What should I do?
Saturday, December 8th, 2007- After a long day you check on your horse in his pasture before bringing him in for his evening feeding. As he walks into the barn you notice that he is slow, lethargic, and not excited to eat.
- As you call the horses in, you notice that one horse is limping severely on his left front leg. The horse’s leg is slightly warm, slightly swollen, and painful at the walk.
- When checking on the horses after their evening meal you notice that one horse did not eat his grain and is lying down in the stall.
I often get emergency calls from horse owners that fall into these relatively common scenarios. These scenarios may need veterinary attention and they should not necessarily be completely handled by the owner. You should call your veterinarian. But what should you do before you call the vet?
Anytime your horses is dull, lethargic, off his food, lying down or even ADR (”ain’t doin’ right”), take his rectal temperature. Your horse’s temperature is a vital piece of information and will help your vet understand what may be happening in your horse. A normal temperature is between 98.5°F and 100.5°F. Do not give oral Bute or Banamine before taking your horse’s temperature. Bute and Banamine will affect and/or mask your horse’s fever.
If your horse has a fever, take away his hay and grain. Your horse may not want hay and grain anyway, but some horses will continue to eat — depending on the severity of the fever and how long the fever has been going on. Your horse’s GI motility may be compromised and allowing your horse to continue to eat may lead to an impaction.
When presented with the above scenarios where the horse is lying down or lethargic, try to assess other basic parameters. When was the last time your horse passed manure? What does it look like? When did your horse last drink and was it a normal amount? Are there any other physical problems such as coughing, nasal discharge or swollen lymph nodes? If you are able to, assess your horse’s heart and respiratory rates.
In the scenario above where the horse has a painful leg, it is important to assess that limb. Is there any swelling and heat anywhere in the leg and hoof? Does the horse have a strong digital pulse (you may not know how to take this assessment)? Look at the bottom of the foot. Clean the bottom of the foot thoroughly and look for soft spots and holes that seem abnormal. Press firmly with your finger along the coronary band (where the hair and hoof meet) especially in the heel area. Is there any painful reaction that may indicate an abcess?
In all cases, do not be afraid to call your veterinarian. All veterinarians should appreciate an early “heads up” as to a potential emergency. Your veterinarian can also help you better assess the situation over the phone. And your veterinarian can respond quickly if your horse requires immediate attention. Don’t put off the call to your vet.

