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If the impaction is large or non-responsive to medical treatment, surgery may be indicated.
If the impaction is large or non-responsive to medical treatment, surgery may be indicated.
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.
===Prognosis===
===Prognosis===