Thursday, June 16, 2022

Over The Counter Ulcer Treatment For Horses

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What Is The Best Ulcer Treatment For Horses

Equine Ulcer Diagnosis by Mark DePaolo, DVM

The most common and effective treatment for stomach ulcers in horses is a drug called omeprazole. Your veterinarian may also refer to this drug as AbPrazole®. This medication is very expensive, but in most cases, it will completely cure this painful condition.

Omeprazole comes in paste form and is given once per day. It works by reducing the high levels of acid in the stomach, giving the ulcers chance to heal. It is normal to repeat the gastroscopy examination after one month of treatment, to check that the ulcers are healing.

Once the omeprazole has begun to take effect, the clinical symptoms of EGUS should start to subside. This can take some time, however, it is vital to persist with the medication until your horse starts to show some improvement.

If your horse does not respond to treatment or if the symptoms are very bad your veterinarian may recommend other medications. The other main medication used in the treatment of EGUS is sucralfate. This medication coats the ulcers in a protective layer, helping them to heal.

Do All Adult Horses Have Ulcers

No. Absolutely not.

Honestly, its kind of hard to say what percentage of adult horses get ulcers. If you believe all the studies, youd believe that it was nearly all of them. However, the incidence of ulcers may not be as high as reported. The reports may just reflect some local conditions in the horses that were studied. Plus, no one has ever looked at the horses stomach over a period of time to see what happensit could be that small ulcers just go away on their own. Nobody knows.

Heres what I think: if your horse seems normal, he probably is, and if hes doing well, then youre taking good care of him, and its unlikely that ulcers are causing any problem.

Does Your Horse Have Ulcers

If your horse is showing signs of discomfort or reluctance to work it may have stomach ulcers. Here are some signs to watch out for.

Equine Gastric Ulcer Syndrome is painful and may affect your horses behaviour and performance. While stomach ulcers are often considered to be only a problem for racehorses, many horse owners do not realize that non-racing competitive horses are also at high risk.

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Equine Edge Gi Ulcer Support

Equine Edge is another big name in the world of horse health. They have products that extend to every category, from natural supplements and herbs to kidney and immune system support. This particular product focuses on ulcer and its effects on the horse. Besides relieving the symptoms, it also helps the horses temperament, performance, and general appearance.

Equine Edge, the manufacturers, recommend that you give your horse G.I Ulcer Support after youve administered another one of their products, GastroPLUS. GastroPLUS isnt strictly an ulcer treatment supplement. However, it does everything from improving the digestion and absorption of the horse, to treating diarrhea.

G.I Ulcer Support also helps prevent recurrent ulcers in a horse. It contains active ingredients like Papaya, Aloe, L-Glutamine, Turmeric and others. These ingredients dont just address the ulcer. They also provide the horse with essential nutrition that it might have been lacking.

Finding The Right Feed For Your Ulcer Prone Horse Or Pony

Ulcer Relief

We work closely with other experts in nutrition, research, and veterinary science so that we can continue to strive to provide our clients not just with research-proven products to help manage and support horses with EGUS, but to also understand and communicate important management strategies that can make a real difference to not just these horses but in general.

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Two Studies Focus On Gastric Ulcer Treatments In Horses

One veterinary investigation warns against compounded omeprazole the other shows a positive effect for a polysaccharide blend.

Shutterstock.comTwo recently released studies shine a spotlight on horses’ guts-specifically, treatments for gastric ulcers, a common equine condition. Here’s a closer look.

Caution with compounding

For the study, Dr. Wallace took radiographs of compounded and non-FDA-approved omeprazole paste products and compared the results with an FDA-approved product: Gastrogard from Boehringer Ingelheim. All compounded and over-the-counter products that were studied had clearly visible incomplete fill and air pockets, the poster’s conclusion section reads. Several of the products also showed variability in homogeneity. Gastrogard Paste syringes had complete fill, no air pockets and were homogenous.

Here are some of the images:

Without an FDA-review process to ensure product quality, veterinarians and horse owners are likely to encounter problems with compounded and illegal OTC omeprazole paste products for horses, the author concludes.

A conflict of interest disclosure on the poster indicates that the research was funded by Merial but that the sponsors of this project have played no role in analysis of results and have had no editorial influence over the written text provided here.

Promising polysaccharides

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How To Feed An Ulcer

Nutrition and feeding play an integral role in the prevention of equine ulcers. Ulcer-prone horses can benefit greatly from a feeding program that supports gut health and supports the horses natural defences against ulcers.

Equine ulcers are painful sores or lesions that develop along the digestive tract lining. They can cause poor performance, aggression, and girthiness in your horse.

Forage type, meal size, meal composition, and feeding frequency can all impact ulcer risk. These factors are so critical that poor feed management can significantly increase your horses likelihood of developing ulcers.

A well-structured feeding program that accommodates species-appropriate foraging behaviours will limit the time your horse spends with an empty stomach. This will help to buffer against gastric acids that can cause ulcers to form.

