Tom's response to "Garden State Tortoise" Video

Fluffy

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Just adding to the conversation here. Forgive me if I get the details wrong. My microbiologist wife just explained it to me again, so here goes: This is a "gastric enterolith". It was surgically removed from her horse's stomach. The vet explained that the horses ingest some sand while eating their food off the ground, the sand clumps in the gut for whatever reason, and then the calcium from high calcium foods like alfalfa binds to the sand, forming calcium oxalate, which is what this "stone" is made of. I do not understand how this is possible, and why bale after bale of hay was able to pass on through the GI tract while this thing was in there growing larger the whole time, but there is it. Cost me $10,000 to learn to not let a horse eat off the ground, and to give them supplements that will make any accidentally ingested sand pass through the gut.

So when someone asks questions like: Why does the sand collect in the tortoise's gut when other things pass through, or how is sand worse than other substrates in this regard, or how does sand clump up and become like cement in the gut? I do not know the technical answers to those questions. I do know that there are processes taking place that we don't understand or even know about. I do know that some tortoises get impacted when sand is ingested, and some tortoises are able to pass some sand at least some of the time. I do know that adding sand to a tortoise enclosure could lead to impaction, though it doesn't lead to impaction 100% of the time. I do know that if there is no sand added, then there is no sand impaction 100% of the time.

Here is another possible factor: I have read that plants grown in areas with sandy soil and heavy annual rainfall, like the south eastern US, tend to have less calcium than plants grown in more fertile calcium rich soils like here in CA. In fact, so I've been told, some people add calcium to their soils in the south to add more calcium to the plants they are growing. I don't know if this is a factor in sand impaction or not, but the guys arguing that sand is not an issue are both in the eastern US with heavy rainfall and sandy soil, while the guy who has seen lots of sand impaction cases is in a desert basin with very low annual rainfall and calcium rich soil.
Calcium! That deserves a little more research. First time that's came up in this discussion. Thanks Tom and thank your wife for me. Interesting stuff.
 

Fluffy

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In one of the Garden State Tortoise videos, when he was in europe, the keepers were talking about adding calcium because the soil was very calcium deficient.
 

Tom

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In one of the Garden State Tortoise videos, when he was in europe, the keepers were talking about adding calcium because the soil was very calcium deficient.
Having been to Germany once, it rains there. A lot.
 

Alex and the Redfoot

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View attachment 375371
Just adding to the conversation here. Forgive me if I get the details wrong. My microbiologist wife just explained it to me again, so here goes: This is a "gastric enterolith". It was surgically removed from her horse's stomach. The vet explained that the horses ingest some sand while eating their food off the ground, the sand clumps in the gut for whatever reason, and then the calcium from high calcium foods like alfalfa binds to the sand, forming calcium oxalate, which is what this "stone" is made of. I do not understand how this is possible, and why bale after bale of hay was able to pass on through the GI tract while this thing was in there growing larger the whole time, but there is it. Cost me $10,000 to learn to not let a horse eat off the ground, and to give them supplements that will make any accidentally ingested sand pass through the gut.

So when someone asks questions like: Why does the sand collect in the tortoise's gut when other things pass through, or how is sand worse than other substrates in this regard, or how does sand clump up and become like cement in the gut? I do not know the technical answers to those questions. I do know that there are processes taking place that we don't understand or even know about. I do know that some tortoises get impacted when sand is ingested, and some tortoises are able to pass some sand at least some of the time. I do know that adding sand to a tortoise enclosure could lead to impaction, though it doesn't lead to impaction 100% of the time. I do know that if there is no sand added, then there is no sand impaction 100% of the time.

Here is another possible factor: I have read that plants grown in areas with sandy soil and heavy annual rainfall, like the south eastern US, tend to have less calcium than plants grown in more fertile calcium rich soils like here in CA. In fact, so I've been told, some people add calcium to their soils in the south to add more calcium to the plants they are growing. I don't know if this is a factor in sand impaction or not, but the guys arguing that sand is not an issue are both in the eastern US with heavy rainfall and sandy soil, while the guy who has seen lots of sand impaction cases is in a desert basin with very low annual rainfall and calcium rich soil.
Such kind of entheroliths weren't reported in tortoises (at least I haven't seen cases in papers). But this is probably how bladder stones form.

Low calcium in soil and therefore in plants can be a good reason why tortoises want to ingest substrate (pica, geophagy). And if someone mixed calcium sand in their soils - he, probably, made a "Tortoise Life" or "Calci-Sand" substrate in his yard. Calci-Sand is one of the substrates which *clumps* in the gastrointestinal tract.

And it looks like we are running out of substrates options: besides reports on cypress mulch, I've found this paper: https://www.sciencedirect.com/science/article/abs/pii/S1557506313000621?via=ihub where cases of constipation with bark pieces are mentioned. I'm reading through referenced sources to find more details (they aren't easy to find, unfortunately).

For those interested in soil composition in CA, there is a decent resource: https://websoilsurvey.nrcs.usda.gov/app/WebSoilSurvey.aspx (it has data on composition, layers and depths and calcium contents).
 

mark1

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"Just adding to the conversation here.", Tom, this isn't about your horses.........

Enterolithiasis
UC Davis Center for Equine Health

Enteroliths are mineral accumulations of magnesium-ammonium-phosphate (struvite) around a foreign object (a piece of metal, pebble, bailing twine, hair, rubber) that form round, triangular, or flat stones inside the bowel usually over the course of multiple years
Enteroliths form as a result of certain diets (for example, feeding diets high in magnesium and protein, such as alfalfa-rich diets), breed predisposition, and/or management practices. The rate of enterolith formation is variable and thought to be affected by gut pH, the availability of certain minerals, and gut motility.
Enteroliths can be managed by cutting down on alfalfa so that it makes up <50% of the diet, reducing or eliminating bran, adding apple cider vinegar to hay or grain daily, and increasing the grain ratio to decrease the pH level in the colon. Additional grazing, increasing the number of feedings per day and providing frequent, consistent exercise can help keep food material moving through the colon. Supplementing with psyllium, softening hard water, and avoiding mineral-rich feeds are additional management steps that can prevent the formation of enteroliths.



Enteroliths in Horses

Copyright 2024 Kentucky Equine Research
Enteroliths are mineral masses that form in the colon of a horse. They are also known as intestinal stones or calculi. Usually these stones build up in thin layers around a bit of foreign matter (a small piece of wood, wire, hair, or other material) that the horse has swallowed. Although mineral content varies, about 90% of a typical enterolith consists of struvite (a hydrous phosphate of magnesium and ammonia) and vivianite (a hydrous phosphate of iron). Combinations of sulfur, sodium, potassium, calcium, titanium, aluminum, and nickel make up the remaining 10%.
A study of 900 horses at the University of California-Davis showed that two-thirds of horses with enteroliths were fed diets with very high levels of alfalfa (lucerne) hay, while alfalfa made up only about 60% of the diet of unaffected horses. Some theories link phosphorus-rich wheat bran, water with a high content of dissolved minerals, or iron-laden feeds to enterolith formation.
Several management steps have been suggested to lessen the risk of enterolith development. One is decreasing the mineral overload by switching from alfalfa to grass hay and eliminating or cutting down on wheat bran in the horse’s diet. Another is encouraging gut movement by increasing exercise and grazing time for horses that have been kept in the stall. A third is preventing ingestion of foreign objects by cleaning up pastures and turnout paddocks.
 

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