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Equine Metabolic Syndrome (EMS) – The Easy Keeper Disease

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By Garrett Metcalf

It is that time of year when cases in veterinary practices that are diagnosed with EMS or Equine Metabolic Syndrome spike. The reason cases of EMS spike are because the fast growth that pastures experience in the spring. Before EMS was well understood or discovered, many of these horses were diagnosed with grass founder, but through research the process of the disease is now better understood. The disease is caused by obese overfed horses and breeds of horses that have “hardy genes.” These are breeds that generally need less caloric intake to meet their daily energy needs. Although some breeds are at higher risk such as ponies, just about any breed can develop EMS.

Risk Factors for EMS

The key risk factor for development of EMS is weight gain, breed, high caloric intake and very little or inconsistent exercise. Horses that gain weight easily on pasture turn out or are getting too many calories from grains plus hay can be put at risk of EMS. Increasing levels of obesity in horses causes insulin resistance just like in humans, but fortunately for the horse, they have a very robust pancreas that is able to keep up with the extra demand for insulin to provide adequate amounts of glucose to tissue and organ systems despite the insulin resistance. This overproduction of insulin in order to keep up with the resistance causes a very key clinical sign of laminitis, which can be the most debilitating and difficult consequence of EMS. Over 90% of horses will present for laminitis as the first clinical sign of EMS. Unfortunately, the clinical signs for laminitis can go undetected for many months or even years in some cases until the progression of the laminitis reaches a very severe tipping point. It is not uncommon that horses with this disease go undetected for variable periods of time and have x-rays to prove it. Many times, horses will have rotation of the coffin bone in the hoof capsule upwards of 10 degrees before the horse is lame enough to alert their owners that there is a serious problem. It doesn’t seem possible that a horse can get that bad overnight, but rather in many cases they have mini laminitic episodes that are almost silent to many owners that lead to this much damage to their feet over time.

Identifying Horses at Risk

A common feature that puts horses at risk that owners can detect and address themselves before a laminitic crisis occurs is adipose deposited in certain areas of the horse’s body called regional adiposity. Regional adiposity describes fat or adipose tissue that is deposited in different regions of horses that owners should watch for if their horse is gaining weight. These common areas are the neck, commonly referred to as cresty necks, around the tail head, and sheaths of geldings or stallions. If these areas are noticed to be enlarging, especially in the spring when there is an abundance of fresh grass to graze on plus weight gain, then steps need to be taken to prevent the development of EMS.

Managing an Easy Keeper

It is very common to hear owners and veterinarians refer to heavy horses as easy keepers, but there can be some serious consequences of ignoring or brushing it off as just an easy keeper horse. Simple steps can be taken to reverse or reduce the risk of horses developing EMS by decreasing daily caloric intake. First, it is recommended to remove all grain from a horse’s diet including treats. Drastically reducing turn out time to graze especially fast growing lush grass is absolutely necessary in horses at risk of grass founder caused by EMS. There is some conflicting evidence as to when is the best time of day to allow a horse to graze that is sensitive to high sugars in lush growing grass. Some research has found that sugar levels peek later in the afternoon because of an abundance of sunshine and fully ramped up photosynthesis process that occurs in the grass. It is suggested then if grazing is allowed or deemed safe, that morning grazing is a safer time, but sometimes letting an at-risk horse graze is not worth the consequences. Other methods of allowing safe grazing are to mow the grass very short to minimize the volume of grass intake in a given period of time. If mowing is not an option, specially designed grazing muzzles allow pasture turn out but restrict the amount of grass taken in through the muzzle. Do not worry, as many horses are very quick to figure out how to get grass through the small hole in the muzzle and also allow the intake of water. It is recommended to have a leather poll strap on their halters to prevent injury when turned out while wearing a halter. Dry lot management is sometimes the only option, especially in horses that already have EMS. Keeping a horse on dry lot with no access to fresh grass and feeding more mature hay is sometimes needed to manage more severe cases. There are no current medications to help reduced the effects of insulin resistance due to obesity in horses, but some medications can be used to help with weight loss such as Thryo-L (levothyroxine) combined with consistent exercise.