Reducing the amount of grain and concentrates in your horses diet, ensuring access to water, and feeding certain gut-healthy foods can also defend against ulcers.

Looking for assistance with designing a diet for your horse to reduce their risk of ulcers or promote ulcer recovery? and our nutritionists can help!

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Its Expensive To Get A Horse Scoped For Ulcers Why Not Just Give Him Some Medicine And See What Happens

On the one hand, I understand this logic. By the time that you put your horse in a trailer, take him to get scoped, wait, head home, youve spent some money, and a good part of your day. The medication is certainly harmless enoughmaybe if you just buy a few tubes of medicine, you can save time and money, and get the problem solved, too, right?

But before you do that, think about this: Your horse may not have ulcers. Say hes acting cranky under saddle. You put him on ulcer medication. He gets better. What do you do then? Do you keep him on the medication? There are lots of horses that get treated with ulcer medication using just the same logicand theyre probably getting treated needlessly.

Whats The Difference Between Ulcergard And Gastrogard

Equine Ulcers Explained: How They Get Them, How to Treat & Prevent

GastroGard is a prescription drug. UlcerGard is the FDA approved omeprazole product manufactured by Merial for the prevention of gastric ulcer formation in horses. The difference is how those tubes of omeprazole are dosed. If your horse is being treated for a stomach ulcer, your veterinarian will prescribe GastroGard.

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Equine Gastric Ulcer Syndrome1

Ulceration of the stomach is a common health problem and it occurs when acid damages the lining of the stomach causing ulcers to develop. Equine Gastric Ulcer Syndrome has been subdivided into two clinical conditions based on differences in where and how they occur and how they are treated Equine Squamous Gastric Disease, and Equine Glandular Gastric Disease.

The two leading risk factors for ulcers in horses are the way we feed them and stress .

Feeding: Lack of forage in a horses diet is a contributing factor of EGUS. Through a continual intake of forage, the horse naturally produces saliva which acts as a buffer to stomach acid. In todays environment, horses are often subjected to a concentrate-rich diet and longer periods between feedings. More concentrate along with less access to grazing means reduced amount of chewing, reduced saliva production, less physical buffering of acid by forage itself in the stomach, more acid production, and higher likelihood of gastric ulcer syndrome.

Stress: Some horses are more prone to stress than others, but for many even the smallest changes in routine can cause stress. Physical and behavioral changes such as injury, transportation and stall confinement can cause stress in horses. Its important to identify and anticipate moments of stress so that you can manage them properly.

Stretching As If To Urinate

A horse suffering from EGUS may frequently stretch out like he needs to urinate. This behavior is likely an attempt to relieve discomfort in the abdominal region and is easy to recognize.

It should be noted that horses may also stretch out like this if they are experiencing gas colic. But if your horse displays this behavior on a frequent basis, it could very well be ulcers.

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Recommended Ulcer Treatment In Horses

Gastrogard If your horse has stomach ulcers, this is the only FDA-approved product to use. When taken as directed and for how long it takes based on the weight of horses, you will see improvement within 28 days in most cases.

Gastrogard is used to treat existing stomach ulcers in horses. To make a diagnosis, your veterinarian may examine the horse by running an endoscopic camera through its nose and into the stomach if one isnt available. The presumptive diagnosis will be based upon history and clinical signs like vomiting or colic that happen due to gastric irritation from acid refluxing back up from their digestive tract.

Ulcergard This is used to prevent stomach ulcers that occur when a horses digestion system becomes stressed, such as during training or competition. Horses are prone to develop stomach ulcers during stressful times including training and competition as well as confinement .

What Causes Ulcers In Horses

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Before you can successfully treat an ulcer its important to understand what caused it in the first place, knowing what can cause ulcers will also help you to reduce your horses chances, if not eradicate them completely. A recent study showed that 93% of all racehorses suffered from ulcers, while 63% of performance horses were likely to have an ulcer at some point in their life, reducing to just 35% for domestic horses. While these numbers may seem shocking at first it does give us an indication of what a possible cause might be. Most race and performance horses spend a lot of time stabled with little or no forage and a very controlled diet which is why their risk of suffering from ulcers is so high.

Knowing that a horses diet can change their susceptibility is only part of the matter, to fully recognize why its such a big factor you need to understand how a horses digestive system works. Unlike humans, who only produce stomach acid when eating , horses are continually producing acid which is why they spend so long eating and grazing. As a horse grazes the forage slowly moves through his digestive tract and stomach, this process actually reduces the amount of acid thats produced which is why grazing is vitally important for a horses wellbeing. The saliva thats produced while chewing will also act as a barrier, protecting the sensitive stomach lining against acid.

