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[[Flatulent Colic]]
 
[[Flatulent Colic]]
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[[Impaction, Pelvic Flexure]]
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====Large Colon====
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=====Pelvic flexure impaction=====
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A relatively common form of colic, that is often associated with a recent change in diet, management or exercise levels.  Pain is moderate, and often persists despite adequate [[analgesia]], a sign more commonly associated with colic of a surgical nature.  However, rectal examination provides a definitive diagnosis, with a large, doughy structure occupying much of the pelvis.  Treatment involves encouraging fluid output into the large colon, to help soften the impaction, firstly by ensuring adequate hydration with intra-venous fluids, and sometimes by administration of [[sodium chloride]] and sodium sulphate orally, to create an [[osmotic]] gradient.  Large volumes of water, sometimes with Magnesium Sulfate with or without liquid paraffin ([[Mineral oil]]) are also given by naso-gastric tube, to help soften the impaction and encourage its movement.
      
=====Left dorsal displacement=====
 
=====Left dorsal displacement=====
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