Difference between revisions of "Flatulent Colic"

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====Caecum====
Also known as: '''''Gas colic
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=====Flatulent colic=====
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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.
  
==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.
 
 
==Signalment==
 
The condition can be associated with grazing on lush pasture.
 
 
==Diagnosis==
 
===Clinical signs===
 
* Right sided abdominal distention
 
* Severe abdominal pain
 
 
See '''[[Colic Diagnosis - Clinical Signs|clinical signs of colic]]'''
 
 
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. 
 
 
See '''[[Colic Diagnosis in the Horse]]'''
 
 
==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.
 
 
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.
 
 
See '''[[Colic, Medical Treatment|Medical Treatment of Colic in Horses]]'''
 
 
{{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]
 
}}
 
 
==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''
 
 
 
{{review}}
 
 
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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]]
 
 
 
[[Category:Expert_Review]]
 

Revision as of 10:25, 6 June 2010

Caecum

Flatulent 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 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.