Recurrent colic, Undiagnosable

My recurrent case of colic was due to a problem with protein. Mostly in alfalfa, but of course some feed companies put alfalfa meal or other protein source into bagged feed too. Or another protein source. Vets simply shrugged, and sold me banamine. She would colic several times a week, severely. One night when she was sick a yearling, in desperation as the banamine didn’t seem to be working, I tried “Dr. Green”, and turned her out onto grass pasture. She was recovered by morning and grazing. But I didn’t learn much from that occasion… thought she had just eventually recovered due to the banamine. Eventually I put it together that it was related to alfalfa, that it didn’t happen when on grass pasture OR grass hay, only when she got alfalfa. She’s now on strictly grass pasture or hay, NO alfalfa, and NO added protein of any sort in grain ration… beet pulp and high fat extruded kibble and mineral source. NO more colic episodes since that change. The difference is like night and day.
Since we now make our own hay, I simply have worked up some feral grass fields in addition to our alfalfa fields, we make enough small square grass bales which are cut and baled specifically for her. It’s not fancy hay, known locally as “meadow grass”- a mixture of local grasses that grow locally in damp fields. She’s 24 this year. This hay is the reason she is still alive and thriving.

I can’t say that alfalfa is your horse’s problem. But look for something in the diet that may well NOT bother most horses, but does bother yours. It’s a process of elimination. What is she eating when you go through a phase without the colic? (if you do). Good luck.

4 Likes

Unrelated, she had a choke a couple of weeks ago and was on a week and a half of antibiotics to chase away any threat of pneumonia. We’ve also tested for a lot of infections.

1 Like

She’s been in two different locations since I bought her. But I’m beginning to wonder if it’s just hay in general.

2 Likes

That’s what I was thinking, you need @starsandsun superstar board certified internist on this case.

3 Likes

Raconteur now has her name and contact info and will be reaching out … everything crossed for her and her mare.

9 Likes

Caveat, I know nothing of anything, but a few things went through my mind watching the video and reading the thread.

The video made me think mild choke. I would not have thought that if I hadn’t seen my little idiot have very similar behaviour. The first time I caught her in a mini choke, I called the vet and said, “I can’t tell if it’s a choke or a colic.” It was bizarre. Her larger chokes were very clearly distinguishable, but the mild ones - seriously weird.

The next thing is Regumate - if she were mine, I’d be tempted (if still no answers after ruling other stuff out) to stop it for a year and just ride out the heats to see if there is really a correlation to cycles and abdominal discomfort … or whether the Regumate may actually be causing discomfort. Hormones are weird, one never knows.

I think all of my other thoughts/questions have been covered by others already so I won’t repeat. I wish you ALL the best of luck. Sorting out this type of thing is a nightmare.

10 Likes

@RaconteurRaven Please do keep us posted on what happens ok? We all benefit from these threads. And good luck to you and your mare. She’s a lucky girl to have you doggedly pursue getting her helped.

8 Likes

Totally seeing the same thing.

I had a mare who was choking regularly but without the typical “OMG I’m choking” response so it was just so hard to pick up. She finally choked badly, and the vet felt some strange resistance when passing the tube to clear it and recommended scoping. There was a subtle change in the wall of the esophagus, and she was diagnosed with an internal abscess deep in her chest, right in front of her stomach, that was causing narrowing.

It was likely a bastard strangles or internal pigeon fever, but we never poked it to find out. She was treated with Exceed and rifampin for a long time. It resolved eventually and she never had another problem with it.

@RaconteurRaven you’ve clearly scoped the bejesus out of your horse, and man I’d hope something like this would be picked up…but maybe not? Or maybe there’s a weird esophageal motility issue that could be transient? I know people can get esophageal spasms, although dunno if that happens in horses. But some issue in the esophagus also tracks with this being an issue when she’s on hay in particular.

Best of luck, I really hope you get some answers.

4 Likes

That’s been nagging at me too, but with how many times they’ve passed a camera down her throat into her stomach, I’d be shocked if they somehow missed something. However, she does the yoga and lip curling at times where she hasn’t recently eaten. So I don’t think it’s choke. BUT I do think esophagus/stomach is involved in some capacity. Maybe inflamed from some seasonal trigger.

3 Likes

If I get any sort of answer, I’ll be shouting it from the rooftops.

7 Likes

Two things change:

  1. she doesn’t eat hay in the summer months when she’s normal
  2. more grass

Has she ever had her head holes scoped? And her upper airway? That might be worth doing, as apparently issues there can cause dysphagia.

They can also do a barium swallowing study in horses, which would be SUCH an interesting thing to explore. Is she consistent enough with this that you can trigger it? Passing barium, and watching what exactly is happening in the esophagus if you can trigger an episode could be so useful.

You’ve looked so hard at the entire GI tract, except maybe the portion from the mouth to the stomach? Not a terrible idea to really explore this last bit.

6 Likes

I don’t have anything to add other than empathy and commiseration. She sounds pretty similar to my mare - down to including eating dirt and not being a great hay eater when the grass starts to give out in late summer.

Does her behavior under saddle change at all during this time?

2 Likes

Sometimes, I can trigger it. But the triggers were odd.

Last year, it was whenever I asked her to stop grazing and walk on. It sometimes happens when she is anticipating food; sometimes right after eating.

She had 30 days training when I got her, and formal training has gone to crap. But when I do hop on her, I’d call her more reluctant. She used to pull yoga when I was on her last year.

Same! Until she nipped at her sides, choke was the first thing on my mind.

1 Like

Even that - was it a fly being nipped at or gut discomfort?

1 Like

I could totally see that behavior with discomfort low in the esophagus, though. Spasm? Choke? In front of the stomach? It’s crazy how deep in the chest it is!

Here’s a great pic

9 Likes

Hey @RaconteurRaven have you ever fed her like a choke horse? No hay, only pellets or cubes soaked to soup. All grain soaked to soup.

It would be an interesting test. If that resolves her issues, that would certainly be a strong indication of a choke type issue, and then you could look further at the esophagus, to see what’s there, and if there’s anything to be done.

Is there ANY chance she’s half friesian, rather than clyde? Or that her clyde parent could be part friesian?

6 Likes

And has she ever been fed from a flat pan on the floor???