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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

An Ode to the Lowly Epsom Salt (And Why It’s My Number One 'Home Remedy')

July 01, 2010 / (17) comments


Thank God for Wikipedia. Without it I might have searched longer for this definition:

"Magnesium sulfate (or magnesium sulphate) is a chemical compound containing magnesium, sulfur and oxygen, with the formula MgSO4...

...In its hydrated form, the pH is 6.0 (5.5 to 6.5). It is often encountered as the heptahydrate, MgSO4·7H2O, commonly called Epsom salt."

In case the title didn’t give it away, I adore the humble Epsom salt for its use in all kinds of superficial inflammatory issues. It is the ultimate do-no-harm remedy for many simple wounds and swellings. In fact, it’s so effective I’ll often use it as an adjunct to, or even in lieu of, medications given to counter side-effect prone therapies (antibiotics, for example).

Here’s my favorite veterinary application:

1. Dissolve 1 cup of Epsom salt in a couple quarts of comfortably hot water.
2. Add solution to footbath.
3. Take off shoes.
4. Soak feet until water cools.

For the record, this works on non-veterinarian feet, too. When you stand your dog in a tub filled with a similar solution after a long day of running around you may not see her go, "Ahhhhhh" like I do, but I can promise you she’ll feel better within five minutes (sporting dog owners take note).

For more medical applications, I tend to apply Epsom salt in soaks like the one described above, in either a tub or small basin (size dependent on the target area), or as a "hot pack," for which I’ll make a poultice by soaking a clean washcloth or sturdy paper towels in the solution for direct application to the affected area — as for head wounds or other areas not amenable to soaking. Five to ten minutes, two or three times a day is what I tend to recommend, depending on the lesion.

Note: All wounds that fully penetrate the skin should be evaluated by a veterinarian since many are much more serious than they seem. Similarly, many swellings are more than what they appear to be on the surface. Be sure to judiciously apply this or any other "home remedy" with this in mind.

How does Epsom salt work? Not sure, though studies show that magnesium sulfate can be  absorbed through the skin while bathing. As such, it serves to dehydrate the infected tissue and draw the nasties out without macerating it (that "pruning" effect we all know so well).

And there’s more … so much more than I ever knew. According to Wikipedia, its human medical uses are many:

"Indications for its internal use are

  • Replacement therapy for hypomagnesemia
  • Magnesium sulfate is the first-line antiarrhythmic agent for torsades de pointes in cardiac arrest under the 2005 ECC guidelines and for managing quinidine-induced arrhythmias
  • As a bronchodilator after beta-agonist and anticholinergic agents have been tried, e.g. in severe exacerbations of asthma. Recent studies have revealed that magnesium sulfate can be nebulized to reduce the symptoms of acute asthma. It is commonly administered via the intravenous route for the management of severe asthma attacks
  • A 2004 research study showed that both magnesium and sulfate are absorbed through the skin when bathing in 1% w/v solution
  • Magnesium sulfate can be used to treat eclampsia in pregnant women
  • Magnesium sulfate can also delay labor in the case of premature labor, to delay preterm birth
  • Intravenous magnesium sulfate may be able to prevent cerebral palsy in preterm babies
  • Solutions of sulfate salts such as Epsom salt may be given as first aid for barium chloride poisoning

Indications for topical use are

  • Magnesium sulfate paste has been used as an agent for dehydrating (drawing) boils, carbuncles, and abscesses
  • Magnesium sulfate solution has also been shown to be an effective aid in the fight against blemishes and acne when applied directly to problematic areas, usually in poultice form. If combined with water and made into a cream, it can be applied to the face to remove blackheads
  • Magnesium sulfate, when used through soaking, can soothe muscle pains and help improve rough patches in the skin
  • Soaking in a warm bath containing Epsom salt (magnesium sulfate) can be beneficial to soothe, relax,and relieve herpes outbreak symptoms, such as itching and lesions relating to genital herpes and shingles"

Who knew?

OK, your turn: What do you use Epsom salts for?

 

Dr. Patty Khuly

 

 

Pic of the Day: "Dog in Bath" by Johnny Jet

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COMMENTS (17)
1
by wickets on 07/01/2010 06:54am

no natural black hole remedy here? haha E S is one of those strange household items.....you never have it when you need it, and never use it when you do

2
by Kika on 07/01/2010 07:24am

Mornin. Do you think this might be a good solution for a dog with many allergies who likes to chew her feet? I suppose it couldn't hurt anything to try! :)

3
ES
by Elizabeth and The Lab Crew on 07/01/2010 08:21am

For sore torn muscles add a cup and a half to bath water that is hot as you can get in and soak until the water is cool.. It works.

4
Feet chewing
by Dr. Patty Khuly on 07/01/2010 08:28am

For foot chewers I like to use daily medicated shampooing. I like using selenium sulfide- (Selsun Blue) or chlorhexidine-based shampoos unless the situation is out of control, at which point I'll use a ketoconazole- or miconazole-based version daily for a week or more.

Epsom salts will certainly help. Soaking to relieve the swelling before bathing would be a very good thing to try if the paws are especially inflamed.

