Young Foal with Chronic Ulcers

I have an almost 9 week-old foal and my vets suspect that he was either born with ulcers or developed them shortly after birth. He became very colicky within a couple days of birth and was put on Gastrogard. I suspect his weight was underestimated so it took a little doing to get him on the right dose but, once we found the effective dose, he has done really well. He’s easy to medicate and likes the taste of the Gastrogard so it’s not problem giving him his medication. I’m also confident he’s getting it every day because I medicate him myself and none is dropped.

The problem is that we can’t seem to wean him off the Gastrogard. We did a full month of treatment (5 weeks actually), followed by tapering the dose down over a couple weeks and then stopping completely. He was on Gastrogard for 7 weeks total and he is almost 9 weeks old now. After stopping the Gastrogard, his ulcer symptoms are clearly returning. My vet seems very nervous about putting him back on Gastrogard because of the risks of him picking up a bacterial infection due to imbalances in his hindgut but he’s clearly not comfortable off the Gastrogard. She’s not offering a lot of solutions other than going to the hospital so I have a call in to another vet for a second opinion, as I’ve never had a foal with ulcers before.

My main question is - has anyone ever dealt with chronic ulcers in a foal this young? Did you end up just treating long-term? Did you have hindgut issues? I’m wondering about using a product like Succeed. The packaging states it can be used for mares and foals but I can’t find a lot of literature about using it.

There aren’t a lot of stressors in this foal’s life but there has been one major one - he and his dam live out with a pony and they all get along well but shortly after his birth I lost my dominant gelding (only had 4 horses at my house). He was basically my mare’s closest companion and it has been hard on everyone. I’m sure that has added a degree of chronic stress as the mare has had to learn to live without her companion and she has been insecure. The mare also had a retained placenta and underwent a number of medical procedures shortly after the foal was born. Still, the foal seems very well-adjusted, eats well and plays a lot. For the most part, everyone seems happy.

Finally, before you ask, I did not have the foal scoped originally because it was super hot here when he was born, his Mom was quite sick and in a lot of pain from the retained placenta, and I lost my gelding on the same day the foal became colicky (it was an awful weekend). The poor mare was in misery and I felt it would be unfair to haul them to the clinic unless in an emergency so we just treated him. I may decide to scope him now but am just trying to gather information at this point.

Wow that’s tough. Ask your vet about sucralfate and/or metronidazole, both of which would address hind gut issues. I just don’t know their acceptability for a foal that young.

Sucralfate will also help gastric, in addition to hind gut lesions by coating them, and has the bonus of positively affecting prostaglandin production which will help strengthen the stomach mucosal lining.

The metro would help address any infection in the hind gut.

They are definitely worth bringing up.

Know too that some horses require 60 days on omeprazole. You can use probiotics to help mitigate bacterial imbalances, so consider that too.

Our vet prescribed this, or a close version to our foal who had similar symptoms. However, by the end my parents started buying raw Papaya. It is probably much more messy than feeding Gastro-Guard, but maybe a sustainable long-term solution. Inquire with your vet, but for $10, feeding 2/3 oz a day to a foal, it’s much cheaper, if an actual viable alternative.
https://www.sstack.com/product/natural-plan-stomach-soother-32oz/

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I was told to try Aloe vera juice, I have tried it myself and was told it works on lots of horses. Anyone?

Sucralfate was more of our go-to in the clinic for foals then GG. I would scope him and determine a course of action from that. If his stomach is fine, it may be hind gut ulcers or something else the GG was masking.

If I were you, I’d try him on U-7. I’ve had very good luck with it, and my horses love to suck the liquid right out of the syringe. I decided to try it because the manufacturer posted test results on its website. Maybe not a peer reviewed study, but it convinced me to try it, and it worked for me.

Link to their study:
http://www.finishlinehorse.com/assets/1/7/U-7_GASTRIC_AID_STUDY.pdf
http://www.finishlinehorse.com/produ…-gastric-aid-/

Gastrogard sometimes has a rebound effect and ulcers will come back, and symptoms will be worse. I had this happen with a young horse, and sucralfate made him feel much better. Sucralfate is fine for young foals.

Thanks everyone for the input. I do think I’m probably seeing a bit of the rebound effect from the Gastrogard. The vet I got the second opinion from wants me to leave things be for now to see if he’ll right himself but I’m not sure how comfortable I am with that. I’m basically getting two extremes - one vet wants him at the hospital and one vet wants to do nothing. Fortunately, he’s not overly painful and he’s not getting worse. I just know what’s normal for him and I know this is not it. I will ponder all of your suggestions and give something a try.

