Uncle Mo diagnosis

[Riot]

Originally Posted by Mawhip

What strikes me as very strange is that they said Uncle Mo is off all medications. Maybe Dr. Riot, whom I'm very impressed by her insight and intelligence, can explain why a horse with Cholangiohepatitis would not be on some protocol that included antibiotics, more specifically Trental, and vitamin E for a very extended period of time. This innocent comment made by the Winstar folks leads me to believe the whole story is a bunch of bullshit.

You could call Dr. Byars and question him directly about his medical treatment decisions.

I would speculate, based upon the usual treatment of equine cholangiohepatitis secondary to gastrointestinal infection, that:

Was on antibiotics. Done and finished.

You are mistaken. Trental is not an antibiotic. Why should a horse be on pentoxifylline for arterial vascular concerns when he's been getting regular hyperbaric oxygen treatments?

While Vitamin E is a potent anti-inflammatory and useful in animals with gall bladders that release bile acids in response to big meals involving fat with a bolus release of bile acids, horses physiology is different (no gall bladder), and all fats will be restricted to some extent to help prevent future inflammation of the bile ducts.

JMHO.