Did you know that in some cases, diarrhea in foals can prove fatal? Changes in the appearance of a foal’s faeces can be just uncomplicated diarrhea requiring no treatment other than increased fluid intake. However, it can also indicate a life-threatening gut infection which can produce toxins and clinical signs associated with systemic infection.
Let’s look at some potential causes of diarrhea in foals:
Mild diarrhea Often seen when foals are between five and 15 days old, it’s thought that the condition is due to a foal’s gut maturation, as milk consumption increases and gut bacterial population establishes itself. Foals typically show no other symptoms and will continue to drink from their dam and exhibit normal behaviour.
Sometimes, this condition is termed "foal heat scours" as it typically occurs around the same time that a dam comes back into heat after birth. No treatment is required, however cleaning the perineum and topical application of vaseline or a zinc oxide preparation can help prevent scalding.
Ingesting foreign materials The incidental eating of dirt, wood shavings or other high-fibre things in the foal’s environment. These foreign materials can cause some irritation to the gut, resulting in diarrhea. Colic and swollen gut are often seen with this type of diarrhea. Diagnosis can be made by observation, history and possibly radiology is required.
Viruses Rotavirus can cause diarrhoea in foals in the first few days of life as well as in older foals, around weaning age. Rotavirus is highly contagious and can cause outbreaks on farms when strict isolation of affected animals is not quickly implemented.
The virus damages the tops of the villi in the small intestine, causing poor digestion and absorption of nutrients and diarrhoea. These in turn cause abnormal fermentation and adsorption of fluid into the large intestine as undigested lactose reaches the immature colon. In older foals, the systemic effects are greater, often causing a syndrome where serious ulcers develop at the junction of the stomach and small intestine. Signs of rotavirus infection can include a fever before the onset of diarrhea, poor nursing, dehydration, and temporary lactose intolerance. Some foals may develop chronic lactose intolerance and malabsorption following the episode of diarrhoea.
Coronavirus and adenovirus are much less common causes of infectious diarrhoea in foals and the latter is generally identified in immunocompromised foals.
Treatment for rotavirus is principally supportive and aims to treat lactose intolerance and control secondary bacterial infections. If there is a herd outbreak with multiple foals affected, following through with diagnostics as to what the cause is likely to be is likely to be a positive decision- assisting with foal welfare as well as guiding you to make clear decisions to reduce the risks for your foals.
Bacterial causes Colostridal and salmonella bacteria are the two most common types of bacterial diarrhoea in foals.
The clostridial variety is characterised by a watery, sometimes bloody diarrhoea, which may be accompanied by fever, lack of appetite, dull appearance, swollen gut and colic. Some strains of clostridial diarrhoea have a high fatality rate.
Treatment for clostridial diarrhoea includes antibiotics to correct dehydration, stabilise electrolytes, and maintain hydration and a positive energy balance. Antitoxins for certain clostridial bacteria can be administered orally in cases where strains are identified. Administration of hyperimmune plasma either orally or intravenously can assist foals to recover faster. Salmonella is perhaps the most serious of bacterial diarrhoea. Foals are commonly infected as isolated cases, but salmonella is highly contagious and commonly causes outbreaks in adult horses and foals. In foals infected with salmonella, the bacteria often spread outside the intestine and infect organs such as the lungs, abdomen, brain, eyes, joints and bones. Symptoms of systemic bacterial infection may precede the onset of diarrhoea. The diarrhoea is typically copious and smelly, sometimes bloody.
Treatment for salmonella is supportive and consists of fluids, plasma, anti-endotoxin treatment, and antibiotics based on sensitivity results.
Prevention
- Rotavirus - Immunisation of pregnant mares, isolation of new horses, and disinfection of barns and equipment with phenolic compounds may help prevent rotavirus outbreaks.
- Clostridial diarrhoea - Vaccination of pregnant mares with some newly developed vaccines may help prevent the disease. Good hygiene measures around foaling are important to prevent contamination of newborn foals.
- Salmonella diarrhoea - Administration of salmonella hyperimmune plasma to newborns and vaccination of pregnant mares during pregnancy may help prevent this disease. Strict isolation measures should be taken to prevent the contamination of other horses or people.
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