Equine Medical Services: Internal Medicine

The equine internal medicine service receives elective cases routinely between 10AM -12PM weekdays and at other times by special arrangement. Please call between 8-5 weekdays for an estimate and appointment. All colic emergencies arriving between 8:30-4:30 on weekdays are received by the internal medicine service. After hours colic emergencies are received by the emergency service and transferred to the medicine service on the next business day. Intensive care for critically ill equines, including foals, is available 24/7. Our internal medicine specialists diagnose and treat horses with medical problems including cardiac, neurologic, respiratory, gastrointestinal, muscular, infectious, hematologic, renal and endocrine disorders. Board-certified dermatologists are available by appointment to consult on animals with skin diseases.

Department Specialties 

There are many advanced medical problems we can manage and treat, but the following are some of the most common reasons patients visit Internal Medicine:

  • Hyperkalemic periodic paralysis (a genetic muscle disease)
  • Recurrent exertional rhabdomyolysis (a form of tying up)
  • Polysaccharide storage myopathy (abnormal glycogen storage in the muscles, a form of tying up)
  • Respiratory issues, including coughing, nasal discharge, or respiratory noise
  • Diarrhea
  • Urinary tract disease, including infection, abnormal frequency of urination, or abnormal appearance in urine color
  • Neurological problems, (abnormal behavior, gait change, or paralysis)
  • Weight loss or lack of appetite
  • Exercise intolerance
  • Chronic or recurrent colic
  • Abnormal chewing or swallowing
  • Fever
  • Diseases of the neonatal and older foal
  • Choking
  • Head shaking
  • Metabolic disease (Cushings disease)
  • Muscle disease

Appointments, Referrals and Resources

Referral Policy

We operate primarily on a referral basis, with the patient’s primary veterinarian referring them to the NC State Equine Service by calling us to discuss the patient’s condition.
The equine medicine service receives elective cases routinely between 10AM -12PM weekdays and at other times by special arrangement. Please call between 8-5 weekdays for an estimate and appointment.

How Long Will My Visit Take?

It is our goal to deliver the most complete service as efficiently as possible. The length of your visit is variable depending on your horse’s specific needs.

Give yourself plenty of time for the appointment. You are welcome to bring snacks/lunch and we have a coffee shop along with several vending machines.

What If My Horse Needs To Be Hospitalized?

Should your visit require hospitalization, your horse will be monitored 24/7 by your primary faculty clinician, residents, veterinary technician staff, and senior veterinary students.

We encourage patient visits between the hours of 11 a.m. – 12:30 p.m. and 4-6:30 p.m. Just stop by the reception desk and a receptionist will page someone to meet you and take you back to your horse’s stall. If those times aren’t convenient for you, please let us know and we will make arrangements for you.

You can expect a call once daily from your veterinary team regarding your horse’s well-being unless other arrangements are made. You will be contacted as soon as possible if a problem arises.

What Happens When My Horse Goes Home?

At the end of your appointment or when you come to pick up your horse, you will go into the Large Animal Reception Desk where you will pay your bill and receive your discharge instructions. Once you have finished there you will proceed to the breezeway where you will meet up with someone from your veterinary team and go over your discharge sheet to be sure all questions are answered and that you have any medications you need. Now it is time to load up so you may pull your trailer into the breezeway.

How Can I Share Information With My Primary Veterinarian?

We also understand that the care of your horse involves many people. If you have not been directly referred by a primary care veterinarian, please let us know if there is a veterinarian we need to provide information to regarding the treatment of your horse.