Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
SmartPak's Understanding Equine Ulcers & Gastric Health
1. Understanding Equine Ulcers &
Gastric Health
Lydia F. Gray, DVM
Medical Director/Staff Veterinarian
Jessica Normand
Senior Director – SmartSupplements™
July 18, 2012
3. Agenda
• What are gastric ulcers?
• Risk Factors
• Signs
• Diagnosis
• Treatment & Prevention
3
SmartPak.com
4. Gastric Ulcer Statistics
It has been well-documented that as many as 90% of
racehorses and nearly 60% of active show horses have
gastric ulcers.
Simulated conditions representing activities typical in the
recreational use of horses were determined to cause
gastric ulcers in as little as five days.
McClure SR, Carithers DS, Gross SJ, Murray MJ.
Gastric ulcer development in horses in a simulated show or training
environment.
J Am Vet Med Assoc. 2005 Sep;227(5):775-777.
4
SmartPak.com
5. What are gastric ulcers?
• Gastric = stomach
• Ulcer = erosion
• Equine Gastric Ulcer Syndrome (EGUS)
5
Illustration courtesy of Rick Gore Horsemanship, ThinkLikeAHorse.org
6. A horse in his natural state…
Grazes almost 20 hours per day
6
SmartPak.com
7. Risk Factors for Gastric Ulcers
• Diet
– Infrequent hay feeding
– High grain diets
“Feeding horses more than five pounds of grain every
five to six hours can cause gastric ulcers.”
-Frank Andrews, DVM, MS, DACVIM
Louisiana State University
7
SmartPak.com
15. Diagnosis of Gastric Ulcers
• History
• Signs
• Endoscopy
• Response to treatment
15
SmartPak.com
16. Diagnosis of Gastric Ulcers
Reproduced from
Andrews F, Bernard W,
Byars D, Cohen N, Divers
T, MacAllister C, et al.
Recommendations for
the diagnosis and
treatment of equine
gastric ulcer syndrome
(EGUS). Equine Vet Educ
1999; 1 (2): 122-134.
16
17. Treatment & Prevention of Gastric Ulcers
• Goal is to create a permissive environment in the
stomach for tissue healing, which requires a
combined approach:
1. Pharmacologic agents
2. Natural agents
3. Dietary changes
4. Management changes
17
SmartPak.com
20. Natural Agents: Antacids
• Calcium, magnesium, aluminum
Clark CK, Merritt AM, Burrow JA, Steible CK. Effect of aluminum hydroxide/magnesium hydroxide antacid and bismuth
subsalicylate on gastric pH in horses. J Am Vet Med Assoc. 1996 May 15;208(10):1687-1691.
Murray MJ, Grodinsky C. The effects of famotidine, ranitidine and magnesium hydroxide/aluminum hydroxide on gastric
fluid pH in adult horses. Equine Vet J Supple. 1992 Feb;(11):52-55.
20
SmartPak.com
21. Natural Agents: Amino Acids
• Glutamine, threonine, glycine, collagen
Zhong Z, Wheeler MD, Li X, et al. L-Glycine: a novel anti-inflammatory, immunomodulatory, and cytoprotective agent.
Curr Opin Clin Nutri Metab Care. 2003 Mar;6(2):229-240.
Noe JE. L-Glutamine use in the treatment and prevention of mucositis and cachexia: a naturopathic perspective. Integr
Cancer Ther. 2009 Dec;8(4)): 409-415.
21
SmartPak.com
22. Natural Agents: Herbs
• Licorice, marshmallow root, slippery elm, aloe vera,
adaptogens, seabuck thorn
Aly AM, Al-Alousi L, Salem HA. Licorice: a possible anti-inflammatory and anti-ulcer drug. AAPS PharmSci
Tech, 2—5 Sep 20;6(1):E74-82.
Lee EB, Kim OJ, Kang SS, Jeong C. Araloside A, an anti-ulcer constituent from the root bark of Aralia elata.
22
Biol Pharm Bull. 2005 Mar;28(3):523-526.
SmartPak.com
23. Natural Agents: Others
• Pectin, lecithin, silica, gamma oryzanol
Ferrucci F, Zucca E, Croci C, et al. Treatment of gastric ulceration in 10 Standardbred Racehorses
with a pectin-lecithin complex. Vet Rec. 2003 May 31;152(22):679-681.
Venner M, Lauffs S, Deegen E. Treatment of gastric lesions in horses with pectin-lecithin complex.
23
Equine Vet J Suppl. 1999 Apr;(29):91-96.
SmartPak.com
24. Treatment & Prevention of Gastric Ulcers
3. Dietary Changes
– Provide constant access to good-quality hay
– Or, provide hay frequently throughout the day
– Offer alfalfa hay, if possible
– Limit the amount of grain
– Or, feed grain in small, more frequent meals
24
SmartPak.com
25. Treatment & Prevention of Gastric Ulcers
4. Management Changes
– Give “down time” from competition, travel
– Provide pasture turn out, with “buddy” if possible
– Keep a regular schedule
– Reduce stress
25
SmartPak.com
27. Questions
1. What is the best way to manage a horse with ulcers on very limited pasture?
Is one type of hay better than another for a horse with ulcers?
2. Once you treated the ulcer with something like GastroGard for 30 days, what
is the best on-going prevention so that you don't have to incur the costly
treatment of GastroGard?
3. What effects does heavy training have on ulcers if the horse already has them,
and is it a cause of them?
4. Does cribbing have anything to do with ulcers?
5. Once a horse has been diagnosed with an ulcer, does treatment cause the
ulcer to go away, or merely the symptoms being presented for the ulcer?
6. My horse's ulcers seem much better when he is on grass versus hay. Any
research that confirms this?
SmartPak.com 27
28. Questions
7. I've a 14 y.o. welsh x qtr pony leased to a therapy program. I understand
performance horses are prone to ulcers but are lesson horses also prone? Can
light work cause ulcers? Or not enough work? We're at 1 week with my pony
on SmartGut and Ranitidine. Any other suggestions?
8. Is it true that horses that are on a bit of supplements are prone to colic and
ulcers?
9. I have a mare that "tummy aches" not a true colic; she acts achy only after she
eats. The vet said it is was 90% chance it was ulcers due to a high amount of
grain, stall time and performance time. What types of feed can I give her to
reduce this affect?
10. My horse was scoped and diagnosed with gastric ulcers. He was treated for
the recommended time and dosage of GastroGard. Should I have him re-
scoped to ensure the ulcers are gone?
SmartPak.com 28
29. Questions
11. How long can a horse go without hay between meals and still be safe from
ulcers? A couple of hours?
12. GastroGard vs. UlcerGard
13. Any relationship between a bacteria and an ulcer like in people?
SmartPak.com 29
30. Thank you for attending our Webinar!
Please visit us at SmartPak.com,
email us at CustomerCare@SmartPak.com
or call us at 1-800-461-8898 if we can answer
any further questions.
~ Your Friends at SmartPak
SmartPak.com
Editor's Notes
Add Seabuckthorn here and can even include Dr. Andrews research, so when our product and our research comes out it seems more credible.
