Respiratory problems - need advice/reassurance

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Hi

This could be long but please bear with me.

Back at the beginning of March, my horse started coughing a little. It wasn't terribly bad, and he seemed ok other than that, so I scaled back his work and hoped it would just clear up. A few other horses were also coughing on the yard, so thought it was just one of those things.

2 weeks later, his breathing got really bad. He would breathe in deeply, and then struggle to exhale. His whole body would move with the effort of it.

I got the vet out, and he prescribed norodine and ventipulmin, which we gave him for 5 days with good improvement. After 2 days he scoped him, just to be sure that we were looking at some kind of bacterial/viral infection, and there was a lot of thick mucus, pointing to this being the correct diagnosis.

After 5 days he was definately better than he had been, but not as improved as we had hoped, so scoped again and took a sample for the lab.

it came back as showing nothing to culture, so the norodine had done it's job and there was no more bacterial infection. The vet also reported that his lungs looked a lot clearer. He stopped coughing. So we stopped the norodine but kept him on the ventipulmin.

After another 5 days he was no better, if anything seemed a little worse, so we put him on high dose steroids. Also put him on antihistamines incase there was some kind of COPD response going on.

After another 10 days there was marginal improvement, but still not normal by a long way, so we increased the steroid dose (prednisolone)

This seemed to work, so started to reduce the steroids and I brough him back into very light hacking. He was buzzing in himself (had been eventing fit before all this) and seemed so happy to be back in work.

He still wasn't breathing 100% normally though, and I had the vet out again, who said that this might be as good as it gets, to carry on letting him be my guide with the workload, and he did a blood test, which came back normal.

That was last Tuesday. He has been working well and seems so well in himself - perhaps too well sometimes!

Today I lunged him for the first time. He was a complete loon, flinging himself round in canter and having a good ping up and down. He is obviously feeling well in himself, but when he stopped his breathing was so bad. Back to exhaling so hard his body was moving.

Now I accept that respiratory issues take a while to get over, and perhaps he just did too much this morning, but I am so disheartened and am worried that he will never be more than a hacking horse now. He loves his job, loves xc and jumping, and I am so sad that this has happened.

Am I just expecting too much too soon? Has anyone any words of advice or similar experiences?
 
My guess is you had a viral/bacterial respiratory infection but that he has become a little hyper sensitised in his airway as a result - given we are in full on pollen/rape season this might just be catching him out a little.

I'd be inclined to chat to your vet about keeping him on antihistamines and ventapulmin for a while longer.
 
Exactly this happened to my boy. I have just learnt to accept that he will never be the horse he was and although he loves jumping and galloping I am happy just hacking him out when I feel like it.

He is out 24/7 in summer, in the winter he is in a stable with shavings, soaked hay and on breathing supplements, this seems to tie him over until he goes back out 24/7 where which he has no symptoms at all. If you can the best thing is to keep him out 24/7.

When horses lungs are damaged, they cannot be repaired. Once that elasticity is lost, it's gone, all you can do is make it easier for him.

My horse was diagnosed 7 years ago (as a 6 yo). He has had 2 big attacks in this time (heaves) but he is still with us today and likes to hack around.
 
My guess is you had a viral/bacterial respiratory infection but that he has become a little hyper sensitised in his airway as a result - given we are in full on pollen/rape season this might just be catching him out a little.

I'd be inclined to chat to your vet about keeping him on antihistamines and ventapulmin for a while longer.

Thank you for replying. He is going to remain on the venti and antihistamines until he is fully off the steroids.
 
Exactly this happened to my boy. I have just learnt to accept that he will never be the horse he was and although he loves jumping and galloping I am happy just hacking him out when I feel like it.

He is out 24/7 in summer, in the winter he is in a stable with shavings, soaked hay and on breathing supplements, this seems to tie him over until he goes back out 24/7 where which he has no symptoms at all. If you can the best thing is to keep him out 24/7.

When horses lungs are damaged, they cannot be repaired. Once that elasticity is lost, it's gone, all you can do is make it easier for him.

My horse was diagnosed 7 years ago (as a 6 yo). He has had 2 big attacks in this time (heaves) but he is still with us today and likes to hack around.

My lad is only 8. I just don't know what to do. I guess I have to wait and see to a certain extent, but at what point do I know it's not going to get better, and possibly think about moving him from my lovely yard with all the facilites to somewhere he can be a happy hacker. But also, I don't want to just hack a few times a week. I want to compete and jump.
 
It's common in ex-racers, mine came from a racing background. Did yours ?

