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Ask The Vet: Skin Problems - August 07
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Is your horse a little "itchy" this time of year? Pose your concerns regarding equine skin problems during the month of August for Dr. Elizabeth Callahan.
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Question: Many times when trail riding in the late summer and fall months, my horse develops bumps on his legs that cause him great distress. The itching is intense, the bumps start to ooze and soon it looks like 'pine tar' running down his legs. If I don't treat him, the hair eventually falls out. I say it is a chigger (harvest mite) infestation. Everyone else (non-vets) say it is turkey mites or seed ticks. I say there is no such thing as turkey mites or seed ticks. No one else believes that horses can get chiggers. Please set us all straight.
Answer: Click To View
Yes, horses can get chiggers and seed ticks (small immature ticks) as well. Chiggers cause intense itching, while seed ticks do not. Use Frontline (fipronil) spray on the legs before trail riding to prevent chigger and keep seed ticks off. Bird mites usually infest the nesting habitat and would be more likely to be found in areas where there is a lot of nesting (under rafters, with chickens, etc), not on trail rides.
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Question: I have a 6-year-old grey Arabian gelding that seems to be sensitive to bug bits. He is in the pasture 24/7 with three other horses and always come in with a new scratch, bite, etc. I always check his wounds to see if they cause him any pain and to make sure he is alright. The other day, I noticed a little lump on his back just before the hindquarters. I did my usual touch test to see if the lump bothered him. To my surprise, I was able to move the lump. The lump was a little smaller than a pea under the skin. He didn't seem bothered at all when I moved it around. I was able to push it about 1/2 an inch from the original location. About an hour later I tried to show it to someone but it was gone. Should I be worried? Everyone I spoke to about this has never heard of such a thing.
Answer: Click To View
There are many little subcutaneous "nodules" that can be moved or are not fully attached to the skin. It certainly could have been one of those. I would not be worried at this time about it.
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Question: I have a 9-year-old Clydesdale mare that we thought had sweet itch, but now the vet says he doesn't think that's it. On her right back foot, just above her hoof, she has four folds and her foot above her hoof is blackened, oozey and the odor is like rotting flesh. The last time out (of many) the vet shaved her feathers on all four legs and I started a regime of furocin followed by zinc, but this was no help. The next visit, we discovered there were maggots on that back foot only, which we treated. Then she was placed on a regimen of sulfur and mineral oil, which also didn't work. This problem is now spreading to her left front foot and the vet is at a loss as to what to do next. At this point, you can insert your finger into these folds at least to your second nuckle on your first finger. Do you have any suggestions as to what I can try next? My mare is so uncomfortable and I am at my wits end as to what else to do.
Answer: Click To View
There is a disease in draft horses characterized by swelling and thickening of the skin of the lower legs. It is called progressive lymphedema and seems to be a hereditary disease. It is diagnosed through skin biopsies, and there is a researcher at UC-Davis who has been studying it. I would recommend that you have your vet do some deep biopsies of the areas to see if that is what you are dealing with. Unfortunately, there is no cure for this disease at present and most treatment is symptomatic.
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Question: have a 3-year-old Saddlebred/Arabian gelding. Our training program was going great, getting out on the trails, until the flys and mosquitos got really bad 2 to 3 weeks ago. Now he resists leaving the indoor arena, and if forced outside, kicks and bites at the bugs and his skin violently. He seems much less reactive out in the pasture with his herdmates. However, when it's just me and him, he is very hard to control and seems miserable. The other horses barely seem bothered while he is just swarmed by the insects. I've tried a variety of commercial fly/mosquito sprays and bought a sheet/hood impregnated with repellant that he'll wear. Any other ideas? Why is he targeted more than the others and why so sensitive?
Answer: Click To View
He may just be more attractive to the insects such as from his color, sweat secretions or body temperature may make him more attractive. He may also be less tolerant of the pain/itching caused by the bites. That is just an individual characteristic. You can try some of the garlic or cider vinegar additives to his feed to see if they make him less attractive. You may also use the things that you are doing such as the use of fly sheets and wraps.
Also, remember that he may be developing learned behavior and that if he is not as bad when out with the others, he may be finding an alternative to working when he is under saddle. In other words, it may also be an excuse to not go to work.
I would not ride him outside until the bug situation is better, as you don't want to create a training problem.
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Question: What can be done for a horse who has anhidrosis, however sweats just not sufficeintly in the summer here in Florida. He seems to develop "hot spots" in the areas that he sweats. They become very itchy and he rubs these areas on anything available. During the fall, he is back to normal and tolerates work well since the itching goes away. This itching is different from that caused by insects. What can I do to make him more comfortable?
Answer: Click To View
You can try one of the products that help some horses with anhidrosis to encourage sweating. One AC is one product and I hear there is another herbal product available. Also, make sure you use products that "breathe" on those areas (no plastic or synthetic products). For instance, try a wool saddlepad and only a leather bridle. Wash the areas well after riding to make sure you remove any dirt or sweat remaining. Also, monitor his sweating carefully. Some of these partial anhidrotic horses go on to develop full anhidrosis in later years.
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Question: I used two types of spray on my horses. I have a favorite for my first choice to use when putting my horses out to pasture. However, when they get in their stalls they start to rub their tails. The only spray that is effective in non-rubbing is another type of spray. I give my horses dewormer faithfully, wash their anal area every day, groom them every day and give them psyllium the first week of every month. Why do they still rub their tail area?
Answer: Click To View
Please see one of the previous posted questions below regarding tail rubbing.
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Question: After owning my mare for four days, she developed a raised urticaria type rash only on the white areas of her haircoat around her middle. It is particularly strange the way that it is demarcated only on the white and affects the whole area. It is worse later in the day. Originally, the swelling came up 24 hours after bathing in tea tree horse shampoo and 48 hours after being turned out in the field full time. It is uncomfortable, but the horse seems well in itself. Any ideas?
Answer: Click To View
I would suspect a contact irritation, perhaps to the shampoo. White areas can react differently than pigmented areas. Since it is localized to her middle, I think photosensitization is unlikely because of the distribution. You may need to try some steroids to reduce the swelling, and I would not use the shampoo again.
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Question: I have an 11-year-old Thoroughbred that has flaky, dry skin in what I could best describe as his armpits. My veterinarian gave me some wipes to use to keep the area clean and moist, but he's still flaking. He is currently on stall rest due to an injury and the crusting seems to be worse now. Any ideas?
Answer: Click To View
Is the skin crusting or flaking since they are two different things? Crusting (scabs, oozing areas) would imply a break in the skin surface, and could be a bacterial infection or fungal infection.
Flaking is just an increase in the turnover of skin cells, and could be due to irritants (fly sprays, contact with bedding, etc.). If the skin is crusting, I would try an antibacterial shampoo, such as Nolvasan, and also contact your vet to see if your horse needs bacterial cultures or fungal cultures done. If the skin is just flaking, you could try discontinuing any topical agents except for a mild moisturizing shampoo, two to three times weekly.
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Question: I have a four-year-old Quarter horse gelding that has an extreme reaction to anything around his nose in the way of flies or sunshine. He will start shaking his head so hard that he will run into fences and stall walls, if ridden or not ridden. This is so extreme that he falls down in the stall and strikes at his nose as when he has something in his nose.
I have talked to my veterinarian about this and tried many different things such as uding a different saddle, massage, dental care, blood tests, suncreams and even shaking powders, but nothing seems to help. Have you ever seen or heard of anything like this? Is this an itch reaction?
Answer: Click To View
This is a condition called head shaking. It is thought to be either related to light (photic headshaking) or extreme sensitivity to touch around the muzzle. There might be a hypersensitivity of the trigeminal nerve to light or touch. There are several things to try. Cyproheptadine is a drug, which helps some horses. Also, riding in a fly mask may help, especially one with dark eye areas. Another thing you can try are muzzle nets, which attach to the noseband and fit over the muzzle. You can find them in some horse supply catalogs. Some horses may need all these things, while others may do well with just one of them.
The condition is not allergy related, as far as we know right now.
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Question: My stallion has been losing facial hair revealing skin that does not look burned. He also has dry looking skin on his eyelids and around the eye area. What do I need to treat this? I have been putting a fly mask to block the sun and vitamin E oil on at night. I live in SW Kansas where it has been extremely dry. He usually is out in the sun, although there is a barn for him. Should I keep him closed up in the stall or is this anything I should worry about? He doesn't appear to be scratching?
Answer: Click To View
Hair loss can be due to many things. If the skin is white or pink, it could be sun related. If that is the case, then sunblock (SPF 30 or above) would help, as would a fly mask. It could also be related to sweating, accumulation of skin oils and secretions or from trauma, such as rubbing. Even though you do not see him rubbing, that can still occur.
I doubt environmental dryness is the culprit, as horses can live in very dry climates without having dry skin. You could try a moisturizing/cleansing shampoo (made for horses) on the area to remove excess skin secretions with a topical rinse, such as Humilac or Hy Lyt . I don't think he needs to be in a stall.
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Question: You recently answered a question for me regarding my two-year-old filly and sweet itch. I have been reading the web site every day and am amazed at how many people are asking questions pertaining to skin problems and horses.
I grew up in Texas, (I'm 52 now), and spent many years at the local stable down the street and at rodeos during my childhood. I cannot recall one instance of these types of skin problems in horses when I was a kid. Texas equals heat, humidity and bugs, so it should equal sweet itch or other skin problems in horses. I don't think we were really concerned with fly spraying the horses on a regular basis, but back then we probably weren't aware of all the diseases carried by flies and mosquitos. My question is, is it possible there is an increase in skin problems due to chemicals and preservatives in horse feed or could it be something in the fly sprays themselves? To your knowledge, are any of the veterinary colleges looking into the skin problems in today's horses?
