Pony with ongoing respiratory issues - what would you do next?

Patterdale

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Welsh section A. My daughter’s amazing first ridden pony, she is one of those unicorn that everyone wants. We’ve had her 4 years and she’s onto her second child with us, she’s amazing and we all love her very much. Just as an intro!

March 2020 she had a mystery respiratory virus. No vets would visit, although she was very ill, and it finally developed into pneumonia. The vet had visited after the first lockdown and advised ventipulmin, then when the pneumonia hit she had a double course of antibiotics which did seem to get rid of it. After this time, although she was back to her perky happy self, she was very lazy off the leg to ride. We put this down to her long break and being unfit.

Summer 2021 she showed quite bad symptoms in summer. High resps, coughing, red swollen eyes. We tried her on cetirizine and a fly mask and she improved so we assumed she’d developed a seasonal allergy.

Winter 2021/22 her breathing was sometimes fine, sometimes not. However she got to the point where she didn’t want to trot on hacks, and canter was out of the question. Got a different vet in feb 22 who found a grade 5 heart murmur and suggested very sensibly that this may be the cause of her performance and coughing issues. So off she went to horsepital where cardiac investigations found that she had a congenital VSD which was not affecting heart function and was completely safe. She’s having yearly echo’s now to check it doesn’t get any bigger. But they said it wouldn’t affect her performance.

I spoke to them about the resp issues (which were incidentally fine at this point) and they said a tracheal wash(?) might be indicated but that she couldn’t have it then as she’d been stood with her head up for too long. But that my own vet could do it. When I got back though my own vet said they dont do tracheal washes.

In between all of these episodes the pony is fine, she’s happy and runs and plays in the field, and likes her work but is becoming very, very dead to the leg. She can be following the other ponies in canter and she just trots along and stops as soon as she can.

My problem is that she is ok in all her obs. She’s on 10 cetirizine a day which helps and ventipulmin at bad times although she’s not had any since autumn. What will the vet actually do??

Our main problem is that she is a previously forward pony who is now very slow. I do not have access to specialist equine vets unless I get a referral to horsepital. But then where would they even start? If there’s something specific like the heart murmur then I’m happy to throw money at it, but I’m not keen on turning up with a blank cheque and asking why our pony is slow!

It’s just one of those very long running situations, it’s fine over 90% of the time and it’s just hard to see the wood for the trees at times. Any tips, moments of clarity welcome!

Her lifestyle is 24/7 turnout. It’s many months since she entered a building. She eats grass only and haylage in winter. She’s a very poor doer too which obviously isn’t normal for the breed. Work involves hacking and pony club with a 5 year old rider so obviously not strenuous or daily work.

Thanks in advance for any pointers.
 

ihatework

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A trach wash will help distinguish between allergy, inflammation, infection etc so will help to target what the right medications to give are. The only thing it might indicate is a course of steroids, which can help significantly, but could be a little risky in an older pony (any lami risk etc). I’d probably also run an acth test first
 

Patterdale

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Thanks. She’s 11, never had lami and is on the lean side so hopefully not high risk for steroids.
I think I need to learn a bit more about the tracheal wash. I’ve never really come up against proper resp issues before so it’s not one I know much about!
 

maya2008

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No idea if this might help, but one of mine used to have random respiratory issues in the winter, along with seasonal pollen allergy. She has been completely symptom free for years on Global Herbs Airways Plus liquid.
 

Hackback

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Being unenthusiastic was one of the very early symptoms of cushings that mine had. No-one suspected it as he was only 9 at the time. Just one more thing that it might be worth ruling out!
 

palo1

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Thanks. She’s 11, never had lami and is on the lean side so hopefully not high risk for steroids.
I think I need to learn a bit more about the tracheal wash. I’ve never really come up against proper resp issues before so it’s not one I know much about!

I think the quickest and probably most economically efficient approach would be to get a vet to scope and perform a tracheal wash/BAL (Broncho- Alveolal lavage) so that you can get a more definite idea of what the problem is.

Respiratory supplements can be as expensive or more expensive than veterinary treatment and could potentially make something worse or allow a problem to linger on. Infection, allergy and physical issues all need very different approaches and whilst some people find using for eg ceterizine helpful it's not really clear why that might work as a horse's histamine response doesn't really work in the same way as a humans. Some herbs and other things can make a horse more sensitive and if your pony has a loss of performance then something isn't quite right. It is pretty straightforward and not very expensive to get a scope and other things done and then you will know what you are dealing with.
 

MiJodsR2BlinkinTite

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Are you able to get another vet to give an opinion?? Seems to me you've obviously spent a fair bit on vets and yet have no firm diagnosis.

Mine has been coughing and "heaving" off-and-on since last Xmas, and I had her scoped. Diagnosed with Equine Asthma.

Think in this scenario the thing you are lacking is a diagnosis and for this reason I'd suggest either (or both) getting another set of eyes to look at the problem AND scoping to see exactly what is going on.

When you've got a better idea of what is happening inside the respiratory area then you can look at possible treatments. Personally although my vet did suggest Steroids to help with breathing I declined on the basis that there WAS a slight risk of inducing laminitis and I'm not happy to go there having had a laminitic in the past. So am working on her weight right now as vet has said she can commence a fittening regime - and the cough actually isn't as bad now as it has been (touch wood). We are taking the advice of an Endurance friend and are doing an hour's worth of good active walking per day (riding early in the heat!). When she's ready we will be introducing faster work and hopefully some work on the gallops which apparently is necessary to clear her (friend has dealt with asthma with one of hers and this was vets advice at the time). They HAVE to move.

Something that another friend has mentioned (has same vet practice as me AND hers has had breathing issues plus vet-prescribed meds - which didn't help) was Salt Therapy. I'm thinking about it. She swears by it. So just throwing this in the mix. But personally I needed a firm diagnosis BEFORE I commenced any alternative therapy and/or supplements. You need to know what you are dealing with, end of.

Wishing you luck. Breathing issues are the very devil to find out what's going on.
 

GoldenWillow

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It's quite common for a horse develop Equine asthma (COPD) after a respiratory infection. Like others have suggested I would go for a trach wash or a BAL if at all possible, it's a cheap and simple procedure. My pony's main symptom that something was wrong was a lack of performance and not that bad that someone who didn't know him would necessarily pick up on. He just wasn't particularly forward going and couldn't cope with much fast work, it was like riding with the handbrake on or running out of petrol, he very occasionally had the odd cough.

He had two clear scopes and trach washes but a BAL showed allergies, he is now kept dust free and is fine on no meds or supplements apart from the worst of the pollen season when he has nebulised steroids. Both the scope/trach wash and BAL were done at home by my vets.
 
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