July 2017 Issue

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PNEUMONIA

Spring and summer are prime times for pneumonia in goats, although it can be a year-round killer of both kids and adults. Wide swings of temperature and changes in climatic conditions, such as wet weather coupled with high daytime temperatures, high humidity, and much lower evening temperatures, can set the stage for pneumonia. Kids especially have trouble controlling body temperature under such conditions, causing them to be susceptible to developing pneumonia. Pneumonia is one of the two main goat killers.

The most common and deadly form of pneumonia in goats is not easily recognizable. It does not present as a snotty nose, coughing, and congestion. Interstitial pneumonia has only one symptom: rapid onset of very high fever (up to 108*F or 109*F), followed by dramatic quick drop in core body temperature which, when it falls below 100*F, the goat's lungs are filling up with fluids and it is dying. The goat can look fine at nightfall and be dead by morning. Death can occur in as little as four hours. If you aren't aware of your goats' behaviors, you can easily miss the onset of Interstitial pneumonia. And if you do catch it and don't have appropriate prescription medications on hand, the goat is probably going to die.

Example: A goat that seemed healthy at nightfall is not eating and standing off by itself with tail and head down in the morning. Something is obviously wrong. No runny nose. Probably standing up because fluids are building in the lungs. If down, likely already dying. If fever is present, great. You have a chance to save the goat with Nuflor Gold and Banamine injections. If body temperature is below 100*F, the chances are greatly diminished.

Interstitial pneumonia usually occurs with wide swings of temperature. My experience in Texas has been that goats can handle rapid hot to cold cycles better than fast cold to hot temperature changes. In either case, wide swings of temperature make it difficult for all goats, adults or kids, to maintain body temperature. Kids are especially susceptible. Interstitial pneumonia is often the result of this inability. It is not a contagious disease.

The first step in determining appropriate treatment is to take the sick goat's rectal temperature. Body temperature tells you which way to proceed treatment-wise. Fever indicates infection or inflammation. Example: A newborn with "weak-kid syndrome" will have sub-normal body temperature that requires a different treatment regimen from a kid running a fever caused by an infection. Without taking rectal temperature, you might misinterpret visual symptoms, wrongly diagnose the cause of the problem, and medicate the goat incorrectly. The animal may die from incorrect treatment. See my article entitled Diagnosing Illnesses in Goats on the Articles page at www.tennesseemeatgoats.com.

If high fever is present, it must be brought down quickly. Fever-reducing medication and appropriate antibiotic therapy must be started immediately. If fever is not present but all other symptoms indicate pneumonia, antibiotic treatment should be tried. (This is an exception to my "no antibiotic usage if fever is not present" rule.) If the illness has progressed far enough, the goat will try to sit down, moan with discomfort, and immediately stand up, because fluid has begun to accumulate in the lungs and abdomen and its kidneys are shutting down. A goat in this condition probably cannot be saved but I always try until efforts prove futile. A goat that wants to live can overcome amazing obstacles. But once the lungs fill with fluid, survival is unlikely. If I cannot save it, I do the humane thing and euthanize the goat to stop its suffering.

Banamine or generic equivalent (veterinary prescription) lowers high body temperature and helps alleviate pain and inflammation. Banamine should be used once every 12 hours for several days but normally no more frequently, because it can cause stomach ulcers. Common sense dictates that if nothing else is available to drop the fever into normal range and the goat is likely to die, use Banamine as needed. I administer Banamine into the muscle (IM), dosing 1cc per 100 lbs. body weight. A newborn kid with fever (depending upon breed and weight) is given 1/10th to 2/10th's of a cc (one-tenth to two-tenth's of a cc) of Banamine. If Banamine is not available, baby aspirin can be used. Treat kids with at least one baby aspirin and adults with at least three baby aspirin. Do not use other pain relievers, such as Advil, Aleve, Tylenol, etc. --- only baby aspirin. Baby aspirin is not a desirable alternative to Banamine, so buy a bottle of generic Banamine (flunixin meglumine) from your vet.

Keep a supply of prescription medications on hand for emergencies. Nuflor, Nuflor Gold, and Excenel RTU are excellent antibiotics for respiratory illnesses and do not require refrigeration. These thick liquids must be administered through an 18-gauge needle into the muscle (IM) to get into the bloodstream quickly. Use a luer-lock syringe so that the needle does not blow off the syringe. For maximum benefit in goats, Nuflor should be injected daily for five consecutive days at a dosage of 3 cc's per 100 pounds bodyweight. Nuflor Gold, which provides some protection against mycoplasma that Nuflor does not have, should be dosed at 6 cc's per 100 pounds bodyweight for five consecutive days. Minimum dosage for a newborn kid is 1/2 cc. Nuflor Gold is my antibiotic of choice for adult goats with respiratory illnesses. All antibiotics must be dosed for five consecutive days.