Answer: Click To View
Good question, but I am not sure anyone knows the answer. I know I had a pony 40 years ago who rubbed out her mane and tail every summer, we just didn't treat her. I think we continue to breed these allergic horses, and since the tendencies to allergies are inherited, we tend to breed more problems. I think certain breeds (Icelandic ponies, for one) have an extremely high level of allergies to insects, since they originally came from an area with no gnats. Maybe that is true for some of the warmblood breeds, as well.
I doubt the fly spray makes them more allergic and I would doubt it is horse feed since people who feed plain oats, etc. or no grain also have allergic horses.
I do not think any colleges are looking into skin problems since it tends to not be a great research area and it is not usually life threatening. I can say, however, that the number of questions we have gotten about itchy horses may make the research a more lucrative field for someone!
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Question: My question is about sarcoids. We purchased a Quarter horse gelding three years ago and shortly after, he developed a sarcoid in his ear. We confirmed this with a biopsy. Our vet froze it off and it has done well, but he has developed others all along his neck on the same side he had the one in his ear. Each started out very small and we were just told to keep and eye on them, same advise as they started to grow. Eventually, one vet suggested cisplatinum treatment, which we did on two sites. These sites were open. We really didn't get results with the cisplatinum so we used Xxterra on these areas, which has helped decrease there size, but still they are not healing. He has two other sites that have not broken open, but continue to spread out in size. I am at a loss on what to do. If we don't treat them they grow and if we do treat them they seem to continue to grow. Any suggestions? Our vet is hesitant about freezing now because of the size of each.
Answer: Click To View
Quarter horses are more prone to sarcoids. If the sarcoids remain the same size (get a small plastic ruler and measure them every two weeks), then I would not treat them. If they are growing, then they should be removed. Several options include surgical removal, surgical removal then cisplatinum, freezing, Xxterra or 5-flurouracil topically or laser removal. Each treatment type depends on the size of the tumor, the location (near eye, ear, etc), and the previous treatment. Since your horse has multiple tumors, it might be best to opt for a treatment, such as surgery, then freezing to try to address all the sites at one. Cryotherapy has sometimes been associated with regression of sarcoids at other sites. Ones in the groin or axilla tend to be more difficult to eliminate.
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Question: I bought an American Bashkir Curly in December, 2006. When he came to the barn in February, 2004 he was completely hairless from the knees up. Rumor has it that he was mistreated and fed a very poor diet. He originated in Pennsylvania and made his way to Rhode Island by way of open stock trailer in 15 degrees below zero weather. He spent the entire winter double blanketed. He is currently fed a high quality diet. His hair has regrown and covers most parts of his body, but he continues to have scarce hair patches on his rump, some areas on his lower neck and in his girth area. He has a peach fuzz hair coverage in these areas in the summer. In the winter, the above noted areas are completely bare right to the skin and his hair does not grow. His winter fur is extremely curly, which is typical of his breed. He receives a vitamin supplement in the winter and a daily supplement in his feed in the summer. Although his hair quality has improved, it still remains an issue. He has no fur covering his tail and his mane has not regrown. The owner of the barn sent skin samples out for testing but there was nothing conclusive in the findings. He is 9-years-old and was previously used as a cart horse. He is a healthy horse with strong hooves and a happy disposition. Should we do additional testing or target anything specific to determine what might be the cause?
Answer: Click To View
Curly coated horses with scant manes and tails may have a form of follicular dysplasia.
Follicular dysplasia is characterized by abnormal development of the hair follicles (size, shape) and the production of abnormal hair shafts. There is no treatment for this, and the horses should not be used for breeding.
You certainly could do skin biopsies and send them to a pathologist with an interest in dermatology, but is is unlikely that you can do anything to change his hair coat. It probably has always been abnormal, and may have been exacerbated by the poor nutrition.
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Question: I have a 17-month-old colt that has had a skin problem we have been trying to solve for a year. Four lumps have appeared on his right rear quarter nearly the size of a golf ball. Within a week, they deflate by half but loosing hair in the middle. They have never oozed, but the middle looks like scar tissue. He has many located on his quarters down to the pasterns, with a few also on the body, neck and face. He has had two biopsies, taken eight weeks of prednisone, had a herda test and two strep tighter tests. Five veterinarians in my area have never seen anything like it. The University of Missouri and UC Davis have not been able to have a definite diagnosis. HELP!
Answer: Click To View
I would recommend a consult with a veterinary dermatologist and maybe an excision of some of the lumps for biopsy, instead of taking a piece of it. I would also make sure I was sending the biopsy to a pathologist who has an interest in dermatology, perhaps at a vet school or one recommended by the dermatologist. I cannot attempt to make any kind of suggestion without seeing the lesions and the previous biopsy report. There are several types of tumors that can have this appearance, even in a young horse, so I would try to rule those things out first. They are rare, but have been reported.
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Question: I have a white horse and he is losing hair on his face and is starting to lose hair on his neck and body. Is there any kind of cream that we could get for him to help this situation?
Answer: Click To View
You haven't really given me much information. Is he itchy? Is he rubbing the hair out? Is it seasonal? Is he exposed to direct sunlight/ What area of the country is he in? Have you used anything on the areas? Do you have a lot of insects?
Without knowing the answers to a few of these questions, I could not even guess as to the cause of the hair loss. You might want to read a few of the previous posts about sunburn, allergies and itchy horses to see if you can get some ideas on the causes of hair loss.
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Question: My mare has experienced itchy skin every year from early spring until her winter coat is in. I have tried everything....sprays, shampoos, lotions, feed supplements like garlic, vinegar, prescriptions for allergies, cortisone shots, you name it. I have also kept her covered with fly sheets as well as keeping her indoors during the days, and nights. This year I tried a product called Inside Out by Cheval. It is a garlic, vinegar, yeast, herb supplement. Her coat has never looked this good. I was all ready to write a testimonial about this product when I started looking at some ot the other changes in her care. My vet thinks it's because I moved her to a pasture with nothing for her to rub up against so she is not creating the cycle of rubbing, releasing hystamines, causing more itching that leads to more rubbing etc., etc,. Also I took her off a daily dewormer, which she had been on for years. Would this have been related to her itching and subsequent lack there of?
Answer: Click To View
Well, it is hard to say what helped. Usually, though these itchy horses will find something to rub on, so if you don't see her rubbing at all, she probably isn't itchy. If it were the daily dewormer causing the problem, I would expect her to be itchy all the time she was on it, which should have been all winter as well, so it is unlikely that is the cause. So, maybe it is the supplement working. You could always try taking her off of it and see what happens, but if I were you, I'd be happy with the results and not change a thing!
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Question: We have a two-year-old gelding that came up from the pasture lame in his right rear leg. The next morning, his leg was double its size and he had a fever of 104.6. The vet came out, found a hot spot by his groin and put him on penicillin injections and bute. He seems to recover quickly and was back to the pasture within five days. Mid-July, he became lethargic and had a temperature of 104. Once again, he was limping and avoiding his right rear leg and again, another vet visit. This time they treated him for Erllichia with five days of Oxytertracycline IV. Again, he seemed stiff, but better. A few days later, he had another infection and avoided putting weight on his right rear leg. The vet came out, took x-rays, CBC and did various land tests.
There were no neurological problems, his x-rays were fine, but his white cell count was up to 15,000. They placed him on sulfa twice a day for two weeks. Ten days later, he is lifting his right rear leg and having a difficult time moving. I called in a different vet clinic to see if they had new ideas. Today he was diagnosed with Cellulitis. He's on another antibiotic and if he doesn't improve in five days, they want to bring him into the hospital for a more serious antibiotic regime. Any ideas or suggests? I understand medicine is a lot of guess work, but is there something we're missing or a test that hasn't been given? Everyone keeps telling me if we don't get this treated soon he will be lame for life.
Answer: Click To View
This certainly sounds like cellulitis. As you have said, it can be a life-threatening condition. It is treated with antibiotics just as you have done. However, it may require longer and higher doses of antibiotics and some treatments can range to IV antibiotics for up to 3-4 weeks. Non steroidal anti-inflammatory agents, such as Bute or Banamine may make him feel better, but the most important thing is the antibiotics. I don't feel you are missing anything, but it may require an IV catheter and several weeks of therapy.
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Question: My 11-year-old gray Peruvian Paso has very pink back pasterns with sores all around his pasterns. He has also rubbed sores on his sunburned face, side of the head and sometimes other places of the body. I have used medicated shampoos, zinc oxide (diaper cream) and my veterinarian have also given him a shot.
This is his third summer in the same pasture but the first year with skin ailments. What could this be and what can I do to treat it?
Answer: Click To View
Your gelding sounds like he has pastern dermatitis. This is a condition which can have many causes such as bacterial infection, fungal infection and contact irritation. It is usually exacerbated by wet conditions. Is it wetter than normal in your field this year? Treatment involves using a topical cream to soothe the irritation, but also keeping the areas as dry as possible. That might mean turning out during the day, avoiding dew and wet pastures, and drying the legs well after exposure to water.
I would recommend a cream with a steroid in it, such as panolog. If the sores get worse, he may need a course of antibiotics as well.