It's not the end of the world and if managed properly they can still go and do what they always have done. Just avoid dust at all costs, and avoid things like riding in freshly cut fields, riding in hot dusty weather etc.

I have been through it, but although he doesn't do what he used to, I am still happy just accepting he is a happy hack, and I think he secretly is too!
 
My guess is you had a viral/bacterial respiratory infection but that he has become a little hyper sensitised in his airway as a result - given we are in full on pollen/rape season this might just be catching him out a little.

I'd be inclined to chat to your vet about keeping him on antihistamines and ventapulmin for a while longer.

Also - bute/ Danilon is an anti-inflammatory so maybe ask your vet about a course of that too, to bring down any remaining inflammation? I have been told by a vet to treat inflammation in lungs after a respiratory infection/ virus in this way. It did work. Took the horse a while to get completely back to normal, but it did help. Hope you get sorted soon OP.
 
It's common in ex-racers, mine came from a racing background. Did yours ?

It's not the end of the world and if managed properly they can still go and do what they always have done. Just avoid dust at all costs, and avoid things like riding in freshly cut fields, riding in hot dusty weather etc.

I have been through it, but although he doesn't do what he used to, I am still happy just accepting he is a happy hack, and I think he secretly is too!

Thank you! No ironically, mine is a gypsy cob! I am just mostly worried that he will never get back to any level of normality that will allow him to even jump again. Seeing how bad he was this morning was a real wake up call .

Maybe I just need to wait longer? Just no way to know if this is as good as he will get.
 
Also - bute/ Danilon is an anti-inflammatory so maybe ask your vet about a course of that too, to bring down any remaining inflammation? I have been told by a vet to treat inflammation in lungs after a respiratory infection/ virus in this way. It did work. Took the horse a while to get completely back to normal, but it did help. Hope you get sorted soon OP.

Thank you that is good advice - I am talking to my vet later so will suggest it.
 
When my boy had a bad bout of heaves (the first when he was 6) I didn't ride him for 6 months I just left him out in the field and groomed him etc. even when I got back on I didn't want to girth him so rode bareback for months ! Now I look back and think that was a bit OTT but these things do take time. Please try and put him out as much as possible, the key is fresh air.
 
It is still early days yet. I would follow the advice of asking vet for bute as well as ventipulmin. Keep him out 24/7

I too got caught out with a cough like this many years ago and my horse never got back to his former self. It's why I now call the vet ASAP for a cough even if the other horses on the yard seem to have got over it

Last time it was a dam good job I did too as all others seemed to recover fine, and on the surface my lad seemed no worse than they were
However when scoped he had start if nasty infection which took 3 lots if abs 3x ventipulmin and steroids to clear up

Luckily I had caught it within a few days and he recovered fine

My vet had me keep working him as much as he could manage as the exercise helped clear the lungs. It really did make a difference even though it seemed cruel at the time
 
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It is still early days yet. I would follow the advice of asking vet for bute as well as ventipulmin. Keep him out 24/7

I too got caught out with a cough like this many years ago and my horse never got back to his former self. It's why I now call the vet ASAP for a cough even if the other horses on the yard seem to have got over it

Last time it was a dam good job I did too as all others seemed to recover fine, and on the surface my lad seemed no worse than they were
However when scoped he had start if nasty infection which took 3 lots if abs 3x ventipulmin and steroids to clear up

Luckily I had caught it within a few days and he recovered fine

Edited to say my vet had me keep working him as much as he could manage as the exercise helps clear the lungs it really did help too
 
Ours had resp virus last october, took them months to get breathing back to normal. Ended up turning away until march this year (had on equiform honey/garlic, still are) then brought back into work and are fine. As much as you may want to do things, if you rush it when he isn't over it you aren't doing him any favours. Try to turn out if you can, minimise the amount of resp challenges, like dust, he is exposed to so it has a chance to settle.
 
Ours had resp virus last october, took them months to get breathing back to normal. Ended up turning away until march this year (had on equiform honey/garlic, still are) then brought back into work and are fine. As much as you may want to do things, if you rush it when he isn't over it you aren't doing him any favours. Try to turn out if you can, minimise the amount of resp challenges, like dust, he is exposed to so it has a chance to settle.

Thank you for this advice. I also have him on local honey.

It's the uncertainty that is getting to me more than anything. I pay an awful lot for my livery as have all the facilities we could wish for, and just don't know where to draw the line and turn away somewhere on grass livery or something.

He'll be out 24/7 soon, but he needs to be off all the steroids before we can do that.
 
