- Rapid Breathing, Flaring Nostrils at Rest (Not after Exercise)
- Difficulty Breathing, Struggles for Breath
- Respiratory Noise when Exercising
- Rapid Pulse Persists Longer Than Normal after Exercise
- Grunting or Groaning when Breathing
- Depressed, Dull, Sick or Lethargic
- Not Eating, Loss of Appetite, Not Hungry
- Suddenly Stops or Resists Moving Forward Under Saddle
- Lacks Stamina, Tires Quickly or Easily
- Heat Exhaustion after Intense Exercise
- Depressed & Not Eating Right after Intense Exercise
YOU ARE OBSERVING
Rapid Breathing Persists Longer Than Normal after Exercise
Summary
SUMMARY
Horses that seem to breathe hard for excessive periods after exercise may be in poor fitness or could have underlying disease states. Disease states that might cause this could include respiratory illnesses affecting the lung (pneumonia, bronchitis or allergic airway disease). Heart problems can also cause this as can other diseases affecting other body systems.
How quickly a horse's breathing returns to normal after exercise depends on fitness, workload intensity and duration, and ambient heat and humidity — so some prolonged breathing after a hard ride or a hot day is expected and is not, by itself, disease. What matters is both how long recovery takes relative to the work performed and conditions, and the character of the breathing during that recovery.
Normal recovery breathing is rapid but unlabored: no excessive or lasting nostril flaring, no forced abdominal push, no noise, and the horse stays alert and willing to eat and drink throughout. Breathing that is labored, noisy, paired with flared nostrils at rest or an abdominal heave effort, coughing, or a horse that seems dull or distressed — or that is taking progressively longer to recover than it used to for the same work — points toward underlying disease rather than simple poor conditioning or a heat effect.
Causes include respiratory disease (pneumonia, bronchitis, equine asthma/RAO), heart disease, anemia, exercise-induced pulmonary hemorrhage (EIPH), pain, and poor fitness.
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Code Red
Call Your Vet Immediately, Even Outside Business Hours- If the behavior is persistent and the horse seems to be distressed.
- You can also hear obvious respiratory noise when the horse is at rest.
- If horse is still breathing abnormally hard and fast, with high heart rate, after rested for 30 minutes
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Code Orange
Call Your Vet at Their First Available Office Hours- If the horse seems not quite right, or eating less than normal in addition to this sign.
- If this problem seems severe and has come on suddenly.
- If you notice worsening of the sign.
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Code Yellow
Contact Your Vet at Your Convenience for an Appointment- If this is a slowly but consistently worsening problem and you are unsure of the cause.
- If the horse seems to be moving freely, and has a normal appetite and attitude.
your role

What To Do
Assess your horse's general health using the Whole Horse Exam (WHE) and share your findings and concerns with your vet. Before assuming disease, account for any variables that might be different- things like ambient temperature and humidity, workload relative to this horse's fitness, and whether the pattern is new or long-standing for this horse.Time the recovery from the moment exercise stops. As a general guideline, a horse working within its normal fitness capacity in moderate conditions should show substantial improvement in rate and effort within about 15-20 minutes and approach its resting respiratory rate (commonly 8-16 breaths per minute, though normal varies by individual) within 30-60 minutes. Heat, humidity, or work beyond the horse's fitness level can reasonably extend this.
Watch the character of the breathing throughout recovery, not just the rate: nostril flaring at rest, a visible abdominal "heave" push on expiration, wheezing or noise, coughing, or nasal discharge all matter more than the raw number. Compare the event to the horse's own history — a recovery that is taking longer than it used to for the same type of work is a more meaningful red flag than a single slow recovery on an unusually hot day or after an unusually hard effort.
Use the Whole Horse Exam to check resting respiratory rate, heart rate, mucous membrane color, and temperature, and share your specific observations — timing, character, and conditions — with your vet.
What Not To Do
Don't assume a one-time slow recovery in hot weather or after unusually hard work is dangerous, but don't dismiss labored or noisy breathing, nostril flare at rest, or a worsening trend as "just being out of shape." Don't push the horse back into work before recovery is complete, and don't ignore repeated episodes just because the horse eventually recovers each time.
Skills you may need
Procedures that you may need to perform on your horse.
your vet's role

Depending on findings, further workup may include CBC/chemistry, upper and lower airway endoscopy, tracheal wash or bronchoalveolar lavage (BAL) for cytology and culture, thoracic ultrasound, or cardiac evaluation (echocardiogram, ECG). In some cases a standardized post-exercise recheck is useful so the vet can directly observe recovery character rather than relying on a description alone.
- What training program is the horse on?
- How hot and humid are the conditions?
- What was the workload — intensity, duration, terrain — compared to what this horse normally does?
- Is this a new pattern, or has recovery time been gradually getting longer over recent weeks or months?
- What is the respiratory rate and heart rate at times post exercise?
- What level of work is the horse being asked to perform?
- Has the horse tolerated this exercise intensity in the past?
- Do you consider the horse to be fit?
- Did you see nostril flaring, an abdominal "heave" effort, or hear any noise during recovery?
- What are the results of the Whole Horse Exam (WHE)?
- Has the horse had any recent respiratory illness, fever, or exposure to sick horses?
- Did the horse's behavior, appetite, or willingness to work change after episode?
- Is there any nasal discharge and if so, what is it's appearance?
- Do you notice a cough?
- How is the horse fed?
- What is the horse's vaccination status?
- Have you noticed increased dust or mold in the horse's hay recently?
- What kind of hay are you feeding the horse?
- Has anything changed in the horse's environment, such as feed, bedding, or housing?
- How is the horse stabled or managed?
Diagnostics Your Vet May Perform
Figuring out the cause of the problem. These are tests or procedures used by your vet to determine what’s wrong.
Diagnoses Your Vet May Consider
The cause of the problem. These are conditions or ailments that are the cause of the observations you make.
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Poor Conditioning
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Poor Conditioning
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Lameness, Undiagnosed
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Lameness, Conditions Causing, Generally
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Pneumonia, Pleuropneumonia & Pleuritis, Generally
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Exercise Induced Pulmonary Hemorrhage, EIPH
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Smoke Inhalation, Pneumonitis
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Equine Asthma, RAO
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Atrial Fibrillation
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Anhidrosis, Dry Coat Syndrome
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Within Normal Limits, Normal for this Horse
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Respiratory Conditions, Generally
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Heart Conditions, Generally
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Tying-Up, Recurrent Exertional Rhabdomyolysis
Treatments Your Vet May Recommend
A way to resolve the condition or diagnosis. Resolving the underlying cause or treating the signs of disease (symptomatic treatment)