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What Oil Is Good For Horses With Ulcers

The best oil for treating ulcers in horses is corn oil. The corn oil contains fatty acids that help to increase pH in the horse’s stomach and digestive system and make it less acidic. The digestive system environment is normally acidic as the acid helps break down food. However, too much acidity can damage the intestinal lining and contribute to ulceration. By raising the pH level of the digestive tract, the fatty acids in the corn oil help protect against the formation of ulcers. A recent study showed that feeding horses 2 tablespoons of corn oil with each meal for 30 days prevented ulcers caused by overfeeding or rapid weight gain in 90% of cases.

How Can You Tell If Your Horse Has Ulcers

How Can You Tell If Your Horse Has Ulcers?

How does a horse act with ulcers? The majority of horses with gastric ulcers do not show outward symptoms. They have more subtle symptoms, such as a poor appetite, and poor hair coat. The effect on performance is not well understood. Thoroughbred and Standardbred racehorses with poor performance have a higher incidence of squamous gastric ulcers.

Will horse ulcers heal on their own? Most ulcers in the equine stomach occur at the interface between the glandular and non-glandular portions of the stomach. Ulcers in the stomach can heal on their own, over time, but factors like stress and metabolic status can inhibit healing ability.

How do you get rid of horse ulcers? There is currently only one pharmaceutical treatment omeprazole approved by the U.S. Food and Drug Administration for gastric ulcers in horses. Omeprazole is available as a paste formulation and has been very effective in preventing and treating gastric ulceration in all types of horses.

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Why Is Nexium Bad For You

Using Nexium for a long period of time may increase the risk of inflammation of the stomach lining, according to the FDA. At least one study showed long term use of Nexium and other PPIs could also increase the risk of death. The FDA warns that patients should never take Nexium 24HR for more than 14 days at a time.

Signs That Your Horse Might Have Ulcers

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Symptoms of EGUS are often subtle and not specific to ulcers. Although most horses show some signs of having ulcers, over half of horses with ulcers dont show any symptoms at all.

With that said, there are a number of specific symptoms that have been directly linked with EGUS. If your horse shows any of the following signs, you should have him or her evaluated by your veterinarian who can perform an endoscopy to look for ulcers in the stomach and small intestine.

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What Drugs Are Used To Put A Horse Down

Horses who are not able to be rehabilitated after suffering an injury or sickness will have their pain relieved with a lethal injection of barbiturates. This type of anesthesia is only administered by veterinarians since the drugs used fall under DEA controlled substances.However in situations its legal for someone other than licensed vet to administer this kind treatment if theyre in possession of the medications and know how to use them safely and effectively.

Omeprazole For Equine Gastric Ulcers: How It Works + Side Effects

    Omeprazole is an FDA-approved drug that is sold under the tradenames GastroGard and UlcerGard. Omeprazole is used to prevent or treat equine gastric ulcer syndrome .

    Gastric ulceration is a painful condition with an extremely high prevalence in horses. Up to 90% of performance horses are affected by EGUS. High rates of pleasure horses are affected as well.

    Ulcers are sores or lesions that develop in the intestinal lining of the horse. They can cause your horse to become girthy, resistant to training, agitated and generally crabby.

    Omeprazole treats ulcers by suppressing the production of stomach acid. It is a proton pump inhibitor medication, meaning that it temporarily reduces the acidity of the stomach.

    Treatment for gastric ulcers can be a long and expensive commitment. Unfortunately, following treatment, there is a risk of ulcer recurrence unless changes in your horses management and feeding program are made.

    Horse owners should be aware of how omeprazole works to prevent and heal ulcers, as well as any complications that could occur with treatment, such as rebound acid hypersecretion .

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    The Effects Of Omeprazole In The Body

    Omeprazole is capable of reducing hydrochloric acid in the stomach by up to 99%. While this action is beneficial for healing ulcers in the squamous portion, there are ramifications.

    • Stomach acid is needed by horses to digest proteins.
    • Stomach acid helps create a hostile environment so certain pathogenic bacteria cannot flourish.
    • Stomach acid activates pepsin, an enzyme that breaks protein into amino acids.
    • The suppression of digestive acids by omeprazole affects key mineral absorption of calcium and magnesium.
    • A small digestibility trial by Kentucky Equine Research showed that two weeks of omeprazole administration decreased calcium digestibility by 20% for calcium carbonate, and 15% for marine-derived calcium.
    • Blocking stomach acid for a period of time can cause the body to increase production of stomach acid after omeprazole treatment. This can lead to heartburn and dyspepsia which help to form new ulcers.
    • A study on omeprazole published in the Journal of Equine Veterinary Science concluded: Oral administration of omeprazole in healthy equines interfered with the metabolism of digestive biomarkers of lipid, mineral and protein metabolism, although the animals were treated for a maximum of 11 days. Horses treated with a proton-pump inhibitor need to be evaluated regularly to avoid significant modification in their metabolic parameters.

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    Blikslager: We know that NSAIDs, such as bute and Banamine, can increase the risk of stomach ulcers, and thats one cause of colic. We dont know how long a horse must stay on bute to increase this risk, but in general, the more you use and the longer you use it, the more likely it is that a problem will develop.

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