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| − | ====Caecum====
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| − | =====Flatulent colic=====
| + | Also known as: '''''Gas colic |
| − | Flatulent, or gas colic, occurs when caecal gases are produced faster than they can be removed by the caecum and colon, leading to a distension of the caecum. A diagnosis is strongly confirmed by a right sided abdominal distension, and [[Colic Auscultation|auscultation]]/percussion of tympanitic sounds. Treatment involves withdrawal of fluid, and intra-venous fluid therapy. The distension can be relieved by [[trocharisation]] of the caecal head, via the right sub-lumbar fossa, which is ideally performed using ultrasound guidance.
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| | + | ==Introduction== |
| | + | '''Flatulent colic''' occurs due to the overproduction and accumulation of gas in the large intestine and caecum leading to a distension of the caecum. |
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| | + | ==Signalment== |
| | + | The condition can be associated with grazing on lush pasture. |
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| | + | ==Diagnosis== |
| | + | ===Clinical signs=== |
| | + | * Right sided abdominal distention |
| | + | * Severe abdominal pain |
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| | + | See '''[[Colic Diagnosis - Clinical Signs|clinical signs of colic]]''' |
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| | + | On [[Colic Diagnosis - Abdominal Auscultation|auscultation]] of the gastro-intestinal tract, there will be a tympanitic sounds on the right hand side. On [[Rectal Examination of the Horse|rectal examination]] the distended loops of bowel obstruct the rectum. |
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| | + | See '''[[Colic Diagnosis in the Horse]]''' |
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| | + | ==Treatment== |
| | + | The distension can be relieved by trocharisation of the caecal head at the right sub-lumbar fossa, performed under ultrasound guidance. Starvation and intravenous fluid therapy are also beneficial. |
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| | + | If the use of a trochar does not relieve the distension then the colic should be considered surgical as this condition cannot be distinguished from distension due to surgical displacements of the large colon. |
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| | + | See '''[[Colic, Medical Treatment|Medical Treatment of Colic in Horses]]''' |
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| | + | {{Learning |
| | + | |literature search = [http://www.cabdirect.org/search.html?q=%28title%3A%28flatulent%29+OR+title%3A%28Gas%29%29+AND+od%3A%28horses%29+AND+title%3A%28colic%29 Flatulent colic publications] |
| | + | }} |
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| | + | ==References== |
| | + | * Blood, D.C. and Studdert, V. P. (1999) '''Saunders Comprehensive Veterinary Dictionary (2nd Edition)''' ''Elsevier Science'' |
| | + | * Knottenbelt, D.C, Edwards, B., Mckane, S., and Proudman, C. '''Equine Gastroenterology''' ''University of Liverpool'' |
| | + | * Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' ''Merial'' |
| | + | * Rose, R. J. and Hodgson, D. R. (2000) '''Manual of Equine Practice''' (Second Edition) Sauders. |
| | + | * White, N.A., Edwards, G.B. (1999) '''Handbook of Equine Colic''' ''Reed Educational and Professional Publishing Ltd'' |
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| | + | {{review}} |
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| | + | {{OpenPages}} |
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| | [[Category:Medical_Colic_in_the_Horse]] | | [[Category:Medical_Colic_in_the_Horse]] |
| | + | [[Category:Colic - Caecum Causes]][[Category:Colic - Large Colon Causes]][[Category:Colic - Small Colon Causes]] |
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| | + | [[Category:Expert_Review]] |