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Discussion on EPM and Sweating

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Scott Fouch
Member
Username: Fouch

Post Number: 31
Registered: 3-2000
Posted on Wednesday, Apr 16, 2003 - 10:32 am:   Edit PostPrint Post

I have a twelve month old quarter horse gelding that I have been treating for EPM for three weeks. The vet said he was sure that it was EPM and not wobbles. The horse drags both the front and back left feet and has acute weakness in both legs. If he attempts to run, he will fall down and has difficulty getting back up. On several occaisions I have noticed that his left side will be completely covered with sweat and his right side completely dry. I haven't seen where this is a symptom of EPM. The vet indicated that if he isn't better in a week he will need to be put down. We have been unable to get him in a trailer so he could have X-rays for wobbles. I just wanted to make sure there isn't something that is curable that has been overlooked.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 8154
Registered: 1-1997
Posted on Wednesday, Apr 16, 2003 - 10:08 pm:   Edit PostPrint Post

I wish from here Scott, I could give you such reassurances but that is not possible without examining the horse. I can assure you there is no way he can be sure that it is not Wobblers or be sure it is EPM, from just the clinical signs. I have to agree though the unilateral appearance does sound more like a focal intracord lesion which is more likely EPM that Wobblers. The sweating is a bit odd for cord lesions but not unknown to be related to the neurological deficits.

As to your next step, it is unclear if the colt is suffering and also depends on the value on the colt, your resourses, and your goals.
DrO
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Scott Fouch
Member
Username: Fouch

Post Number: 32
Registered: 3-2000
Posted on Thursday, Apr 17, 2003 - 3:51 pm:   Edit PostPrint Post

The vet indicated that every horse in the state of Missouri would test positive for EPM so there was no use to do the test. I guess my question is at what point do you give up on treating the horse for EPM. I haven't seen any improvment in three weeks. In fact, he is probably worse.
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Robert N. Oglesby DVM
Moderator
Username: Dro

Post Number: 8165
Registered: 1-1997
Posted on Thursday, Apr 17, 2003 - 10:02 pm:   Edit PostPrint Post

There are a wide range of circumstances under which euthanasia may be considered. Among some of the ones that may apply to your horse are:
  • Incurable, progressive disease
  • Incurable, transmissible disease
  • Chronic lameness
  • Severe traumatic injury
  • Undue financial burden of caring for a sick or incapacitated horse
  • Undue suffering for any reason

Taking from the above list the following questions fall out:
  • What is the likelihood of recovery or at least an acceptable return to usefulness?
  • Is the horse suffering?
  • Has the horse become depressed or despondent, or does it continue to show an interest and desire to live?
  • How much discomfort or distress can you accept seeing your own animal endure?
  • What kind of special care will this animal require, and can you meet its needs?
  • Can you continue to provide for this animal economically?
  • What are the alternatives?

Witout a firm diagnosis this is very hard but search your heart and along with the consultation of your vet I think you will know when it is time.
DrO
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