Laminitis

Laminitis is the most debilitating and painful outcome of EMS, not to mention life threating. It is also the most expensive and difficult aspect of managing a horse with EMS. In order to properly manage laminitis caused by EMS, the horse needs to be examined by a veterinarian, radiographs need to be taken of the feet to assess the severity of the laminitis and an experienced farrier needs to be heavily involved with the management of the feet. If the disease is caught early, proper trimming may be all that is needed plus the other management aspects employed, of course, but in many cases corrective therapeutic shoeing is required. Pain management is another key aspect of addressing laminitis. NSAIDs or non-steroidal anti-inflammatory drugs, opioids, aspirin and an anticonvulsant drug called Gabapentin can help block or reduce pain of laminitis that horses experience. Some of these drugs do carry a risk of serious side effects so careful monitoring and proper dosages need to be on the order of a veterinarian to minimize the risk of side effects.

It cannot be repeated enough that the best cure for disease is through prevention. Taking early appropriate steps to keep horses from developing EMS is by far the best way to prevent the disease from occurring. If there is concern your horse is at risk of EMS, please talk to your veterinarian to determine if management and diet changes need to be made to prevent the development of this disease.

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Winter Colic: Why It Spikes, How to Prevent It, and What To Do If It Happens

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Colic is not a single disease. It’s a broad term for abdominal pain that can range from mild gas discomfort to a surgical emergency. Winter is a time when colic cases tend to climb, and for good reason: cold snaps change how horses eat, drink, and move. For owners in Oklahoma, where one blue-skied day can turn to ice the next, paying attention to water, forage, and routine can prevent a scary midnight call—and speed help if one is needed.

Why Winter Raises Colic Risk

Reduced water intake. Horses drink less when water is icy or hard to access. Even a modest drop in intake dries the gut contents and sets the stage for impaction colic. Horses prefer lukewarm water; keeping tanks ice-free and palatable matters.

Diet shifts. Winter often means a move from fresh pasture to more hay and, on some ranches, added grain. Forage changes alter moisture content in the manure and the way feed moves through the hindgut. Abrupt diet changes and drier rations can increase colic risk. Transition feed gradually and favor consistent forage.

Less movement. Ice, mud, or pen rest can cut turnout and routine exercise. Movement is a natural driver of gut motility. When horses stand more and walk less, the intestinal tract can slow, especially if they are also drinking less and eating a different hay.

Management hiccups during cold snaps. Frozen hydrants, unfamiliar hauled water, and changes in feeding locations are common Oklahoma winter headaches. Even small shifts—a different water source taste, moving hay from pasture to a sandy lot, or a sudden jump in concentrate to “keep weight on”—can add up to trouble.

Other contributors. Dental issues, heavy parasite loads, and sand ingestion (if feeding on bare, sandy ground) don’t take a holiday in winter and can compound risk. Keep those basics current year-round.

Prevention You Can Put to Work Now

Make water easy and appealing.

Keep every trough and bucket ice-free and clean. Aim for palatable, lukewarm water—many horses drink more when water is 40–65°F. Drop-in heaters, insulated tanks, and protected cords are simple investments that pay off. Check twice a day, more often in a deep freeze.

Salt to drive thirst.

Provide plain, loose salt or a white salt block at all times. Most horses won’t overdo it, and a little extra sodium helps stimulate drinking in cold weather. If your vet approves, adding a small amount of loose salt to feed during cold snaps can help.

Keep forage consistent and high quality.

Choose a clean, mold-free hay and stick with it. If you must change hay, blend the new with the old over 7–10 days. For easy keepers or older horses with marginal water intake, soaking hay or offering a soaked beet pulp mash can add moisture to the diet.

Go slow with concentrates.

Avoid big jumps in grain to “warm them up.” If extra calories are necessary for body condition, increase gradually and split into several small meals. Sudden concentrate increases are a recognized colic risk.

Encourage movement.

Turnout is your friend. Even a few hours of relaxed walking in a paddock helps gut motility. If weather limits turnout, add hand-walking or controlled exercise on safe footing.

Feed off the sand and keep lots clean.

