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[RC] [Guest] AERC Rules re Ulcers - Ridecamp Guest

Lynn Nicholson windstarfarms@xxxxxxx

World endurance organization leaders have legalized the use of ulcer
medications under no drug rules.  I find it disheartening that our - AERC -
governing body has chosen to ignore the lead of world organizations in light
of the recent findings reported in the HORSE magazine, which would allow us
to protect our endurance mounts during competition.

The gist of the article details a University of FLorida research finding
that any exercise above a walk could force acidic gastric juice up into
sensitive areas of the equine stomach, which could be why ulcers develop or
worsen in horses in training, affecting more than 80% of performance horses
in some studies.

...  The study examined the influence exercise might have on contraction and
relaxation of the stomach in horses fed two hours previously and in those
from which feed was withheld for 18 hours before exercise.  Over five weeks
the horse subjects were put through increasingly intense treadmill sessions,
culminating in a gallop of nearly 2 miles on an uphill slope.

It didn't take maximum exertion to produce a notable result.  As soon as
each horse moved from a walk to a trot, the volume of air in the bag(each
horse was fitted with permanent external access to their stomachs) decreased
rapidly, to the point of almost empyting.  The bag remained deflated when
the horses galloped and didnt regain its original volume until they came
back to a walk. This effect was most dramatic in fasted horses, but it was
observable in the fed horses as well , although the food in the stomach
decreased the initial volume of air in the bag.

The UofF team concluded that at any gait faster than a walk, either the
gastric wall was becoming more rigid than normal or external pressure was
being exerted on the stomach.  To investigate the latter they inserted a
catheter into the abdominal cavity through the right flank to measure
intra-abdominal pressure, while a pressure transducer tracked intra-gastric
pressure.  When horses went from a walk to a trot, both measurements shot up
and stayed there for the entire exercise bout, likely due to tensing of
abdominal muscles with the faster gaits.

External pressure on the stomach during exercise, they hypothesized, forces
the liquid contents of the lower stomach upward, exposing the more sensitive
mucosa of the upper stomach to stomach acids and inducing ulcerous lesions.
On their own, horses rarely exert themselves for long, so the upper stomach
is not naturally exposed to these acides very long.  Since strenuous
exercise can trigger gastro-esophageal reflux disease - heartburn - in human
athletes, the UF findings are an interesting parallel.

Scientists further tested their hypothesis with a pH electrode inserted into
the upper stomach just below the esophageal sphincter to monitor pH
(acidity) during exercise. When horses stood or walked, the pH remained
around 5-6, but as they trotted or cantered, the pH pluged as far as 1 and
remained severely acidic until the horses stopped.  This was a strong
indicator that stomach acids were splashing on this sensitive area in
response to strenuous exercise.

This study shows that gastric ulcers might be more the rule than the
exception when we exercise horses.


Your input on this underdiagnosed problem and lack of ability to continue to
utilize proper medication during races, is appreciated.



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