Changes

* Reduced gut sounds

* Reduced gut sounds

Diagnosis can be made on rectal examintion,  

Diagnosis can be made on rectal examintion, the caecum is firmer and filled with ingesta and can be indented digitally. The caecal mass will be palpated in the right paralumbar area, identified by the taut ventral caecal band and the fat and blood vessels overlying the medial caecal band. 

In most cases the impaction is not sufficiently severe or prolonged to cause cardiovascular compromise or changes in peritoneal fluid, but if the case is chronic or progresses to rupture then the condition is serious and the horse should be closely monitored for worsening clinical signs.  

In most cases the impaction is not sufficiently severe or prolonged to cause cardiovascular compromise or changes in peritoneal fluid, but if the case is chronic or progresses to rupture then the condition is serious and the horse should be closely monitored for worsening clinical signs.