Difference between revisions of "Impaction, Pelvic Flexure"

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A relatively common form of colic, that is often associated with a recent change in diet, management or exercise levels.  Pain is moderate, and often persists despite adequate analgesia, a sign more commonly associated with colic of a surgical nature.  However, rectal examination provides a definitive diagnosis, with a large, doughy structure occupying much of the pelvis.  Treatment involves encouraging fluid output into the large colon, to help soften the impaction, firstly by ensuring adequate hydration with intra-venous fluids, and sometimes by administration of sodium chloride and sodium sulphate orally, to create an osmotic gradient.  Large volumes of water, sometimes with Magnesium Sulfate with or without liquid paraffin (Mineral oil) are also given by naso-gastric tube, to help soften the impaction and encourage its movement.
 
A relatively common form of colic, that is often associated with a recent change in diet, management or exercise levels.  Pain is moderate, and often persists despite adequate analgesia, a sign more commonly associated with colic of a surgical nature.  However, rectal examination provides a definitive diagnosis, with a large, doughy structure occupying much of the pelvis.  Treatment involves encouraging fluid output into the large colon, to help soften the impaction, firstly by ensuring adequate hydration with intra-venous fluids, and sometimes by administration of sodium chloride and sodium sulphate orally, to create an osmotic gradient.  Large volumes of water, sometimes with Magnesium Sulfate with or without liquid paraffin (Mineral oil) are also given by naso-gastric tube, to help soften the impaction and encourage its movement.
  
See <big>'''[[Colic,Medical Treatment|Medical Treatment of Colic in Horses]]'''</big>
 
  
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See <big>'''[[:Category:Colic Diagnosis in the Horse|Colic Diagnosis in Horses]]
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'''[[Colic, Medical Treatment|Medical Treatment of Colic in Horses]]'''</big>
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No need to duplicate treatment.... look around the Colic in Horses Category
 
[[Category:Medical_Colic_in_the_Horse]]
 
[[Category:Medical_Colic_in_the_Horse]]
 
[[Category:To_Do_-_Clinical]]
 
[[Category:To_Do_-_Clinical]]

Revision as of 10:43, 29 July 2010

Large Colon

Pelvic flexure impaction

A relatively common form of colic, that is often associated with a recent change in diet, management or exercise levels. Pain is moderate, and often persists despite adequate analgesia, a sign more commonly associated with colic of a surgical nature. However, rectal examination provides a definitive diagnosis, with a large, doughy structure occupying much of the pelvis. Treatment involves encouraging fluid output into the large colon, to help soften the impaction, firstly by ensuring adequate hydration with intra-venous fluids, and sometimes by administration of sodium chloride and sodium sulphate orally, to create an osmotic gradient. Large volumes of water, sometimes with Magnesium Sulfate with or without liquid paraffin (Mineral oil) are also given by naso-gastric tube, to help soften the impaction and encourage its movement.


See Colic Diagnosis in Horses

Medical Treatment of Colic in Horses

No need to duplicate treatment.... look around the Colic in Horses Category