I know it's frustrating, mine had a competition two weeks after they got it, wrote that off. Hoped would be okay for fun ride month after that, nope. Just haveto let it run its course & support them whilst it does. Sods law it happens as better weather about to start, horses have impeccable timing.
 
Don't give up- this time last year my boy had terrible breathing problems and severe heaving ….. BUT he was taken off all exercise whilst he was on the medications- Norodine, Ventipulmin and Prednisolone (high dose). the norodine was stopped after a couple of weeks and the ventipulmin/steroids continued for a few months with a gradual reduction in the steroid dose every 2 weeks and then introducing inhalers (one a dilator and one a steroid)
He is now just on 4 puffs of the steroid inhaler once a day and his breathing is totally 100% with no coughing.

My vet said it was important not to work him at all whilst he was recovering as the extra resp rate puts stress on already inflamed lungs and prolongs healing….. and for 1/2 of this time he has had to be on full box rest due to a separate injury (not ideal with reps problems but even so he has recovered well with this regime) My vet was quite strict about the no exercise policy- he wasn't even allowed on the horse walker.

JUST TO NOTE- you really MUST NOT use Danilon/Bute at the same time as steroids (prednisolone etc) - this is a big no no.

Good luck- don't give up yet
 
Don't give up- this time last year my boy had terrible breathing problems and severe heaving ….. BUT he was taken off all exercise whilst he was on the medications- Norodine, Ventipulmin and Prednisolone (high dose). the norodine was stopped after a couple of weeks and the ventipulmin/steroids continued for a few months with a gradual reduction in the steroid dose every 2 weeks and then introducing inhalers (one a dilator and one a steroid)
He is now just on 4 puffs of the steroid inhaler once a day and his breathing is totally 100% with no coughing.

My vet said it was important not to work him at all whilst he was recovering as the extra resp rate puts stress on already inflamed lungs and prolongs healing….. and for 1/2 of this time he has had to be on full box rest due to a separate injury (not ideal with reps problems but even so he has recovered well with this regime) My vet was quite strict about the no exercise policy- he wasn't even allowed on the horse walker.

JUST TO NOTE- you really MUST NOT use Danilon/Bute at the same time as steroids (prednisolone etc) - this is a big no no.

Good luck- don't give up yet

Thank you so much for your reply.

That's interesting re not working him - that does point to the fact that he overdid it himself this morning (why oh why did he have to hoon round like that?!) and I need to take it even slower than I thought.

I didn't know that re the bute so thank you for that.

Inhalers were discussed at one point during trying to decide on treatment, so I will see if the vet thinks that might be worth trying now.
 
Thank you so much for your reply.

That's interesting re not working him - that does point to the fact that he overdid it himself this morning (why oh why did he have to hoon round like that?!) and I need to take it even slower than I thought.

I didn't know that re the bute so thank you for that.

Inhalers were discussed at one point during trying to decide on treatment, so I will see if the vet thinks that might be worth trying now.

No worries….. I have to say it did take several months and I had to be very patient but its been worth it….. He is going to stay on the steroid inhaler now for the rest of his life and if he is going to exercise hard then he has the dilator inhaler about and hour before the exercise just to open up his airways but thats only on an as needed basis.

The idea is that the steroids get rid of all the inflammation and then the inhalers take over once the worst is over and then maintain the situation- in bad cases inhalers on their own are not strong enough so it does need the steroids with ventipulmin at reducing doses to get everything stable first then add in the inhalers and eventually stop the oral meds- if that makes sense.

Just a point- if you do go down the inhaler route…. the horse spacers (the equipment you use to give the inhaler) are REALLY expensive and hard to use. My boy has nostrils that are not massive so i bought a paediatric spacer from the chemist (about £8) and it works perfectly (much easier to use)
Clean it well with washing up liquid at least once per week or the inhaler drugs stick to the dirt inside the spacer instead of going down into the lungs.
xx
 
No worries….. I have to say it did take several months and I had to be very patient but its been worth it….. He is going to stay on the steroid inhaler now for the rest of his life and if he is going to exercise hard then he has the dilator inhaler about and hour before the exercise just to open up his airways but thats only on an as needed basis.

The idea is that the steroids get rid of all the inflammation and then the inhalers take over once the worst is over and then maintain the situation- in bad cases inhalers on their own are not strong enough so it does need the steroids with ventipulmin at reducing doses to get everything stable first then add in the inhalers and eventually stop the oral meds- if that makes sense.

