Gutteral pouch swelling

sitting_pretty

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Hi all,

Would love to hear some opinions on this or whether anyone else has had any similar experiences, we are really tearing our hair out looking to help this horse!

So, my 15h connemara who has suffered from Equine Metabolic Syndrome for a few years now (and is on a permanent course of metformin and pergolide to stabilise this), had a bout of laminitis from December to January this year, but made a recovery by mid January sort of time. And so from here we started to gradually turn him out into his small paddock of rough winter grass to which he seemed to take quite happily.

Then mid March, one morning he was unable to stretch his head down to the floor to eat his breakfast without a considerable struggle. After examining him we discovered that his glands on both sides, but mainly his right were very, very swollen (hadn't noticed this initially as it was covered by his huge mane!). He had no other symptoms, and no discharge from his nose at all. Called the vet and she suggested it was an infection and gave him a course of danilon and I had to inject him with penicillin twice a day for about a week - she advised that this would kill it off if it is an infection so it wouldn't return. The swelling did go down, but not completely back to normal, although he seemed quite happy and desperate to get out of his stable again so we started gradually turning him out again.

A few weeks later however it returned with a vengeance and was restricting his breathing at times, meaning that he was wheezing especially when trying to eat and breath at the same time. Still no fluids coming from his nose, or any coughing. So, vet took a nasal swab, blood test and performed a biopsy on the right hand side swelling.

Results from the blood test just told us that there was an inflammation (which we knew anyway), nasal swab told us that it definitely wasn't anything like strangles or similar strains, and the biopsy results told us that is was nothing serious such as a tumor. Great, but didn't tell us what it actually was!

Weeks passed and all the vet could suggest was to keep him in with all of his feed raised (hay is soaked), as it's possible that having his head down may just be causing his gutteral pouches to fill with air much like some horses regularly get with a grass allergy, or it could be hay fever. Medication wise, he stayed on danilon and also piriton in case it was something like hay fever causing it, as well as his normal course of metformin and piriton - if you shook him he would rattle! It worries me that all this medication is actually doing more harm that good, he's now just so full of chemicals. He has also been prescribed ventilin to help with his breathing.

All of this time he been stuck in his stable other than going out for half an hour ever few days for a roll and to stretch his legs just for his sanity. Unfortunately he will not stay in alone, and the one occasion where he was alone for only 5 minutes he neighed and lost his breath, panicked, couldn't breath, panicked more and I really thought he was having a serious sort of asthma attack and could drop dead. Luckily I brought my other horse back in just in time and by some miracle he managed to settle and recover himself. However, now I am terrified of leaving him alone which is really tough on my other horse who is a big sport horse who is getting thoroughly fed up of being stuck in his stable now!

So essentially, the vet has said that the swelling is in his gutteral pouches (left and right but also underneath) and is likely to just be filled with air, similar to how horses with general grass glands react. However, he's had a severe reaction to it and although they don't seem to actually pain him, the severe swelling means that he cannot breath properly and now even when he breaths at rest his is seriously wheezing. Even with ventilin, it just seems to be getting worse rather than better. I should note though, he's still very bright eyed and seems quite happy - desperate to be out in the field!

Apologies for the length of the post, I hope it's not too hard to follow! Has anyone had anything similar happen? The vets really haven't given us any idea on a prognosis, just that they've heard of one horse who took months for his swollen pouches to go down.

How long should I keep going for with just keeping him in waiting for them to go down?

Thanks so much for reading.
 
Oh wow I see what you mean - VERY simular to my boy and his issues at the moment (as you pointed out we are both in west sussex!).

Hermoso actually did have yellowy yuck snotty stuff in his feed bowl a week or so ago. Either from his mouth or nose I am not sure. He too looked uncomfy when he went out the other day when he wondered around and looked like he could not graze. But is fine with his haynet (hanging up).

He has always got grass glands though so often looks like a hampster! cheeks both filled with air and lumpy bits and glands swollen. Although not as bad past few weeks.......but could that be because he has been grazing less as he can't.

Very spooky I must say! where abouts are you?
 
I'm just off the Balcombe Road near Turners Hill, how about you?

Is Hermoso on any medication at all for his EMS? And do his grass glands just go down like normal over night?

Apologies for all of the questions!
 
