COPD and RAO are very similar to asthma in humans, and are a result of an allergic response to airborne irritants, namely dusts and molds. Therefore, in an effort to feed and manage these horses, their exposure to these irritants must be reduced.

The best way to manage horses with COPD is to keep them outside as much as possible, where there will be fewer irritants to cause problems for the respiratory system. Even if pasture is not available, it is likely that the dust from fed hay will be blown away rather than inspired by the horse.

That said, selection of hay, even if fed outside, is an important consideration. Round bales, where a horse might put his whole head into the core to eat, can be counterproductive to a COPD horse staying outside. Smaller bales, or unrolling large round bales, would be more suitable.

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