Excenel RTU is a ready-to-use shelf-stable form of Naxcel that requires no mixing and no refrigeration. These advantages make it more convenient to use and store than Naxcel. Excenel RTU is dosed at 3 cc's per 100 pounds bodyweight for five consecutive days and should be given IM (into the muscle) through an 18-gauge needle. During the first 24 hours, I give two injections 12 hours apart, then daily for the next four days. Minimum dosage for a newborn is 1/2 cc. I prefer Excenel RTU with newborns and young kids.

Naxcel is a good antibiotic but is limited convenience-wise by having to keep it refrigerated and the necessity to mix and use the entire bottle within seven days or freeze remaining dosages in individual syringes. Naxcel must be given to goats in dosages stronger than indicated on the label. A newborn kid must receive at least 1/2 cc per day for five consecutive days to be effective. A one-hundred pound goat needs four cc's per dosage for five consecutive days. As with all other injectable medications, I never give more than six (6) cc's per injection site to prevent tissue damage. If necessary, I split the dosage, giving half into one location and the remaining amount into another injection site. Always complete the five consecutive days of treatment even if the animal is looking better. Relapses are likely. Consult your goat veterinarian, establish a working relationship, and use these medications under vet supervision.

If access to prescription antibiotics is not available, then you will have to use over-the-counter penicillin or oxytetracycline 200 mg/ml (LA200 or generic equivalent) Penicillin should be dosed at 5 cc's per 100 pounds body weight for five consecutive days, using a luer-lock syringe with an 18-gauge needle and injecting SQ over the ribs. I dose oxytetracycline 200 mg/ml using five (5) cc per 100 pounds bodyweight given SQ over the ribs with an 18 gauge needle for five consecutive days.

I am believer in using prescription antibiotics to treat pneumonia in goats. Nuflor, Nuflor Gold, and Excenel RTU are far superior to over-the-counter products and are worth the extra expense. I do not believe in the effectiveness of single-shot antibiotics with goats. The two most common causes of death in goats are worms and pneumonia. Wormy goats are susceptible to pneumonia.

Chest congestion can be relieved by giving an expectorant/antihistamine/decongestant orally to the sick goat twice daily at a dosage of approximately six cc's per 100 pounds bodyweight.Children's antihistamine/decongestant/expectorant syrups (Robitussin DM) may have to be used since Expectahist is no longer available unless your vet will have a compounding pharmacist make it for you. Relieving chest congestion is vital for a goat to survive pneumonia. Don't discount the importance of these oral medications.

Keep the sick goat in a shaded, dry, free-from-draft location with plenty of fresh water, electrolytes, free-choice grass hay, and green leaves. No sacked feed. If the animal is not drinking water, orally drench with electrolytes (Bounce Back or ReSorb). A 100 pound goat needs one gallon of fluids in small amounts over a 24 hour period. If dehydration is severe, sub-cutaneous (SQ) delivery of Lactated Ringers Solution (vet prescription) is necessary. Refer to my articles about (a) dehydration and (b) how to stomach tube a sick goat on the Articles page at www.tennesseemeatgoats.com.

Never forget the beneficial effect of green leaves(the goat's natural food). Oak, elm, and hackberry are favorites; do not feed cherry leaves, as they are toxic to goats. Fresh green leaves are easily digestible. Don't try to feed grain concentrates to a sick goat. The rumen is *off* and cannot properly digest grains. If the goat is off feed, give Vitamin B-1 (thiamine) injections every 12 hours dosing at 4 cc per 100 pounds bodyweight. Brain function depends upon the availability of thiamine, and it takes a healthy rumen to produce it.

Follow up all antibiotic treatments with an oral probiotic, but use it after the antibiotic regimen has been completed. Jeffers at 1-800-533-3377 or www.jefferslivestock.com carries a variety of suitable probiotics.

White or clear nasal discharge is usually allergy-related, but if fever is present, then infection or inflammation exists and must be treated. Using antibiotics when they should not be used decreases their effectiveness when they are really needed because the goat's body can build up resistance to repeated use. The ineffectiveness of penicillin with certain illnesses is an example of antibiotic overuse.

Colorado Serum makes a pneumonia vaccine that I give to my goats. While no vaccine is 100% effective, this one is safe and inexpensive and I encourage you to use it. If pneumonia is a frequent problem in your herd, you should use the newer and more expensive pneumonia vaccines Polybac B Somnus or Presponse that provide better protection. Polybac B Somnus and Presponse work better with my large herds of bucks who live in a constant state of stress. I vaccinate bucks every six months with one of these newer vaccines. Jeffers carries these all of these over-the-counter pneumonia vaccines.

