Pneumonia, heaves or heart failure? - Page 2
 
 

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Pneumonia, heaves or heart failure?

This is a discussion on Pneumonia, heaves or heart failure? within the Horse Health forums, part of the Keeping and Caring for Horses category
  • Chf dry heaves
  • Are dry heaves part of CHF

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    07-03-2012, 01:38 PM
  #11
Foal
Our area is very dry right now. Do you think I should try packaged forage instead of the locally grown hay that I've been giving him?
     
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    07-03-2012, 02:40 PM
  #12
Green Broke
Quote:
Originally Posted by Me and Smiling Horse    
Our area is very dry right now. Do you think I should try packaged forage instead of the locally grown hay that I've been giving him?
Your vet said the hay is fine. If you're worried about dust spray it down before feeding.
You're a nurse. Nurses don't like dealing with any patient without a proper diagnosis( guess how I know that?)

Maybe you could try this? Gather up all the information, from all the vets, put together a chronological chart & give it to one vet that you want to work with. Ask that vet to send the information to the big vet hospital & have them look it over & see what they say. They may charge you but it shouldn't be too much.
     
    07-03-2012, 02:53 PM
  #13
Foal
I am so sorry for your issues!! They sound terrible! My friend is dealing with a recent diagnosis of COPD in her horse (which I am also very close to) and we are currently trying to find a way to manage it. I couldn't imagine dealing with a heart issue well.

Is it possible that the Lasix was what made him so much better? Because if he has CHF and/or pneumonia that would help get the fluid off. Then the heart murmur might just be made worse by the excess fluid. Have you had the murmur reassessed since starting the Lasix and ACE? (I also feel your pain in the nursing department.. Sometimes ignorance is bliss!!)
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    07-03-2012, 02:54 PM
  #14
Foal
Hey Natisha,
That's an AWESOME idea! I haven't put together a chronological chart yet and I've had different vets each time so the continuity isn't there. Plus, as time goes on, keeping records just for myself to keep things straight will be good too. I hadn't thought of a "review consult" and it should be a lot cheaper...
Thanks so much!
Angela
     
    07-03-2012, 03:01 PM
  #15
Foal
Quote:
Originally Posted by Linzee    
I am so sorry for your issues!! They sound terrible! My friend is dealing with a recent diagnosis of COPD in her horse (which I am also very close to) and we are currently trying to find a way to manage it. I couldn't imagine dealing with a heart issue well.

Is it possible that the Lasix was what made him so much better? Because if he has CHF and/or pneumonia that would help get the fluid off. Then the heart murmur might just be made worse by the excess fluid. Have you had the murmur reassessed since starting the Lasix and ACE? (I also feel your pain in the nursing department.. Sometimes ignorance is bliss!!)
Posted via Mobile Device
He did show significant improvement within 24 hours of starting the enalapril, lasix and naxcel. I'm hoping that his heart murmur/condition has been greatly exacerbated by some lingering infection because, if that's the case, his long term prognosis is better as long as we give him the right antibiotics long enough.

And a recheck echo is an AWESOME idea too because it would help me either relax a bit and stop worrying myself sick, or brace myself for another loss - whichever is appropriate.
     
    07-03-2012, 03:14 PM
  #16
Foal
WOW I can't thank everyone enough who has replied to my post. I'm new to this forum and the support I've found is... healing. I've sustained some serious losses over the last year, and with Khaiyaann being so so sick... I feel like I can't breathe. He's breathing better now, but I'm not!

Well, I just wanted to thank everyone. I live alone now, and I really appreciate the support I've found here.
     
    07-04-2012, 03:53 PM
  #17
Foal
Here's an update.

My vet was out again today (Yes, on the 4th of July) and she consulted with the specialists (pulmonologist and cardiologist) at the equine hospital at a local university. They do not think my horse has heaves, thank God! And this is the official opinion of 4 veterinarians who all got together to review and discuss Khaiyaann's condition. They said that he would have a lot of wheezing in his lungs if it was COPD, but during the last 4 exams he had no wheezing at all.

They think he went into congestive heart failure due to pneumonia. I guess he had a lingering low grade respiratory infection ever since I transported him, and it just got worse and worse over time. I wish the first vet who treated him would have diagnosed him with pneumonia instead of COPD, and started him on more aggressive antibiotic therapy - it would have saved my big boy a potentially life threatening crisis, and saved me a lot of money! I even called her 3 days into his therapy and questioned his poor response, and she told me that "it'll just take time, so relax." What really makes me upset is that, when the first vet examined my big boy, he had crackles throughout his lungs, and some minor/occasional wheezes. She said the crackles weren't indicative of pneumonia.

Well, now 4 other vets say that crackles ARE indicative of fluid in the lungs and are associated with pneumonia or pulmonary edema, NOT with COPD/heaves.

The good news is that the pneumonia was pushing him into fluid overload and hurting his heart, and now that we're on the right track treating his pneumonia AND his heart condition, he is steadily improving!!! He will be on antibiotics for weeks to come, but that's ok. He was galloping through the pasture today just as happy as could be!!!

As for his heart murmur at grade 5/6... they say that's not good. :( BUT he is responding very well to the lasix and the enalapril. When his antibiotic therapy is finished we're going to reassess the murmur.
xxdanioo and enh817 like this.
     
    07-04-2012, 04:41 PM
  #18
Green Broke
Well yay that's great news! Sorry you had to go through all those vets though. He is so pretty I hope he makes a full recovery.
     
    07-04-2012, 07:50 PM
  #19
Trained
I don't know if anyone suggested this, but if you soak his hay for about 15 minutes before giving it to him, it would greatly cut down on the spores getting into his nostrils. My friend had an Arabian who developed heaves later in his life, and soaking the hay made a big difference in managing the symptoms.
     
    07-04-2012, 08:58 PM
  #20
Foal
Quote:
Originally Posted by MyBoyPuck    
I don't know if anyone suggested this, but if you soak his hay for about 15 minutes before giving it to him, it would greatly cut down on the spores getting into his nostrils. My friend had an Arabian who developed heaves later in his life, and soaking the hay made a big difference in managing the symptoms.
Yes, the first vet who came out suggested that I soak his hay and I did. He doesn't seem too enthusiastic about it though. He doesn't want to eat it. Then the next 2 vets inspected my hay and said that it was high quality - local, fresh cut, and green. I get some every cutting and it's grown 1/2 mile down my street.

But ya know, even though this isn't heaves, every little bit helps... I might try soaking his hay again and see if he'll eat it better? :)
     

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