5
by Galadriel on 07/01/2010 09:11am

When I had a very stressed horse waiting several weeks for a non-emergency surgery, my vet suggested giving her Epsom salts; said sometimes anxiety in horses is a magnesium deficiency, sometimes giving magnesium to stressed horses helps, and Epsom salts are the cheapest form of magnesium. (It's a laxative, so this takes careful balancing, shouldn't be done for long periods at a time, use only on advice of your vet, etc etc).

We use it for soaking hoof abscesses.

I throw a handful in my electrolyte mix along with lite salt (potassium) and table salt (sodium). Again, laxative, etc etc.

6
E S
by treefinder on 07/01/2010 10:02am

Thanks for the idea about Selsen Blue. Emma is a foot chewer and some (Dan) think it is a "habit." Since Emma is not a nut case, I have thought it was probably allergy, but was unwilling to use some of the more harsh medications.

Dandruff shampoo is worth a try...and I have a bottle of that brand! Thanks. Carolyn

7
Practice Management
by foxridgeah on 07/01/2010 12:02pm

Dear Dr. Khuly, VMD, MBA,
I read with interest your articles every month in Veterinary Practice News. Most of the time, you convey my sentiments exactly.
In your July 2010 article you are right on. As a practice owner for 49 years, I believe an associate has all the same privileges as the owner- except the worry. I know that if I were a new graduate that I would only want to be a respected associate not an owner.
I'm a solo practitioner now; but I always treated all my associates with respect.
Another problem I have been thinking about is the increasing expenses of a veterinary medicine education today.
I graduated from Auburn in 1961 and I believe my tuition was $66.00 a quarter. But, these are different times. Now it is much more expensive. Why don’t 5 or 6 veterinarians mentor a student from their respective schools? We could each give $250.00 - $300.00 a month to a student. If a class had 100 students this would be 500 veterinarians giving to their respective school's students. This would be giving back to the profession. What do you think?
Do you have a public e-mail address?

8
by hamishdad on 07/01/2010 12:20pm

My dog recently had a splinter in his paw that I suspect came from a sharp dry pine needle. It caused his toe to swell to twice the normal size and was so painful, he refused to put any weight on it.

The vet prescribed a pain killer and antibiotic for it, but soaking it in epsom salt several times a day for a few days drew out the puss and eventually the splinter.

9
by ferretgrrl on 07/01/2010 12:23pm

I've bathed in it when covered in mosquito bites, it helped.

10
Selsun Blue
by EAB on 07/01/2010 02:32pm

Selenium sulfide is also available in Head and Shoulders Intensive Treatment shampoo, at about half the price.

11
by susanbt on 07/01/2010 04:05pm

A blast from my past. My parents always had it in the house and it was a cure for many ills.

When my Boston Terrier recently had an infected toe (lousy pebbled dog park surface), the vet prescribed twice daily soaks with Epsom Salts and chlorhexidine soap. My dog being the drama king that he is, he acted like he was being tortured, though I knew for a fact that he was not being caused any pain. Oh, the reproachful glares! Still, his foot healed up good as new. I think next time I will try the poultice route.

12
hyperkeratosis?
by babysweet on 07/01/2010 05:32pm

Dr. Khuly, foot baths have been recommended for our middle girl, an ACD with a bit of aussie in her.

She suffers (well, actually, it only bothers ME) from hyperkeratosis. She doesn't get feathering on her foot pads, but rather on the pad that is furthest up the foreleg.

The feathering is about 6mm long at this point. I can remove it with sharp scissors, but I'm really afraid of cutting her. At the moment she allows us to do whatever we want to her, and we don't want to do anything that will make her uncomfortable with having her pads handled - they need to be handled frequently.

It was suggested to soak her feet either in a tub full of water, or having her step into a foot soak.

Would you suggest epsom salts for her foot soak, or would another product work better? So far we haven't tried the soak, but I do apply Bag Balm to the pads as often as I can. The problem is that the feathering makes those pads into little brillo pads that she then proceeds to scratch you all over with.

Any suggestions?

13
Epsom Salts
by Gambler on 07/02/2010 12:33am

My tip is not for use on animals or humans but to use in the garden. I heard on a gardening show a few years back to put Epsom Salts in the hole when planting your tomato's. I put in about a hand full for each plant.
Another tip which is also for plants is use it as a tonic for African Violets. Mix 2 tbsp Epsom Salts to 1 Gallon of water. If you prefer metric its about 4 Liters of water.

14
To FoxridgeAH
by Dr. Patty Khuly on 07/02/2010 12:41pm

You can always send me an email at drkhuly@petmd.com. Sorry for not making that more transparent. In fact, I think I'll tell the people over at VPN to include my email address at the end of my columns.

15
Johnson's foot soap?
by BarbaraA on 07/03/2010 11:52am

Has anyone used Johnson's foot soap, as epsom salts can be very drying?

16
Interdigital Cysts
by FrogDogZ on 07/07/2010 10:11am

Epsom Salt has always been the 'go to'cure for interdigital cysts among bulldoggers.

Fill a tub or pan with water, stand dog inside for five or ten minutes, repeat two or three times per day. Works like a charm.

I've also heard of it being used for hotspots, applied as a poultice.

17
Horse not popping enough
by jkelly on 07/08/2010 03:17pm

I have a horse that does not poop but once to all the other horses 4-5 times when I put them up at night. Should I give her Epsom Salt in her feed as a laxative and see if this "moves" her more? She has been on some antibiotics for a hurt leg, could the medicine cause her to stop up?

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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