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*Moderate to severe colic
 
*Moderate to severe colic
 
*Nasogastric reflux may take a considerable time to develop because the ileum is the distal-most part of the small intestine.  Reflux is found in 50% of horses requiring surgical conrrection for ileal impaction(35,41)
 
*Nasogastric reflux may take a considerable time to develop because the ileum is the distal-most part of the small intestine.  Reflux is found in 50% of horses requiring surgical conrrection for ileal impaction(35,41)
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==Diagnosis==
 
==Diagnosis==
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Usually made at surgery
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Usually made at surgery.  Rectal palpation may identify loops of distended small intestine as the condition progresses but these may impede palpation of the impaction itself.
 
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==Treatment==
 
==Treatment==
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