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These parameters will need to be reassessed over time to monitor for any change in the horse's condition and response to any therapy. A change in one or more of these parameters may be sufficient for referral to a surgical facility. The clinical signs as a result of pain and the response to analgesia are very important in assessing the need for surgery. Horse's with unrelenting pain that is not responsive to analgesia should be refered immediately. Rectal examinations are very useful in evaluating the colic patient as some surgical abnormalities of the gastrointestinal tract can be palpated.
These parameters will need to be reassessed over time to monitor for any change in the horse's condition and response to any therapy. A change in one or more of these parameters may be sufficient for referral to a surgical facility. The clinical signs as a result of pain and the response to analgesia are very important in assessing the need for surgery. Horse's with unrelenting pain that is not responsive to analgesia should be refered immediately. Rectal examinations are very useful in evaluating the colic patient as some surgical abnormalities of the gastrointestinal tract can be palpated.
The difficulty lies in the fact that signs of most medical colics are indistinguishable from the early signs of surgical colic. Almost all colics have a medical aspect at the start of the disease course. An early diagnosis and the appropriate treatment are necessary to cure the condition. It is also important to rule out conditions that mimic colic but do not involve the gasrointestinal tract. These conditions are collectively known as [[False Colic in the Horse|false colic]]. Other abdominal and major organs can cause pain that mimics intestinal pain. There may also be several sites involved that manifest in a common pathway of abdominal discomfort. The veterinarian must observe the whole horse and take into account any concurrent disease that can affect the clinical examination.
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===References===
===References===
* Edwards B. (2009), Diagnosis and Pathophysiology of Intestinal Obstruction, in Equine Gastroenterology courtesy of the University of Liverpool, pp 9 - 10
* Edwards B. (2009), Diagnosis and Pathophysiology of Intestinal Obstruction, in Equine Gastroenterology courtesy of the University of Liverpool, pp 9 - 10
* Meuller E, Moore J. N, (2008) Classification and Pathophysiology of Colic, Gastrointestinal Emergencies and Other Causes of Colic, in Equine Emergencies- Treatments and Procedures, 3rd Edition, Eds Orsini J. A, Divers T.J, Saunders Elsevier, pp 112
* Knottenbelt D. C. (2009), Diagnosis and Management of Medical Colic, in Equine Gastroenterology courtesy of the University of Liverpool, pp 19 - 20
* Meuller E, Moore J. N. (2008) Classification and Pathophysiology of Colic, Gastrointestinal Emergencies and Other Causes of Colic, in Equine Emergencies- Treatments and Procedures, 3rd Edition, Eds Orsini J. A, Divers T.J, Saunders Elsevier, pp 112
[[Category:Colic_in_Horses]]
[[Category:Colic_in_Horses]]