Lucy is currently hospitalized, and we’re keeping a close eye on her. She was rushed in when she showed no interest in her food and kept lying down, signaling that something was very wrong. 
Two Issues to Tackle
Dr. Splawn and the incredible team at Weems discovered two main concerns:
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Colon impaction – A large colon impaction was found during her physical exam. Fluids and mineral oil were started immediately to help resolve it. By the next morning, Lucy had passed the oil, and her colon was much improved.
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Hypertriglyceridemia – Her bloodwork revealed extremely high triglyceride levels, too high for the lab machines to even give a number. This condition, which occurs when fat is metabolized from the liver, is very rare in large horses and more common in minis, donkeys, and cats.
A Complicated Puzzle
Lucy also showed a yellow tint around her eyes and vulva, which initially suggested liver issues. However, her liver enzymes are normal, and ultrasound didn’t show anything concerning.
Typically, treatment for hypertriglyceridemia involves giving sugar, but her glucose levels were already high. The fluids started for her impaction are helping to bring her glucose down, and dextrose therapy was initiated to manage triglycerides.
Dr. Splawn compared Lucy’s condition to a hospital patient who struggles to maintain weight—similar to giving Ensure to help support nutrition. Lucy has always had a harder time keeping weight on despite soaked Senior grain, supplements, unlimited hay, and regular care. Now the team is figuring out the best way to support her nutrition going forward.
Signs of Improvement
We are cautiously optimistic! Yesterday, Lucy was dull and droopy, but today she looks noticeably brighter and more alert. The vet team now suspects that her issues may be related to nutrient absorption as she ages, rather than a primary liver problem.
Concern levels on the vet scale have improved from a 7/10 to a 6/10, and her response to treatment is encouraging.
Next Steps
Lucy will continue on fluids, dextrose, and supportive care as the team monitors her closely. While her condition remains serious, we are cautiously optimistic based on the improvements we’ve seen so far. We’ll continue to share updates as her situation evolves.
