Low Hematocrit (HCT)

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Ruffian
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Low Hematocrit (HCT)

Postby Ruffian » Sun Nov 12, 2006 10:26 am

I have a colt right now whose HCT is 35.86% he is in training, I was going to put him on a supplement and was thinking on 'RED CELL' didn't know if anyone had good experiences with that product or possibly one better?

Also I have a weanling that is just awful on RBC, he was extremely sick as a foal and is currently running on 10% HCT, how he is we are surprised he eats, runs around in the paddock and seems totally fine on the outside but bloods don't lie unfortunately. He is currently on a B12 supplement, Iron/Cobalt, etc. supplement. Would it be worth giving him another one? Or just wait it out? He has everyone scratching their head. :roll:

So any suggestions would be most appreciated on both

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fort_falcon
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Postby fort_falcon » Sun Nov 12, 2006 10:46 am

RED CELL is very good. we use a supplement called BLUD I'm not sure if you get it in the states though? It's a powder supp. and it's EXCELLENT.

http://www.hydroshop.com.au/Products/St ... ckNo=14949

ummm....I don't know if that link will help? It's an Australian product as far as I can tell, costs a bomb but well worth it. I've used it on my competition horses.

As for your Weanling, I'd say an iron supplement like Haemo-Boost (an oral liquid) would probably help, or if you prefer a powder option then you could try Blood Tonic, unfortunately I dont know who makes the BT, but Haemo-Boost is from a company called Stride.

Well, hope this helps you!:)
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"Oh, you can't help that," said the cat. "We're all mad here."

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freshman
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Postby freshman » Sun Nov 12, 2006 12:16 pm

Lixotinic is an iron supplement available in the states. Fairly cost effective as well, around $60USD for 1 gallon, recommended 2 ounce per day for 30 days, 1 ounce daily thereafter.

From manufactorer:

LIXOTINIC®

Pfizer Animal Health
Vitamin-Iron Supplement

Guaranteed Analysis: per fl oz (30 mL): (All values are minimum quantities unless otherwise stated.)

Minerals:
Calcium
Minimum
0.0%
Maximum
0.5%
Phosphorus
0.0%
Salt
Minimum
0.0%
Maximum
0.5%
Iron
75 mg
Copper
1.2 mg
Vitamins and Others:
Thiamine
12.0 mg
Riboflavin
6.0 mg
Niacin
60.0 mg
Pyridoxine
6.0 mg
Vitamin B12
12.5 mcg


Ingredients: Corn syrup, water, sucrose, glycerin, liver paste, iron proteinate, sodium citrate, carmel color, citric acid, niacinamide, potassium sorbate, cyanocobalamin, thiamine hydrochloride, pyridoxine hydrochloride, riboflavin, cupric sulfate, anise flavor, sodium hydroxide.

Indications: LIXOTINIC® is a premium quality vitamin and mineral supplement providing nutrients in a highly available and palatable form. Useful as a nutritional aid for: Adult and yearling horses, foals and weanling horses more than 1 week old, cats and dogs.

Dosage and Administration: Recommended Daily Use:

Horses
1-2 oz
Foals more than 1 week of age
1/2-1 oz
Cats and Dogs
1/6 oz (1 tsp) (per 25 lb of body wt)


Administer orally or pour over feed.

Precaution(s): Store in amber bottle at controlled room temperature 15°-30°C (59°-86°F).

Keep bottle tightly closed to preserve freshness.

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Rococoms
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Postby Rococoms » Mon Nov 13, 2006 6:09 pm

The first colt that HCT isn't bad- I wouldn't worry. In vet med, a 35% PCV is on the high end of normal, just fine. Any higher, and I'd worry about him staying a dehydrated. As long as he's on a good quality vitamin supplement, it won't hurt to put him on Red Cell, but you don't want to over do it. But yes, Red Cell is a great supplement.

