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Mare with UTI/ yeast infection?

This is a discussion on Mare with UTI/ yeast infection? within the Horse Health forums, part of the Keeping and Caring for Horses category
  • What does a ut infection in a horse look like
  • Urine pooling in mares

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    11-13-2012, 11:18 PM
  #21
Super Moderator
This mare does not have a UTI. She has a uteruine infection and they treat much more differently than a UTI. Everything I have been posting about is about Uterine -- not UTI infections.

As I said in my very first post, UTIs are very rare in mares. Urine pooling, fecal contamination, chronic infections and suturing are all connected to uterine infections.

The only time a mare's uterus can be flushed is when you infuse enough fluids laced with whatever you are using to treat the infection that you actually get part of it back out. Older mares and those with poor vulva conformation often times are also low backed and have quite a bit of age on them. This allows the mare's uterus to rest lower than the her vulva and lets it collect fluid in the uterus and the vaginal cavity. When you put a gloved hand and arm in a mare like this, you invariably reach in and down. I have literally 'scooped' several handfuls of urine and fluid out of the front part of a mare's vaginal cavity and uterus when they are conformed like this. Part of this condition is what contributes to the mare's rectum being pulled forward to exacerbate the entire situation. The end result is a chronically infected reproductive system (Not urinary tract at all) and a constant nasty discharge from the vulva from fluids over-flowing the uterus and vagina.

When we have treated mares like this, we have often used Oxytocin following infusing them. This causes the uterus to contract helping expel the fluid and urine.

I hope this clears up ay misunderstanding.
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    11-14-2012, 01:36 AM
  #22
Foal
I know this sounds odd but I was at a stud farm the other day and the breeder mentioned that some one he knew had a mare that would get infected and they washed the inside of her vulva out with warm soapy water. He also mentioned of someone who used kero to wash the inside. Not sure if this is any good for them but I suggest researching it, some of the old wives tales do work well.
     
    11-14-2012, 07:52 AM
  #23
Super Moderator
The infection, as evidenced from pathogenic bacteria being grown from biopsies and culture swabs, is located some 16 to 20 inches into the mare's reproductive system from her vulva.

Most of these chronic infections are in old mares that pool urine and/or get fecal contamination from an old, worn out vulva. Traditionally, most of these old mares have either had several foals and/or have dropped in their backs from age and years of riding which has contributed to their uterus being located lower than their vulva and much lower than it was at one time.

Also, traditionally, most of these mares have been sent to a sale or a 'trader' that comes through and offers slaughter prices for them. At some point, their value hits a point where the money needed to keep them breeding or comfortable enough to continue riding hits a point where it is not worth what is costs to keep them either breedable or rideable. They are then sold or put down.

Now, as commercial breeders unload these older problem mares, individuals have stepped up and tried to 'rescue' them. So, many of the older mares with chronic uterine infections are absolutely miserable, get thinner and thinner, and live that way for years rather than being dumped on the market or put down. It is just as unfair to a good old mare to keep her around this way as it is to keep one around that is 3-legged lame. Same difference to me.

Anyone that owns one of these old miserable wrecks just needs to set a dollar amount and a point at which they give up trying to save one of these mares. If they insist on trying to keep one comfortable as long as they can, then they need to haul her to the nearest LARGE breeding farm with a GOOD resident reproduction Vet or to a Vet School that teaches advanced reproduction techniques to graduate students. These severe problems do not respond to back-yard home do-it-yourself techniques. If they can be corrected at all, you are looking at $1500.00 to $2500.00 at the very least and you still have an old mare and a temporary fix.

A chronically infected old mare is MISERABLE. That is why they get thin and keep going downhill.

This is not a very cheery post, but it is the hard reality and truth about older mares.
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    11-14-2012, 12:05 PM
  #24
Yearling
It is sad. The owner is currently trying to figure out how to come up with the money for the procedures, as this vet requires the money up front, wheres the vet we've had gives us a bit of a break. Its not looking very good though :( the mare in question is 15 yrs, is a bit of a hard keeper, and has had 4 foals. She's the perfect candidate for these infections, and yes, she is miserable. In this situation, what should I tell the owner? She loves her mare, and wont want her to suffer, but she's also relatively young, and may take it all the wrong way. Do I tell her its best to let her go? (this is infection #4, and its costing her about 250 each vet visit)
     
    11-14-2012, 01:47 PM
  #25
Super Moderator
If the owner does anything less than the complete, comprehensive treatment of all of her problems, she is just going to be reinfected the next time she comes into heat. It is an endless cycle on a mare like this. Their conformation causes more of this endless cycle -- over and over and over.

The owner either needs to spend the $1500.00 to $2500.00 at a University or big breeding farm with a resident Vet specialist or put her down. Even if she spends the all of this money, there is no guarantee that the mare will still not find a way to reinfect herself. That would all depend on how bad she pools urine when she is in heat and how serious her infective bacteria are. If she has a Pseudomonas or Klebsiella I would say she needed to be put down ASAP. These are very pathogenic and very difficult (and expensive) to kill.

The other thing that might help 'a little' if all other things are corrected, would be the daily use of Rugumate to keep her out of heat once she has been cleaned up. This is not cheap and women cannot handle it AT ALL. It is a daily oral dose, is messy and oily and very difficult to keep off of your hands and clothes. [Been there - done that.]

The other thing that must be considered is just how miserable this poor mare is. This is not a bit different than having one hobble around 3-legged lame or worse because one person does not want to let them go. Most people would have put her down before now, but everyone is entitled to spend their money any way they wish -- even if it is prolonging the inevitable.

JMHO -- She is entitled to hers.
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    11-14-2012, 03:29 PM
  #26
Yearling
I agree with you. I mean, I personally love this mare she's big, with springy dressage movements and she's a lovermooshysnugglebug. She's not off her feed, or behaving very differently. Just really bummed out and kinda listless. She's not happy. :( I am going to talk to my friend about letting her go, even though she wont like it at all.
     
    11-14-2012, 04:10 PM
  #27
Foal
At some point, like Cherie said, what's best for the mare needs to be considered. As I mentioned, we had an old broodmare, the horse in my profile pic is her son. First she was not such an easy keeper, so when she'd get poor, we'd pull her out of the back pasture, and bring her to the barn with the saddle horses so we could fatten her up. She had these symptoms, but for a while they resolved with added weight. We didn't get into any costly procedures as she was old, and my husband will not prolong the suffering of one, even though she had been a very good producer for us. Once she started going to pieces, we did what was best.
I'm sure it's painful for her, and hopefully they will do what's best.
     
    11-15-2012, 08:36 AM
  #28
Yearling
This is the mare in question, from a couple of months ago. She's lost some weight, and we've been calling round the states vet schools to see if maybe we can find something where she can be donated, treated and hopefully rehomed. Just wanted to share her a little. Her name is Momma.
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