Stall all pawed up, tight belly but bright and wants to eat???

This morning when I went to feed, my gelding had his nose pressed to the stall door, waiting for breakfast. But when I looked in, I could tell something was amiss. There were three separate areas that had been pawed clean, right down to the stall mats. There was a huge pile shavings in the middle-- probably 20" deep, so something had upset him. His belly was tight, with minimal gut motility. He had drank both buckets of water, there were 5 piles of manure (I cleaned stalls at night check, about 10pm so this was a normal quantity for him). Gums moist and pink, bright eyed, ears up and asking for breakfast. I gave him a couple handfuls of alfalfa, and he ate eagerly. He was sweating under his light blanket, so I peeled it off to just a sheet. (45 degrees in the barn). Gave 10 cc banamine “just in case”. Within minutes of starting on alfalfa, his gut was sounding good-- and this is somewhat normal for him. When he anticipates breakfast, he pees, and tends to be a little tight in his belly. However on the right, he also had muscle twitching (fasciculations), and that’s not normal for him. I walked him a bit, and he just wanted to graze. Still very bright, no sign of discomfort. So I gave him a bit more alfalfa, and watched him. He just wanted his grain. He usually gets 1# of ration balancer-- I have him 1/3 of a normal meal for emotional reasons, then turned him out. He trotted off, looking for the rest of his alfalfa outside. Consulted with vet, who was not concerned at the fasciculations as long as he was comfortable, she said just monitor. All day he was fine. Within another 30 min the twitching had stopped. He ate his alfalfa, then parked at the hay rack for some coastal, wandered around, grazed a little (almost senseless in December but he persists)
This evening he came in and wanted normal dinner.

Back story-- he has done this twice before. Once about two weeks ago, but just one big bare spot. He was pawing when I got to the barn, so I walked him for a few minutes. He acted like we needed focus on his breakfast… No distress, not sweating, and was fine afterwards. I hypothesized that his arthritic knees were bothering him and starting giving him prevacox daily (1/4 tablet). He’s been fine since. The other time was in the summer, and one spot pawed, scared me but was fine, wanted to eat, normal.

I’ve mulled this over and am perplexed. He doesn’t normally paw. But now I have 3 episodes of early morning pawing. He always lies down to sleep at night, but is usually up before I get to the barn. He’s a big horse, and it’s a bit of a chore for him to get up. I wondered if maybe these are times when he struggled to get up, and got painful or agitated? A friend opined maybe ulcers-- as the pain of ulcers could inspire pawing.

This horse gets alfalfa 3x daily and has grass hay pretty much all the time. I am generous with the grass hay overnight, intentionally ensuring he does not run out since I’m a big fan of gut motility.

I plan to have the vet out, probably will xray the arthritic knees and maybe scope him to check for ulcers. I know some of the most observant and OCD owners frequent this forum, so wanted to ask for any opinions or thoughts? The horse is a 12 year old gelding, easy keeper. Routine in winter is out 8-5 ,in an oversized stall 5p-morning. He gets fed at 7:30 then turned out (with most of his morning alfalfa outside). He has coastal available all day. He gets fed again at 5p, and bedtime hay around 10pm. He drinks well (about 15 gallons) during the 5p-8a that he’s in the stall, and not sure how much he drinks from the trough since he’s out with his sister.

TIA for any input.

Muscle twitching with a tucked up abdomen could mean the horse is tying up. Could be pssm or some other muscle disorder. Check with your vet because they can test for this.

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Is it possible to install a camera in his stall that you can monitor? Might give you some answers to your questions.

I agree with tying up. The other possibility is intermittent recurring colic. My horse showed mild colic symptoms last spring. The first colic resolved after 1/2 handwalking. The second colic was a week later was 5 hours of intermittent colic symptoms wanting to paw and roll. My vet of many years stopped doing energy vet calls and the only vet that does emergency calls is not taking new clients so I was completely out of luck :frowning: My horses colic like symptoms resolved without veterinary attention it was horrible experience.

Intermittent colic may be caused by enteroliths that move in the stomach to an uncomfortable position and then move back whilst rolling.

can you check for enteroliths by scope? Ultrasound?
This was not a classic colic in that he did not want to go down, or roll-- he wanted to eat. (Though when he was doing the pawing, he was almost certainly painful/uncomfortable.) I’m not usually so lucky as to have one colic and self resolve, back to feeling good by the time I discover it. This morning I went out very early, to observe. He was laying down, in a position that could have had him cast. He sat up sleepily, like a dog, held that stance for less than a minute and got up. Peed, and asked for breakfast. No tight gut, great gut motility. Stall undisturbed. He was somewhat curious as to why I was out before dawn… but all was well.

I’m not sure this is tying up… while he had a tight belly, he chose to trot off when I turned him out. No reluctance to move or stiffness of gait at any time. And nothing tight over his back, just an area low on the right side. But, can’t hurt to ask the vet when we talk about this.

They never used to be able to tell an entorith until after death.

Nowadays I think they can see a shadow, if they scan the tummy. I cant remember what procedure. An MRI or something.

Tying up does not always manifest as stiffness or lack of mobility. Almost lost my good Hunter mare learning that. Called vet for classic colic signs, pawing, tight belly, no gut sounds etc. he had a hunch having been mares vet for 10 years and ran a blood sample as his office was only a mile. Not colic, she was tying up and that shut her gut down. Saved her life. No history, never happened again. Horses…

Get a blood draw. Thats really not expensive at all. Cheaper then treating what’s not wrong and possibly losing the horse to what is wrong.

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Once my horses intermittent colic symptoms he was completely back to normal and eating normally.

When my pony ended up at a clinic, they could see the enterolith with an ultrasound and I believe they could see something with an X-Ray (they showed me something on the X-ray but honestly I was too busy bawling to remember what they said other than he was going to need to be euthanized).

Was he sweating under his blanket the last time(s) too? Could it be as simple as being uncomfortably warm?

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I have a horse that tends to run a little warm and he will act colicy if he gets warm even if he isn’t to the point of sweating under his blanket/sheet.

Another thought is if he has any QH in him could it by HYPP. I had a QH that when his HYPP would show symptoms was his one front shoulder would almost lock up, he would then get anxious and paw until that shoulder would unlock. Alfalfa can be too high in potassium for HYPP horses.

Update: last night he developed hypermotile gut sounds, and drank two full buckets in the four hours between evening feeding and normal night check. His gut was really churning, but he wasn’t uncomfortable. I checked him periodically til 1 am, did not medicate since he was comfortable. This morning there were enough piles of poop, he had only drank another half bucket, had not finished his coastal, and had one area that was pawed-- but not bad. The bare area was 10" long and a hoof width, so quite tame compared to prior incidents. He was tight in his belly but wanted to eat. Gut still very active. I fed, turned him out, had a cup of coffee to help me think about things, and headed over to the vet clinic to catch her while she was treating the inpatients.
She dispensed a paste GI treatment loaded up with probiotics to settle his gut, and laid out a series of banamine doses for a couple days. Later in the day she swung by to check him. By then between banamine and the paste (which he despised) his gut was still busy but not excessively so. She listened to all four quadrants, and was happy with what she heard. So far tonight, he’s doing everything right (eating, drinking, pooping, peeing and ears up). We’ll see what the morning brings. With banamine on board, and next dose not due til 10am I’m assuming he will remain comfortable… fingers crossed.

Temps are mild tonight, and I had to choose between sheets and shutting barn tight, or light blanket and leave doors open. I’m opting for sheets… to ensure he does not overheat.

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