Internal Medicine

Just like people, horses get sick or develop issues with their internal organs. Your horse may have a fever, act abnormally, or just seem lethargic or not quite right. Some common internal organ issues include hormonal issues, liver or kidney failure, muscle disorders, heart conditions, digestive tract disorders, respiratory disease or dysfunction, and neurologic conditions. These can dramatically affect the life and performance of your equine partner.

We offer a complete evaluation of your horse’s condition, including a thorough physical examination, appropriate laboratory testing, and other diagnostic evaluation using ultrasound, radiographs, and endoscopy. Once a diagnosis is reached, we will design and provide an appropriate treatment and monitoring program for your horse.


If your horse is undergoing changes to his eyes or eyesight, he should be seen by a veterinarian right away. Common indications that something is wrong with the eye include eyelid lacerations, apparent vision changes, discharge, swelling, squinting and discoloration in the eye (such as a milky covering or a growth in the eye). Noticing and treating eye issues promptly is essential for your horse’s health and vision.

We offer complete ophthalmology examinations for your horse. If we find a problem, we offer treatment, as well as surgical procedures. We maintain strong referral relationships with Board Certified ophthalmologists for on-farm or in-hospital evaluation and treatment.

Dr. Lauren Alderman explains more about The Equine Eye in this article

imaging - Ultrasound

If your horse has an illness, such as pneumonia or inflammatory bowel disease, we may require thoracic or abdominal radiographs or ultrasound. We maintain top of the line equipment to get the best possible image of your horse's skeletal or soft tissue issues.

Ultrasounds are used when evaluating your horse’s soft tissues, like internal organs. Illness often leads to damage to these structures which can be visualized using imaging. Digital radiographs give us high quality images of joints, bones, and soft tissue, such as the chest and abdomen. With digital radiographs, the images are available immediately so diagnosis and treatment can often be accomplished in one visit.


An endoscope is a wonderful tool that allows us to visualize the horse’s upper airway from the nasal passage to the trachea, or their reproductive or urinary tract, by using a fiber-optic camera. Endoscopy is used for a variety of issues, including respiratory problems, discharge from the nostrils, evaluation of the function of the upper airway, and various urinary and reproductive concerns.

Using the endoscope to visualize the airway, we can see if there are any conformational, traumatic, infectious, tumor-related or neurologic abnormalities. With the help of the endoscope, we will be able to make an accurate diagnosis and develop an appropriate treatment plan.


Cryosurgery involves using liquid nitrogen at a temperature of approximately -330°F to freeze problematic tissue while minimizing damage to healthy tissue, particularly in ocular and genital regions. If your horse has unwanted or challenging masses, like sarcoids or other tumors, cryosurgery might be a good solution.

After assessing the problem and coming up with an appropriate treatment plan, we will use a device containing liquid nitrogen to pinpoint and destroy the problem tissue. Some conditions require several treatments to achieve a successful outcome. After the area is treated, white hair may grow in the treated area, a side effect of being subjected to extreme cold.