I am in Charlwood! (work in Felbridge!) so we are VERY close. Well that is spooky.

He is not on medication no - he has not been diagnosed with EMS it is me having a panic about it.

When he was on schooling livery few years back the yard he was at gave him piriton but it did not do much and we had to give him so many it wasn't worth it! it does go down when he is back in stable though and the severity of his grass glands does depend on the weather it seems! worse when it is raining I would say (which I guess is when the fructose in the grass changes).
 
Very interesting!!

Ted's was diagnosed with EMS over 2 years ago now, and he's really been quite comfortable on it since, other than getting laminitis over winter. I half think that it's linked to the fact that he was off grass so long during the winter and then he's suddenly had a reaction to it once he was allowed back out again. But then i've also heard that there is a high level of pollen this year so maybe that's a link?!

Who knows... I just wish he could go out and enjoy his life again :(
 
Same here! my boy was off grass for so long as our fields were ruined by the bad weather so he lived in for ages.

Yes I heard that re: pollen too, as I have a bit of an allergy this year (I don't usually!).

I am lucky as Hermoso does like being in. He is happy going out BUT he is fussy, he likes it to be sunny and no flies then he is happy. Anything other than that he prefers being in LOL :rolleyes:

He had an operation a couple of years ago now at Liphook and had to not come out of box for few months. I remember thinking 'oh goodness how will he/I cope!' well......he couldn't care a less! his first walk in hand I remember people saying to me 'you must put him in a bridle, he will be very hyper' LOL, well no he wasn't, he walked out in hand like he had been out day before (in head collar I put him in LOL!).
 
Ah you're so lucky! I have been putting Ted in his paddock for half an hour most days so he can stretch his legs as I don't want to ride him when he can't breath properly, and every time I lead him out in a Dually control headcollar he still drags me up to the field trotting next to me!

I really think the grass has got a lot to answer for at the moment, and I have wondered about turning out with a muzzle but I know that Ted would HATE it and do anything possible to get it off/my other horse would take it off for him... But that still wouldn't protect him from the pollen if that is a factor.

Ahh total nightmare, I'm tearing my hair out!
 
Sorry to hear your having issues with your horses.

My mare a couple years ago had swellings in the same area as your ones. One day she was fine and the next day they were enormous. She had to be taken out the field and boxrested and the vet came. Once they did go down she got back out in the field and she wasnt out 12 hrs and it was back. After a month she developed some snot from one nostril. It turned out to be a allergy. she had to go and get allergy tested and have bloods etc done. Allergy test came back to say that she was allergic to most grasses, all outdoor pollen from barley, wheat, rye fields etc, some weeds, soya and things, some trees and i probably still have missed some. Bloods came back with liver enzymes raised.
We have battled on for a few years with it and have selected fields she could use which she seems fine with etc. Total nightmare too. The swelling never really subsided and she had snot every month from all allergies. She has been better since we changed from haylage to hay (was allergic to mould in haylage) and selected field turnout etc and special feed diet for liver etc.
A month ago we moved yards and she has been a different horse. within 24hrs her swellings had gone and we have had no snot etc since. She even rides like a different horse, much more like her old self.
Sorry if that has been of no help to you but thought I would let you know.
 
Ah you're so lucky! I have been putting Ted in his paddock for half an hour most days so he can stretch his legs as I don't want to ride him when he can't breath properly, and every time I lead him out in a Dually control headcollar he still drags me up to the field trotting next to me!

I really think the grass has got a lot to answer for at the moment, and I have wondered about turning out with a muzzle but I know that Ted would HATE it and do anything possible to get it off/my other horse would take it off for him... But that still wouldn't protect him from the pollen if that is a factor.

Ahh total nightmare, I'm tearing my hair out!

I bet it is very hard i feel for you, my boy is not that bad. I too am not a fan of muzzles either!

I hope he gets better soon :( so horrid when our babies are poorly.
 
May be barking up the wrong tree here, but having just had a horse with guttural pouch mycosis I hope you would forgive me for being slightly paranoid....! Has your vet scoped to see what's going on inside the pouches? With GPM a side effect can be paralysis to some of the facial nerves and cause difficulty swallowing, so I'm sure a long shot but i wonder if it could cause some breathing difficulty too? Just a pondering from a now paranoid owner lol...!
 
