First, give Thanks you still have your job:). Many horse owners are at risk of not being able to pay board because they have lost their job.
Second, if you havenít already wiped the shelves clean of esomeprazole, donít do it. If you have a credit card buy this stuff and see if it helps.
Haven't bought any esomeprazole yet. I'm really wanting to avoid going to the store if I don't have to, I haven't been in 3 weeks and was hoping to make it a bit longer.
I haven't heard of this product. I'll read into it.
Your horse may very well be dealing with hind gut ulcers. No type of omeprazole will help the hind gut. This Egusin addresses both front and hind gut issues and is all natural:)
Are you doing anything else for his gut health/ulcers? Because omeprazole only helps stomach ulcers(not hind gut ulcers at all) by stopping stomach acid production.
Hind gut is possible. His symptoms don't seen to strongly correlate with hind gut, though. The colics are always within minutes of eating, too soon to be passing from the stomach. No loose stool, no girthyness. Staff haven't seen him colic at any other point during the day(but he's also very storic. Took me a while to clue in that he was colicing initially). Difficult to assess any of the common performance symptoms because of his stifles and hocks. I do understand that extended PPI use can contribute to hind gut ulceration.
That's in part why I think a scope is important now. Scope and see a gastric ulcer, that's low hanging fruit. Scope and don't see, we can look elsewhere and use something like Sucralfate. I still haven't responded to my vet's email, but I'll mention hind gut.
3. Unless your horse has points on its teeth, dismiss the floating.
He's always sharp by the time his yearly float happens, so I'm pretty sure he needs it. I've also noticed some uneven wear on his incisors. I'm also wondering if there is any degree of mouth ulceration/discomfort that could be contributing to the overall situation.
He shouldnít be ridden at all with his current stifle & jock issues. Teeth donít re-grow themselves so having them perfect to avoid bit discomfort isnít an issue right now.
So from this I'm getting your horse is lame in multiple places and has ulcers that are super bad.
How old is this horse?
Is it worth it to pour all of this money into him right now, when there's no competitions or really anything happening for the foreseeable future? As well as... is it fair to him to keep pushing him to work if he's this unsound and hurting?
He's 10, really a trainwreck. There's other stuff going on too, but this is the major stuff. He pretty much is retired. All the vets who evaluated him for his lameness last year concluded that he is ok for light work as long as he's comfortable with it. When I ride him 1-2 times a week, it's for ~15min mostly at the walk with some straight line trots. Since his injections have worn off, his back gets sore so me sitting on him is pointless. I haven't been on him for a month or two at this point, but I have been doing in-hand bridle work and long lining to keep him mobile. I have long forgotten about ever bringing him back to the point that we could show.
The injections can easily be pushed off as he's comfortable enough to be pasture sound. I have enough Pentosan to keep him going for most of the year too. The ulcers are the more immediate issue since I can't just ignore those in the same way.
This does indeed help, if the horse is on little & often, low carb meals(horses cannot digest high NSC food in the stomach without the enzymes), by giving a reprieve to the damaged tissue. But it does not actively aid healing. So if ulcers are significant, they tend to need more help than just preventing further exacerbation from the acid.
Aloe, liquorice, and other 'herbs' can help, as can supps such as Kelato Gastro Aid, altho if ulcers are serious, they may need to be given in combo with omeprazole or such. Insufficient Mg in the diet(which can be due to too high Ca) is linked with stomach ulcers, BUT more Mg in the diet can also exacerbate ulcers, so I'd be inclined to use Mg Chlor applied to the skin, while ulcers are severe.
4. You can always get him off the hard feed and start adding a condensed it/min supplement to his beet pulp. Try and buy something that is in meal or powdered form:)
I'd sit down with your vet and really look hard at the nutrition your horse is getting from everything he's eating, as well as his turnout situation, living situation, and overall stress and workload.
He's already getting a powdered vit/min supplement. The pellets are compatible with the vit/min and allow me to feed it at a lower overall volume, but he doesn't like it if it's just the powder. The pellets are a low NSC feed, something like 10%, he gets only about a lbs of them. In general, I am very skeptical of herbal supplements and their efficacy. Purina Outlast is one I've heard good things about, but I don't know how I'd get that now. I'd have to call around but I wouldn't be surprised if no one stocked it here.
Last year I had gone over his diet with my vet and they consulted with an Internalist as we had pulled blood and he tested as Mn deficient (not Mg) repeatedly. There was nothing overly concerning about his diet otherwise.