I may have missed it, but did you wean off the GG or just stop cold turkey? The rebound effect may have occurred if you stopped cold turkey.

If you said so, I’m sorry for missing it.

I don’t claim to know more than a vet… but having had to put down my foal last year due to intestinal problems I would suggest not to wait and see if he gets better on his own. We did 2 surgeries on my foal and they put her down after opening her up for the 2nd. Said she already had quite significant scarring from ulcers… at 3 months old. Not sure if it would have made any difference but if I had another ulcery foal I would be as aggressive as possible.

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Is the mare a good mother? We had two foals with ulcers from the same mare, the first one died, the second one survived. It was the mare, she did not want to be a mother, wasn’t nice to her own foal. We sold the mare after weaning the second foal, she was already pregnant with the second foal when the first one became ill and we clued in to what the problem was. It was a long time ago, there were not a lot of treatments available like there are now. We used Zantac and Sulcrafate on the one who survived. And she was fine, became a successful hunter. But my mother spent a LOT of time with that foal, gave it the mothering that it’s own mother was deficient in, spent hours with that foal just being her friend, protector and companion. Once the filly was weaned, things improved for her. The quality of “mothering skills” are so important for a healthy foal, and often not considered by humans making breeding decisions.

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Some ulcers require antibiotics plus GG to heal. Some are hind gut and the GG isn’t going to help those. Sulcrafate may do more. And some simply take longer. I think the only way you will know what is going on is to scope. I wouldn’t be comfortable in wait and see mode with a foal, they go downhill quickly. That’s just my personal feeling.

FWIW, I have used rantadine 3x a day in the past (for grown horses) with good success. It has to be every 8 hours. I’ve done GG first and then rantadine for a longer term use as well. With my ulcer-prone horse I used KER’s Ritetrac before and during training and no ulcers (that was wonderful for a change), but I wouldn’t use it as a treatment.

Still, it’s best to get a scope.

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FWIW, at least one study has shown that 4.5mg/lb every 12 hours is just as effective as 3mg/lb every 8 :smiley:

Sorry for my disappearing act this week, it has been very busy at work and I haven’t had a chance to get online for more than just a minute or two. I appreciate everyone’s input and am almost afraid to admit for fear of flaming that I did end up taking the wait-and-see approach. I didn’t intend to but sometimes life happens. Interestingly, I dewormed him last weekend and he has improved dramatically since. I’m not sure if his body is just adjusting to being off the Gastrogard as the second vet suspected it would or if he had a worm burden and the deworming has made him feel better but he is doing dramatically better. I have a vet coming to see him Tuesday and we will discuss all of your suggestions further but I’m feeling a lot more optimistic about everything now.

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We had a client come to us 20 years ago to manage a young foal who was constantly colicking and had already been through two surgeries. At least once a day, he would roll onto his back and stick all four feet straight up in the air. He was in complete agony. Honestly, I thought that foal was going to end up dying at our barn. A local vet came out and put him on a new injectable drug (new at the time) that was not yet on the market for horse owner use. It was actually what is now called Quest dewormer. It was a complete night and day difference with the foal after he finished his treatments. He went on to be a successful riding horse with no further problems. We have been using Quest dewormer ever since…though it does warn on the package not to use it for young foals, so I would never do so without first consulting with a licensed veterinarian. If you want, message me and I can give you the name of the veterinarian if you want to find out what he gave the foal. Might be worth a try.

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One vet I worked with did a one month Panacur round for a horse with ulcers. Seemed to do the trick. My boyfriend said that’s how they managed ulcers before UG/GG.

I’m interested in what dewormer was used.

Fenbendazole is the same chemical family as omeprazole.

A Power Pack in the “old days” was used as ulcer treatment for that reason.

This could be coincidence - maybe an acid rebound effect due to not tapering the Ulcergard, and settling into normal happened to coincide with deworming.

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@bugsynskeeter and @JB When I dewormed him he got a double dose of Panacur.

Also, I think someone asked about whether I tapered him off the Gastrogard and I did. I tapered him down over the course of two weeks so he did not come off cold-turkey. For what it’s worth, he’s doing great now. Basically acting like a normal foal.

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Panacur is fenbendazole, so that’s very interesting :yes: :slight_smile:

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