It does sound similar in part – no scratches and my guy only mildly stocks up in one leg (so far) and it goes down immediately after turn out. But WOW how mysterious as well…and depressing!
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Wasn’t my horse, I can only report what I was told. But I’m pretty sure no one ever actually tested. Horse has been gone for years at this point.
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My horse has been gone for over 20 years, my daughter was just a toddler when I let him go. She’s 28 now. We got lucky that my vet was lucky to be able to diagnose him off the belly tap. I miss that boy. I cried for a month waking up before deciding to let him go.
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If not cancer, might be worth investigating ESPA/DSLD. Seen a few that the earliest symptom was a swollen sheath.
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I don’t really have any great suggestions, just wanted to commiserate with you about horses with mystery symptoms. I went down the rabbit hole with one of mine many years ago - we never got a diagnosis.
I did want to say that if it’s EPM, I would think the treatment would be longer than 10 days. And he could have EPM along with something else. There may not be one smoking gun, but a couple of things masking each other.
You’ve done so much already - maybe a spinal tap would give you some answers, or at least rule it out. And not all horses recover fully from EPM. The neurological symptoms may be permanent.
I second putting him on senior feed, to see if he can gain weight on it.
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10 days is appropriate for the dec/lev combination, then you assess from there
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