Use mats, feeders, or sacrifice areas with footing to reduce sand ingestion. Sand burdens can smolder all winter and show up as colic when drinking drops.

Stay on top of dental and deworming.

Poor chewing leads to larger, drier feed particles and impaction. Keep up with dental checks. Follow your veterinarian’s parasite control plan; a winter larval “bloom” in some situations can add risk.

Mind routine.

Horses thrive on predictable schedules. Keep feeding and turnout times steady, even when the weather is ugly. If your water source changes—say you’re hauling water—some horses drink less until they accept the new taste. Monitor intake closely in those periods.

Know the early signs.

Pawing, looking at the flank, getting up and down repeatedly, reduced interest in feed or water, less manure, loose or very dry manure, reduced or absent gut sounds, sweating, elevated heart rate, abnormal gum color, or depression are red flags. Treat any abnormal behavior as a warning sign.

If You Think Your Horse Is Colicking: A Step-by-Step Plan

1) Call your veterinarian immediately.

Do not “wait and see” through a winter night. Many colics are time-sensitive, and early treatment is often simpler and less costly. While you wait, gather useful information.

2) Do a quick, safe basic check.

Note attitude and pain level. Count heart rate and respiration, take a rectal temperature if it’s safe, listen for gut sounds, and look at gum color and moisture. Share these findings with your vet; they help triage the case over the phone. If the horse is in severe pain or thrashing, prioritize safety and keep them from injuring themselves until help arrives.

3) Remove feed.

Pull hay and grain. You can offer small sips of clean, lukewarm water unless your veterinarian advises otherwise.

4) Walk, don’t work.

Light hand-walking can reduce rolling and may stimulate motility for very mild gas colic, but never exhaust a painful horse or “work it out.” If walking increases distress, stop and wait for your vet’s instructions.

5) Keep them warm and safe.

Wet or shivering horses burn energy and may drink less. Use a dry blanket if the horse is cold or wet and standing quietly. Avoid deep bedding or slick aisles that encourage rolling.

6) Don’t medicate without guidance.

Avoid giving painkillers, mineral oil, or home remedies unless your veterinarian instructs you. Pain meds can mask symptoms your vet needs to evaluate, and oral products are not appropriate for every colic type.

7) Prepare for transport if advised.

If referral is recommended, have a safe, ready trailer and a plan for winter roads. Keep your horse’s Coggins and paperwork handy to avoid delays.

Practical Checkpoints for Cold Spells

Trough audit: Before a front, test every heater and replace worn cords. Have a plan for hauling water if hydrants freeze.

Intake logs: In deep cold, jot down approximate daily water levels and manure output. A sudden drop in either is a warning sign.

Hay stash: Keep at least a week of the same hay on hand to ride out supply hiccups.

Contact sheet: Tape your vet’s number to the feed room door along with barn directions and gate codes for anyone helping in an emergency.

Winter colic prevention hinges on three controllables: water, forage consistency, and routine. Keep water ice-free and appealing, transition feed gradually, encourage movement, and watch for the subtle changes that signal a problem. If your gut says something is off, call your veterinarian and act. Quick recognition and prompt care save horses.

References

American Association of Equine Practitioners (AAEP). “10 Tips for Preventing Colic.”

Oklahoma State University Extension. “Optimizing Water Intake” (AFS-3931).

Oklahoma State University Extension. “Feeding Management of the Equine.”

OSU Agriculture News. “Horse owners need to be watchful for signs of colic.”

UC Davis School of Veterinary Medicine, Horse Report. “Colic Happens.”

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When a Nosebleed in Your Horse Means Business

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It usually starts the same way. You walk into the barn, or pull your horse up after a hard run, and notice a streak of red sliding from one nostril. For most horse owners, that sight alone is enough to make your stomach drop. Nosebleeds in horses — known medically as epistaxis — can be anything from a harmless trickle to a serious medical emergency. The trick is knowing the difference.

