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Equine Laminitis – No Foot No Horse

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Laminitis is probably by far the most devastating disease that a horse and horse owner will ever face. The definition of laminitis is nothing more than inflammation of the lamina or the tissue of the foot, but that does not describe the devastating pain and struggle that a horse faces with this disease. There are many sources of laminitis or foundering in horses. I will cover some of the most common causes, ways to avoid these causes and treatments.

The foot is an amazing organ for the horse and it is amazingly resilient but at the same time very fragile. The equid foot has to endure nearly constant loads of just daily locomotion but also endure very high levels of load during events such as racing, jumping and pulling. The tissue that holds the foot attached to the coffin bone is only a few millimeters thick but is amazingly strong. The tissue looks like Velcro under a microscope and is very rigid but also at the same time allows the foot to flex, grow and expand.  The metabolic energy and blood flow rate that feet require to with stand this load is incredibly high as well. The blood flow to the very farthest part of the horse is complex and important when addressing laminitis which will be discussed later.

Causes –

  • Grain overload or carbohydrate overload

Consumption of a large amount of grain can lead to gastrointestinal disruption leading to founder. A horse that breaks into the feed shed and consumes large amounts is the most common scenario that is seen. These horses need to have as much grain removed from their stomach as soon as possible with a stomach tube and then products such as activated charcoal administered to help bind toxins that may be produced from bacteria dying off from the high grain load in the gut.

  • Metabolic conditions – PPID (Cushings) and EMS (Equine Metabolic Syndrome)

Horses with cushings have high levels of glucocorticoids circulating in their blood leading to disruptions of the lamina along with other body systems. These abnormally high glucocorticoids are caused by an abnormality with the pituitary gland in the brain. This can be corrected when diagnosed with medication.

 The EMS horses have high levels of insulin which has been found experimentally to induce laminitis. Horses that are obese and get very little exercise are at risk of EMS. EMS is reversible and prevented by managing diet more closely, routine exercise and preventing access to lush green pastures.

  • Lush green grass (Grass Founder) – commonly seen in overweight EMS horses

Similarly, horses with underling EMS can found on lush green growing grass because of the high sugar content in these grasses.  In the spring with good grains and plenty of sunshine grass can grow rapidly. This rapid growth phase of grass produces larger amounts of sugars in the blades of the grass during photosynthesis. It has been discovered that during peak sunlight is when the highest sugar content is found in the grass because of higher amounts of photosynthesis occurring in the grass blades. 

  • Endotoxemia – Caused by severe illness such as sepsis, colic, pneumonia

Horses that have serious bacterial infections or acute colitis can absorb endotoxins released by the dead bacteria. Horses are extremely sensitive to endotoxins and these toxins are called LPS (lipopolysaccharides) that make up part of the bacteria cell wall. When a large amount bacteria are killed off with antibiotics or disruptions in the horses gut these toxins are absorbed causing lots of problems for the horse.

  • Overloading weight – injuries that cause the horse to bear more weight on another limb

Overbearing weight on other limbs from an injury to another limb can cause contralateral limb laminitis. Just by shear overloading force breaks down another foot. This can occur when a major injury occurs to a limb forcing more weight onto another because of pain. This is seen commonly with fractures, serious soft tissue injuries and neurologic conditions. This is what led to the death of Barbaro, the famous thoroughbred race horse that fractured his leg during the Preakness.

  • Black Walnut – Shavings containing black walnut can induce laminitis

The species of tree can be very toxic to horses and must never be used as bedding or shavings that will come in contact with horses. It has been estimated that shavings containing as little as 5% black walnut can be toxin to horses. Some research has even thought that contact along can be deadly.

Diagnosing laminitis is rather straight forward. Examination of the horses gait at a walk or trot will indicate lameness. Most horses in acute founder will be severely lame at a walk and will be shifting weight back to the hind limbs in order to move or change directions when ask to ambulate. Horses will have an increased pulse in the arteries near the feet called a digital pulse. This pulsation of blood is similar to the throbbing sensation that we feel have an acute injury to a finger or limb and is quit notable in acute laminitis. Heat can also be noted around the coronary bands and hoof wall.

Radiographs or x-rays are used determine the severity of laminitis by measuring the separation of the coffin bone from the hoof wall. Venograms are also used to identify the blood flow damage to the foot using contrast dies injected into the digital veins while a tourniquet is applied above the foot. The contrast highlights the blood vessels so they can be seen with x-ray.

Treatment of Laminitis

First of the underlying cause of the laminitis must be eliminated or managed in order to get the laminitis under control or the battle will be very difficult. For example if a horse with EMS is not put on a serious diet and their weight managed you will be fighting a losing battle. Secondly a veterinarian and a farrier team are going to be needed to help manage the horse’s feet to prevent further laminar damage and provide the best possible foot support needed.  Veterinarians must provide pain management, systemic care or treatment of the underlying illness and administer other medications that can benefit the horse in order to eliminate laminitis. Farrier’s have the daunting task of providing support of 1,000 pound or more horse that has feet sometimes the size of tea cups. The goal for farriers is to provide the proper support with various different methods across the sole of the foot at the same time eliminating stress and forces that inherently designed into the horse’s foot. Care for the horse’s feet is very critical and requires a skilled team to provide the best care. Lastly is that you have to be in it to win it. Short cuts and half hearted attempts are usually not very fruitful when it comes to dealing with laminitis. Below is a list of treatments used to treat laminitis.

  • Medication or surgery to correct the underlying cause
  • Cryotherapy or icing of the lower limbs and feet
  • Systemic anti-inflammatory drugs and pain management
  • General health care such as a good diet, deep beading, management of other illnesses and supportive care
  • Corrective foot care
  • Surgical intervention with tenotomies (cutting the deep digital flexor tendon)
  • Slings (rarely available and only in extreme cases)

Laminitis or founder can be very challenging to correct or manage. It is not uncommon to humanely euthanize horses for acute or chronic causes of founder. These horses are often losing weight, unable to get up and ambulate well enough to eat or drink frequently enough. Often it is important to have a discussion of quality of life on behalf of the horse and do what is necessary so the horse is not suffering. These are always difficult decisions but they are necessary and always good to have these with your veterinarian and farrier that are caring for the horse.

Read more about your horse’s health in the latest issue of Oklahoma Farm & Ranch magazine.

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Equine

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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Equine

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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Equine

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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