He's eating 24/7 hay, full outdoor board with friends. He doesn't go anywhere. He's a sensitive guy and a worrier, but is very relaxed and comfortable day to day. Very low stress. Low work. I'm assuming these ulcers are a holdover from several years ago that were exasperated by the Previcox. 3-4 years ago he was boarded at a place that hand fed hay in the winter, so he's usually go periods without hay + was getting more grain and was in training.
5. Are you POSITIVE the people who feed him are giving him what they are supposed to and. It taking short cuts so they can hurry up and get the chores done?
That would be a big worry, especially if youíre at a big barn.
Yes, I'm quite confident the staff are giving his medication daily. They have a program where they will give supplements and meds to the outdoor boarded horses, there's a fair number of horses who get this service. His is by far the simplest to give, everyone else needs feed pans so if anything they would skip the others'. Haha. Really, though, I provide them with cut up granola bars to hide his medication in, so based on the rate they go through the bars and just knowing the care standards of the trainer and BO, I am very confident he is getting it daily.
6. I donít know what your BOís barn policies are but, for now, I would make whatever horses are there a ďclosed herdĒ and not even let anyone in or out for shows or big organized trail ride; trail riding would be fine if done locally and only with horses at the barn. That way even annual vaccinations could be delayed, as your horse may not receive those too well right now.
I would completely disagree with that. Vaccines aren't just for contagious diseases, but also things that bite and can be transmitted through animals. I would never, EVER skip vaccinations, worming, or farrier.
Everything else can be talked about as a one on one basis for each horse.
You can lose a horse real quick to WEE or EEE or Rabies...
Alternatively, if you need to forgo some spending on vets, depending on the state you can order and administer your own vaccinations. I saved quite a bit of money the last two years just administering my own vaccinations, plus I learned how to give vaccinations just in case I will have to in the future.
The barn is more open than other I've been at, but is no means the busiest. There's not many people going in an out, but people do(did?) trailer in for lessons and the trainer would trailer out for clinics and shows, but not many of the boarders are interested in shows.
I had considered the impact on vaccines, but those are pretty easy to deal with. I can always put in an order and drive over there to pick them up. I can administer myself, including the strangles IN. He's not due for vaccs until closer to June anyway. I do need a FEC ran, though.
A lot of vets are now looking at studies of omeprezol and how it really doesn't do much for horses. The reason gastrogaud works is because it has a coating over the medicine that allows it to be protected from the acid in the stomach so it gets all the way to the hind gut.
Honestly why scope him if the answer to the question is going to be try gastrogaurd? Why not just try that first and save the other $1000 for a possible emergency?
Coming from the show world, I love gastrogaurd and we give it quite often when traveling and competing. It really does help.
Is the answer to use Gastroguard? Because that is a lot of money. Gastroguard is the other $1000.
My understanding is that Gastroguard only effects gastric ulcers because it's a PPI. And gastroguard is omeprazole.
My vet also mentioned using a 1/2 tube a day vs full tube, or using gastroguard + compounded omeprazole. Was going to ask the cost on the compounded. Neither of those have any recourse if it doesn't work, though. With the full GG treatment, the company will stand behind its treatment.
But $1000 is a lot...
No scope, no float, GG = $1000. Hope it works and he doesn't have anything extra going on. I'm assuming for the company to uphold their second treatment policy, they'd need a confirmation via scoping. If it works, fantastic. Still needs a float.
Scope + GG = $1500. Would at least have confirmation(if we see anything), presumably the company would pay for round 2, but that also means 1-2 more trips to the clinic to scope. (if there's no lockdown by then). Still needs a float.
Scope + float + GG = $2000+. Still no promise of it working, but company would back it up. Float would be done, eliminate one potential source of discomfort. Still need the 1-2 more clinic trips.
Get more esomeprazole = $100. ??? Outcome. Way cheaper, it has been providing relief so far, but evidently not enough to heal fully. Then the supply issue. Not only is it hard to find right now, I would be taking it away from other people who might need it.
Or do all those scopes on farm with potentially less diagnostic value. Farm call would be a little cheaper than trailering fees. Would need to ask if the company would back up the eyepiece scope vs digital scope.
7. You are better off than many:). TV news casters are starting to devote time to handling the possibility of increased domestic violence due to families being shut in small living environments.
Things could be much worse:)
I definitely understand that. I'm don't have to worry about making rent or board like some are right now. Not exactly flush with cash though.