The treatment of diarrhoea in the adult horse

Abstract

Summary The priority in treating the equine patient with acute diarrhoea is to stabilise the haemodynamic aberrations secondary to the fluid and electrolyte losses. Once this has been initiated and the patient is stabilised ancillary treatments may be beneficial. Besides the well established effects of NSAIDs and polymixin B on systemic inflammation, recent studies suggest that the use of DTOS to bind bacterial toxins and Saccharomyces boulardii to reduce the severity and duration of diarrhoea may be beneficial. The justification for using probiotic products is scant. There is no evidence to suggest that systemic use of antimicrobials benefits equine patients with colitis, with the exception of metronidazole in cases of clostridial diarrhoea. In light of their potentially detrimental effects, their use can, in the opinion of the authors, not be advocated. Better understanding of the pathways of systemic inflammation and more selective anti‐inflammatory drugs may be of great benefit in the future.

Contribution of Unmeasured Anions to Acid–Base Disorders and its Association with Altered Demeanor in 264 Calves with Neonatal Diarrhea

“…These findings emphasize the importance of identifying the presence of strong UAs by calculating SIG when applying the physicochemical approach. Additionally, this study highlights the role of strong ions in the acid–base status of calves with diarrhea, and indicates that replacement fluid therapy in animals with diarrhea should be aimed at resolving volume deficits, improving peripheral perfusion, and correcting [Na + ] and [Cl − ] imbalances …”

Management of Chronic Diarrhea in an Adult Horse

“…Chronic diarrhea could be a combination of different mechanisms including mucosal inflammation and damage, impaired digestion, increased secretion across the gastrointestinal wall, and osmotic overload of the luminal contents [11].…”

Der klinische Fall Larvale Cyathostominose bei einer jungen Warmblutstute

“…Differenzialdiagnostisch müssen zahlreiche mögliche Ursachen für Durchfall beim adulten Pferd abgeklärt werden [3,5]…”