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Treatment of cholelithiasis in horses  consists of supportive care and long-term antimicrobial therapy, which should be continued until GGT activity returns to normal. Dimethylsulfoxide (DMSO) may help dissolve choleliths, and NSAIDs may help resolve hepatic and biliary inflammation.

Question

Treatment of cholelithiasis in horses  consists of supportive care and long-term antimicrobial therapy, which should be continued until GGT activity returns to normal. Dimethylsulfoxide (DMSO) may help dissolve choleliths, and NSAIDs may help resolve hepatic and biliary inflammation.

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Solution

The treatment of cholelithiasis in horses involves several steps:

  1. Supportive Care: This is the first step in the treatment process. It involves providing the horse with the necessary care to ensure its overall well-being. This could include a special diet, plenty of rest, and regular monitoring of the horse's condition.

  2. Long-term Antimicrobial Therapy: This is the main treatment for cholelithiasis. The horse is given antibiotics over a long period. The therapy continues until the GGT (Gamma-glutamyl transferase) activity returns to normal. GGT is an enzyme that is often elevated in conditions that cause damage to the liver and bile ducts.

  3. Use of Dimethylsulfoxide (DMSO): DMSO may be used to help dissolve the choleliths (gallstones). This can help to alleviate the symptoms of cholelithiasis and prevent further complications.

  4. Use of NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be used to help resolve any inflammation in the liver and bile ducts. This can help to reduce pain and discomfort, and promote healing.

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