As far as the itching, is there something different this year about your pasture or the weather? More bugs, drier, wetter? All these things can make a horse itchy. You may need to consider antihistamines or low dose steroids if your horse is making himself raw with itching. If you think it is insect related, you may want to follow some of the other posts for further discussion.
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Question: My 21-year-old gelding has three fleshy lumps, one on the left side of his face, which has opened into an open sore inside his mouth on the gum just in front of the molars. One on these sores is located on his left knee and one on the sesamoid bone on his left ankle. My vet has biopsied the sore in his mouth and both the biopsy and blood work were negative for cancer. The lump on his knee has been there for years (was there when I bought him) and has occasionally broken open. However, repeated x-rays and ultrasounds have revealed nothing. The lump on his ankle is also new (as is the face) and by x-rays appears "fleshy" in nature. Could these lumps be related? Any ideas of what condition we could be looking at would be appreciated. The lumps on his legs have never caused any lameness.
Answer: Click To View
I think in an older horse, the new lumps would be cause for concern. In my opinion, I would suspect cancer, especially for the one in the mouth. It may take more than one biopsy to detect cancer cells, so I would recommend having a second (or even third) one done. I don't think the two new ones are related to the lump near the knee, it may be a draining tract from an old injury,
Sometimes, surgical exploration is the only way to resolve the masses that open and drain repeatedly. I am not sure however, that it is the best choice for your gelding at this time, since it has never bothered him in the past.
I would recommend doing another biopsy on the facial mass, as squamous cell cancer would be something I would suspect based on your description.
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Question: I have recently aquired a Thoroughbred off the track. He raced for over eight years and has a number of health issues, but one in particular stumps me and the members of my support team. He has what appears to be a continuing loss of pigmentaion in the skin especially in the areas of contact with tack and sweat. The skin in the colorless areas is flakey, wispy and sensitive, but there seems to be no raising underneath. In some spots, the skin has blistered or opened. I thought this could be from sun exposure. There are also little sores on his body. He is turned out with other horses but these are not your usual paddock mate scrapes and scuffs. I had thought it was fungal and was treating it with a mild shampoo, but it seems to only have dried it out, making it increasingly flakey and the surrounding healthy skin chapped. I could have him biopsied, but thought I would see if anyone had heard or seen of this before.
Answer: Click To View
He might have a contact allergy to the leather or even the substances used on the leather such as the soaps and oils, which may cause an area of dermatitis where his sweat makes it come out of the leather. You could try using plastic tack on him and rinsing him very well after he sweats. I would also use towels or something easily washed under the saddle and change it each day.
You certainly could have him biopsied, however it may or may not shed some light n this condition.
As far as the little sores, they could be a skin infection whether it be bacterial or fungal. I would recommend a veterinary exam to perhaps culture them.
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Question: My problem is the itching. It just started out to be just one of my horses and now it's almost all of them. It seems that I've already tried everything possible. The itching is so bad that they rub on trees, fence posts and anything else they can get to in order to scratch on. I have had her at the vet and they just call it sweet itch. In three years, they are dry and scaly. They have welps and spots all over the neck, front legs, girth area, but not so much on the hind quarters,just the rest of the body. I would also like to know if sweet itch is contagious.
Answer: Click To View
No, insect allergies are not contagious. However, it is a very common problem and tends to worsen over time. You obviously have a lot of insects, so it is repeated exposure to the bites that makes the horse get worse over time. I do think that it does have a genetic basis and that the allergic tendency will be inherited.
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Question: Every summer and all summer my 6-year-old mare gets an itchy skin condition on her front-end. She scratches on things alot and has spots where the hair has come off. It is mainly on her chest and neck area, but continues up to her face and shoulders. We try to keep her sprayed with permethrin fly spray or a homemade remedy with Avon's Skin-So-Soft, and water and vinegar. The Skin-So-Soft formula seems to help the skin some. It has been flaking off. What could be causing this problem?
Answer: Click To View
This is a common problem (as the number of other posts show you) since it is seasonal, please see some of the other posts discussing insect allergies and methods to control itching.
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Question: I have a 3-year-old Paint gelding. It is really hot here in Utah, which has caused the white areas on the side of his neck to become sunburned. He lost some of the hair in this area and has become sunburned. The hair is coming back, but scaly. What worries me is that I have been told that this is an indication of a liver problem. Should I be concerned?
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This sounds like sunburn and can lead (just like it does in people) to the precursors of squamous cell carcinoma. True, photosensitization is usually secondary to the ingestion of a plant or substance, which causes the light skinned areas to react and burn. This usually involves the muzzle, face, ears, coronary bands and distal legs. Hepatogenous (liver) photosensitization occurs when liver function is abnormal and the liver cannot metabolize certain substances. These accumulate in the skin, which causes it to be easily burned when exposed to UV light..
You can have your vet do a chemistry panel to check liver function on your gelding and also do some liver function tests if you are concerned, but from my expereince, the distribution pattern does not sound like photosensitization. I would suggest keeping him indoors when the sunlight is strongest, or using a fly sheet with a neck to prevent sunburn.
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Question: We have four geldings and two mares. They are kept in two pastures with one gelding and the two mares in one and the three remaining geldings in another. They are all brought into their stalls each evening to be grained and have their feet picked out. Recently, some of them started rubbing their tails and backends when they came into the barn to the point of nearly tearing the walls down. We dewormed them with Strongid paste, which gave them all loose bowel movements. This didn't seem to completely eliminate the problem, so on the recommendation of our vet, we followed up several days later with an Ivermectin paste. Two of them are still rubbing their backends. What is your opinion/ recommendation? Incidentally, there is no apparent fungus problem.
On another issue, we have a gray Arabian gelding who has always had a summer itching problem to the point of getting open runny sores on his face and stomach. We have battled this problem for several years and have always only managed to maintain until fall when the sores and itching would finally subside. This year when they got started we began using caladryl lotion and gave him Dexamethasone injections. We started with 2CC each day for three days, them 1 1/2CC each day for three days and then backed on down to about 3/4 CC each day for 4 to 5 days, then we'd skip a day and get back on for another 4 to 5 days. The results have been amazing. There are no sores at all. Two black crusty places on his neck are now growing hair and gradually going away. Do you have any comment on this treatment?
Answer: Click To View
First question: There are a number of reasons horses rub their tails. This was covered in several past posts. Deworming will only help if this is a parasite problem, the causes of tailrubbing can be multiple. Please see the previous posts.
Second question: The treatment you are using is the use of steroids to control the itching. It does nothing to address the problem, which is probably insect allergy related. In my experience, steroids have been linked to laminitis, Cushings disease and other ailments. I would try to use some other methods for insect protection so you can decrease the dose of Dex to as little as possible. I would also try alternate day dosing, instead of daily dosing and would discontinue the use as soon as the insect season is over.
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Question: I have a 4-year-old Paint gelding that is at the bottom of the pecking order. I have only had him for two weeks and two other geldings corner and beat up on him. Because of this, he has broken out in what looks like hives. Can stress cause hives in horses? He has had the bumps for three days. How soon should they go away? Is there anything I can do for him? He has currently been separated due to the hives and injuries.
Answer: Click To View
I am not sure the stress could cause hives, but the change in hay, grain or pasture sure could. You could try cold hosing, or if they still persist after 3 to 4 days, anithistamines such as hydroxyzine, or steroids may be needed.
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Question: My horse seems to have sores on her udders. I have been cleaning them, but now one side appears swollen. What should I do?
Answer: Click To View
They might be infected. In my experience, I have seen some mares get sores from tick bites in that region, but if the area is swollen, hot or painful, I think you should call your vet. She might need antibiotics if there is an infection.
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Question: I have a small herd of miniature horses. One of them is an 18-year-old mare, that has had a very severe itching problem for a few months. She rubs her sides, rear and neck on the fencing and corral fences. We wash her with medicated shampoo at least twice a week, and there are no signs of parasites as there is no hair loss or open lesions. We put a three-part ointment, neosporin and antibiotic under the rear legs where she seems to be chafed. Should I try deworming her? I have read it may be parasitic. If so, what dewormer should I use? None of the other horses in the herd have any of these signs.
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I doubt it is parasitic. The main causes could be insect, food or inhaled allergies. Deworming should be done on a herd health program, but I doubt it would stop the itching. Please see other posts on insect, food and other allergies for some ideas to try.
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Question: My 3-month-old foal has developed a "hot spot". What should I do to treat it?
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If a baby is rubbing off a foal coat, it can cause sores to appear. In my experience, you can try a topical spray such as Genesis or Panolog ointment on it. Other things it could be include ringworm, so you might want to have your vet look at it if you are not sure if it is due to rubbing or not.
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Question: My gleding has an 8 inch portion of his mane that has been thin since spring. There is a lot of flaky skin in this area only, and as summer has progressed, the mane has become thinner. The rest of his mane is fine as I don't see him rubbing it.
My mare had the same condition coming out of winter, but one cleaning with betadine and some hibitane applied alleviated the problem. This has not worked for my gelding and I have discontinued it in case I had not been rinsing the betadine out well enough and was making the condition worse.
Should I try something different for my gelding?
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Even though you don't see him rubbing it, I would suspect insect allergies. You can try a conditioning rinse, which can be left in without irritating the skin. From my expereince, Epi Soothe and Relief are two conditioners that come to mind. Try an insect repellent gel, such as Swat, around the area as well. Do the hairs look broken off or short? That is an indication that they are being rubbed. I think the condition will disappear in the winter, only to come back next spring. See some of the previous posts for more management options.
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Question: Is it possible for a horse to have an allergic reaction to its own sweat?
