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Discussion on Sheath swelling and obvious discomfort | |
Author | Message |
Member: moesmom |
Posted on Wednesday, May 8, 2013 - 9:09 am: Dr. O,My 16 yr old Gelding, Geronimo has had some swelling in his sheath on and off for three weeks. Vet came out upon initial concern and there was no pain, and it was considered something to watch an may just be that he is overweight. I started seeing that Mo would not DrOp to urinate which isn't normal for him. Then the sheath became more swollen on one side and Mo started with lifting his right leg a lot and switching his tail. Vet came and cleaned sheath and also found no bean. He could tell that the right side of sheath has a slight swelling but nothing specific, no heat, no bite. Says could be an abscess forming. There is no fever. The last few days, on and off, Mo has been really grumpy. He was biting at his sheath and there were no flies and he was given a bath on Saturday, no soap, just water. Vet did blood work yesterday and all is well. Mo is now on Bute once a day, yesterday he wasn't as moody, was being his silly self but was on the quiet side too. He is still lifting the leg or switching tail, and I saw him bite at his sheath once. Have you ever seen where a swollen sheath is a sign is stones? Vet wants to scope his penis and possibly do an ultrasound. Is this the next step? I want to resolve this but also don't want to do unnecessary tests. Mo is very sensitive and has had sedation colic in the past so I don't want to add more stress to him. But there is definitely something wrong. Thanks. Lisa |
New Member: kathyfd |
Posted on Wednesday, May 8, 2013 - 10:07 am: Lisa,I am sorry to hear about Geronimo. I am sure Dr. O will have some good advice. I will throw my two cents in really quickly. I have a 25 year old gelding that started to have sheath 'issues' approximately two years ago. Sheath swelling, extra smegma (and at times the smegma, if you 'really' smelled it-and I know how that may sound , had a little bit of a 'sourness' compared to other horses), sheath irritation, sheath biting (lifting his hind leg and biting his sheath-at times even biting the end of his penis), tail swishing, tail rubbing, extra DrOpping, obvious discomfort, etc. At times it seems to be swollen more on one side. All of these symptoms can occur together, individually, or in a random mixture. There have been times when he would not DrOp fully and would not urinate completely as well. Eventually, warts were observed in his sheath. It was determined the warts are from the constant irritation (one was biopsied and was found to be a benign papilloma). After many physical examinations (no visual abnormalities and no beans), ultrasound, urinalysis, and cultures, I still do not have an exact answer. Your case may be completely different than my horse's case; however, while you are searching for an answer, these 'short term' remedies helped my horse. I don't know if they may be helpful for you. 1) Cold water therapy on the outside of the sheath with a hose-a life saver (would stop the biting and alleviate discomfort) 2) Banamine (not more than a three day course) was SO much better than Bute 3) Rhus Tox as a homeopathic treatment for three days (would repeat another three days as symptoms reoccurred) *I can provide the dosage info I was given by my vet if you are interested) **I know the water therapy and the Banamine should help, I am not sure about the Rhus Tox With culturing, we found heavy growths of Corynebacterium and Pseudomonas Aeroginosa. The vet at the time was not concerned because they were considered 'normal' bacteria to be in the sheath. However, months later with no improvement for with my horse, another vet agreed to treat the heavy growth bacteria stating that anything 'heavy' could be problematic. In addition to the bacteria, with my horse I believe the sheath swelling, biting, irritation can also be linked to the kidneys and/or liver as well for many reasons. With that being said, Lepto can affect the kidneys and/or liver without eye involvement. Iron overload can also affect the liver as well. And many other possibilities. I hope that helps some. This has been ongoing battle for a long time, but I think I may be in the homestretch. Go with your gut-I was told by many that he was just 'extra itchy' or that I had 'washed' his sheath too much upsetting the natural flora, etc. in the beginning. When he became symptomatic, I had only had him for 6 months and had not 'washed' his sheath. It was a battle because I 'knew' something was wrong-he was suffering (would actually fall over hitting the stall wall with his biting frenzies/sustained back injuries/looked miserable) and it was hard to get someone to take his condition seriously when the basic tests were not showing that anything was wrong. I hope you find out what is wrong with Geronimo quickly. Best, Kathy |
Member: moesmom |
Posted on Wednesday, May 8, 2013 - 4:40 pm: KathyThank you for the information. It's very helpful. The water therapy and Bute is working. I'm not sure if Bute or Banamine is better. Today so far he is a little better, certainly not worse. I'm just not sure if I should wait or have the tests. Dr O, are there any risks with scoping? I don't think an ultrasound is a problem. Thanks, Lisa |
New Member: kathyfd |
Posted on Wednesday, May 8, 2013 - 5:00 pm: Lisa,Hi! You are welcome. From my experience, and what I have been told, Banamine is superior for soft tissue swellings, allergic reactions, etc. where Bute is better for musculoskeletal conditions, if that makes sense. For my horse, Banamine was more efficacious than Bute, even though Bute did help. Glad to hear he is better today!! I hope all goes well and you have an answer/diagnosis soon-- Kathy |
Moderator: DrO |
Posted on Friday, May 10, 2013 - 7:41 am: Hello Lisa,A swollen sheath can be a local problem or indications of a systemic problem that causes fluid accumulation ventrally because the sheath is easily distended tissue that drains poorly. The horse's apparent irritation with the area strongly suggests a local problem: the tissues around the sheath. A good physical exam (I presume the whole penis and sheath have been visually examined) and thorough lab work up should help differentiate the cause. If the cause is not evident from this, ultrasound and scoping of the urethra seem sensible. DrO |