On the second, that is worrisome with the HCT below 10%... below 15% is usually very scary, below 12% is grounds for a transfusion. Obviously, this baby has some sort of chronic problem that either interferes with his ability to develop red cells, or a chronic bleed that leeks his red cells all the time that keeps him low. Obviously, he's learned to live with this, but I would be scared because if this baby lacerated himself in the pasture, bled at all from anything, he would be at high risk for a fatal bleed out and brain damage. Not to mention, unless this corrects itself, he won't be able to be a athletic animal.

If he has had recent bloodwork (CBC, chemistry, UA etc) and it was all within normal limits, I would reccomend a consulation with an internal medicine specialist, to ultrasound his kidneys, liver, abdomen, lungs etc, maybe even take a trans-tracheal wash sample, possible kidney biopsy, liver biopsy. If all those come back negative, I'd feel a little better about the watch and wait approach, with a lot of supplements (I would add Red Cell to him) and seeing how things progress. But I would do it all now, while he is healthy, rather then when he gets sick, because when he does get ill, even something not hard could easily kill him. Good luck- sounds like a tough situation!

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Ruffian
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Postby Ruffian » Tue Nov 14, 2006 9:59 am

thanks rococoms. We are taking his bloods every few days and it has just been dropping. His Organs are all functioning normally (or as normal as possible) as of last friday when he was last checked fully.

we believe when he had pneumonia it caused a lung abcess. due to this he has been on a lot of different medications and either this or the chronic infection has caused his bone marrow to stop regenerating rbcs on a normal healthy rate.

on the transfusion side he has had 2 one from his dam which really didnt help matters (it was an emergency). and then we cross checked him with some older colts on the farm and found a really good match with a 3yo colt whose HCT is 42% (healthy guy to say the least). we transfused him when he was at 11.5% after the bloods he went to 14.5% but 2 days later he was at 10% (last friday). We left it a few days and he just had bloods taken again so i will see where he is at today.


he is gaining weight good, good foot growth and seems pretty normal. he was running an elevating heart rate 2 weeks ago (apx 70) but now he is almost normal at 50, for the past 2 weeks.


:?

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Postby louis finochio » Wed Nov 15, 2006 7:56 am

Ruffian: go to your herb shop and buy some Olive leaf powder, it will kill any infection or virus. 2 0Z. in am and pm.

Garlic will do the same, but some TB do not like the taste of garlic.
Those without sin cast the first stone.
Louis Finochio

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Ruffian
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Postby Ruffian » Wed Nov 15, 2006 8:33 am

worse news yesterday the bloods taken are now under 9%.

he was on a drug called Procrit which helps the bone marrow produce red blood cells but this drug sometime causes the body to create antibodies against the drug after a period of usage. we believe this happened with this little guy so he was taken off of that drug.

Louis>>> That herb will it work quick enough though? this weanling i dont think has a lot longer to fight.

:(

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Postby Laurierace » Wed Nov 15, 2006 7:38 pm

I am so sorry about your weanling, it does sound like he has a major bleed somewhere. This is actually a legit use for the often misused Epogen, but I am not sure if it is too close to Procrit to be effective. Another drug that could possibly be used is Oxyglobin, that is similiar to the above as well.
I hope you get it figured out in time. Best of luck to you both.

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Rococoms
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Postby Rococoms » Thu Nov 23, 2006 9:10 pm

How is it going? I'm sorry to hear about the dropping HCT. What was the foal originally sick with when born? Have you guys done any blood cultures, or clotting factor tests (PT, PTT etc?). Is the foal turned out? Or stall rested (probably best). What's his diet? Appetite?

For your and the foals sake, I truly hope you find the solution to this. Also, you might as your vet about supplementing some IV Hetastarch- will help to circulate the blood cells he does have. Much cheaper than whole blood transfusions, and since he's blowing through those so quickly. Though, with a 9 HCT, 2L of mares blood can only help the situation until a diagnosis is found.

Good luck.