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Vets are stumped - Ulcers, kidneys, ideas?

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  • #21
    He is two... Sorry I did not catch that. Hepatic IR?
    "Kindness is free" ~ Eurofoal
    The CoTH CYA - please consult w/your veterinarian under any and all circumstances.


    • #22
      Here is another interesting article on maintaining a horse with renal failure:
      There are friends and faces that may be forgotten, but there are horses that never will be. - Andy Adams


      • #23


        • #24
          2009 TB gelding, began losing weight and muscle in early 2010. Vet changed diet to increase calories so horse is now getting alfalfa and cadence. March 2010 horse becomes colicky and we find out that he has a pea sized stone blocking his urination. That is removed and colic sx stop. Vet does lab work and diagnoses kidney disease and recommends euthanasia. I get second opinion and second vet recommends changing diet to grass hay and oats and re-evaluate later. Horse does not maintain good body weight and seems very lethargic. Also drinks excessive amounts of water (typically 30+ gallons per day) Blood work in June '10 shows high BUN, normal creatinine, high LDH, normal WBC, and high lymphocytes. Vet suspects ulcers. Start on omeprazole daily. Blood work in Sept '10 again shows high BUN, normal creatinine, high BUN/Creatinine ratio, high WBC, and now high neutrophils. Urinalysis shows high sodium, high pot, high chloride, high calcium, low specific gravity. Vet send labs to Univ. internist who agrees either ulcers or possibly cancer.

          He has now been on omeprazole for 4+ months. His condition has improved a bit though his coat is still dull. He still drinks excessive amounts of water and urinates more than normal. He can easily soak 3 bags of pelleted bedding in one night.
          Sorry but unless you're able to get this boy into a university hospital that can do a comprehensive workup (read that $$$$$ if needed) then I'm sadly in agreement with Vet #1 - if this baby is able to get out & run around & play with buddies, then I can see letting him go when he's ready BUT from what you wrote he doesn't sound to have much quality of life & a year of "treatment" seems to have resolved nothing & brought him no closer to a meaningful diagnosis.
          I realize this seems harsh but in my experience "lethargic" animals are often animals in pain rather than animals that are simply lacking energy - has he been tested for pain/stress hormones with all the bloodwork that's been done?

          I'm hoping that you just didn't include the positives in his life in an effort to be concise

          (I'm rather shocked that your vet(s) don't seem to understand why Ulcerguard/Gastroguard is the drug of choice in ulcer treatment or why endoscopy wasn't done after 6 weeks of no improvement on the generic omeprazole )


          • #25
            Originally posted by Doctracy View Post
            Agreed - OP check for hyper or hypo thyroidism. Weight and mood changes, and excessive drinking are symptons.

            Also have you reviewed hind gut ulcer treatments versus foregut treatments? Look up Succeed Equine Fecal Blood Tests and sulfracate treatment.

            I am in the same boat - many different symptons and hard to nail down actual cause. Please don't give up yet. Has the vet also down a fecal test?


            • #26
              Originally posted by OneDaySoon View Post
              Agreed - OP check for hyper or hypo thyroidism. Weight and mood changes, and excessive drinking are symptons.

              Also have you reviewed hind gut ulcer treatments versus foregut treatments? Look up Succeed Equine Fecal Blood Tests and sulfracate treatment.

              I am in the same boat - many different symptons and hard to nail down actual cause. Please don't give up yet. Has the vet also down a fecal test?

              Just remember the Fecal Blood tests (often called occult blood tests) only detect BLEEDING ulcers. You can still have hindgut ulcers and the test be negative.
              Only two emotions belong in the saddle: One is a sense of humor. The other is patience.


              • #27
                While he might have ulcers due to the stress of his condition, I seriously doubt ulcers are the primary issue that is compromising his quality of life and blood work in the way you have described. Something else, I'm afraid . . . and sorry.


                • Original Poster

                  Thank you everyone. This thread has given me a lot of things to visit with my vet about. I really appreciate all of the input and hopefully I'll have a good update in the future!