Just a point- if you do go down the inhaler route…. the horse spacers (the equipment you use to give the inhaler) are REALLY expensive and hard to use. My boy has nostrils that are not massive so i bought a paediatric spacer from the chemist (about £8) and it works perfectly (much easier to use)
Clean it well with washing up liquid at least once per week or the inhaler drugs stick to the dirt inside the spacer instead of going down into the lungs.
xx

That all makes perfect sense. I am asthmatic and that is also how I manage my condition. I guess it is preferable that he now has an issue like that to it being some kind of actual lung damage that won't heal.

I just have this terrible guilt. Like there must have been something I missed, or I should have got the vet sooner.
 
If your horse is stabled at all (even just for grooming) it is important that the stable and surrounding stables are made completely dust free. Remove all dust/cobwebs etc. from the stable i.e walls, ceiling rafters etc and make his stable as dust free as possible. Then routinely once a week clear dust again. Best way to remove is with a industrial vacuum cleaner such as a Henry but ensure that you have spare sacks/bags as these will fill, up quickly with dust.
The micro-dust generated by bedding, hay cobwebs etc. is of very low density and because of this remains suspended in the air. A horse that has had a cough will show increased irritability to air-borne dust. In addition because the dust particles are so small the horses body is unable to defend itself from it and the dust can pass down the respiratory tract eventually ending up at the interface of the lungs and blood supply causing the horse to be unable to transfer gases between the lung and blood. Thus reducing the horses performance.
 
If your horse is stabled at all (even just for grooming) it is important that the stable and surrounding stables are made completely dust free. Remove all dust/cobwebs etc. from the stable i.e walls, ceiling rafters etc and make his stable as dust free as possible. Then routinely once a week clear dust again. Best way to remove is with a industrial vacuum cleaner such as a Henry but ensure that you have spare sacks/bags as these will fill, up quickly with dust.
The micro-dust generated by bedding, hay cobwebs etc. is of very low density and because of this remains suspended in the air. A horse that has had a cough will show increased irritability to air-borne dust. In addition because the dust particles are so small the horses body is unable to defend itself from it and the dust can pass down the respiratory tract eventually ending up at the interface of the lungs and blood supply causing the horse to be unable to transfer gases between the lung and blood. Thus reducing the horses performance.

Thank you - that's a really detailed reply and I appreciate it.

This is something we haven't done. We are soaking his hay, but haven't dusted his bedroom....
 
Thats good advice- I should say as well as all the meds I also put an extra window at the back of his stable that is open 24/7 so the air can circulate, I hoover out his stable on a regular basis, he has horsehage (no hay at all) and has a padded rubber floor with a 1/2 bed of Aubiose……

Oh and don't deep litter- the ammonia in the urine can cause respiratory problems also

The hoovering his stable has been a revaluation- i am now obsessed with hoovering all the stables lol
I bought a ind hoover quite cheaply on amazon (less than £100) - its worth its weight in gold!
 
I just have this terrible guilt. Like there must have been something I missed, or I should have got the vet sooner.

Don't feel guilty- it took ages for me to sort my boy out - my first Vet really didn't get on top of the problem- just gave him ventipulmin (another big no no) and of course I just went along with it- he got worse not better until I got referred to a vet who specialises in respiratory problems.

You are doing the best you can and seeking help- thats what counts….. xx
 
Just thought I'd update in case anyone is interested!
I have the vet coming next Tuesday to assess him during and after exercise. Hopefully this will give me more of an idea about if what I am seeing is something that he will recover from, or if I need to have a rethink about his future capability.
 
Maybe ask the vet about having an endoscope- they will then be able to see the extent of any problem and take samples for the lab which will give a lot more important information than just looking at him ever could….. I don't regret having mine scoped for a second- it gave such important info and told us the problem was far worse than we had thought….. and then he was rescoped and it told us things were improving etc

Worth a thought- its just done under sedation
 
Hi. Yes I've had him scoped twice and a trach wash taken. Both were clear so we know there is no lingering infection.

Annoyingly the insurance money is fast running out...
 
Did they find any inflammatory markers ??
My boy had no signs of any infection but his inflamm markers were off the scale….. hence the steroids and then inhalers

Gosh I do hope you get it sorted….. keep us posted and as i said its still early days so don't give up yet…… whilst he is still insured might be worth asking for a referral to a respiratory specialist ?? They would get to the root of the problem much quicker ??
 
Hi! I don't know re inflammatory markers - I will ask the vet. He's coming tomorrow to assess him during and after work.
Still not really sleeping. Having weird feverish dreams about it all.

I'm also moving him on Friday from my current yard, which I love, to a yard where he can be out 24/7. I'm sad to be leaving but the new place is lovely. And will hopefully be better for my boy.
 
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