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===Treatment===
===Treatment===
Bulk laxatives such as Psyllium are widely used to assist in the movement of sand. A mixture of Psyllium mucilloid and water is administered directly into the stomach via a nasogastric tube . Some authors however have described no benefical effects of Psyllium and adovate restriction to access to sand as the main component of treatment. This treament is continued for up to a week until all sand is fully removed from the colon.
Bulk laxatives such as Psyllium are widely used to assist in the movement of sand. A mixture of Psyllium mucilloid and water is administered directly into the stomach via a nasogastric tube. This treatment is continued for up to a week until all sand is fully removed from the colon. Some authors however have described no benefical effects of Psyllium and adovate restriction to access to sand as the main component of treatment.
If the impaction is large or non-responsive to medical treatment, surgery may be indicated.
Intravenous fluid therapy may be beneficial in increasing the fluid content of the impacted ingesta.
If the impaction is large or non-responsive to medical treatment, surgery may be indicated. A colotomy along the pelvic flexure is the most commonly performed procedure.
Prevention of recurrence is important; horses should be fed from buckets to prevent further ingestion of sand. Water should be freely available and plentiful. Horses should not be allowed access to over-grazed pasture. High fibre diets such as hay are recommended.
Prevention of recurrence is important; horses should be fed from buckets to prevent further ingestion of sand. Water should be freely available and plentiful. Horses should not be allowed access to over-grazed pasture. High fibre diets such as hay are recommended.