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Bend Equine Medical Center

NUTRITION AND BODY CONDITION

(Courtesy of Bayer Healthcare, Purina Mills, and Bend Equine Medical Center)

 
best logo 1  Jessie Evans, DVM
 
 Greetings,

Maintaining an ideal body condition in your horse requires a balance between proper nutrition and exercise. Just like with humans, horses have many different body types, and maintaining proper condition is not always straightforward. Some horses are "easy keepers", gaining weight just by looking at food, while others are "hard keepers", struggling to maintain a proper body condition despite the amount of food they eat. People commonly believe that only thin horses are unhealthy - this is not true. Excess weight on a horse can be equally as harmful as lack of nutrition.

 
 
  
 
UNDERNUTRITION (THIN)
A thin horse is not receiving proper nutrition. They are not able to perform at the best of their ability and may show signs of lethargy or lack of energy. Without proper nutrition, horses are more prone to developing disease. Poor body condition can be caused by:
  • Insufficient amount of food. (It is important to remember that this category does not strictly refer to starving a horse.  Some horses require extra energy for their performance or reproductive needs.)
  • Parasitism
  • Dental disease (malocclusion in the mouth, sharp points, missing teeth in older horses)
  • Chronic disease (kidney, liver, heart)
 
OBESITY
Typically, given the opportunity, a horse will eat much more than he needs, tipping the scale into an unhealthy balance.
No matter how much your horse enjoys eating, you do a disservice by overfeeding. Excess pounds put a strain on virtually every body system. The best strategy is to supply food and exercise in proper amounts to keep your horse fit and healthy. Carrying excess weight can contribute to the development of the following conditions:
 
  • Laminitis (founder)
  • Developmental Orthopedic Diseases (osteochondrosis dissecans, physitis)
  • Greater strain on feet, joints, and limbs (worsening of arthritis)
  • Reduced reproductive efficiency
  • Greater lethargy and more easily fatigued
 
 
EVALUATING BODY CONDITION
The following chart provided by Purina Mills shows where to evaluate your horse to determine their body condition score. There are six conformation points used for evaluation: (See illustration)
A- the amount of flesh or fat covering along the neck, B- the withers, C- down the crease of the back, D- the tail head, E- the ribs and F- behind the shoulder (at the girth). Scores range from 1-9, from poor to extremely fat.
 
WHAT'S IDEAL
For most horses, body condition scores in the Moderate to Moderately Fleshy range, (scores of 5 and 6) are ideal. A commonly recited suggestion is to keep your horse where you can feel the divisions between his/her ribs but not be able to see them. However, keep in mind that the job of your particular athlete also has a bearing on what weight is appropriate for maximum performance. Polo, race and endurance horses might be perfectly fit with body condition scores of 4 (moderately thin), while a body condition score of 7 (fleshy) may be required for success in the show ring. However, by feeding a horse to a level of 8, you are starting to push the limits of good health. Horses with scores of 8 and 9 are definite candidates for a weight reduction plan.
 
 
 
 
 



BEND EQUINE MEDICAL CENTER
Greetings,

With the last couple of weeks' dreary, wet weather, it feels like we're living in the valley!  Horse-keeping in the mud is less than fun, but the following article will give you some information on medical conditions to watch out for.  It won't help you clean up your muddy pastures, however--sorry!
 
Wendy
 
 
 

Wet Weather Medical Conditions

 best logo 1
 Wendy Krebs, DVM  

Wet weather can make horse housekeeping a tough chore here in the Northwest. Paddocks and pastures turn into muddy quagmires, and it becomes impossible to keep them clean, much less dry. Horses' coats get soaked through, and sometimes don't dry out for days on end, and the mud cakes on their legs up to the fetlocks. These environmental conditions predispose to several types of medical problems in horses, including hoof abscess, "scratches", and rain rot.

Hoof abscesses form when bacteria gain access to the inner, living tissues of the hoof, and begin to proliferate, causing a buildup of purulent material (pus). They are immensely painful to horses, because as the purulent material builds up, it creates pressure and inflammation in the sensitive lamina of the hoof. This is akin to having a festering splint trapped under your fingernail. Abscesses are more common when conditions are muddy and wet, because the liquid muck penetrates through tiny cracks.

Treatment of abscesses usually requires a thorough exam of the sole to determine where the abscess tract is located, and then the tract can usually be pared out to release the purulent material. Sometimes it isn't possible to find the tract, and the foot must be soaked for a few days to bring the abscess to a head before it can be pared out. Antibiotics may be necessary, depending on the extent of the abscess. The foot must also be kept clean and dry for several days to weeks after the abscess is relieved, because the sensitive tissues of the hoof have been exposed and need to heal over with granulation tissue

before they can tolerate exposure to a dirty environment and resist further infections.

"Scratches" is the lay term for pastern dermatitis. It is also called "greasy heel." In this condition, the skin of the pasterns and heels develops a superficial infection with bacteria and sometimes with fungus. "Scratches" is most common in moist, muddy conditions when the pasterns are coated with mud for days on end. It can be difficult to treat, especially if it becomes extensive, and horses can be very painful to the point of non-weight bearing in some cases. Treatment requires thorough clipping and cleaning of the area, removal of scabs, and bandaging with topical ointments. In severe cases, oral or injectable medications may also be necessary.

