Difference between revisions of "Flatulent Colic"

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====Caecum====
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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.
  
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==Introduction==
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See <big>'''[[Colic,Medical Treatment|Medical Treatment of Colic in Horses]]'''</big>
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'''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==
 
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The condition can be associated with grazing on lush pasture.
 
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==Diagnosis==
 
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===Clinical signs===
 
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* Right sided abdominal distention
 
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* 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==
 
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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
 
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|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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}}
 
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==References==
 
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* Blood, D.C. and Studdert, V. P. (1999) '''Saunders Comprehensive Veterinary Dictionary (2nd Edition)''' ''Elsevier Science''
 
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* Knottenbelt, D.C, Edwards, B., Mckane, S., and Proudman, C. '''Equine Gastroenterology''' ''University of Liverpool''
 
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* Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' ''Merial''
 
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* Rose, R. J. and Hodgson, D. R. (2000) '''Manual of Equine Practice''' (Second Edition) Sauders.
 
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* 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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[[Category:Medical_Colic_in_the_Horse]]
 
[[Category:Medical_Colic_in_the_Horse]]
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[[Category:Colic - Caecum Causes]][[Category:Colic - Large Colon Causes]][[Category:Colic - Small Colon Causes]]
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[[Category:To_Do_-_Clinical]]
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[[Category:Expert_Review]]
 

Revision as of 10:32, 29 July 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.

See Medical Treatment of Colic in Horses