EIPH - Your experiences and/or advice? - The Horse Forum
 
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post #1 of 5 Old 05-30-2013, 10:38 PM Thread Starter
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EIPH - Your experiences and/or advice?

Just curious to see how many of you HFers have had to deal with EIPH (exercise induced pulomonary hemorrhage) with their horses. Studies have shown that nearly 100% of horses on an hard work schedule experience at EIPH at least once in their life, but most are asymptomatic and less than 1 in 20 show blood at the nostrils.

I've owned my current mare (5 y/o Thoroughbred, just off the track in February and started retraining mid-late April) since early April and she's been back in work since about mid-April. She had a particularly good work today but when I got off I noticed that she definitely had some blood trickling out of her left nostril. I cleaned it up and found no scrape or any irritants in her nostril, so I think it was definitely some EIPH. I'm going to work her pretty hard the next couple of days and see if it happens again; if it does I'm going to call the vet out to scope her so we can get a better look at what's going on and make a treatment plan for her. The normal medication they recommend is not FEI-legal (not an issue presently, since she is not competing at the FEI level) and can only be administered 24 hrs + before a USEF sanctioned event. Anyway, I'm just curious if any of you have experience with dealing with EIPH. Did you have a horse that only visibly had blood in the nostrils once or twice then never again? Was it something you had to deal with on a more regular basis? What did you do to treat it? What preventative steps did you take? Did you still compete the horse and put it through continued rigorous work?

Some sources I've found say that most horses display a decrease in performance during and after an episode that shows blood in the nostrils, but I definitely didn't notice a decrease in performance at all while I was riding, if anything near the end of my ride she was even better, so I'm going to have to see how she is tomorrow.

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post #2 of 5 Old 05-30-2013, 11:55 PM
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If the blood showed up immediately after exercise, it is most likely from the nostril and not the lungs. I scope horses post race at a track and it takes 30-45 minutes for a good trail to show up in the trachea, to make it all the way out the nose usually takes even longer. Not that there aren't exceptions, but almost always horses that show blood in the nose immediately after racing show that it is from the nostrils and not the lungs.
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post #3 of 5 Old 05-30-2013, 11:59 PM Thread Starter
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After cleaning up the blood I didn't notice any immediately obvious irritation in her nostrils that I could see, but obviously their nasal passage are pretty long.

I just talked with a friend of mine who grooms upper level event horses because I know she's dealt with it before so she had some good advice for me. I'm definitely still going to call the vet up and discuss with him what's going on and go from there. I know that there could be other things going on that caused it as well. We had a ton of rain over the weekend and our mold counts went through the roof, so I almost wonder if she's been dealing with allergies and has irritation from that, etc.

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post #4 of 5 Old 05-31-2013, 12:01 AM
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Quote:
Originally Posted by drkate View Post
If the blood showed up immediately after exercise, it is most likely from the nostril and not the lungs. I scope horses post race at a track and it takes 30-45 minutes for a good trail to show up in the trachea, to make it all the way out the nose usually takes even longer. Not that there aren't exceptions, but almost always horses that show blood in the nose immediately after racing show that it is from the nostrils and not the lungs.
It's interesting that you say this, because my experience is seeng horses bleed during or immediately after a race upon reentering the birdcage, and the stypes in there will immediately take note and order a scope be performed on the horse and if the horse has more than three bleeds during a race they are not to race anymore according to the jockey club rules (New Zealand). I've never seen a horse bleed so late after exertion.
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post #5 of 5 Old 05-31-2013, 10:24 AM
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Yes my horse has bled from the nose. It was 90 degrees out, and me and my friend were showing back to back classes together. After the first 4 or so, he began bleeding. We panicked, threw off his tack and ran him to the hose, then contacted an experienced horse person to see if we needed to do anything else. It was scary, but she said we did the right thing
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