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neil
Ask the Experts
VET - Neil Twentyman BVSc

Neil set up the Dairy Flat Veterinary Clinic ten years ago. He specialises in horses, but treats all species

If you have a question for Neil or our other vets, send it to: Ask the Experts, NZ Horse & Pony Magazine, PO Box 12965, Penrose, Auckland. Alternatively, you can fax us on 09 634 2948 or e-mail us at editor@horse-pony.co.nz, remembering to include your postal address. Pen names may be used, but anonymous letters will not be accepted. Letters may be edited for length and clarity

Q :About two months ago I noticed a clicking in my eight-year-old gelding’s hips, especially when I asked him to bend. I put it down to the fact that he had been doing some rather spectacular leaps – as jumping is new to him – and maybe had a slight sprain, or an air pocket in the joint. It  isn’t affecting his performance at all and it only happened every now and then but it still concerned me. So I eased off the hard riding and asked the vet, who said not to worry unless it got worse or caused lameness.
Since then the clicking has become less noticable but I’m beginning to hear other creakings in his neck and just his general body. I’ve been listening to the other horses on our property and they don’t click at all. Am I being paranoid or is there something wrong?
Rheanne, Whakatane


A :Rheanne, you are certainly worrying unnecessarily.
As a general rule, if the horse is not worried about the click (no matter how loud it is!) then don’t you worry. There are heaps of horses out there clicking, and almost all of them are totally comfortable with it.
The noise is normally caused by the joint ligaments. These very strong thick “elastic bands” hold the joint together, yet allow the normal movement of the joint. Often a joint “click” is one of these ligaments flicking over the bone to a new position, as the joint moves.
As with some people, me included, who can click a joint, there is normally no pain or discomfort associated.
These clicks can come and go a bit, depending on a variety of things, such as the level of work the horse is doing, their conditioning and so on.

horse
Horses can produce some spectacular leaps, but there is usually no pain associated with joint clicking

Q :In March you addressed a concern regarding a runny nose. My 20-year-old gelding also has a chronic runny nose, and has had for the past twelve months. He has had numerous courses of antibiotics, powders and injections, but the runny nose comes back. A blood test showed not much except for a bacterial infection and high levels of allergies. His nose runs from only one side and is mostly white, doesn’t smell and very occasionally for a day it won’t be there at all.
He is retired but I am very worried about him as I don’t believe this is normal. My vet suggested I take him in for an examination, but he is not good to get on a float so I’m not keen on taking him in. Can you give me an indication of what they would be looking for, and what treatment might be associated?
I am nearly tearing my hair out as this just isn’t going away.
Karen, Helensville

A :There are a number of possible causes for a chronic unilateral (ie. from one side only) nasal discharge, including a nasal foreign body, an infection within one of the paranasal sinuses, and a growth (cyst, tumour or polyp).
Often a thorough examination is necessary to diagnose what the problem is.
This can involve:
•           percussion, where tapping on the sinuses, and comparing one side to the other, can help determine if one is full of infection
•           endoscopy, where a flexible endoscope is used to examine the nasal passages from the inside
•           x-rays, for growths and foreign bodies
•           infections in the sinuses
•           tooth problems which can result in a sinusitis.
A sinusitis is the most common cause of a unilateral nasal discharge.
Treatment would consist of correcting any possible cause before flushing and irrigating the sinus though a small hole drilled in the nasal bones. This is normally done in conjunction with appropriate systemic antibiotics.
This does sound pretty radical but is normally done fairly easily in a sedated horse.
Tooth root abscesses are the cause of a large percentage of infected sinuses – this normally requires the removal of the offending tooth.
Occasionally sinusitis follows an upper respiratory tract infection.
Possible treatment for growths and tumours does depend on their size and position.
Some can be surgically removed reasonably easily via the nostril while others may require reasonably radical surgery. It is not always possible or practical to attempt removal.
Foreign bodies may sometimes be able to be dislodged with the endoscope.

