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View Full Version : Best way to prevent founder/laminitis after insulin-resistant horse binges?


whitesage
Nov. 25, 2009, 03:06 PM
I am hoping people with more experience dealing with foundered / laminitic horses will be able to share some info with me. I am going to post my questions first, and then provide all the background details below.

QUESTIONS:

When a horse has gorged themselves, is icing their hooves a good way of preventing founder/laminitis?

Do you ice just the front hooves or all four?

How often and for how long do you ice? 3 days? 30 minutes every 2-3 hours?

Do you ice even if the hooves are NOT overly warm, horse's appetite and manure are normal?

Best way of icing the hooves? Ice boots? Special horsey ice packs? Standing bandages? Polo wraps?

Is walking good for their circulation in a situation like this?


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Okay, onto the background info:

I have a 7 year old Curly gelding. I've had him since he was 2 and a half. The second barn I boarded him at did not feed him enough, and when I brought him to the 3rd barn, they felt overly sympathetic and overfed him by a LOT for about a year. Finally moved him to a fourth place where I have a lot more control over his diet.

He is 14.3 hh and weighed 1085 at the 3rd barn. He may have gotten a little heavier than that, I don't know. That was when he was 5 years old. When he was 6 he had 3 episodes of getting warm hooves when he was turned out on pasture that was rich. I spent more time and frustration trying to explain to the barn that he really *did* need to a diet with less grass.

Finally I had a vet come and do blood work, and talk to the people taking care of him when I'm not there. He was diagnosed with "Metabolic Syndrome" and we moved him to a dry lot this past spring. He was put on a chinese herb called rehmania, thyroxin (because he tested as having slightly low thyroid), and magnesium.

Over the past 6 months we've been able to gradually reduce his dose of all both the thyroxin and rehmania until about a month ago when we took him off them both completely. He's been doing fine. His weight is steady at 875 lbs, and we can feel but not see his ribs. His random lameness issues from last year are totally gone.

We just moved him to a new barn-same people taking care of him, they just relocated. The new place has a great dry lot for him, and although he was grazing for a few hours a couple mornings a week at the old barn (in a grazing muzzle) here we just have him in the dry lot because there haven't ever been any horses here. The pastures are dead grass, but lush dead grass because they haven't ever been grazed.

Monday night my horse broke out of his dry lot and was found tuesday morning pigging out on the dead grass. He was put back in his dry lot, fence repaired, and they called me to let me know. I came out Tuesday afternoon and iced his legs once. Called my vet who said to put him back on a full dose of the rehmania for the next 10 days. Iced his legs again last night.

The vet says I don't need to bother with icing his legs--the rehmania is enough by itself. But I can ice them if I want to...

One website said to ice if the feet get warm. The yahoo group for insulin resistant horses says to ice for 3 days BEFORE their hooves ever get warm, by the time they get warm it's too late.

The lady at the feedstore said to ice the coronet bands, and you just need to ice the front hooves.

The yahoo group says you need to do all four.

I don't know if my horse would even be considered insulin resistant anymore. We need to do blood work again and check, but he was doing fine off of the supplements and grazing a in a limited way.

I am playing it safe and icing him--we're on Day 2. His hooves have not at any point seemed warm, his manure and appetite are normal, the only side effect of his getting out and grazing seemed to be being very sleepy the next day.

I am wondering what other people do, and what their experiences have been because I want to know more next time, and know if I need to change anything this time. I have not iced him as often as I maybe should--am icing him a few times a day instead of 30 minutes every 2 hours.

Thanks for reading this monster post, and thanks in advance for any advice.

deltawave
Nov. 25, 2009, 04:16 PM
Personally I'd fire any vet who told me that some unproven herbal therapy was "enough" to ward off laminitis in a high-risk horse who'd exposed itself to something that might tip the scales. But that's just me--I wouldn't rely on herbal therapy alone for any chronic medical problem, much less a potentially deadly acute one.

If I were going to go the ice route, I'd ice all four (laminitis can't count hooves, nor does it feel sorry for back feet and leave them alone) and I'd do it by standing the horse in ice water if I could. I'd probably do 30 minutes four times a day, or more if I could swing it.