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There are reported cases of hives caused by exercise. It seems to be the exercise itself, not the sweat, as if the horse is heated with a wrap, or sweats under a wrap, the hives do not occur. I don't know of any reported cases of sweat allergies.
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Question: My 2-year-old filly has developed sweet itch. Her sire had it very badly, her dam showed no signs so I'm hoping her case will not be as bad as her sire's. I have read where someone was giving their horse with sweet itch Benadryl capsules, a total of 20 per day, to help with the itching. Is this recommended? Also, my filly may be pregnant. Should I try give her Benadryl or an equivalent? She has very little tail left from the scratching despite any topical's I use and she's now working on rubbing all the hair off her face. As yet, I have no choice but to leave her pastured 24/7 as our barn is not yet completed.
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I have found in my practice that Hydroxyzine seems to work the best for hives in horses, so it might be a better choice for itching than Benadryl. If you do use Benadryl, the dose is 500 to 1000 mg for a 1000 lb horse twice daily, which would equate to 20 - 40 25mg caplets twice daily. Antihistamines should be given for two weeks to judge if they are gong to work. You might also want to use a supplement with fatty acids, which seems to help with itching as well. I would also have your filly pregnancy checked, as she is very young to be in foal and may need some additional supplementation. Try some barrier devices such as fly sheets and fly masks.
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Question: My Quarter horse gelding seems to be sweating much more this year. He won't stand under the shade and is always in the hot Arizona sun. Will all the sweating cause any skin problems or dryness?
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There are no skin issues that excess sweating can cause that I am aware of, but there are some horses that develop anhidrosis, or the loss of sweating ability. The sweat glands appear to become exhausted, and the horse will stop sweating. This can cause serious problems as the horse is unable to cool himself. I would watch your horse carefully, as long as he is sweating freely, he should be fine. Make sure you are supplying him with electrolytes and/or a salt block and plenty of water.
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Question: I have an Appaloosa gelding with a pink muzzle. Every year he gets blistered on his muzzle. I have a fellow rider with a Paint horse that has similar issues on the muzzle and around the eyes.
I have tried sunscreen, but as I prefer to board him in a facility that pastures him, he is out all day. I cannot apply sunscreen all day and in fact the distance makes it impractical to apply sunscreen even daily. I have tried zinc oxide diaper rash ointment, which lasts longer, but still he ends up burned by the end of the week. Are there any longer lasting suncreens?
I have read that henna dye will provide UV protection, but don't know if that would be safe to apply long-term to a horse. Are there any other dyes or products which might work?
Answer: Click To View
You can try a fly mask with a muzzle cover. I know Cashel makes long ones that cover the entire muzzle. There are no dyes that will protect your horse. Tattooing the skin has helped with eyelids and sunburn, but tattooing a muzzle would be impractical and painful. I don't know of any sunscreens that are long lasting, so I think your best bet would be a physical cover of sorts.
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Question: I purchased a Thoroughbred/Perchron gelding when he was 10-months-old. He was shipped to Florida at 11-months-old in the month of April. His skin was fine during that summer. The next summer at age 2, his skin began showing signs of hypersensitivity to gnat bites (commonly called "Sweet Itch"). By his 3rd summer, his condition was classified as severe (large amount of hair loss, constant itching, bleeding, ...). With concern and signs of secondary infections and condition worsening, with the help of multiple vets, I began various different treatments with him such as herbs, vitamins, sprays, spot-ons, fly sheets soaked in reppelant, fly masks, fan on him at dusk and dawn, even homeopath treatments and acupuncture. He never got better, only worse. By the end of his 4th summer, I was willing to try steroids but very concerned because of his age and knowing he would have to continue with the steroids for life due to the extreme condition we were dealing with. That October, I happened to meet a natural vet at an expo and tried his product. I was willing to try anything to not use the steroids on him. In the early spring, I started him on the product. It was a miracle! We never tried the steroids and even stopped the treatments that I had been doing for so long. He is now 6-years-old and you would never know it was the same horse.
Long story being told, I still feed him the product year round and will continue for his needs, but I am curious if there are any cures for horses with Sweek Itch? Will I always have to feed him this product?
A new neighbor with horses said she has a mare that was the same way as my gelding. The mare looks great. The neighbor said an old-timer told her to apply a very ripe banana over the affected skin a few times a week for the summer. She claims it CURED her mare's skin/bug issue and she has never treated her again after doing that for a summer. What would this very ripe banana have to offer in the cure of "Sweet Itch"? Or is her horse tale like a fish tale ;).
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Sweet itch does tend to be a recurrent problem. However, it is possible for people to grow out of allergic reactions or become less sensitive, so I assume horses can too. I'm not sure about the banana - it may just be that the horse became less allergic. I have not ever heard of a one time application of ripe banana as a cure, and find it a little hard to believe. I guess you could find someone to try it, as I don't think there is anything toxic in a ripe banana!
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Question: I have a six-year-old Quarter horse gelding that last year developed insect allergies after never having problems previously, which I understand is common. He gets bumps, which obviously itch, and he scratches to the point of creating oozing sores and losing most of his hair on his head and neck. We tried treating him with antihistamine, but he had a severe respiratory reaction. I am hesitant to use injectable or oral steroids because of the risk of laminitis. I managed his condition through the summer trying to prevent bites with fly spray and trying to minimize his itching by sponging him with an Aveeno bath oil mixture every few days. When it got cold and the bugs went away, his condition also went away.
This year, he exploded with lesions that were far worse than last year, which I understand is common as well. He literally had no hair on both sides of his head, his ears and a good part of his neck. He was constantly scratching himself raw. I started applying 1 percent hydrocortisone cream to his lesions the first of June. At that time, I was applying about half a tube a day (about 1 ounce). After about a week, I noticed his lesions were healing. After a couple weeks, I realized he wasn’t developing any new lesions. It appears that he is receiving enough cortisone from the cream to supress his allergic reaction.
After applying the cream for approximately six weeks, his initial lesions healed and the hair grew back. As they healed, I put less and less cream on him. Now I am rubbing about a 50 cent-piece size of cream into his neck every evening as a preventative. After two months of applying the cream, he still has not developed any new lesions.
I understand that he is receiving steroids, but at a very low level. This is a very manageable way for me to treat this condition (both logistically and financially) if it is safe for him. I read somewhere that a human could rub 1percent hydrocortisone on their hands every day for 25 years without any adverse effects. What I would like to know is: 1) Do you think it is safe to apply 1 percent hydrocortisone cream to this horse for six months (or so) out of the year? and 2) Do you think I’ll need to go though any kind of “withdrawal” period at the end of the season as is common with stronger steroids?
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I am not sure that he is getting enough steroids through the small amount of cream that you are putting on him to do much, but if it seems to work, great. Hydrocortisone is a very weak steroid, and should be fine to use for that period of time. If you are only using that amount, I don't think a withdrawal period is needed.
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Question: My girlfriend's gelding has cellulitis and is receiving shots for a period of five days. What exactly is this an infection of?
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Cellulitis is just a name for an infection of soft tissues. It can be caused by many different bacteria and can be very painful, as well as making a horse very ill. The medication used to treat it depends on the bacteria involved. It can occur through a wound or even a simple looking scratch.
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Question: I have a 28-year-old Thoroughbred that has had a miserable skin condition on his belly for several years. His skin appears rash-like in somewhat circle shapes and hair loss in these areas. He constantly goes down on his bellly with his front legs stretched out to rock himself to rub. The rash can become scabbed and bleeds slightly. When I first noticed this, (years ago) I used many different fly sprays thinking it was due to biting insects. Consequently, he went to the hospital with liver failure and stayed three weeks and fortunately recovered. It was not confirmed that the sprays caused this, but I am now afraid to use anything on him. The area covers almost his entire under belly and he also has small pimple like bumps on the inside of his thighs. I can provide photos if you would like. If there is anything you can think of to give him some relief or to clear the condition it would be very appreciated. I cannot be certain of this, but it does seem to be less itchy after he has been dewormed.
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I would need more information. Is it seasonal? Does it get better in the winter? Is he itchy any other place? What is your deworming schedule? Do you use a fly sheet with a belly band?
If it is seasonal, I would think insect related. Try a fly sheet with a belly cover. You could also try some SWAT ointment on the area. I don't think a small amount of ointment will cause a problem, but it would be better to just use the fly sheet. It has to have a belly cover, as a plain one will not cover the midline.
It is also possible that Onchocerca may be involved. This is a microscopic worm, which lives in the skin and can cause itching and the circular lesions you describe. It is controlled with ivermection or moxidectin deworming. If these two dewormers are used consistently, that should prevent flareups. It is not seen often these days, due to the prevalence of these deworming products.
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Question: My horse has been spending extra time under the oak trees for shade and it appears as though he has developed a fungus on his rump sacroiliac areas, traveling up towards the neck. That or maybe it is sweet itch. I have heard that oak trees can aide a horse in getting fungus. Is there any truth to this claim?
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I don't think the oak trees are related to any fungus. That location of lesions isn't likely to be insect allergy related and I'm not sure what it could be with the description you gave. I would recommend that you have your vet out to examine the condition.
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Question: My 14-year-old mare suffers very badly with sweet-itch (not disclosed at time of purchase). Our first summer together she developed hives all over her body. The irritation drove her crazy and she scratched so violently on anything she could find that she would actually lose her footing and fall. The places she managed to scratch became nasty open sores, particularly the mane and tail areas. It was extremely distressing for her and for me. She is also prone to laminitis if not very carefully managed.
