What else can I do for this pony?

Patterdale

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My daughter’s pony. 11 year old section A. Much loved and absolutely golden first ridden unicorn. She has a home for life with us regardless.

In 2020 she had a virus that developed into pneumonia. Due to various lockdowns and our vets not coming out (as many weren’t) treatment was not as timely or efficient as it could have been. The pneumonia, once correctly diagnosed, took some shifting.

Ever since, she has had breathing issues. This can be managed with ventipulmin and cetirizine but she’s not great at the moment.

A list of her issues:
High resps at times.
Lethargy.
Has become very steady when ridden (not ridden when bad obvs).
Chronically runny and red eyes which sometimes develop into infection. She currently has an infection which has unfortunately ulcerated between last night when it started, and today when the vet came (despite drops last night).
Since the pneumonia she’s become a poor doer. A section A who usually looks more like a racehorse.
She has a grade 5 heart murmur which has been fully investigated and found to be a ventricular septal defect present from birth and not having any negative effect on cardiac function.

3 weeks ago she was charging around at Pony Club camp having a whale of a time. Yesterday she was wheezing terribly so I called the vet. By the evening her eye was also closed and clearly infected.
The vet came today and gave a stronger eye drop, painkillers, injectable ventipulmin, and antibiotics as there was a lot of noise on her lungs. At my request they’ve also taken a Cushings test.

I feel we are in limbo. When she’s fine she’s very fine and enjoys her work. But there’s always a limit on what I’d ask of her - wouldn’t do a long fun ride for example - and my daughter is very keen and wanting to do more.
My vets aren’t equine specialists.

I would like some concrete answers on what we can find out, how to do it, which diagnostics are useful and which aren’t. She isn’t insured but I don’t mind spending on things that are worth spending on. It’s just that I don’t know what those are!

Any thoughts/input much appreciated please. It can be hard to see the wood for the trees when there’s not just one condition, and when things are so changeable.
 

Red-1

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Rigs had the vet today, for his asthma. He is going onto inhalers as well as the Ventipulmin and antihistamines that he is already on. He also has a mask with a net over his nose and Vaseline smeared up his nose.

In his case we simply have to weather the storm until the end of September, whereupon his symptoms will disappear until next summer. He isn't in work now, or until his symptoms subside.
 

Patterdale

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Thank you.
She was supposed to go to horsepital but they wanted to do a tracheal wash and quoted £500-600 for this. I did my own research and I think that’s a huge amount of money for something which isn’t going to give us concrete answers. It’s either infection or asthma or both. At the moment I think it’s both and I think the £600 tracheal wash will confirm that.

What then?

I’m not sure the horsepital will see her just for a look. I think they just want to do the tests. I just don’t know what to do.
 

Patterdale

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I should add that she is already being treated for infection and asthma.

Is there a test which will tell us the degree of disease/any lung damage?

If I knew she was just going to be a paddock ornament or potter-about lead rein then fine, I would stop trying to medicate and work her - but if she’s not actually that bad really and is just having a bad time just now, is medicating and working going to be the right thing and something that will actually be positive for her?
 

Highmileagecob

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Maybe throw a Cushings test into the mix, and consider a fungal infection. I would second an equine specialist. Lungs are delicate things, and you may be seeing permanent changes unfortunately. Sending you hugs, My 27yo was diagnosed as COPD 12 years ago and this year he has gone into another attack that isn't responding.
 

horselover11

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I work at a referral equine vets in reception and I know there are a couple of tests that can be done.

Your specialist could do a Thoracic ultrasound to visually assess the extent of damage on the lung surface from the pneumonia. Or a radiograph can also be used as a diagnostic tool (rarely used unless actually believed to be current pneumonia)

As you say a specialist can also do a Tracheal wash or Broncho Alveolar Lavage These two procedures allow the vet to collect a sterile fluid sample from the lungs that can be submitted for culture and sensitivity to rule out if this a bacterial/fungal or viral issue.

During these procedures the samples are obtained through an endoscope (this means that the vet can also assess the overall health the respiratory tract as well as take samples). Whilst undertaking the endoscope it is also possible for the vet to take a quick look in the guttural pouches as well.

I also know of three different products used by vets to regulate equine asthma (according to money budgets)

Firstly the cheapest option is buying a baby haler and then giving the recommended inhalers via this device.

second is the Aservo equihaler which is specifically for (equine asthma)

lastly and the super expensive version is the haygain flexineb nebuliser (the big difference between this to the the other two devices is that you can mix antibiotics such as gentamicin to saline and this can be inhaled. The other two devices do not allow for inhaling of antibiotics that I am aware of. The flexineb also allows steroids to be inhaled). This is normally only bought by horses that are insured (It’s that

The large referral centre I work for are always willing to work within an owners budget.

They will always be willing to do an initial exam/consult without any tests. What normally happens is the vet will be given the information about an owners budget and after an initial exam will have an in depth discussion with you.

For cases not insured/on a budget a specialist vet may suggest trying the babyhaler with the relevant inhaler for a trial period (keeping in constant contact with the vet). It may also be suggested to take a nasal swab to send of basic respiratory pathogen screen testing to rule out strangles EHV1,4 and influenza.

Good luck and hope this helps!
 

Melody Grey

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*disclaimer- no expert and have limited experience of respiratory issues*.....but have heard great things about salt therapy. Have you considered having general bloods run alongside your Cushings test to see if there is an underlying issue that would explain the general ‘poor ness’? Sounds like the pony is generally run down at the moment?

ETA: has COPD been considered and ruled out?
 

SEL

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I had a couple of tracheal washes and they weren't as much as you've been quoted so worth getting a 2nd quote.

Bloods show any sign of infection?

On a good vitamin & mineral balancer?

We ended up having a hobday once infection had been ruled out and pollen issues treated with steroids. It took 2 scopes to see there was a physical problem on top of the noisy lungs. Outside of pollen season I have my bouncy native pony back but in early spring or when the weather is v hot she can't do much.
 

Muddy unicorn

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The flexineb has been a game changer for our boy with asthma - he’s currently being maintained with just nebulising saline solution but if he has a flare up then we can add steroids to the saline solution. Our insurance didn’t cover the flexineb - it cost about £900 but has been worth it and over the horse’s lifetime it works out cheaper than multiple prescriptions for the equihaler

Is your pony living in or out? We moved ours to being out 24/7 which also helps

There is no good evidence for salt therapy chambers doing anything for either humans or animals - lots of claims of benefits (made by providers of salt therapy) but virtually no proper studies
 

Gloi

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The flexineb has been a game changer for our boy with asthma - he’s currently being maintained with just nebulising saline solution but if he has a flare up then we can add steroids to the saline solution. Our insurance didn’t cover the flexineb - it cost about £900 but has been worth it and over the horse’s lifetime it works out cheaper than multiple prescriptions for the equihaler

Is your pony living in or out? We moved ours to being out 24/7 which also helps

There is no good evidence for salt therapy chambers doing anything for either humans or animals - lots of claims of benefits (made by providers of salt therapy) but virtually no proper studies
I find nebulising saline solution helps with asthma. Mine, not horse's.
 
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