The lab says Lacey died from hepatic lipidemia

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tracerace

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*edited* It is lipidosis, not lipidemia (not sure if they are one in the same but wanted to clarify) The vet is calling a specialist and will get back with me with what he feels caused it, but from what I gathered on the internt, it is mostly caused by anorexia. Lacey was probably considered obese - I was present when the vet removed the liver and he cut through about 3 inches of fat. I am embarrassed to say that I didn't know she was that fat...given her size, it is probably quite a bit of fat. I have probably been in denial.

Can this condition be caused by obesity as well? I could also see that sudden reduction in feed could be the cause but I called immediatly when she went off feed.

Any ideas?
 
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At least you know. Hyperlipemia is not that uncommon in miniature horses, but as you found out, it can be deadly. Here's an excellent article from Scott Creek Farm. Hyperlipemia
 
this is so common in miniatures this is why i tell everyone (and have it on my site) that if a miniature horse stops eating call a vet asap. The lay name is fatty liver. They stop eating and then the liver dumps all that fat into the bloodstream turning their blood to sludge. And yes obese horses tend to get this as do sick horses that stop eating. A horse in normal weight though, and stops eating wont turn to fatty liver as fast as an obese horse will.

Im so sorry for your loss
 
I am so sorry for your loss... Cody had hyperlipidemia when I brought him into the hospital on Friday, but it sounds like his was stressed induced from the intussusception. Again, I am so sorry.

Liz R.
 
we lost a mare this way, we only had her a month, she came to us overweight but since she was nursing a month-old colt we did not try to do anything about it, figured since she was nursing it would wait... well apparently she was unhappy about being moved from her one-and-only home, even though she was reunited with her sister that we had bought 2 years before - she decided to stop eating and boom... that was it. at least that's the conclusion we came to, as there was nothing else wrong with her... fortunately since it's a condition, not an illness, it did not impact the colt, and despite losing his mom at 2 months he was fine, in fact he is now 4 years old and expecting his first foal this spring.

basically what our vet told us is, once it gets started, it's very hard to get under control and get the horse to recover; it happens so fast that it's difficult to catch in time to stop it anyway and even if you do, they are prone to doing it again. we lost a lot of dreams that day and it hurt to think she was so unhappy that she stopped eating. but a few months later we got a horse in our rescue that was the same color as she as and :new_shocked: she came with papers that showed she was another full sister to the one we lost and the one we still had... it made me feel that it was her way of telling me, it wasn't your fault... here's my sister to replace me. weird but that's how i felt. anyway i am so sorry for your loss, it is never easy, but at least you know what it was so you don't have to worry about the rest of the herd "catching" it.

God's blessings be with you during this rough time.
 
Liz, and Susan...I'm so sad that we have this in common
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...it breaks my heart.

I have learned a very valuable lesson. I hate that it took Laceys life - but I'll stop trying to figure "what if" and move on...my heart is broken it's been a horrible year for me (I buried 3 horses in the last 12 months) but I've learned more about horses inthe last year than I have in 15......

I went to my vet with this the moment I walked in the clinic. Because I was PM'd the information by a couple of people from this forum (and the posts about the others), I asked him specifically if it was hyperlipemia...he said, "No, that would be a lactating mare". I will have to confront my vet now, and tell him what I've learned. I pray that this saves another horses life. If it does, it will be because of this forum...and it may be a stranger who has never read this forum before. This forum is amazing.

Thank you everyone. From the bottom of my heart.