I have come to dread the summer months, though I manage to keep things under control with fly sheets, sprays and strict diet management. The summer is just not a fun time anymore.
I have heard that these two conditions are linked. If this is true, can you explain the connection? Is there anything more I can do to help my mare enjoy the summer months?
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I am not sure which two conditions you are discussing - laminits and sweet itch? I don't think there is any correlation between the two, unless the mare was on high doses of steroids to control the itching. High doses of steroids could certainly predispose a horse to laminitis, but other than that, there is no connection. Horses out on lush pasture can develop laminitis, and of course, pasture and turnout expose a horse to gnats, therefore the sweet itch.
You may want to try hyposensitization to help your mare (allergy injections). It does seem to give some horses relief over a period of time, but it is not an instant cure. Diet management is very important in preventing laminitis and there are some horses who should never be on pasture.
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Question: My 6-year-old gelding has rapidly developing urticaria on both gaskins, stifles and flanks with ventral oedema. Within hours, the melon size swellings ooze serum and then the skin peels off like tissue paper leaving a raw ulcer. He has no temperature and though he acts a bit depressed, is still eating well. I brought him in from pasture as I thought it might be fly bites, but he has gotten worse! He is eating only grass and since coming in, just hay. He has just finished a course of Gastrogard, but has had no other medications, washes, sprays, etc. The distribution is wrong for our only nasty fly here in Ireland, the horse fly, as it bites mainly the head and neck. The pasture is clean of weeds except the occasional nettle weed. Any idea what is causing it? He is being treated with Dexamethasone and Antibiotics and it is slowly improving, but I would love to avoid future occurences.
Answer: Click To View
Your gelding has angioedema, which is a severe hypersensitivity reaction. As discussed in a previous post, it could be to almost anything. Please see the previous post on hives or urticaria.
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Question: My mare has tiny bumps all along her sides, from her elbows back past her flanks, with a slight yellowish, crusty oozing, that seems to cause itching. I'm not sure the oozing isn't because she has been rubbing that area. She also has swollen glands under her jaw and at her throat latch. My vets are stumped. Her blood work is normal (she doesn't have Strangles), and my vet gave her a mild steriod, but it hasn't seemed to help. She is also two months in foal. Any thoughts? I realize her swollen glands and her skin condition may or may not be related.
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These could be hives or a folliculitis or skin infection, which can also be itchy. I'm not sure it is related to the swollen glands. Is your mare running a fever? You could try an antibacterial shampoo, such as Pyoben, and perhaps some antihistamines, which are safe for a mare in foal. The shampoo could be followed by an oatmeal rinse to try to help with the itchiness. If that doesn't help, culture and biopsy may be indicated.
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Question: My horse has multiple skin allergies, (grasses, bugs, etc.), which we manage pretty well with one exception. He has almost no hair on the upper part of his tail.
Every winter, we get excited when we see hair starting to come in, but as spring approaches, he rubs it all off. We almost never see any signs of welts, redness, etc. We have tried fly sheets and different products advertised as helping hair grow back. We have him on Vit C, Spirulina and MSM supplements, and routinely use bug spray. I am wondering if there is anything topical we can put on his tail to protect it from allergens and/or bugs.
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It certainly sounds like insects, as it is seasonal and the tail grows back in winter. You can try a fly sheet with a tail guard, also using SWAT or some type of ointment rubbed in the tail hair and base of the tail. Messy, but might last longer than any spray. I think the main problem is the insect bites, so you may also try some of the other suggestions from other posts, such as turning out during the day, etc.
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Question: We have a pony who started having skin issues last August. We have ruled out ringworm, fungus, food allergies, senstivities to grooming products and insects. The skin gets a thick and rolled appearance as if it is dehydrated. He scratches on trees, posts or whatever he can reach until it is raw. In the winter, it appeared mostly on his back and shoulders. It cleared up for awhile and then with hot and muggy weather, it appeared between his front legs and girth area. It has periodically gotten better, but always comes back. It also seems to be related to getting him wet, with either sweat or rain. Steroids help, but make him nuts! I can cover the bad spots with Alushield, which makes him more comfortable, but haven't been able to get rid of it completely.
We've also tried medicated baths, steroids, changing bedding, feed, products and antihistamines. Any suggestions? Any clue what this could be?
Answer: Click To View
The skin is thickened, probably due to all the rubbing. I don't know what tests have been done to rule out all the conditions you mentioned, but would suggest a thorough skin workup, including scrapings, cultures and biopsies. You may want to consider serum or skin testing for allergies as well. I would also revisit the food allergy trial, as it takes a while to get results on an elimination diet. If you don't get any ideas from these tests, I would suggest contacting a veterinary dermatologist.
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Question: I have a 4-year-old Quarter horse gelding that has an area about 14" long and 6" wide on one side of neck (only) that is hairless, patchy, grey skin. I had our local vet examine him and he suggested IV Sodium Iodideto to clear it up. We did this (twice over a peiod of two months) and the area never cleared up. Next, we biopsied the area and submitted it to a lab. The results came back inconclusive. Next, a dermatogist was consulted. She took scrapings, pictures (for a book she is writing) and re-examined the original biopsy. Her diagnosis was "LInear Keratoma". I cannot seem to find any information on the internet. I'm told it is genetically found in Quarter horses and requires human medication to control it, but I cannot find out "what" human medication nor any further info. Any ideas?
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As far as I am aware, there is no medication to control linear keratosis. Treatment is usually not needed, as the lesions do not bother the horse, but the lesion persists for life. If desired, you may use some shampoos to treat seborrhea or you can try KeraSolv gel (used on dogs). However, it will not make the lesion disappear.
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Question: I have two horses that appear to have a generalized fungus, which is obviously itchy with both of them rubbing their necks, ears and faces. In many places they have rubbed the hair off, but there doesn't appear to be rain rot symptoms since the hair doesn't come off in little clumps and there is no heavy scabbing. I have been using a diluted vinegar wash on the areas and that seems to help, but the itching returns. Any advise on products or topicals to use to help them get relief?
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I am not sure it is "fungus". There are many different causes of hair loss, including allergies, bacterial infections, etc, so I'm not sure the skin lesions you describe are fungal. That distribution is not a common one for true fungal lesions. In saying that, there are many different topical therapies and what works for one condition may not work for another. I would recommend that your vet take a look at the lesion and maybe do a skin scraping or fungal culture to confirm the cause. You can use some of the oatmeal based shampoos or rinses made for dogs, or Aveeno oatmeal rinses to help with the itching, but if it is a bacterial infection, it may need antibiotics. If it is a fungal infection, topical fungicides may be needed. Some of the other dog products with pramoxine or diphenhydramine may also give some relief. I would avoid using topical steroids until you know the cause, as they can make a fungal infection worse.
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Question: My 35-year-old Quarter horse mare has had episodes of softball size oily patches (only one at a time). They appear overnight and are EXTREMELY tender to the touch. They have appeared on her rump, back, shoulder and behind her withers during both summer and winter. I treat them with lime sulfur and they dry up the next day and are no longer sensitive to touch. She is not worked at all. Do you have any idea what this could be Bloodwork is normal and scrappings were inconclusive.
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Lime sulfur solution should not clear things up overnight, as it is more of a longterm topical treatment. I am not sure if these patches would dry up with no treatment, but think the lime sulfur has very little to do with the fast resolution of signs. Could she be coming in contact with something oily? The places you mentioned are all on the topside or side of the horse, places where she could rub on something. You did not mention anything on her belly. If she had contact with an irritant, it could cause these areas to be painful as you describe.
The next time she gets one, I have found in my practice that using a mild soap that removes oil (Dawn dishwashing liquid works well) and see if that removes the irritant. A skin biopsy of an active area can also be done.
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Question: My 10-year-old gelding experiences hair loss around the tail and lesions under the tail about this time of year. The areas around the tail appear greasy and HOT at first, then the hair and a layer of skin can be peeled off. After that, they are dry to the touch and have less heat. The areas under his tail (at the top) are more like small pink lesions or "cuts". Currently, I treat these with shampooing the area 2 to 3 times a week with Ly-Tar shampoo, then keeping either Desitin or a Band-aid spray of benzocaine, calamine and camphor on it. This seems to help the itching. Hair will grow back, but it is a slow process. He also scratches along his neck and shoulder, but no hot spots or hair loss. Also, more snorting and sneezing, especially in the morning and evening.
I would love to know what might be the cause and if there is a better "cure"?
We have sometimes suspected hay (1st cutting orchard grass, appears weed-free). We live in western NC, near the mountains. He has access to excellent pasture and really doesn't get much hay until winter. His pasture is fescue, orchard grass, bermuda grass and white clover. It is also (mostly) weed free.
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I wonder if the lesions you see around the tail are caused by his rubbing. It almost sounds like he is causing friction burns from rubbing, which would look exactly as you have described. So, I think they are caused by the rubbing, which in turn is caused by allergic reaction.
Not to sound like a broken record, but I would suspect insects as the cause of the itchiness rather than food. If it is seasonal, and summer related, it almost has to be insects. I would try some of the strategies mentioned before, avoidance, antihistamines, steroids, or in severe cases, allergy testing and hyposensitization.
Snorting and sneezing can be due to irritation from pollen, dust or insects. I don't think the two things are related.