Rain rot is another type of skin infection that occurs not on the legs, but on the topline, back and haunches of horses. The name is apt, because the bacteria that cause rain rot require very moist conditions, and thus the disease is most common in the rainy season in wet climates. The treatment is similar to that for "scratches", in that hair and scabs must be removed. A course of penicillin injections are often used to treat rain rot, as the bacteria that usually causes it, Dermatophilus congolensis, is sensitive to penicillin.

For all of these conditions, as with many medical conditions, prevention is key. Digging ditches to help drain water away from paddocks and providing a good layer of gravel under the footing improves footing greatly. If you can't improve the whole turnout area, pick a high area and improve it to allow the horses a dry area to stand. Bring horses in for a thorough cleaning and dry out session at least weekly, and inspect their skin and hooves thoroughly to detect any problems early. Keep feet well-trimmed to prevent cracking and overgrowth that predispose to trapping of mud and thus abscesses. Pick them out as frequently as possible, and treat with Koppertox or tincture of iodine to disinfect and dry them out. And remember, summer will come eventually!

Bend Equine Medical Center
19121 Couch Market Road
 Bend, Oregon  97701
(541) 388-4006
Fax (541) 389-7508
 
best logo 1
bemc@bendnet.com
www.bendequine.com
 




BEND EQUINE MEDICAL CENTER
COMPOUNDED PHENYLBUTAZONE (BUTE)
Dear Clients,
The world of equine medicine and surgery is constantly evolving, meaning there is always new information for us to learn as veterinarians--and to share with you.  The following article is on the topic of compounding pharmacies.  Many of you have used drugs from these sources, and they can be a valuable option, but there are also some important considerations regarding safety and regulation.  We hope you find the following educational and helpful.
Wendy


Wendy Krebs, DVM
Bend Equine Medical Center

best logo 1WENDY KREBS, DVM
 U.S. veterinarians recently received a letter from the Food and Drug Administration reminding us that use of compounded bute is prohibited by law.  If you are not already familiar with the term "compounding", it essentially means manufacture and sale of a drug from a raw, bulk product in a non-FDA approved form.  As veterinarians, we do sometimes legally use compounded drugs when the form, concentration, etc. are not available commercially.  The FDA allows this in some limited circumstances if it is to the clear benefit of the patient.  However, if it is done simply because it is cheaper, minimally more convenient, etc. these are not considered valid reasons and it is illegal to prescribe such drugs.
 

Until recently, bute was not commercially available in a powdered form that was FDA approved.  Thus many veterinarians turned to compounding pharmacies such as Wedgewood and others to provide a compounded powdered bute.  However, for the last several months a powdered FDA approved form has been widely available, and veterinarians must switch to this form or risk censure by the FDA.
 

The compounding question extends to many products commonly used by veterinarians and horse owners.  Why are products required to be FDA approved?  The approval process ensures the following:
 

1)       Products are produced in an approved facility with high standards of quality control, which is regulated by the FDA.  This ensures that the concentration is what is listed on the label and that all ingredients are effective and safe.  Compounding pharmacies may have internal testing, but are not required to adhere to strict federal standards.  This is one reason compounded drugs are often less expensive than their registered, approved counterparts.
2)      Pharmaceutical companies have extensive liability insurance such that in the rare event of an error in manufacturing, they are able to pay insurance settlements, etc.  Compounding pharmacies generally do not have this protection, so there is little recourse if a problem occurs.  Lawsuits may fall back upon the veterinarian, and since the veterinarian was essentially breaking the law by using a non-approved product, their own liability insurance does not cover the event.
 

Some guidelines recently provided to equine veterinarians by our national group, the American Association of Equine Practitioners, are as follows:
 

A valid Veterinarian-Client-Patient relationship must exist.
The health of the animal must be threatened or suffering or death may result from failure to treat.
There must be no FDA-approved, commercially available animal or human drug that, when used as labeled or in an extralabel fashion in its available dosage form and concentration, will appropriately treat the patient.
The product must be made from an FDA approved commercially available animal or human drug. (It is currently illegal to compound from bulk drug sources for veterinary use, with very rare exceptions).
Veterinarians must comply with all aspects of the federal extralabel drug use regulations including record-keeping and labeling requirements.
All relevant state laws relating to compounding must be followed. (These vary from state to state so it is important the veterinarian be informed regarding these requirements in his or her state).
 

Thus, as equine veterinarians, it is clear that we should use compounded drugs in relatively rare circumstances, and unfortunately cannot legally respond to requests from clients for "generic" Adequan and other compounded drugs that do not meet the above guidelines.  The relatively recent death of 21 polo horses in Florida that received an improperly compounded vitamin mixture injection reminds us all that these guidelines are not arbitrary and about limiting consumer choices, but rather about ensuring the safety and well-being of our equine patients.




BEND EQUINE MEDICAL CENTER
19121 COUCH MARKET ROAD
BEND, OREGON  97701
(541) 388-4006
FAX (541) 389-7508
bemc@bendnet.com
www.bendequine.com 
 
best logo 1
 


This is a great article by Jane Savoie and reprinted with her permission. For more information, great videos and articles, visit her website:

www.janesavoie.com

www.dressagementor.com



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