Page 795 - The Veterinary Care of the Horse

problems.

VetBooks.ir Treatment

Early diagnosis and treatment are essential for any chance of a successful outcome. The
majority of affected ponies and donkeys do not recover.

The most important considerations are to:

• increase the energy intake
• treat any underlying illness

• reduce the circulating triglycerides

• reduce any stress.

INCREASING THE ENERGY INTAKE

This prevents further quantities of fat being mobilized into the bloodstream. It can be
achieved in 3 ways.

1 Every effort should be made to encourage the patient to eat. Small, palatable, high-
energy feeds and freshly cut grass should be offered. Tempt them with treats like apples,

mints or even ginger biscuits.

2 If the pony will not eat, high energy gruel can be administered regularly through a
stomach tube that is sutured in place. The gruel is made by soaking complete cubes in
®
water, or an oat-based breakfast cereal e.g. Ready brek can be mixed with warm water,
electrolytes and glucose. Prebiotics and probiotics may be added. Fat should not be
added as an energy source.

3 If the intestine is damaged as a result of disease, intravenous feeding may be used. This

is very expensive.

TREATING UNDERLYING DISEASE

This may involve:

• worming the horse, pony or donkey to reduce the parasite burden
• remedial dentistry

• treating any other conditions

• weaning any foals.

MEDICATION

• Intravenous fluids may be given to correct the electrolyte imbalance and dehydration.