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Question: My 5-year-old Appaloosa has a skin condition that occurs twice a year. This year we warded off the spring bout. Now that August and fall are starting, he is showing it more. He gets a scabby like area, no specific location on his body, that peels off to raw skin, bleeds and then it takes weeks to heal. As a youngster, he got it when the hair coat changed with the seasons. Now I am seeing it earlier. I have had three vets look at it and no one can figure it out. I also contacted the Iowa State University equine section and they did not have any answers. I have used everything from shampoos, iodine, fungus medication orally and topically, anti bacterial and many more and it still returns. It does seem to be getting somewhat less aggressive as he gets older. His skin also seems to be very thin and gets raw areas very easy. I don't know if these are related. Do you have any idea what this condition might be? He is also on supplement grain and other mixture for his hooves to get stronger. Since the vet and I adjusted these supplements, it has also seemed to have help some. His hooves look great, but his skin condition still comes out. Today I treated him for five more spots of out breaks.
Answer: Click To View
Without seeing the case, this will be very difficult to answer. I would suggest contacting a veterinary dermatologist when the condition occurs. ISU may be able to give you some names, or they may have one on staff. As it is very episodic, it should be seen when these areas are occurring. Good digital photos of the lesions when they start, when they are active and when they are healing may help the veterinarian with a diagnosis. Skin biopsies taken at these time may also give you a clue into the cause or what the condition could be.
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Question: Since I moved my horses to Northern VA, they have experienced rainrot. They are stalled during the day, out at night and rarely out in rain. Topical treatments have not worked. My 19-year-old Thoroughbred gelding suffers the worst with head to tail bumps that are sore and then become itchy and shed wth clumps of hair. I can't even bathe him without him breaking out. I believe it is in the red clay soil; he experienced the same problem when we lived in south Alabama 10 years ago. How do I effectively treat this? I have tried Equistem shots and SMZ with results, but only temporary. The last vet gave me Azium, and it works to dry the bumps, but it is not preventing it, not to mention I worry about founder. How do I treat this systemicly and safely?
Answer: Click To View
You are right, the organism is in the soil. Any time a horse has trauma to his skin, and then gets wet, the organisms can get into the dermis. This trauma can be as simple as rolling in the dirt to scratch his back or having tack on as well as insect bites. Horses in poor body condition are also susceptible.
The most important prevention is to keep the horse dry - many cases will spontaneously regress in a month if that can happen. You might consider fly sheets in summer to prevent insect bites and lessen contact with the soil and rain sheets/blankets in wetter weather. Remember, a blanket can also be contaminated, so choose ones that can be washed easily, or have a sheet under them that can be laundered. Topical therapy is important to loosen the scabs and then dispose of them. The scabs are contagious, and brushes, etc. can have live organisms in them and can spread the infection. You might also want to try a rinse of some sort if you have to bathe your horse. A 1 to 4 percent chlorhexiderm solution poured on and left on after bathing may help prevent some infection.
Truly chronic or resistant cases usually respond to penicillin or SMZ. It is continued until there are no active lesions.
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Question: My horse has a recurring skin condition that he has gotten every summer for the past five years. He only gets it in the summer. The best way I can describe it is that his skin peels off in large chunks. It must be just one or two layers because there is no bleeding or sores associated with it. When I rub the peeling skin, it seems to mildly irritate him. The peeling is the worst on his chest, neck, shoulders and girth area, but has at times spread all over his body. I have had two vets look at the condition and they do not know what it is. They gave me a medicated shampoo and told me to bathe him with it and try to scrape the skin off. This did not help, and seemed to make it worse. It seems to me that the days after I ride him in the summer (and have hosed him off) are the days the peeling is the worst. If I don't bathe him or get him wet for a few days, sometimes it will lessen. Do you have any idea what could be causing this condition and how I could get rid of it?
Answer: Click To View
This is very difficult to help with without seeing the problem. If it is peeling like you see with a human sunburn, then I would suspect fly spray as a culprit. I see some horses that will peel or flake extensive areas from the use of flysprays, especially concentrates that are diluted improperly. I would stop all sprays for a week or two and see if the condition goes away. If it does, I would try sprays that are for sensitive skin or use a different premixed spray. If it persists, then I would get another opinion.
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Question: I have a 12-year-old warmblood gelding that has been covered with hives for the past three weeks. They have responded somewhat to steroids in conjunction with Trihist, but they have not resolved. Initially, they were large, welty lesions that were warm and painful to the touch. Now, they are smaller bumps that do not seem to hurt. The hives extend from his poll, down his neck and along his sides, but are not on his face or belly. We are wetting his hay and shavings and he is rinsed after he comes in from turnout and several times throughout the day (we are experiencing an extreme heat wave). He also receives a supplement that contains Omega 3 and 6 fatty acids. I was hoping you may have some other suggestions as my vet is stumped!
Answer: Click To View
Persistent hives can be a diagnostic challenge. Causes can range from topical sources (fly spray, etc), to food allergies, drugs, vaccinations, plants, insects, infectious things such as bacterial or fungal organisms and vasculitis. Clearly, there is no one cause.
To try to determine the cause, try to rule out things. Was this episode triggered by change in hay, pasture, fly spray, vaccination, etc.? Are insects a problem? If so, you my be able to pin down a cause. To treat acute urticaria, steroids, +/- antihistamines are useful. Hydroxyzine may be the antihistamine of choice rather than TriHist.
If the hives persist, food allergy trials (as discussed in a previous post), skin or serum testing may be needed. In people, only about 25 percent of chronic cases have a definitive diagnosis.
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Question: My 21-year-old Arabian gelding has a multitude of skin problems, which seem to get worse as he ages. He has received allergy shots for over a year with no improvement. This was after doing extensive skin testing. He also has been diagnosed with hyper-esthetic leukotrichea. This causes extreme sensitivity at the the wither area with scabs and then white hair comes in. I have been told there is nothing that can be done for this. Is this true? Because of all his other skin problems, strange flaky sores with some black debris that show inconclusive results on skin scraping cultures and allergic reactions, he has been treated with dexamethazone, hydroxizine, and Tucoprim, as well as, sulfur shampoos, etc. Currently, we are trying panalog on specific sores and a steroid cream on larger areas that he is rubbing. Any other ideas on how we can help this guy?
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As far as the hyperesthetic leukotrichia, there is no cure. It is a fairly rare disease. Most cases are reported to regress over 2 to 3 months, but can recur after stimulation of the immune system (such as after vaccination). It does sound like your guy has some sort of hypersensitivity, which probably has an allergic basis, but you have tried most of the available remedies. You may want to rule out food allergies since they don't show up on intradermal testing very well, and it is something you haven' t tried. See previous posts for information on elimination diet trials.
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Question: Several of my horses have broken out in hives, even our "baby" (3-month-old appendix QH colt). I have seen hives before, but only on my paint mare with photosensitivity, or I'd think this baby had massive rainrot. What can I give them other than prednisone (two of the affected mares are bred) that will help alleviate the outbreak? Deximethazone? Something better? And can it be given to the baby?
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I would try to find the cause first. Are you using any new sprays in the barn or on the horses? Any new hay of feedstuffs? Are you sure it is hives? Hives and rainrot CAN look alike, and the treatment is totally different. Generally, hives are more rounded and larger lesions. Rainrot (dermatophilus ) lesions can be many sizes, but generally leave a scab that pulls off, is painful and leaves a raw area underneath.
I would recommend veterinary examination if you are not sure. In the meantime, I would discontinue any topical sprays.
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Question: One foal out of my herd got ringworm this summer. I bathed her with Betadine and after that didn't help, switched to the Microtek products. I bathed her with the shampoo and then started using the spray, which I use daily. It has taken weeks and she still has lesions although they are now growing hair and seem to be healing. Can I start brushing her or can this be spread to other parts of her body at this stage? Also, why would one horse get this and none of the other mares or foals, when I understand it is very contagious?
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The lesions should be treated for 4 to 6 weeks. At that time, they should not be contagious. You can clean your brushes with a solution of one part bleach to 10 parts water. Allow the brushes to soak for at least 10 to 20 minutes, rinse well and dry. You should also be treating areas just outside the lesions, as the fungus is most active in the periphery of the lesions, so make sure you are treating the edges well.
The disease is contagious through contact but comes from the organisms in the soil so if there is not a lot of contact between animals, it may not spread readily. It is more likely to spread in winter, when the animals are stabled and in close quarters. It is also spread through the use of contaminated equipment, such as tack, brushes and blankets. Younger animals are most susceptible, as are animals under a lot of stress. Anything which compromises the immune system can make the animal more susceptible to picking up the fungus and getting more lesions.
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Question: I have a 9-year-old Thoroughbred gelding that has, what looks like, rainrot. It was diagnosed by a culture as a strep infection. We have fought it on his rear fetlocks for four years, and would come and go. It is now covering the entire back half of his body. It's out of control.
We were given the option of IV or IM Penicillan or Chloraphenacol. We would also have to scrub the entire region daily with Clorahexadine, let sit for 20 min or more, and apply a penicillan paste topically. He is very sore to touch and scrubbing is not going to be an easy process. He also kicks due to the pain. Is this something that might go away, or are we fighting a loosing battle? Are their any other treatment options? None of our options are good.
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It is very unusual for a healthy horse to have the course of infection that you describe. I would be concerned about an underlying immune problem that would allow this infection to persist and become more generalized. I would recommend bloodwork, possibly testing for Cushing's disease and a thorough physical exam.
Most skin infections are caused by Staphlococcus aureus, not strep, and I think it would be unlikely for strep to be doing this. It is a common skin contaminant and the culture may not have gotten the true cause. There may also be underlying fungal elements or some unusual bacteria that was not identified.