Goats raised primarily on forage/browse or under free-range conditions are less likely to have as many health problems as goats raised under intense management. Sound practices that include good shelter during bad weather, clean pens, fresh water, good nutrition, and no crowding go a long way towards reducing many goat health problems. Those of you who must raise goats under less-than-ideal conditions must be aware of these facts and be prepared. Properly-fed goats can ward off illnesses that poorly-fed goats cannot overcome. Good nutrition and vaccinations are cheap protection against animal loss.

Suzanne W. Gasparotto, Onion Creek Ranch, Texas Updated 7/3/17

Subscribe FREE now! Monthly issues with new articles and other educational information on meat goat health, nutrition, and management written by Suzanne W. Gasparotto of Onion Creek Ranch and Pat Cotten of Bending Tree Ranch. In all cases, it is your responsibility to obtain veterinary services and advice before using any of the information provided in these articles. Neither Suzanne Gasparotto nor Pat Cotten are veterinarians. None of the contributors to this website will be held responsible for the use of any information contained herein.

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PINKEYE IN GOATS

Pinkeye in goats and Pinkeye in cattle are not the same illness and vaccines to prevent Pinkeye in other species do not work with goats. Pinkeye in goats may be caused by several different agents even though the symptoms are similar. Pinkeye can be the result of infectious or non-infectious organisms. Since infectious Pinkeye is also contagious and is most commonly the type that goat raisers encounter, I will focus on how I treat my goats in this article.

Non-infectious Pinkeye can occur in individual animals as a result of over-exposure to very bright sunlight, dusty hay, or blowing dust. Treatment is similar to that used in medicating infectious Pinkeye and will be discussed later in this article.

Infectious Pinkeye can be caused by viruses or bacteria and is medically termed infectious keratoconjunctivitis.

Pinkeye can be brought on by many kinds of stress -- stress from moving or transporting, kidding, weaning, improper nutrition, severe weather, dramatic changes in temperature or weather conditions, or an underlying illness (abortion, pneumonia) . Stress reduces the immune system's ability to suppress the outbreak of illnesses. Do not underestimate stress induced through improper feeding. A properly-fed goat tends to be a healthy goat.

Flies are a primary transmitter of Pinkeye from goat to goat, so keep the fly population down. Shows and sales are ideal places for goats to pick up infectious Pinkeye. The abortion disease Chlamydia often begins with Pinkeye. Sometimes the first recognizable sign of an impending abortion is Pinkeye. Certain types of Pinkeye, particularly Chlamydia-induced infections, tend to be chronic (recurring) because the goat becomes a carrier, therefore able to infect others and have repeated bouts of the disease itself.

Pinkeye is a serious illness in a goat. Early signs of Pinkeye include runny, red, and swollen eyes. The cornea, the clear covering over the eye (including iris and pupil), becomes reddish and hazy then sometimes bluish and definitely opaque (clouds over). The goat begins to lose its eyesight. If left untreated, blindness can occur. If corneal ulcers appear and perforate, the infection can travel to the brain and kill the goat. The eye can also rupture, sink into the eye socket, and infection can travel throughout the goat's body. Prompt treatment must be given to save the goat.

Some people insist that nothing successfully cures Pinkeye and that the disease has to run its course. However, if left untreated, the goat may die from inability to keep up with the herd and find water and food. You can minimize its damage to infected animals by being aware of what I do when my goats have Pinkeye

Remove the goat from its herd and put it in a clean, cool, dry, shady location out of direct sunlight. Sunlight aggravates Pinkeye and delays healing. Make sure the pen is small but well ventilated; if the goat has lost or is losing its eyesight, it needs to be able to locate feed, water, and shelter. Keep a small jar of generic alcohol-based mouthwash in your medical kit. Put on disposable gloves, wet a paper towel in the mouthwash, and wash the goat's "tears" away. This "weeping" of the eye is the primary method of transferring Pinkeye from one goat to another, so clean the goat's face below the eye with generic mouthwash. Dispose of mouthwash once used.

Injectable oxytetracycline 200 mg/ml (LA200 or equivalent) should be used sub-cutaneously (SQ) in addition to topical eye ointments. I dose oxytetracycline 200 mg/ml at 5 cc per 100 pounds bodyweight and inject SQ over the ribs with an 18 gauge needle for five consecutive days. Some people also drop LA-200 or generic equivalent directly into the affected eyes. If a chlamydia-caused abortion is occurring, injectable oxytetracycline 200 mg/ml must be used to try to stop the abortion. (You won't know the causative agent, so assume it is worst-case scenario that can cause abortions.) The potential for interfering with fetal bone development in utero by using oxytetracycline 200 mg/ml is minimal and far outweighed by the benefits of the antibiotic.