Understanding What’s Really Going On

“Epistaxis” simply means bleeding from the nostrils. It can look dramatic, especially on a horse’s light-colored muzzle, but not every case is cause for panic. The real question is where the blood is coming from and why it started. Horses can bleed from several different parts of their upper and lower respiratory systems, ranging from the delicate nasal passages at the tip of the nose to deep within the lungs

External signs don’t always tell the full story. A steady stream of blood might come from a relatively minor nasal scrape, while a single drop could signal a deeper issue if it occurs repeatedly. Because of that, determining the origin of the bleed often requires a veterinarian’s examination and, in some cases, diagnostic tools like endoscopy or radiographs.

Still, horse owners can gather useful clues before the vet arrives. What was your horse doing just before the nosebleed began? Did it happen after intense exercise or while the horse was standing quietly in the stall? Is blood coming from one nostril or both? Has this happened before — and if so, always from the same side? Observations like these help narrow down the list of possible causes.

If blood is merely dripping or running slowly, chances are you’re not dealing with an immediate emergency. But if it’s flowing freely — more like a faucet than a leak — or doesn’t stop within a few minutes, it’s time to call your veterinarian.

Common Causes of Equine Nosebleeds

The list of potential sources for a horse’s nosebleed is long, but they generally fall into a few categories.

One of the most common and least serious is nasal mucosal trauma — a simple scrape or irritation of the tissues lining the nasal passage. Horses are curious creatures and not always careful about what they bump into. A playful nose rub on a rough fence board or an overly enthusiastic sneeze can rupture a tiny blood vessel and cause a short-lived trickle of blood. Passing a nasogastric tube or removing a foreign body can also irritate the area temporarily.

A more persistent cause is progressive ethmoid hematoma, a vascular mass that forms within the nasal cavity or sinuses. These growths often bleed intermittently and almost always from the same nostril. The bleeding is usually modest but tends to recur over time. While the initial episodes may not look alarming, the mass will continue to grow if untreated, so early veterinary intervention gives the best chance of successful removal.

Another possibility involves the sinuses themselves. Trauma, infection, or even small fractures to the skull can lead to bleeding within the sinus cavities. Horses are notorious for finding new and inventive ways to injure themselves — banging into doors, slipping in the trailer, or catching a halter just wrong — and sometimes the only outward sign is a slow bleed from the nose. Small fractures often heal with rest, but significant ones may require surgical repair.

Bleeding from both nostrils usually suggests a deeper origin. One of the best-known examples is Exercise-Induced Pulmonary Hemorrhage (EIPH), sometimes called “bleeding” in racehorses. This occurs when capillaries within the lungs rupture under the extreme pressure of intense exercise, sending blood up through the trachea and out both nostrils. Horses affected by EIPH might cough, swallow repeatedly, or show decreased performance after a run. Though it’s most common in racehorses, it can appear in any equine athlete pushed to their limits.

The most dangerous cause of all is guttural pouch mycosis, a fungal infection of the guttural pouches — air-filled sacs located behind the horse’s skull that connect to major arteries. The fungus, often Aspergillus fumigatus, thrives in warm, dark, and moist environments such as hay and soil. As it grows, it erodes the arterial walls, sometimes silently, until a vessel ruptures and the horse begins to bleed heavily from the nose. In some cases, this can lead to fatal blood loss within minutes. If a horse shows even minor, unexplained nosebleeds that repeat from the same side, it’s worth scheduling an endoscopic exam to rule this out.

When It’s Time to Act

It’s not always easy to tell which kind of nosebleed you’re dealing with, but the following general rule applies: the more rapid and continuous the bleeding, the more urgent the situation. If the blood is coming in spurts, pooling quickly, or refuses to stop, treat it as an emergency. A horse can lose a significant amount of blood in a short period, especially if a major artery is involved.

On the other hand, a small amount of blood that stops on its own and doesn’t return likely points to a minor issue. Even so, it’s smart to keep notes — which nostril bled, how long it lasted, what the horse was doing, and any other symptoms you noticed. This information can help your veterinarian determine whether further testing is necessary.

If your horse experiences recurring nosebleeds, particularly from the same side, don’t ignore them. Repetition can be the biggest red flag of all.

