ESOPHAGEAL IMPACTION (CHOKE)

What is it?  Choke is an impaction or obstruction of the esophagus, usually caused by a lump of food.  It is not a tracheal (windpipe) obstruction, which impairs breathing.  Your horse cannot swallow, but can breathe normally.

Clinical signs:  Holding head and neck outstretched, food-stained saliva from mouth and nostrils, retching or coughing, and nervousness or anxiety.

Important points in treatment

  • Remove all feed and water, and keep your horse in a stall free of bedding as he may try to eat it.  Any food or water ingested may slide into the windpipe, causing aspiration pneumonia.
  • Choke may resolve on its own, but if signs persist for greater than 20 minutes, you should call your veterinarian. Routine treatment by your veterinarian includes sedation and passage of a tube into the esophagus.  However, impactions that do not resolve may require intravenous fluids and/or hospitalization.
  • The affected area of the esophagus may erode, forming an ulcer that heals with some constriction.  Surgery could cause the same problem.
  • Choke can recur.  If eating too fast is a contributing factor, put some large (6 inch) stones in with the feed, and put hay in a tight hay net or bag.  This forces the horse to eat more slowly.
  • After the choke has resolved, keep your horse on soft feeds, such as a pellet slurry, for 5-7 days, and always provide plenty of water.
  • Be sure to have your horse’s teeth checked at least once a year to prevent dental problems that can lead to choke.

Please call our office if your horse refuses to eat or has difficulty swallowing after apparent recovery, develops a rectal temperature of above 102° F, or if you have other questions or concerns regarding choke.

This information is provided as an educational tool and is not intended to replace veterinary care.

 

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