Tracy
 
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HYPERLIPIDEMIA - A CASE STILL OPEN
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Last fall my driving mini developed what I assumed was a stone bruise from trail driving. The bruise wasn't improving much, so I asked my vet if there was something we could do to make her more comfortable -- he prescribed Bute - 1 g. on day 1 and 1/2 g. for 3 days, and I followed his instructions - the worst thing I could have done.
My mini went off feed almost immediately and became lethargic. We then began a shotgun treatment of her symptoms -- fever, high pulse, colic, anorexia, diarreah - until after 6 days, I requested a referral to the local vet school, where the vets took one look at the bloodwork and immediately diagnosed hyperlipedemia.
My mini ended up living in I.C.U. for a week, on I.V. fluids, antibiotics, and prayers. We all expected her to die, but when I picked her up and brought her back home, her blood levels were almost back to normal except that her protein levels were very low. The assumption was that the Bute caused ulcerated bowel, which brought on the anorexia, which set the liver dysfunction into motion. Low protein levels? possibly the result of the unhealed ulcer?
So....the tough little patient came back to her own barn, and we began what has been a slow process of - we hope - full recovery - ?
Since the mini has come home. she has been eating normally, except when she has had bouts of colic and diarreah - which occurred at first about once a week, then once every two weeks --- and now - we are entering February - she has gone over 3 weeks without a bout. A couple of these colic bouts have been severe, and I have administered a dose (the correct one!) of Banamine on those occasions - but for the others, I have asked her to handle the pain on her own, provided hay, water, and hope - and the next day she is back among the living. She has also developed a high intolerance for grass -yes, even the dry, winter grass we have now.
With the staggering vet bills, I had resolved to let my mini sink or swim on her own, but after a couple of months of these colic bouts, I decided to try one more thing - and with the blessing of my new vet, put her on Gastrogard - Gastrogard requires one month at full dose and one month at half dose - and now, the mini has about 5 days remaining before she finishes the Gastrogard treatment.
With recommendations from other seasoned mini owners, my current feeds includes Farnham's Miniature Horse and Pony feed and Happy Hoof, with a daily dose of a powdered culture (forget the name of it...it is in the barn) to add bacteria to the gut. She is out with her buddies in a winter pasture - which around here means bare, bare, bare.
I am watching her now, running around and shaking her long mane, bossing the others into line - for all to see, a normal, healthy mini. The jury is still out on this case, but I have a little fighter in the ring.
My plan ? Finish the Gastrogard and let the winter play out...then, if all is well, start getting my little athlete back into shape and see what happens.
Lessons to be learned:
READ, READ, READ ---Many vets do not yet understand mini-management -- they are not like the big guys and gals!
IF YOU HAVE TO TREAT PAIN, USE BANAMINE, NEVER BUTE - Lilbeginnigs posts Bute warnings, but I didn't read them in time!
IF YOUR MINI GOES OFF FEED EVEN FOR A DAY, IT IS A DANGEROUS SITUATION! BE PROACTIVE!
DON'T GIVE UP WITHOUT A FIGHT! YOUR MINI WON'T...!
INVESTIGATE LOW-STARCH FEEDS IF YOU HAVEN'T ALREADY -- CHECK OUT FARNHAM'S NEW PRODUCT, MINIATURE HORSE/PONY FEED - HAPPY HOOF - TRIPLE CROWN SAFE STARCH...AND THE HAPPY HOOF PEOPLE ARE COMING OUT WITH YET ANOTHER LOW STARCH CHOPPED HAY PRODUCT.
 
thanks minimad. In Laceys case, I called the vet immediatly when she refused to eat. I had to wait on him...then wait on the blood work, then he had no clue....had I insisted he treated her for hyperlipidemia, perhaps she would have been saved.

My mini's and ponies don't get bute, btw...I learned this here ;).

I wanted to post an excellent article someone on COTH directed me to:

http://www.michvma.org/documents/MVC%20Pro...gs/Johnson2.pdf
 
Does hyperlipidemia cause them to stop eating? Or do they "get" hyperlipidemia from not eating?
 
kim i have had several friends lose horses to this and heres what happened

horse starts going off feed

becomes ill (one had pnemonia and was a stallion) its NOT only something mares get!

horse stops eating completely (anorexia due to sickness)

horse gets fatty liver
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or this can happen when an obese mare foals. her body stresses causing the fat buildup in the liver to dump into the bloodstream

edited to say the stallion had severe pnemonia and didnt develop the liver (hyperlipmia) unitl he went off feed for over a week.
 
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I will tell you what happened with Lacey:

I noted one day she seemed "off". She was eating, but lazy. I had to go down and bring her up for lunch. Later that night after she ate, when she got up from laying down she seemed wobbly in the hind (misinterpreted weakness) but it had suddenly became cold so I thought she was just stiff from laying down. The next morning, head was low, she was not eating. She stood in the corner while we waited for the vet (all day) and hung her head - got up and down, no thrashing. Mild temperature. I noticed what I'd describe as heaving in her belly - it resembled contractions. He breathing seemed shallow though. No discharge, no runny eyes. She did not improve whatsoever with banamine, colic treatment (naturally) or antibiotics. Within 24 hours she was terribly depressed and having ahard time keeping her head up. Eventually, while at the clinic, she began pressing her head into the corner and walking in circles, unable to control her walking and stopping. She showed interest in buckets by lowering her nose into them but she didn't seem to know how to eat anymore. Her eyes looked tired and dull at this point. THIS IS A CLASSIC SIGN OF LIVER PROBLEMS (I experienced this with my cat). At this point the brain is affected and 50%-88% of the horses die if they reach this stage. If they are pressing their head into the corner it is EXTREMELY serious and life threatening.

