Dr. Nicole Rambo and Sarah explore bladder stones (uroliths) in horses, an uncommon condition usually made of calcium carbonate that forms around debris in the urinary tract. Signs can be subtle at first (mild colic, attitude or performance changes) but may progress to blood in the urine and painful or frequent urination, with geldings affected more severely than mares. Risk factors include high-alfalfa diets, dehydration, poor bladder emptying, and prior infections, especially in older horses. Management focuses on lowering dietary calcium and improving hydration, while popular remedies like apple cider vinegar currently lack supporting evidence.

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