Q :I want some advice regarding vitamin and mineral supplements, after being told that vitamins are not needed at all and minerals are over-fed.
I feed my horse a well-known brand multi-vitamin and mineral supplement ‘just in case’. I have never had his mineral levels checked and he doesn’t seem to suffer from any imbalances/deficiencies.
My horse is used for pleasure riding and the occasional low-level competition. He is on average-quality pasture, and gets worked about four or five days a week, usually for about an hour at a time. On the days he is worked, he is fed about 750g of a pre-mixed feed, and a scoop of lucerne chaff, with 60g (the recommended amount for a hack) of the vitamin and mineral supplement. Over winter, I feed him 500g soaked sugarbeet as well.
He seems to be well enough, but I wonder if the supplement is unnecessary (ie. only needed for high-performance horses)?
Curious, Auckland

A : With the level of work you are asking of your horse, it is very likely that the vitamins you are giving are unnecessary.
Generally, I feel, there is a lot of money spent on vitamin supplements which are just not needed. Certainly they do no harm (except they cost!) and are looked on as some sort of insurance.
This is not the case with every horse.
If a horse has been on antibiotics, for example, he could be at risk of a vitamin deficiency. The intestinal bacteria normally produce a good supply of the B vitamins that are necessary for good health. These bacteria can be compromised inadvertently by the antibiotics. This may lead to a shortage of supply of the necessary vitamins, until the normal gut flora re-establish.
Horses in high-stress situations, eg. racehorses, frequent travellers, regular competition horses and those that are eating poorly may also derive some benefit from a vitamin supplement. Any horse that is on a high grain, low forage diet may also benefit from vitamin supplementation.
Supplementation of the B group vitamin, biotin, has been shown to be beneficial to a lot of horses. It has been shown to increase the strength and health of the new hoof that grows from the coronet while the horse is being supplemented.
Minerals are necessary for many reasons and whether supplementation is necessary depends on your horse’s diet and the work your horse is required to do.
In your case, the only mineral I would be concerned about is selenium.
New Zealand soils are generally low in selenium and without supplementation most horses are deficient. Selenium is such an important part of most metabolic pathways within your horse. Deficiency can lead to a number of problems including sore muscles, lethargy, nervousness and behavioural changes.
Because over-supplementation can cause serious problems, you do need to blood test to check levels on a reasonably regular basis.
Supplementation of other minerals may be beneficial in some particular cases. For example, a horse that sweats a lot will lose a number of minerals in this sweat, which can be easily replaced with a good balanced electrolyte mix.
If a horse is on mainly hard feed and limited pasture, then a calcium supplement will be beneficial.
And during times of rapid grass growth, horses on pasture can develop a magnesium deficiency and become nervous and hypersensitive. This is easily corrected by adding it to their diet.
There are numerous other very important minerals that are normally supplied in a good balanced diet but occasionally a shortage can exist.
a.         Calcium and phosphorus – necessary for good bones and blood clotting.
b.         Iron, copper and cobalt – all necessary for haemoglobin production and prevention of anaemia
c.         Zinc – important for healthy skin, cartilage and hoof
d.         Iodine – necessary for normal thyroid function
e.         Manganese – needed for cartilage and bone production

Q : Hi there. When I got my horse about eight months ago, she was suffering from bad rain scald all over her back, neck and rump. I managed to get this cleared up, using a Vetadine wash. Now that we are heading into winter again, I’m wondering if there is anything I can do to prevent this happening again, as she is obviously prone to it.
Andrea, Northland

A : Rain scald is caused by the bacteria dermatophilosis congolensis which is pretty well everywhere in the environment. The outer layer of normal healthy skin acts as a barrier to prevent this bacteria taking hold and causing an infection.
However, with prolonged wetting or dampness the skin becomes more susceptible to damage by grooming tools, parasites, scratches and so on.
This minor damage is often all that is required for the bacteria to cause a problem. Once a minor problem starts it can very easily spread – by local invasion of the surrounding skin or by covers, brushes and other grooming tools.
So it is very important to treat any problem as soon as it starts and to keep all brushes etc clean.
The bacteria are easily killed by most antibacterial agents – including iodine (Vetadine shampoo is often used), halamid, dilute copper sulphate solution (5g/litre) – and many more. It is necessary to remove any scabs to expose the bacteria that are underneath.
Brushes and so on are cleaned easily in iodine solution or halamid.
Horses that are in poor condition do tend to be more susceptible to infection (note – I am not saying they are in poor condition if they get it!) – so ensuring they are healthy will help.
Keeping them covered during wet periods will help, but removing covers on hot days is also necessary, as constant sweating will have a similar effect to the rain.
Horses that are copper deficient are more prone to infection, so correcting this, if it is a problem, will help.