Page 779 - The Veterinary Care of the Horse
P. 779

When to call the vet


        Diarrhoea is a sign of many conditions. It may be the consequence of a dietary change and
  VetBooks.ir  last for a couple of days or it may indicate that something is seriously wrong. The following


        guidelines are offered.
        •    If the horse is off colour or has a temperature, the vet should be called immediately.

        •    Foals with diarrhoea should also be examined by the vet urgently. The exception is the

             mild self–limiting diarrhoea seen in a foal when it is about 10 days old. This is foal-heat
             diarrhoea associated with the mare coming into season.

        •    If the horse seems fine in itself but has loose droppings for more than a day or two, it
             should be checked over by the vet.



        Diarrhoea due to dietary changes is usually  short-lived and requires sensible  management

        rather than veterinary treatment. However, diarrhoea caused by Salmonella spp. or Clostridia
        spp.  infections  may  be  severe  and  debilitating  and  is  potentially  fatal.  The  absorption  of

        bacterial  endotoxins  leads  to  severe  clinical  signs  and  affected  horses  need  urgent  and
        intensive treatment.




              Caution

              Salmonella is a zoonosis which means it can be transmitted to humans. Up to 20%

              of horses carry the bacterium without showing any clinical signs and only excrete
              it during times of stress. Your vet will decide if the Salmonella is the cause of the
              diarrhoea  or  whether  it  is  being  excreted  due  to  the  stress  of  another  illness.

              Salmonella spp. may be cultured from a horse with diarrhoea but there is often
              another  underlying  cause.  All  animals  shedding  Salmonella  should  be  isolated

              from  other  horses  as  they  are  a  potential  source  of  infection.  Overalls  and
              disposable gloves should be worn when dealing with infected horses and great care
              must be taken not to accidentally ingest the microorganism. Your vet will advise

              you on suitable disinfectants and hygiene precautions.





        Diagnosis


        The first step with either acute or chronic diarrhoea is to try to find the cause through clinical
        examination and discussion of the history. A dental examination is likely to be performed.

        The vet may take:
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