The only thing that changed in Laceys regimine was the weather, basically. We had an freakishly warm fall and winter, and then we were suddenly freezing over. That is the only thing I can figure that triggered it. We may never know...

kaykay, were the ones in your experience overweight? Was Cody overweight? I'f struggling with so much guilt....trying still to get through that.
 
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if your asking about my cody no he was not overweight and he did not have this. he had colic/enterloith

The stallion of my friends was NOT overweight. But since he stopped eating for so long his liver went ahead and dumped what fat it had into the blood. since his body was so run down fighting the pnemonia he just couldnt take anymore

i have been told (by various veternarians) obesity is not the only factor but being obese does put them at a higher risk, especially mares in foal or mares with a newly nursing foal.

trace--from the contractions you describe that sounds an awful lot like thumps (calcium definicency) was she also checked for that? Was this mare bred?

frans mare was overweight and got very sick after foaling. She also walked into walls, seemed blind, lethargic etc. osu never did get a firm diagnosis but i always felt she had thumps followed by fatty liver. lucky for her fran got her eating again by taking her out on grass which osu then also did. I do belive that is what saved that mare and the fact that they immediately weaned the foal and got her eating again on grass

please please dont beat yourself up!! its not your FAULT. You did get her help and did what you could and thats all any of us can do. I feel so bad for you losing her.
 
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kaykay, were the ones in your experience overweight? Was Cody overweight? I'f struggling with so much guilt....trying still to get through that.

Honey, please don't beat yourself up about this. It was NOT your fault. Obesity is a contributor to hyperlipemia but not the CAUSE (look at how many fat horses are out there and that never get sick!)

And horses of "normal" weight can get it too. It can be so random.....

I know it's hard, but don't blame yourself, you had no idea what it was much less how to treat it. It's too bad that your vet didn't know either, but vets are humans too.

My heart just breaks for you.
 
kaykay, I think I'm confusing Cody's case. I've been reading so much that everything is getting blurred together. Sorry. A gelding on this forum did die from the same condition as Lacey, correct?

No, Lacey was not bred.

I've never heard of thumps, and I don't know if she was checked for it. I mentioned the contractions several times to the vet. Would the calcium defenciency have shown up in an initial blood panel? Or would he have needed to ask for that specifically? I need to look up thumps.

Whitney, he gave her pen and gen together because he originally thought she had an intestinal infection. She had a fever...I was happy that he was treating for the intestinal infection to start as Tams horse had just died from one.

I know, I know...I shouldn't blame myself...but you know how hard it is to get over these things. I think if I educate myself I'll feel like there was a reason this happened. And maybe someone else here will learn from it too. I do have another overweight mini and a downright FAT pony...so I will make some serious changes about their diet and exercise programs. If anything, that can't hurt.
 
oh yes im sorry i was confused as i have a foal named cody
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if she wasnt bred or had a foal then thumps would not come into play.

Wish i could give you a big hug. I know when we thought patches was bred i let her get overweight. the vet came and just reamed me good. I hadnt even noticed how cresty her neck was getting as i was so focused on her being in foal. He told me if I wanted a dead or foundered pony to just keep feeding her too much. That was a wake up call for me! (in patches case i was giving her way too much pasture time and the grass was making her huge)

these smaller equine (minis and ponies) are just really hard to keep at a good weight. seems they are either too thin or too fat ughhh.
 
tracerace: You just STOP blaming yourself, you had a VET! They could not figure out how to save her. All you could do, is treat her the way you were told to, the BEST you could. AND YOU DID! Not to mention LOVING her every step of the way.
 
I know, I know...I shouldn't blame myself...but you know how hard it is to get over these things. I think if I educate myself I'll feel like there was a reason this happened. And maybe someone else here will learn from it too. I do have another overweight mini and a downright FAT pony...so I will make some serious changes about their diet and exercise programs. If anything, that can't hurt.
I know how hard it is to lose a horse, and to blame yourself for it.
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You are right that, in posting like this and asking questions and letting other people know about this, you may very well be educating dozens of people (if not hundreds) about something they knew nothing about, and in the process many other horses' lives may be saved in the future. I know that I had learned about "red bag", or placenta previa, on this forum and it saved more than one foal's life that I was responsible for.

I just want to emphasize to go REALLY slowly on your other horse and pony losing weight, ok? Too quick of weight loss could possibly also trigger hyperlipemia. Don't want to scare you, I'm sure they will be fine, but just take it really slowly and carefully.
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