Treating A Horse With Persistent Cough

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My thoroughbred has had an ongoing cough for about a year now. We have treated him against equine cough with the medication various vets gave us. He coughs mostly when ridden so you can't really exercise him properly. He has so much potential that i'm really sad it can't be taken further. Do you have and answers or suggestions? (Sandra Strebel - Tanzania)
In order to diagnose the cause of the cough I would talk to your vet about a CBC, endoscopy (after exercise), a tracheal wash and TTA, or a BAL and lung function tests. A combination of these should help get an answer to the cause of the problem. The major causes of horse cough are viral infection such as and equine herpes and influenza, bacterial infections and SAID/IAD which is basically inflammation of the lower airway.
Treatment for SAID is fairly straight forward with initial relief being achieved with a bronchodilator followed by treatment with anti-inflammatories. Bacterial infections can also be solved relatively easily, if it is a viral infection then there is little effective treatment and supplements to improve the immune system are really your only options.
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