When you call your vet, expect a methodical evaluation. They’ll first perform a physical exam and may use an endoscope, a flexible camera designed to navigate the nasal passages and visualize the sinuses, guttural pouches, and upper airway. Endoscopy allows the veterinarian to identify the exact source of bleeding — whether a scraped mucosa, a growing hematoma, or a fungal lesion.

If there’s evidence of trauma, radiographs may be taken to assess bone integrity. Horses with suspected guttural pouch infections or ethmoid hematomas often undergo additional imaging or even surgical procedures to address the underlying issue. For suspected EIPH, an endoscopic exam performed within an hour or two after exercise can confirm blood in the trachea and lungs.

While you’re waiting for the veterinarian, keep your horse calm and still. Excitement or movement can raise blood pressure and worsen bleeding. Remove tack, halter, or anything that might interfere with breathing. Resist the urge to pack or plug the nostrils — this can cause more harm than good. Instead, observe closely and document what you see. If safe to do so, a quick photo or short video can be helpful for your vet later.

Do not tilt the horse’s head upward, as that can allow blood to flow backward into the airway. Let the horse lower its head naturally. Fresh air and a quiet space are best until professional help arrives.

A horse’s nosebleed can stop your heart for a moment, but it doesn’t always mean disaster. Many are brief and harmless, the result of a bump or sneeze in just the wrong way. But others — particularly those that are heavy, prolonged, or recurring — can point to serious underlying disease.

When in doubt, treat every nosebleed as something that deserves attention. Take a deep breath, make careful observations, and get your veterinarian involved early. In the long run, those few extra minutes of vigilance can make all the difference.

References

“Equine Epistaxis: What You Need to Know.” The Horse, American Association of Equine Practitioners.

“Exercise-Induced Pulmonary Hemorrhage in Horses.” Merck Veterinary Manual.

“Nosebleeds in Horses — When Do You Need to Be Concerned?” Horse & Hound.

“Epistaxis (Nosebleed) in Horses.” PetMD.

“Nasal Hemorrhage in the Horse: Where and Why.” DVM360 Proceedings.

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The Pull of the Barn

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When I was younger, I saw plenty of old Westerns. They were fun to watch, but one part always stressed me out. Inevitably, a cowboy would get shot or thrown from his horse, and while the cameras stayed on the fallen rider, I worried about the horse. Would it wander around lost on the prairie, never finding its way back? The truth is, most horses know exactly where home is. Turn one loose, and it will drift toward the barn. Ride one out, and the trip away from home feels steady, but the return picks up pace the moment the barn roof comes into sight. We even have a name for it: barn sour.

Horses are prey animals, and survival has always depended on familiar ground. For a domestic horse, the barn means food, water, and the company of the herd. Ethologists (scientists who study animal behavior) point out that horses are quick to learn patterns. When hay and grain appear in the same place every day, that spot becomes magnetic. Over time, repetition lays down mental trails as clearly as cattle wear down physical ones in a pasture. What appears to be stubbornness is actually instinct. The barn equals safety, and safety equals survival. Riders from cavalry days to modern ranches have written about horses quickening their pace on the way home. And though the land changes, that pull never does.

People are not so different. We all have barns in our lives — comfort zones we gravitate toward, routines that steady us. They serve a purpose. Like a horse standing at the gate, we lean on safe ground when life feels uncertain. But the pull can also hold us back. A horse that refuses to leave the yard never discovers what lies beyond the fence, and the same is true for us.

That balance shows up in history too. Old cattle trails once served their purpose, guiding herds north and helping to build economies. But when railroads and fences changed the landscape, those well-worn tracks became ruts. Progress required new paths. Our own habits work the same way. Some keep us grounded. Others only circle us back to where we started.

When I see my horses drifting toward the barn, I think less about impatience and more about instinct. They are drawn to the familiar, and so am I. The barn matters. It is the anchor point, the place of rest. But the pasture matters too, because growth is waiting outside the gate.

Those old Westerns had it right in at least one way. The cowboy’s horse was never going to wander off aimlessly. It would head back to camp, back to the barn. That simple truth still plays out in every pasture and arena today. Horses know where home is. The question is whether we will let the pull of our own barns keep us tied too tightly, or whether we will use them as a base to step farther into the wide-open ground ahead.

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