I think that skin biposies might be indicated, as well as deep culture of the biopsy in addition to a thorough exam.
I don't think this is going away on its own, and since it sounds like it is progressing, I think it might be time to do some further diagnostics. You might also want to see a veterinary dermatologist to help with diagnostics and treatment.
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Question: What treatment should we do when our horses come in from the field with obvious bee stings (i.e., welts). They seem to just resolve over the next day or so and don't seem to cause any pain/discomfort. I've heard they should get banamine? Cold hosing? Antihistamines? Just what should the average horseowner do? It just doesn't seem to need a vet call but am I wrong?
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If the lesions resolve in a day or so, do not cause obvious discomfort and do not involve the eye area, I would just leave them alone. I'm not sure any of the other things would actually improve things faster. If an area seems painful or sore to the touch, you can try some cold hosing. If extensive, or if the lesions seem painful, then I would have the vet out.
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Question: Two years ago my paint gelding came down with sweet itch. Last year my Quarter horse mare came down with the same symptoms. This year they are BAD. I have tried pretty much everything 'claimed to be the cure' on the market, including depo-medral shots. I was told it was not contagious, but this year, my 2 year old gelding is showing signs he may be starting with it. Is it true? Is there no cure? I live in East Texas - zone A - very humid. My question is, if I move these horses to California, what is the posibility of this disorder clearing up on these animals? They are absolutly miserable.
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Insect allergies are the number one cause of allergic skin disease in horses. Your area of Texas seems like an insect haven, so it is to be expected that a large number of skin problems would be present. Moving to an area with no gnats (desert) or an area with long winters, will reduce the occurrence of gnats, and therefore itching. As discussed before, there are no cures, just strategies to reduce exposure and reduce signs.
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Question: I have owned for six years a Connemara/TB of about 14-years-old. I have never had a problem before this year. April 2006 she had major colic surgery (tumor strangulating small intestine) and was at the equine hospital for six weeks (developed peritonitis, severe diahrhea) and came home in June 2006. She was doing well the rest of that summer. April 2007 she began really scratching herself, and lost most of her tail, tore up the skin on her neck and broke fence posts scratching herself on them. She was then put on dexamethasone, but after one week was switched to prednisone due to worries about laminitis. After five days on prednisone (itching stopped) she developed laminitis. We stopped this treatment immediately. She is now covered in a fly sheet and has equispot put on every two weeks, but she just can't stop itching. We have also tried the leg strips on her, but she reacted to them immediately by swelling of the legs. I'm at my wits end to stop the scratching (she's just broken two more fence boards scratching on them). She's itching everywhere, neck, back, rump, tail, belly and udder.
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Steroids are definitely out for your mare. Did you change feed or environmental things in April? I would consider putting her on antihistamines, and experimenting with several different ones to see if they helped the itching.
I would also consider a food allergy trial (see previous posts) and/or allergy testing for this mare. You can also try some topical therapies such as oatmeal shampoos, oatmeal rinses or 1% pramoxine (Relief, Dermasoothe) shampoos or rinses to help with the itching. I think there is more of an underlying cause than insects, especially as she has no history of previous insect allergies.
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Question: What do you put on a horse to treat sunburn and/or prevent sunburn?
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There are several grooming products that contain sunscreen. Products that contain aminobenzoic acid or benzophenone (look at the active ingredient list) tend to decompose more readily and have to be applied several times a day. Zinc oxide or titianium dioxide, which is found in human sunscreen, are best for horses because they decompose less readily. Use a SPF of 15 or higher in a water resistant form.
Treating sunburn would involve limiting exposure with masks or topical agents and treating areas with gentle cleansing and perhaps a steroid cream if very inflamed.
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Question: The 20-year-old Morgan mare my daughter is riding this summer has begun to lose her hair right down to the skin. She seems a little itchy, but not excessively. The hair is coming out by the roots leaving her "bald". Our vet has taken a punch biopsy, but we don't have the answer yet.
The mare is overweight and is on limited grazing with only a few pellets for grain. Can this be due to seasonal shedding in overdrive? What precautions should we take in dealing with a horse with "no hair"?
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Yes, sometimes older horses can shed out almost completely bald, and then grow in perfectly normal haircoats. The biopsy may give you some more answers. Sometimes endocrine (hormonal) problems can cause this as well, as can nutritional problems. I would have your vet check her feeding program as well, as overweight horses may need more balanced nutrition in the form of protein, minerals and vitamins than you are currently feeding.
As far as precautions, without hair, your mare is more sensitive to sunburn and insect bites, so you may want to get her some form of flysheet and/or insect protection.
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Question: What causes one horse to be more susceptible to irritation from insect bites versus another horse? One gelding of ours just gets all chewed up on his undercarriage and would like me to stand there all day and scratch with my fingernails. It appears that he could be experiencing sweet itch, but nothing I try seems to prevent the reaction or soothe the itchiness for very long. What suggestions do you have in helping him be more comfortable?
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Horses are just like people - they have different thresholds for itchiness and just like people, some are more reactive. Allergies are an increased reaction to an allergen and are just part of the horses genetic makeup. Definitely, allergies tend to be inherited and continued or repeated exposure to an allergen will make the body more reactive and quicker to react the next time it is exposed. As mentioned in previous posts, insect allergies are the most common cause of allergies in the horse. You can try the things already discussed: avoidance, medications such as antihistamines and steroids and hyposensitization (allergy injections) to help your horse. See some of the previous posts for more infomation.
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Question: I live on the east coast of Florida where it is wet and humid a lot of the time. I have two QH/Throughbred horses (2 yr old and 8 yr old - that are not related) that have the same problem. Every summer they lose the hair on their face - no where else. They do not rub or scratch their faces. We have tried several different ways of correcting this to no avail. including injections of Dexamethasone, shampooing or not shampooing and just rinsing makes no difference. They are stalled under fans during the day and turned out during the night. We are at a loss how to treat this. Do you have any suggestion?
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I have seen this sometimes in horses that sweat excessively on their faces, mostly in summer. I would try to use a shampoo that contains an antiseborrheic formulation (degreasing), allow it to sit for 10 minutes and then rinse and dry thoroughtly. (Sebolux or Sebalyt shampoo). Try to do this 2 to 3 times weekly. It may be a localized form of sebborhea.
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Question: I have a 20-year-old Appaloosa mare that is currently on stall rest due to a broken coffin bone (she broke it back in March). Normally, she would be a pastured horse. About two months ago I noticed some funny scabby bumbs on her side that she was scratching. I had my vet examine them, which she took samples and had a fungal culture done on them. It came back positive. I treated her with a Nolvasan wash daily and within five days, all signs were completey gone. I continued the wash for an additional five days. I disinfected all of my brushes at the time as well.
Yesterday, I noticed the same scabby bumps again on her side. The vet's coming this week to take another look at her. I was wondering how often skin conditions might be secondary to a underlying problem? I've had her for eight years and never had this happen before. No one else in the barn is having a problem, and her stall is kept clean and she is groomed daily. She has tested negative for Cushing's, EMS and IR in the past year. Are there any additional tests that I should ask for? Is it more common to see skin problems in stalled horses?
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If the bumps are only located in one area, I doubt there is an underlying physical problem. She may just have more skin contact with something in the barn that is irritating her, such as bedding. Generally, fungal lesions take longer than five days to resolve, so maybe that was a reaction to something that cleared up with the gentle cleansing. Chlorhexiderm (Nolvasan) also has antibacterial properties.
In my experience, it is more likely to see skin problems in horses that are out on pasture, as they are exposed to more insects.
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Question: I have a 9-year-old bay gelding and live in central TX. I have had the horse for about three years. Every summer he gets sores on his chest and this year he has them down the center of his stomach, between his legs and around his sheath area. I am wondering if he has a skin problem or is it the flies? This year we hardly have any flies and he seems to be worse than ever before.
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This is a classic distribution for insect hypersensitivity and the seasonal aspect makes it more likely. Culicoide (gnat) allergies will cause this pattern. See other previously posted answers for suggestions on how to manage it.
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Question: My 10-year-old Percheron has been itchy year round since moving into this barn four years ago. The vet found no sign of lice and stool samples tested negative for parasites. We've tried antihistimines and corticosterioids with no improvement. The poor guy rubs his tail, mane and face, sometimes to the point of bloodiness. I don't know what else to try or test for.
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If you are in a warm climate year round, then insect allergies may be a cause. If you are in an area where the temperature goes below freezing in the winer and the itching does not improve at that time, it is unlikely to be insect related. Is your horse the only one affected in the barn? Lice, mites and other parasites usually affect more than one horse in a barn. If the horse had no itchiness before the move, then it may be associated with the environment in the barn. Things such as dust mites may also cause allergies in horses.
Other things to consider are feedstuffs, such as allergies to grains, hays or supplements. You could try testing for both environmental and food allergies with either serum testing or with actual skin testing. Skin testing is more sensitive, but requires special allergens and may be only available through a veterinary dermatologist or a veterinary school. Serum testing is not as reliable as skin testing, but may help to narrow down the causes a little. It is also unknown exactly how well the results correlate with the true allergic response, especially with food allergies. Most testing also requires that the animal be off the antihistamine or steroid for some period of time before the testing takes place.
You could also try moving your horse to a different barn. Dietary trials are harder, as most commercial horse feeds contain many of the same ingredients. It is difficult to change feeds without knowing what the offending feed is, so you can avoid it. To do a dietary trial, all grains, supplements and concentrates are removed and the horse is fed bulk food it has not been fed before (i.e., alfalfa hay if on grass hay, timothy hay if fed alfalfa). This is done for four weeks. If improved, small amounts of other things are added, to see what triggers the itchiness.
