have a complete repro exam WHILE SHE IS IN HEAT. Urine pooling and other problems are much more readily seen when a mare is in full heat. A uterine culture is only accurate when a mare is in heat. Antibiotics must be infused directly into a mare's uterus. Antibiotic shots are completely ineffective. After a mare has been infused with antibiotics is the time that they should be sutured. Then, they cannot keep getting themselves infected.
natisha likes this.
    11-10-2012, 01:54 PM
Thank you cherie, she's been getting the shots, but nothign directly to the source. It is a discharge situation, she doesnt have a fever, but she's very uncomfortable. I'll mention the infused antibiotics to the new vet we're trying. She's been dealing with this chronically for the past four-five months, off an on. So far she's been just the best little trooper about it all.
    11-12-2012, 09:46 AM
Heres a photo of it before we cleaned it. It gets this way in about four hours, and its constant. I believe its being caused from her poopies not being hard enough, and she's getting dribbles in her coochie. I suggested Vaseline over it to try to help keep the poopies out. She's started on the garlic, and the vet should be out around five thirty.
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    11-12-2012, 10:11 AM
Super Moderator
I appears that her rectum is recessed farther in than her vulva. This can be caused by age, being thin, being low-backed, having several foals, and other reasons. It also appears that she has been sutured in the past. Most race mares are sutured on the track.

EVERY horse that has a rectum that is recessed and a vulva the 'tilts' inward at the top of it SHOULD be sutured.

Suturing a mare like this without doing a uterine culture while she is in heat, only closes a uterine infection up in the mare. At the very least (if you elect to not go through the expense of a culture), the Vet should infuse the mare's uterus with a good broad spectrum antibiotic that specifically targets E-Coli and other Gram Negative Rods BEFORE suturing her.

We use Furacin Solution mixed with 250cc of Saline to infuse mares that are not going to be used for breeding later on. We always culture every mare that is going to be bred later on.

She should be a lot more comfortable after suturing her and if she has weight issue, suturing should help that, too. The discharge should clean up immediately if she is infused before suturing. The fecal contamination should also stop immediately.
    11-13-2012, 10:19 PM
We had an old brood mare that would get issues like this when she got thin from being turned out. As soon as we got her back up on feed and got weight on her, the discharge, and other issues went away. She was 20 yrs old.

However, as far as UTI issues, google D-Mannose. I highly recommend it. It's worth the money. Often times, antibiotics will clear away the infection, but the infected lining doesn't fully slough the bacteria, and therefore the infection returns, hence the name recurrent UTI. This happens a lot in humans as well. D-mannose eliminates the problem. It's perfectly safe for horses. How d-mannose cured my UTI's

Scroll down, and this link mentions use in animals. I believe it's more effective and safer than antibiotics.
    11-13-2012, 10:41 PM
The caslicks procedure causes more harm than good. I highly advice you to seek other options before you sew her up... JMO

I have seen multiple mares with this procedure done and one in particular that colicked every time she went into heat. Had to have it reversed, not a cheap vet bill either...
6W Ranch likes this.
    11-13-2012, 11:15 PM
Super Moderator
I have NEVER known a PROPERLY done Casliks to injure a mare or cause colic. I have personally done hundreds of them and seen many more than that done. I have bred, by AI, hundreds mares (back when I was breeding 100 to 200 mares a year) without even opening them up. I've never seen a problem. I have just seen countless problems in mares that needed to be sutured.

I have used D-Mannose but not with great success. [I have a box of it sitting in my Vet cupboard.] It is basically a sugar-type of compound similar to glucose, I believe. I have known it to work on an occasional Pseudomonas but most mares built with a rectum like the one pictured have simple E-Coli or Enterobacter infections from fecal contamination. They are also frequently pooling urine. Much more rare (thankfully) are gram negative rod infections caused by Pseudomonas and Klebsiella bacterial. These are really serious and pathogenic. They can also infect a stallion if one is bred.

Suturing is not a difficult surgery and usually not very expensive. (The culture and antibiotic infusions cost a lot more than the Casliks.) Opening a mare up only requires a scalpel or a sharp pocket knife. It is just like we do with a sutured mare before she foals. After catching the mare and putting her in the stocks, it takes about 5 seconds to open one up.
Bridgertrot likes this.
    11-13-2012, 11:39 PM
If you are not having success with D-Mannose, you're not likely using enough. It takes quite a bit to coat and flush the bladder lining of a horse. It will successfully flush away the bacteria. I know from first hand experience it works well on humans. Also, it must be given several times a day, for about a week. How much did you give, and for how long? It takes about a week, and up to a jar for a human, depending on the severity. It's not cheap, but it gets rid of recurrent UTI, and breaks the pattern of antibiotics every couple months. I imagine a single box wouldn't go far.

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