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Respiratorymedium

Exercise-Induced Pulmonary Hemorrhage (EIPH)

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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

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.