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Question: Is there an effective organic substance to be used as an insect repellent for two pastured horses?
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You can try garlic or apple cider vinegar, which seems to help some horses. The garlic type supplement can be purchased through some feed and supply companies on line.
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Question: My friends Belgian/Quarter horse gelding had a major itching problem. She had him tested for allergies and it turned out he was allergic to oats, molasses, apples and some other foods we were feeding him. She gave him some medicine for the allergies and his itching did decrease. He still continues to itch though. Is there any way we can stop him from scratching so badly?
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You should make sure that his feed does not contain any of the ingredients - there are many commercial feeds which contain molasses and oats ( even pelleted feed might have these things). Even feeds such as beet pulp may have some of these ingredients in them. I would also check all his supplements and horse treats to make sure there is no apple or molasses flavoring in any of them.
Sometimes long-term antihistamines may be needed to control itching if dietary change doesn't help. It may take as long as 4 to 6 weeks to see a decrease in the itchiness.
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Question: My mare will be 4-years and is rubbing her tail terribly. I cannot find any ticks and I keep her clean between her udders (Excalibur at bath time and baby wipes and Udder Butter daily and use Lucky Braids when I wash her tail once a week). Is this an "in season" issue that I just can't address?
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Some mares do back up to objects when they are in season and can rub their tails. If it is an estrus issue, I would expect it to be only when she is in estrus, which should be only 3 or so days out of 21. She should also be exhibiting more signs of estrus, such as frequent urination, winking or squatting. If the tail rubbing is happening more than that or if it is not cyclical, it is probably not an "in season" issue. Please see the previously posted answers about tail rubbing for more information.
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Question: I have a 5-year-old Canadian mare that is continually scratching her mane and tail head. She does this a little in the winter but goes crazy in the summer and rubs enough to cause loss of her mane. I pulled her mane quite short this summer to try to help to no avail. She also rubs her chest a lot on whatever she can find during the summer. She is brushed frequently but not overly washed with shampoo, maybe once a week, but hosed after workouts. There always seems to be some dandruff in the base of the mane and top of the tail. The hairs feel almost sticky except immediately after a shampoo, but then she does a lot of rolling. I am using a tar shampoo on her mane and tailhead right now that is helping a bit but only for a day or so. I have also tried conditioners to no avail. She is outside about 12 hours a day on pasture and does a lot of rolling. Her coat in general is quite sun-bleached.
We use bug spray as needed to keep off flies and fly masks as flies really freak this mare out as she is very sensitive to touch. In fly weather, she will bite at her sides to get rid of them and almost panic if the flies are really bad. I'd appreciate any help to make her life easier and more comfortable.
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It sounds like your mare has insect allergies, specifically to Culicoides (gnats). I think the dandruff you are seeing is the result of the rubbing, not the cause of the rubbing. I also think that shampoos do not usually have any long lasting results, so I would not expect great results using a shampoo only.
This allergy is difficult to deal with, but the best thing you can do is to avoid the gnat bites. You can accomplish this in several ways. First, use a complete flysheet, which covers the chest, belly, neck and tailhead. Try some of the newer ones that also have chemical in the fabric.
Second, avoid turning her out at dusk and dawn, which is when the gnats feed .
Thirdly, use a fan in the stall or screen the stall to keep gnats out.
Getting her hyposensitization ( allergy shots) may also help as a long-term solution, but this make take six months to a year to work and may not help all horses.
Low dose steroids and/or antihistamines may give her some relief, but only alleviate the symptoms, not the cause. This problem tends to recur each year, so since your mare is quite young, I wold talk to your veterinarian about trying allergy injections for her. They may lessen her symptoms in the future, although won't help much this year.
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Question: Can you use products containing DEET on horses? I have often thought of spraying my horse with the same repellent I use as it works very well on me, but will it hurt my horse?
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High doses of DEET may be toxic to horses, especially foals. I would avoid their use as a routine fly repellent.
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Question: One of my ten horses has crusts on her pastern/cannon bones. It looks like mud fever or scratches but no other horse has it. She is sensitive to my touching around these areas and the scabs are strongly adhered. They are only on her white area and not on the black. They start out small and slowly enlarge in a circular pattern to silver dollar size. Is this photosensitivity and if so, why? She is two years old, no diet change or exposure to allergens that we know of. What should we do about them?
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From your description, it sounds like your horse may have photactivated vasculitis. This occurs in summer, with exposure to sunlight. Usually only one leg may be affected, and it will occur usually just in one horse in a group. The areas start out small, then become circular and crusting and generally tend to be on the inside and outside of the pastern and fetlocks.
Therapies include avoiding sunlight ( turn out at night, use leg wraps), topical steroids, such as Animax or Panalog and in extreme cases, systemic steroids as well.
I would contact your veterinarian to have the areas examined.
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Question: I have a new mare that has extremely sensitive skin. Bug bites of all kinds cause small welts on her skin and she goes crazy trying to scratch them in her stall. She is kept inside most of the time, wears a full fly sheet with body,neck, legs and mask and also has fans on her constantly. I have used all kinds of fly sprays without sucess. The other horses do not seem to be bothered that bad. What else can I do?
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Most fly sprays have limited effectiveness. You can try using something like Skin So Soft, which will give her an oily barrier to insect bites (but will make her very greasy as well). Full body armor, such as you are using, may also help. Other things to try include garlic or apple cider vinegar in her feed. It does seem to make some horses less attractive to insects, but does not work for all.
If she does get insect bites, you may have to treat her itchiness. Low dose antihistamines or steroids may be needed to keep her from scratching herself raw. These medications are not allowed under some horse show rules, so check before you use them. Topical shampoos with antihistamines, oatmeal or topical sprays may also give her some relief. I would contact your veterinarian about some possible therapies. Unfortunately, this problem seems to repeat itself each year, so it is quite possible this will be a lifelong seasonal problem for her.
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Question: My mare has developed itchy scabs betwen her fetlocks and heels on all four feet, mostly the rear. How can I tell the difference between insect bites and scratches? She will chew on the areas until she draws blood. She will also sometimes stand and "stomp" her back feet. We live in an area with chiggers, but also had a wet spring and late summer. She is in the pasture 24/7 and trail ridden 3 to 4 times a week. Should I quit riding her and contact the vet to examine her? I heard scratches can cause lameness.
Answer: Click To View
In general, pastern dermatitis, or "scratches" is not itchy. An animal that is exhibiting true pruritis, or itchiness, is unlikely to have just pastern dermatitis. Chiggers can cause the symptoms you describe, but so can some other parasites, such as chorioptic mange, which is caused by a different type of mite. I would recommend that you have your veterinarian do a skin scraping of the pasterns to look for parasites. The treatment depends on which parasite is found.
If you are trail riding a lot, you may want to treat your mare's legs topically with fipronil spray (Frontline Spray) before setting out on the trail. It will kill the chiggers and prevent attachment.
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Question: My horse came in to eat last week with bumps all over his face and neck. They looked like hives. They began to weep serum by the next morning and seemed a bit itchy. We washed him for two days with a histacalm shampoo. After a few days, they became scabbed over and eventually they fell off, leaving the areas without hair. He did not rub the scabs off.
I originally thought he might have been stung by wasps, but there was little swelling. I then thought about a food allegy since our pastures were quite brown with the drought. Or he may have eaten some new plant or tree.
A few other horses in the barn developed the same bumps, but mainly on their lower legs. Any ideas on the causes and how to prevent future bumps?
Answer: Click To View
If more than one horse is affected, then the cause is likely to be in something they have in common. I would expect a food allergy to cause more of a general body reaction, not just the face and neck, although that is possible. It is also unlikely that a food allergy would affect multiple horses in a herd at the same time.
One thing that can cause these swellings is a contact allergy or reaction to pasture plants. These plants tend to be weeds and can tolerate drought conditions when grasses will die back. One particular plant is known as "horse nettle". It has a spiny stem with small thorns and a white to purple flower. The thorns are hollow and contain a histamine-like substance, which can cause itching, swelling and later scabs and serum leakage. Some horses are very sensitive to it, while others never seem to react at all. If that is the case, keeping the weeds mowed short and looking for the particular plant can help. If the plant is found, then spot spraying with a herbicide or uprooting it may eliminate the weed. A pasture management specialist may be able to direct you to safe herbicides to use in the future.
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Question: Why do regularly dewormed, healthy and clean horses rub their tail heads? Can chickens or birds, in the stalls and nesting in rafters, transfer mites?
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Horses rub their tails for a number of reasons. Pinworms can cause tail rubbing and there is now evidence that some species of worms may develop resistance to different dewormers, including ivermectin. A horse on a good deworming program may still have pinworms, if resistance is present. Pinworms lay eggs around the rectum and taking a piece of scotch tape and touching it to the rectal area may " trap" the eggs on the tape. The tape piece can then be examined by your veterinarian to determine if pinworm eggs are present. If they are, then a different dewormer or schedule may be recommended by your veterinarian.
Other things that can cause tail rubbing are dry skin on the tail, dirty udders or sheaths and insect allergies to Culicoides, or gnats.
Bird mites can cause some skin irritation in man and horses, but generally that would not occur just in the tail area. Bird nests sometimes have high numbers of mites present and some sensitive horses might become itchy if stabled directly under a nesting area. Straw that contains a high number of mites may also cause itching, but again that would be unlikely to just affect the tailhead.
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