Since laminitis is so awful, I don't think you can go wrong by erring on the side of caution. But maybe a gorge on grass is not enough to push him over the edge--here's hoping. :)

Some people swear by things like biosponge or a product made by KER (can't recall the name of it) that's supposed to alkalinize the hindgut and reduce the risk of this sort of laminitis, but I doubt anything like that would really do much at this point.

marta
Nov. 25, 2009, 04:17 PM
bute (there was a study done recently that shows it does indeed help offset laminitis before it starts), biosponge, walk him as much as you can.
hopefully this wasn't enough to cause laminitis but you will not know for sure for a day or so. my mare got left out on pretty lush pasture overnight one year and lived without any problems, but another time i let her out into a pasture when visiting a friend for only 3 hours and she developed laminitis - go figure...

jingles!

buck22
Nov. 25, 2009, 04:50 PM
my two ir horses broke into the feedroom - I was horrified. After fear of colic had passed, my vet suggested as was mentioned already: bute, icing all 4 as much as possible and lots of walking. I rode one and ponied the other. My geriatric has confirmed ulcers so he got banamine instead of bute. Both horses had warm tootsies, mild digital pulses, but touch wood no founder... all 8 feet developed a ring from the episode though. (which was kinda neat in the end actually because I discovered my geriatric grows a new hoof 1.5 months faster than his younger herd-mate).

Thomas_1
Nov. 25, 2009, 05:00 PM
If it's a binge such as a break into the feed room then I'd say call a vet immediately because you might need to treat via a nasogastric tube to purge the horse's digestive tract, especially if the horse has overeaten.

But because it's low grade grass at this time of year (presuming where you are is similar to where I am - winter) then I'd say just keep an eye on him and cold hose or tub ice his feet to be safe.

Get some hot wire on the fencing to stop him breaking out again.

Best way to ice.... presuming a well behaved horse is to stand in tubs of iced water.

JB
Nov. 25, 2009, 05:19 PM
UAA gel from Valley Vet - everyone should have some. It's activated charcoal. Get that into the horse asap.

Have the vet tube activated charcoal as well.

Ice feet as often and for as long as you can every day for at least 3 days.

Low-sugar forage only - soak if you have to.

As much exercise as is safe for them, but not HARD exercise. If the lamina start to become compromised you don't want hard pounding on the feet.

LMH
Nov. 25, 2009, 05:23 PM
Seconding UAA gel

rcloisonne
Nov. 25, 2009, 05:41 PM
Ice boots, all four, 24-7 for at least 3 days. By the time you feel warmth in the feet it's too late.

whitesage
Nov. 26, 2009, 09:32 AM
Thank you everyone for your comments...I am *exhausted* from icing my pony, but it's worth it to know it's keeping him safe (knock on wood). No one else at my barn has really had any experience with insulin-resistant horses, so like I said, they are a little puzzled over my reaction to this.

His fence is hothothot--they just bought a new fence charger with more juice *specifically* because my horse needs a good fence. I think he broke through it because he just moved to this barn recently and was spooked by something. Normally he gets out being the mischievous little pony that he is--and we find his clever way of doing it. This--the whole fenceline was down and they found him on the other side upset because he couldn't get back in. He was NOT eating when they found him!! When they put him back in his drylot he went straight to his water and was pretty thirsty...so I'm guessing he was out eating long enough to miss his water. :-/


I've never heard of biosponge or UAA gel so thank you for mentioning those, I will have to check them out so we are better prepared in the future.

And I haven't convinced him to stand in ice water. I am using the special ice packs from professional's choice, and instead of using the boots they make, I am wrapping the ice packs in standing wraps. That way I can really drape the ice packs over his hoof.

Has anyone ever had a horse escape and had their hooves get hot 3 days after? Is it more likely to show up in the first day? So far so good--and we're headed into Day 3. Today is a bit more complicated due to the holiday though.

Speaking of which; Happy Thanksgiving everyone! I am very thankful for all your advice, and I urge you all to go hug your horses.