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Exercise-Induced Pulmonary Heomorrhage

May 2015 by Dr Jane Groenendyk, BVSc (Hons) BSc, WestVETS Animal Hospitals and Reproduction Centre

History and presenting complaint 

Poor athletic performance or expistaxis (bleeding from the nose) are the most common presenting complaints for horses with exercise-induced pulmonary heomorrhage or EIPH. 

Epistaxis (bleeding from the nose) generally occurs during or shortly after exercise and is first noticed at the end of a race/ performance, especially when the horse is returned to the stall, paddock or winner’s circle and is allowed to lower its head.