Very interesting to hear! He hasn't actually been scoped, mainly because of the trouble he has breathing - he's likely to panic again and may bring on another 'asthma/panic attack' so the vet has been wary. I'm not entirely sure of the vet's long term plans but I think she does want to scope him when his breathing has improved. Will suggest GPM as a possibility to her!
 
I too agree about getting him scoped cannot believe the vet has not done it, my gelding had a severe guttural pouch infection a few years back, his breathing was bad then he has nasal discharge his pouch was full of pus big hard lumps of it, this condition can be fatal if left sorry not trying to scare you but I would seriously consider a scope, he will be sedated so he wont panic.

Edited what has he given for his breathing he should be on some ventapulmin or something to open the airways my horse was on it for ages.
 
My horse was scoped in his gutteral pouches due to the link between infection and the nose bleeds that he was having. Nose bleeds were of no great significance but I can vaguely remember the vet being reluctant to scope as apparently from what I can remember him saying its very difficult to gain access to gutteral pouches, as it turned out they could only do the left side, they couldn't gain entry into the right one.

Never did find out why he kept getting nose bleeds!
 
The guttural pouches are difficult to get into but not impossible; my boy is having weekly scopes to flush with antifungals following his surgery and it is a faff but they do manage it each week (next week will be week 6 I think.....). Oh and whilst at horsepital had it everyday for almost two weeks so definitely do able!!
 
Is a sign of gutteral pouch mycosis lethargy and when in work wanting to stretch down (far too much) to the ground rubbing nose on ground? and blowing through nose a lot trying to clear something?

Myself and Sitting_Pretty are having simular issues with our horses - although my horse not as bad and not been diagnosed with anything as only just started.
 
When my horse had his gutteral pouch problems he used to want to rub his head on everything, stable walls and us mainly but he did have nasal discharge from one nostril, he also did blow to clear his nose more often I thought, it is not that difficult to get in the pouch my horse had to have the chondroids (hard lumps of pus) removed one by one with a grabber on the end of the scope he would go to the vet every week for about 3 weeks so they could take them out he had over 80 of them in his face.

The first scope I think the vet thought he had got in the pouch but didnt as when he was scoped again by a different vet 4 months later we found the problem,and he said they had been in there longer than 4 months so hence they were missed.

My horse breathing was not normal but was not terrible by no means but he was on ventapulmin and a very strong antibiotic after they were removed, he has had a virus that affected his airways since but has been fine apart from that.

spanish neddyI would ask for a scope by what you have said your horses symptoms are there is a good chance there is a problem in the pouch.
 
Called the vet out again yesterday as he was whistling when breathing, really not finding it easy to breath at all, and it was a different vet who came this time. I asked again about scoping and she said she would really need to take him to the surgery to do it due to the risk of him panicking and not being able to breath, even under sedation. Trouble is he hates travelling and won't go near a trailer/box let alone in one, so that would be far too stressful for him.

The only symptom he has is that his glands or gutteral pouches are so swollen that they are restricting his airways at his throat (lungs totally fine, gums the right colour etc). He does not have anything coming from his nose at all. Ventapulmin not helping him at all either.

Looks like pts is going to be the only fair thing for him at this rate, he cannot go on suffering like this much longer :(
 
Oh goodness that is awful :( I really feel for you :(

Sounds silly and I am prob clutching at straws now, but have you put a fly rug on him (the one that is coated in special repellant)?
I find as my boy is not good with grass, he actually is a bit susceptible to other things too. So putting this rug on helps him overall as repells stuff! so if your boy is not good with pollen / flies etc.....this may help him.

How old is he?
 
If mine i would turn out every day but for a limited time, so short enough for whatever it is that is bothering him to not have a chance to take hold. But if it is air could it mean he is gorging the grass and sucking in air. I would also do a chart and mark down different times of the day turn out and the effects on him and break it down that way to what is the best time for him and for how long.
 
He's no better in than out at the moment so have decided to turn him out for a few hours a day as he's miserable stuck indoors. He's pretty stable at the moment, although stable being struggling with breathing, and the plan is to call a vet from a different surgery tomorrow to go a second opinion. Here's a short clip in which you can hear how he's breathing, he's surprisingly bright in all other ways and kicking the door to get out to the field! http://www.youtube.com/watch?v=3eQLnEliOBQ
 
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