The best treatment for eyes that have not ulcerated is to use Gentocin spray (vet prescription). You can make your own spray if your vet doesn't have Gentocin spray readily available by purchasing gentamycin sulfate 100 mg/ml, sterile water, and dexamethasone from a veterinarian and mixing in three equal parts. Spray the affected eyes twice a day for a minimum of five (5) consecutive days. Note: Do not use this steroid compound on ulcerated eyes (see below). Powders and aerosols, while effective, are irritating to the eye, particularly if ulceration has occurred. Therefore, I don't use powders and aerosols Some people use Vetericyn. I've tried it several times without success. There is no antibiotic in it, which to me is a negative. Yet I know people for whom Vetericyn works.

If the eye has ulcerated (the covering over the iris - the colored part of the eye - appears to have risen outward from the surface of the eyeball), then I use Neomycin and Polymyxin B Sulfates and Bacitracin Zinc Opthalmic Ointment (Triple Antibiotic Opthalmic Ointment) that I buy from my veterinarian. I buy several tubes and keep them on hand; the tubes contain only 1/4 ounce. This is not the triple antibiotic ointment available over the counter in drugstores. Triple Antibiotic Opthalmic Ointment is not an item that every vet keeps in stock, so maintain a supply in your emergency inventory. Terramycin Opthalmic Ointment, available without prescription, is an alternative product. Opthalmic ointments are pricey, but there is no substitute for them. Apply this ointment a minimum of twice a day until the goat can see and the cloudiness/ulceration is gone. The goat may lose its eyesight completely for a period of time, but if properly treated (even if ulceration has occurred), sight will usually return, though sometimes only partially. It is not unusual for a white scar (blindspot) to appear on the eyeball after the ulceration has healed.

Permanent sight loss may occur if steriod opthalmic medications are used on ulcerated eyes. Do not use steroid products such as Gentocin Durafilm (cortico-steroids) or any medication containing dexamethazone on an ulcerated eye. Blood vessels must begin to grow back into the eye for healing to occur and sight to return, and steroids will interfere with blood-vessel regeneration. If the organism causing the Pinkeye is viral, steroids make the illness worse fast.

While early stages of eye ulceration may not be visible to you, a badly ulcerated eye can be diagnosed easily: a portion of the colored part of the eye (iris) looks like it is sticking out of the eyeball on a stem, preventing the goat from fully closing its eye. Ulcerated eyes may rupture and collapse into the eye socket or infection may travel to the goat's brain. If left untreated under such conditions, the goat can die. To prevent this from happening, any goat with a suspected ulcerated eye should be taken to a vet. The vet can put a vegetable-based stain in the goat's eye that glows in the presence of cobalt blue light to determine the extent of damage that the ulcer has caused. This is a simple test involving touching the white of the eye above the iris with an over-sized Q-tip that has been saturated with a special stain. This procedure is preferable to culturing the organism, because it is quicker and less expensive.

The vet can perform a Tarsorrhaphy by injecting the eyelid with a local anesthetic and sewing the third eyelid shut. At the same time the vet may inject a mild antibiotic directly into the eyelid. The third eyelid in a goat has a gland which provides some immunological protection and helps increase the blood supply to the eye. Stints (small pipettes through which sutures will be threaded) and dissolvable sutures will be used to hold the eye closed for 10-14 days, allowing the eye to stay moist and healing to take place. The stints used to hold the eyelids together can easily be cut loose from the eyelid with small scissors after the sutures have dissolved. Obviously you don't want to use this procedure on both eyes at one time.

Severe cases of infectious Pinkeye may result in partial or complete loss of sight and visible scarring of the eye. Pinkeye lasts anywhere from ten days to multiple weeks. While Pinkeye may well have to "run its course," damage to the goat can be greatly reduced by following this treatment. Blind goats are an obvious liability.

Non-infectious Pinkeye generally falls into three categories: (1) Abrasions caused by outside irritants such as blowing dust or by the Listeria organism; (2) Vitamin A deficiency; or (3) Toxins, such as locoweed poisoning ("Dry Eye") or fire ant stings. Topical opthalmic ointments mentioned above are used to treat these conditions. With Listeria and Vitamin A deficiency, the underlying problem must also be cured.

Pinkeye negatively affects the productivity of a herd. Do not underestimate the impact of Pinkeye on goat health and institute treatment quickly to stop the damage.

Suzanne W. Gasparotto, Onion Creek Ranch, Texas 7/2/17

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