Equine
Equine Foot Abcesses
What a pain!
By Dr. Garrett Metcalf, DVM
A foot abscess is a common occurrence in horses throughout the year. Often wet weather can play a factor in the increase number of foot abscesses that horses will experience. A foot abscess can cause a great deal of pain, lameness, swelling and misery to the horse that often needs to be addressed quickly and provide pain management to keep them comfortable. There are many methods of addressing a foot abscess that people use. This article will discuss techniques to evaluate and treat the abscess as quickly as possible.
Foot abscess is a focal or sometimes diffuse infection that is trapped between the sensitive and non-sensitive lamina of the foot capsule. A foot abscess can form randomly from the normal stresses and environmental changes that cause the foot to allow bacteria to enter down to the sensitive tissues. Other causes are penetrating injuries to the bottom of the foot that allows bacteria to enter the through the outer lamina, such as nails, sharp rocks or even thorns. Poor foot care and misplaced shoeing nails can also lead to foot abscesses. A common area for abscesses to form is at the white line (area where the sole and hoof wall meet) and at the bars of the heels.
Foot abscess can cause a horse to have variable amounts of lameness, but generally they will be lame at a walk or even be non-weight bearing from the severity of the pain. Swelling starting at the foot and working its way up the limb can be noted when the abscess is trying to migrate out at the coronary band. These types of abscess are often referred to as “gravel” abscesses. “Gravel” is no more than just a regular foot abscess that has found the path of least resistance to the coronary band, where it ruptures out and causes a draining tract. An abscess in the hind foot can make the horse move rather abnormal to the point that it makes owners and veterinaries perceive the horse as acting neurologic.
Examination of the horse for lameness is the first step in diagnosing a foot abscess. The horse will often be lame at walk but some need to be watched at a trot to determine the lame limb. Lameness localization with regional nerve blocks can help make sure the pain is coming from the foot and not other parts of the limb. The foot will often have an increase digital pulse with occasional notable heat in the foot. The pulse is from inflammation causing a bounding of the digital arteries most notably behind the ankle region. The foot examination often needs to be performed with the shoe removed from the foot if the horse is shod. Hoof testers help pinpoint the area of most concern on the foot and often horses will be rather painful in response to the pressure created by the hoof testers. Knifing the foot out to clean up and remove any old sole or frog material is imperative to be able to locate the abscess with as much accuracy as possible. Often there will be a defect in the hoof or a dark focal tract that will lead to the abscess.
Treatment of the foot abscess can be done multiple ways and many people have lots of opinions on this topic. My treatment of choice is to open that abscess as soon as possible to give the horse nearly immediate relief and to quickly resolve the abscess infection. There are many methods to doing this but a good sharp hoof knife or loop knife one of the easiest ways to get the abscess drainage through the bottom of the foot. Whenever drainage of the abscess is achieved at the bottom this can eliminate the formation of a “gravel” and keep it from migrating out at the coronary band. Also drainage at the bottom allows a more effective treatment of the abscess with topically applied poultice agents. After the abscess has been opened to drain, bandaging the foot with a poultice agent is effective at eliminate the abscess and preventing foreign material from packing to the abscess area.
A great method of bandaging the foot is with the use of a large baby diaper. The diaper is very absorbent and foots the foot rather well. The diaper can be covered with layers of Vetrap, Duck Tape and Elaskiton to keep it protected or the foot can be placed in a medicine boot to keep the diaper protected.
Poultice choices are rather personal experience or availability, but also depend on the nature of the abscess. Epsom salt based foot poultice agent called Magna Paste or similar products are rather good at drawing out the remaining part of the abscess once it is opened. A homemade poultice of sugar combined with Betadine solution can make a really good poultice. There are various other topical agents that can be used effectively. The main thing when choosing a topical product is to make sure it is safe and that it has some antimicrobial properties.
Some foot abscess cases can be difficult to pinpoint and to drain. In these situations often time, pain management and soaking of the foot in Epsom salt water baths can help to allow the abscess rupture or make it easier to identify. In rather difficult abscess or when abscesses keep reoccurring in the same location, X-ray imaging of the foot is helpful to examine the structures of the foot. The abscess itself cannot be seen often with X-ray because the abscess fluid is the same density as the hoof wall. The only way to identify an abscess on X-ray is if there is gas present in the abscess making it visible on the film. Whenever there is a penetrating injury to the foot, X-ray is a must to make sure that the injury is not going into the deeper structures of the foot like the coffin joint or navicular bursa. These injuries are much more serious and need to be examined as quickly as possible. It is also recommended whenever possible to leave the penetrating object in the foot until the X-ray is taken. This will help the veterinarian understand what structures may have been injured.
Prevention of foot abscess is not always possible but a great start to this is really good hoof care. Routine trimming on a timely schedule is key part of good hoof care. The longer the feet go without a trim can affect the lamina and cause stretching of the white line, opening it up to allow bacteria to enter the foot. The use of special shoeing nails and other methods of good shoeing practices also limit the risk of abscessation.
Read more in the June issue of Oklahoma Farm & Ranch.
Equine
The Pull of the Barn
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.
Equine
Winter Colic: Why It Spikes, How to Prevent It, and What To Do If It Happens
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.”
Equine
When a Nosebleed in Your Horse Means Business
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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