Why Is My Horse Coughing?
- Equine Veterinary Essentials
- Jan 2
- 2 min read
Updated: May 3

Coughing in horses is a non-specific symptom that can be easy to overlook — especially if it’s only occasional.
But even sporadic coughing can signal an underlying issue, so let’s walk through how to pinpoint the cause and support your horse’s respiratory health.
🔍 Step-by-Step Evaluation
1. Check for a Fever
Use any over-the-counter digital thermometer to take your horse’s rectal temperature (most accurate).
✅ A reading above 101.5°F is considered a fever➡️ Likely linked to a viral or bacterial infection
2. Look at Nasal Discharge
The color and consistency of nasal discharge can tell you a lot:
Clear = Irritation (allergies, dust, mild inflammation)
White or yellow = Likely infection
One nostril only = Upper airway issue (like sinusitis)
Both nostrils = Lower airway or lung issue
Blood after exercise = Possible Exercise-Induced Pulmonary Hemorrhage (EIPH)
Especially common in racehorses, barrel racers, or horses under intense exertion. Even without visible blood, EIPH may still be present.
3. Is the Cough Triggered by Certain Activities?
Happens during or after riding in dusty arenas?
Coughing near hay, round bales, or inside the barn?
This may point to Equine Asthma or Inflammatory Airway Disease (IAD) — especially if the cough improves on pasture.
4. Is the Cough Seasonal?
Seasonal coughing is also a red flag for IAD or environmental allergies.
🩺 What Can Your Veterinarian Do?
Your vet can:
Listen to the lungs and perform a rebreathing exam
Run BAL (bronchoalveolar lavage) or TTW (transtracheal wash) to identify:
Inflammation
Blood
Bacteria or fungi
Use radiographs to check for:
Sinus disease (head X-rays)
Lung issues (requires high-powered machine)
Use ultrasound to detect:
Fluid in the chest
Surface lung changes (comet tails, b-lines)
🧹 What Can YOU Do to Help?
If airway inflammation is suspected, consider these management steps:
Wet down dusty arenas before use
Improve barn ventilation
Wet or steam hay before feeding
Avoid round bales
Use low-dust bedding (pellets, shredded paper)
Maximize time on pasture
Follow your vet’s guidance on nebulization, bronchodilators, or corticosteroids
🌿 Natural Support Options
In addition to vet care, natural supplements may help with:
Reducing inflammation
Opening airways
Thinning mucus
Boosting immune response
Helpful Ingredients:
Mullein
Turmeric
Malabar Nut (Vasaka)
Elecampane
Peppermint
Yarrow
Omega-3s (e.g., flaxseed)
These can support long-term lung function and respiratory health when used appropriately.
Final Note
⚠️ This information is not a substitute for veterinary care.Coughing may be a sign of a serious issue, and it’s important to get an accurate diagnosis from your vet.
Supplements and environmental changes can help support recovery and prevent recurrence — but partnering with your vet is key.
Thanks for reading!
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