Exercise-Induced Pulmonary Hemorrhage (EIPH)
In EIPH, bleeding from small lung vessels into the airways occurs under high exertion, triggered by very high pressures in the pulmonary capillaries during intense work. It mainly affects racehorses and high-performance horses and often goes unnoticed, as only some horses show visible nosebleeds.
Veterinary care required
This condition belongs in veterinary diagnosis and treatment. Compounds are at most supportive.
Priority · vet & management
Diagnosis is veterinary, usually by endoscopy (possibly with a tracheal wash) after exertion. Load management, treating accompanying airway inflammation and good stable air come first; medication (e.g. furosemide) is strictly veterinary and, in competition, FEI/rule-regulated — no use without veterinary and rule-compliant clarification.
Possible causes
- · very high pulmonary capillary pressures during intense exercise
- · racing/high-speed work as the main factor
- · accompanying airway inflammation discussed
- · repeated load peaks without sufficient recovery
Supportive compounds · supplementary feed, not medication
Ribwort plantain
AMGFEI freetraditionally soothing for the airways (adjunctive)
Compound profile →Vitamin C
AMGFEI freeantioxidant under oxidative airway strain (adjunctive)
Compound profile →Vitamin E
AMGFEI freeantioxidant for cell membranes under load (adjunctive)
Compound profile →Rosehip
AMGFEI freevitamin-C/polyphenol source, discussed as antioxidant
Compound profile →Linseed
AMGFEI freeomega-3 (ALA) for the inflammatory balance
Compound profile →Prevention
Well-considered load control with sufficient recovery, low-dust housing and consistent management of accompanying airway inflammation can reduce the strain on the lung vessels.
Equiterna's take
Equiterna sees EIPH in the interplay of load, airway inflammation and recovery — diagnostics and the FEI-regulated area around furosemide remain strictly veterinary.
Usage note
This content is for information and education. It does not replace veterinary diagnosis or treatment. If your horse shows signs of illness, consult a veterinarian.
Equiterna is an intermediary platform for equine knowledge, marketplace and tools — not a veterinary-medicines dealer, veterinary practice or pharmacy. Compound information is study-attributed and free of healing claims. Legal framework: Regulation (EU) 2019/6 / TAMG (DE/AT), Feed Regulation (EC) 767/2009, FEI Prohibited Substances List, HWG.


